|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
IP
|
$312.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$62.40 |
| Max. Negotiated Rate |
$280.80 |
| Rate for Payer: Adventist Health Commercial |
$62.40
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Central Health Plan Commercial |
$249.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$124.80
|
| Rate for Payer: EPIC Health Plan Senior |
$124.80
|
| Rate for Payer: Galaxy Health WC |
$265.20
|
| Rate for Payer: Global Benefits Group Commercial |
$187.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$280.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$118.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$193.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.40
|
| Rate for Payer: Multiplan Commercial |
$234.00
|
| Rate for Payer: Networks By Design Commercial |
$202.80
|
| Rate for Payer: Prime Health Services Commercial |
$265.20
|
|
|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
OP
|
$312.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$62.40 |
| Max. Negotiated Rate |
$1,833.00 |
| Rate for Payer: Adventist Health Commercial |
$127.92
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$189.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$75.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$183.24
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$120.25
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Central Health Plan Commercial |
$249.60
|
| Rate for Payer: Cigna of CA HMO |
$199.68
|
| Rate for Payer: Cigna of CA PPO |
$230.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$113.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$83.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$75.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$101.88
|
| Rate for Payer: EPIC Health Plan Senior |
$75.47
|
| Rate for Payer: Galaxy Health WC |
$265.20
|
| Rate for Payer: Global Benefits Group Commercial |
$187.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$280.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$123.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75.47
|
| Rate for Payer: InnovAge PACE Commercial |
$113.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$118.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$101.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$101.13
|
| Rate for Payer: Multiplan Commercial |
$234.00
|
| Rate for Payer: Multiplan WC |
$120.25
|
| Rate for Payer: Networks By Design Commercial |
$202.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$75.47
|
| Rate for Payer: Preferred Health Network WC |
$122.70
|
| Rate for Payer: Prime Health Services Commercial |
$265.20
|
| Rate for Payer: Prime Health Services Medicare |
$80.00
|
| Rate for Payer: Prime Health Services WC |
$119.02
|
| Rate for Payer: Riverside University Health System MISP |
$83.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$187.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$187.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$75.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Vantage Medical Group Senior |
$75.47
|
|
|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
IP
|
$312.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$62.40 |
| Max. Negotiated Rate |
$280.80 |
| Rate for Payer: Adventist Health Commercial |
$62.40
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Central Health Plan Commercial |
$249.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$124.80
|
| Rate for Payer: EPIC Health Plan Senior |
$124.80
|
| Rate for Payer: Galaxy Health WC |
$265.20
|
| Rate for Payer: Global Benefits Group Commercial |
$187.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$280.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$118.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$193.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.40
|
| Rate for Payer: Multiplan Commercial |
$234.00
|
| Rate for Payer: Networks By Design Commercial |
$202.80
|
| Rate for Payer: Prime Health Services Commercial |
$265.20
|
|
|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
OP
|
$312.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$62.40 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Commercial |
$62.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$75.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$120.25
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Cash Price |
$171.60
|
| Rate for Payer: Central Health Plan Commercial |
$249.60
|
| Rate for Payer: Cigna of CA HMO |
$199.68
|
| Rate for Payer: Cigna of CA PPO |
$230.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$113.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$83.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$75.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$101.88
|
| Rate for Payer: EPIC Health Plan Senior |
$75.47
|
| Rate for Payer: Galaxy Health WC |
$265.20
|
| Rate for Payer: Global Benefits Group Commercial |
$187.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$280.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$123.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75.47
|
| Rate for Payer: InnovAge PACE Commercial |
$113.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$118.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$75.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$101.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$101.13
|
| Rate for Payer: Multiplan Commercial |
$234.00
|
| Rate for Payer: Multiplan WC |
$120.25
|
| Rate for Payer: Networks By Design Commercial |
$202.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$75.47
|
| Rate for Payer: Preferred Health Network WC |
$122.70
|
| Rate for Payer: Prime Health Services Commercial |
$265.20
|
| Rate for Payer: Prime Health Services Medicare |
$80.00
|
| Rate for Payer: Prime Health Services WC |
$119.02
|
| Rate for Payer: Riverside University Health System MISP |
$83.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$187.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$156.00
|
| Rate for Payer: United Healthcare All Other HMO |
$156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$156.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$156.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$75.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Vantage Medical Group Senior |
$75.47
|
|
|
HC TRIM SKIN LESION, 2 TO 4
|
Facility
|
OP
|
$555.00
|
|
|
Service Code
|
CPT 11056
|
| Hospital Charge Code |
902890346
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$48.11 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Commercial |
$227.55
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$252.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$325.95
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$402.27
|
| Rate for Payer: Cash Price |
$305.25
|
| Rate for Payer: Cash Price |
$305.25
|
| Rate for Payer: Cash Price |
$305.25
|
| Rate for Payer: Cash Price |
$305.25
|
| Rate for Payer: Central Health Plan Commercial |
$444.00
|
| Rate for Payer: Cigna of CA HMO |
$355.20
|
| Rate for Payer: Cigna of CA PPO |
$410.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$378.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$277.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$252.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$340.83
|
| Rate for Payer: EPIC Health Plan Senior |
$252.47
|
| Rate for Payer: Galaxy Health WC |
$471.75
|
| Rate for Payer: Global Benefits Group Commercial |
$333.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$499.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$414.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$252.47
|
| Rate for Payer: InnovAge PACE Commercial |
$378.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$370.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$48.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$252.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$111.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$338.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$338.31
|
| Rate for Payer: Multiplan Commercial |
$416.25
|
| Rate for Payer: Multiplan WC |
$402.27
|
| Rate for Payer: Networks By Design Commercial |
$360.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$252.47
|
| Rate for Payer: Preferred Health Network WC |
$410.48
|
| Rate for Payer: Prime Health Services Commercial |
$471.75
|
| Rate for Payer: Prime Health Services Medicare |
$267.62
|
| Rate for Payer: Prime Health Services WC |
$398.17
|
| Rate for Payer: Riverside University Health System MISP |
$277.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$333.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$333.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$252.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Vantage Medical Group Senior |
$252.47
|
|
|
HC TRIM SKIN LESION, 2 TO 4
|
Facility
|
IP
|
$555.00
|
|
|
Service Code
|
CPT 11056
|
| Hospital Charge Code |
902890346
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$111.00 |
| Max. Negotiated Rate |
$499.50 |
| Rate for Payer: Adventist Health Commercial |
$111.00
|
| Rate for Payer: Cash Price |
$305.25
|
| Rate for Payer: Central Health Plan Commercial |
$444.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$222.00
|
| Rate for Payer: EPIC Health Plan Senior |
$222.00
|
| Rate for Payer: Galaxy Health WC |
$471.75
|
| Rate for Payer: Global Benefits Group Commercial |
$333.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$499.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$370.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$211.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$343.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$111.00
|
| Rate for Payer: Multiplan Commercial |
$416.25
|
| Rate for Payer: Networks By Design Commercial |
$360.75
|
| Rate for Payer: Prime Health Services Commercial |
$471.75
|
|
|
HC TRIM SKIN LESION MORE THAN 4
|
Facility
|
IP
|
$770.00
|
|
|
Service Code
|
CPT 11057
|
| Hospital Charge Code |
900101494
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$154.00 |
| Max. Negotiated Rate |
$693.00 |
| Rate for Payer: Adventist Health Commercial |
$154.00
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Central Health Plan Commercial |
$616.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$308.00
|
| Rate for Payer: EPIC Health Plan Senior |
$308.00
|
| Rate for Payer: Galaxy Health WC |
$654.50
|
| Rate for Payer: Global Benefits Group Commercial |
$462.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$693.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$513.59
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$293.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$476.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.00
|
| Rate for Payer: Multiplan Commercial |
$577.50
|
| Rate for Payer: Networks By Design Commercial |
$500.50
|
| Rate for Payer: Prime Health Services Commercial |
$654.50
|
|
|
HC TRIM SKIN LESION MORE THAN 4
|
Facility
|
OP
|
$770.00
|
|
|
Service Code
|
CPT 11057
|
| Hospital Charge Code |
900101494
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$46.11 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Commercial |
$154.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$252.47
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$252.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$372.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$452.22
|
| Rate for Payer: Blue Shield of California Commercial |
$470.47
|
| Rate for Payer: Blue Shield of California EPN |
$307.23
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Cash Price |
$423.50
|
| Rate for Payer: Central Health Plan Commercial |
$616.00
|
| Rate for Payer: Cigna of CA HMO |
$492.80
|
| Rate for Payer: Cigna of CA PPO |
$569.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$378.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$277.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$252.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$340.83
|
| Rate for Payer: EPIC Health Plan Senior |
$252.47
|
| Rate for Payer: Galaxy Health WC |
$654.50
|
| Rate for Payer: Global Benefits Group Commercial |
$462.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$693.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$414.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$46.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$252.47
|
| Rate for Payer: InnovAge PACE Commercial |
$378.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$513.59
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$50.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$252.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$338.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$338.31
|
| Rate for Payer: Multiplan Commercial |
$577.50
|
| Rate for Payer: Networks By Design Commercial |
$500.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$252.47
|
| Rate for Payer: Prime Health Services Commercial |
$654.50
|
| Rate for Payer: Prime Health Services Medicare |
$267.62
|
| Rate for Payer: Riverside University Health System MISP |
$277.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$462.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$462.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$385.00
|
| Rate for Payer: United Healthcare All Other HMO |
$385.00
|
| Rate for Payer: United Healthcare HMO Rider |
$385.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$385.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$252.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Vantage Medical Group Senior |
$252.47
|
|
|
HC TRIM SKIN LESION, SINGLE
|
Facility
|
OP
|
$544.00
|
|
|
Service Code
|
CPT 11055
|
| Hospital Charge Code |
902890267
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$31.82 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Commercial |
$223.04
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$252.47
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$319.49
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$402.27
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Central Health Plan Commercial |
$435.20
|
| Rate for Payer: Cigna of CA HMO |
$348.16
|
| Rate for Payer: Cigna of CA PPO |
$402.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$378.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$277.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$252.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$340.83
|
| Rate for Payer: EPIC Health Plan Senior |
$252.47
|
| Rate for Payer: Galaxy Health WC |
$462.40
|
| Rate for Payer: Global Benefits Group Commercial |
$326.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$489.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$414.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$252.47
|
| Rate for Payer: InnovAge PACE Commercial |
$378.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$362.85
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$31.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$252.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$108.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$338.31
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$338.31
|
| Rate for Payer: Multiplan Commercial |
$408.00
|
| Rate for Payer: Multiplan WC |
$402.27
|
| Rate for Payer: Networks By Design Commercial |
$353.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$252.47
|
| Rate for Payer: Preferred Health Network WC |
$410.48
|
| Rate for Payer: Prime Health Services Commercial |
$462.40
|
| Rate for Payer: Prime Health Services Medicare |
$267.62
|
| Rate for Payer: Prime Health Services WC |
$398.17
|
| Rate for Payer: Riverside University Health System MISP |
$277.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$326.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$326.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$252.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Vantage Medical Group Senior |
$252.47
|
|
|
HC TRIM SKIN LESION, SINGLE
|
Facility
|
IP
|
$544.00
|
|
|
Service Code
|
CPT 11055
|
| Hospital Charge Code |
902890267
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$108.80 |
| Max. Negotiated Rate |
$489.60 |
| Rate for Payer: Adventist Health Commercial |
$108.80
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Central Health Plan Commercial |
$435.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$217.60
|
| Rate for Payer: EPIC Health Plan Senior |
$217.60
|
| Rate for Payer: Galaxy Health WC |
$462.40
|
| Rate for Payer: Global Benefits Group Commercial |
$326.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$489.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$362.85
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$336.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$108.80
|
| Rate for Payer: Multiplan Commercial |
$408.00
|
| Rate for Payer: Networks By Design Commercial |
$353.60
|
| Rate for Payer: Prime Health Services Commercial |
$462.40
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
IP
|
$10,548.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
909037247
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,109.60 |
| Max. Negotiated Rate |
$9,493.20 |
| Rate for Payer: Adventist Health Commercial |
$2,109.60
|
| Rate for Payer: Cash Price |
$5,801.40
|
| Rate for Payer: Central Health Plan Commercial |
$8,438.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,219.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,219.20
|
| Rate for Payer: Galaxy Health WC |
$8,965.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,328.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,493.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,035.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,018.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,529.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,109.60
|
| Rate for Payer: Multiplan Commercial |
$7,911.00
|
| Rate for Payer: Networks By Design Commercial |
$6,856.20
|
| Rate for Payer: Prime Health Services Commercial |
$8,965.80
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
OP
|
$10,548.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
909037247
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$9,493.20 |
| Rate for Payer: Adventist Health Commercial |
$2,109.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8,965.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,801.40
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,911.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,107.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,194.84
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$5,801.40
|
| Rate for Payer: Cash Price |
$5,801.40
|
| Rate for Payer: Cash Price |
$5,801.40
|
| Rate for Payer: Central Health Plan Commercial |
$8,438.40
|
| Rate for Payer: Cigna of CA HMO |
$6,750.72
|
| Rate for Payer: Cigna of CA PPO |
$7,805.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8,965.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,965.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8,965.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,219.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,219.20
|
| Rate for Payer: Galaxy Health WC |
$8,965.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,328.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,493.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,358.20
|
| Rate for Payer: InnovAge PACE Commercial |
$5,274.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,035.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,500.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,529.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,109.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7,383.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7,383.60
|
| Rate for Payer: Multiplan Commercial |
$7,911.00
|
| Rate for Payer: Networks By Design Commercial |
$6,856.20
|
| Rate for Payer: Prime Health Services Commercial |
$8,965.80
|
| Rate for Payer: Riverside University Health System MISP |
$4,219.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,328.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8,965.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,965.80
|
| Rate for Payer: Vantage Medical Group Senior |
$8,965.80
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
IP
|
$12,409.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
906820285
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,481.80 |
| Max. Negotiated Rate |
$11,168.10 |
| Rate for Payer: Adventist Health Commercial |
$2,481.80
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Central Health Plan Commercial |
$9,927.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,963.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,963.60
|
| Rate for Payer: Galaxy Health WC |
$10,547.65
|
| Rate for Payer: Global Benefits Group Commercial |
$7,445.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,168.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,276.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,727.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,681.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,481.80
|
| Rate for Payer: Multiplan Commercial |
$9,306.75
|
| Rate for Payer: Networks By Design Commercial |
$8,065.85
|
| Rate for Payer: Prime Health Services Commercial |
$10,547.65
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
OP
|
$12,409.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
906820285
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$11,168.10 |
| Rate for Payer: Adventist Health Commercial |
$2,481.80
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,547.65
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,824.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,306.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,008.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,287.81
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Central Health Plan Commercial |
$9,927.20
|
| Rate for Payer: Cigna of CA HMO |
$7,941.76
|
| Rate for Payer: Cigna of CA PPO |
$9,182.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,547.65
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,547.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,547.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,963.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,963.60
|
| Rate for Payer: Galaxy Health WC |
$10,547.65
|
| Rate for Payer: Global Benefits Group Commercial |
$7,445.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,168.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,358.20
|
| Rate for Payer: InnovAge PACE Commercial |
$6,204.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,276.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,500.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,681.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,481.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,686.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,686.30
|
| Rate for Payer: Multiplan Commercial |
$9,306.75
|
| Rate for Payer: Networks By Design Commercial |
$8,065.85
|
| Rate for Payer: Prime Health Services Commercial |
$10,547.65
|
| Rate for Payer: Riverside University Health System MISP |
$4,963.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,445.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,547.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,547.65
|
| Rate for Payer: Vantage Medical Group Senior |
$10,547.65
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
OP
|
$10,303.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
909037249
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$992.56 |
| Max. Negotiated Rate |
$9,272.70 |
| Rate for Payer: Adventist Health Commercial |
$2,060.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8,757.55
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,666.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,727.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,988.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,050.95
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$5,666.65
|
| Rate for Payer: Cash Price |
$5,666.65
|
| Rate for Payer: Cash Price |
$5,666.65
|
| Rate for Payer: Central Health Plan Commercial |
$8,242.40
|
| Rate for Payer: Cigna of CA HMO |
$6,593.92
|
| Rate for Payer: Cigna of CA PPO |
$7,624.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8,757.55
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,757.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8,757.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,121.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,121.20
|
| Rate for Payer: Galaxy Health WC |
$8,757.55
|
| Rate for Payer: Global Benefits Group Commercial |
$6,181.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,272.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$992.56
|
| Rate for Payer: InnovAge PACE Commercial |
$5,151.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,096.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,377.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,060.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7,212.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7,212.10
|
| Rate for Payer: Multiplan Commercial |
$7,727.25
|
| Rate for Payer: Networks By Design Commercial |
$6,696.95
|
| Rate for Payer: Prime Health Services Commercial |
$8,757.55
|
| Rate for Payer: Riverside University Health System MISP |
$4,121.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,181.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8,757.55
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,757.55
|
| Rate for Payer: Vantage Medical Group Senior |
$8,757.55
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
OP
|
$12,121.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
906820287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$992.56 |
| Max. Negotiated Rate |
$10,908.90 |
| Rate for Payer: Adventist Health Commercial |
$2,424.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,302.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,666.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,090.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,868.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,118.66
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Central Health Plan Commercial |
$9,696.80
|
| Rate for Payer: Cigna of CA HMO |
$7,757.44
|
| Rate for Payer: Cigna of CA PPO |
$8,969.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,302.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,302.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,302.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,848.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,848.40
|
| Rate for Payer: Galaxy Health WC |
$10,302.85
|
| Rate for Payer: Global Benefits Group Commercial |
$7,272.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,908.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$992.56
|
| Rate for Payer: InnovAge PACE Commercial |
$6,060.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,084.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,096.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,502.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,424.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,484.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,484.70
|
| Rate for Payer: Multiplan Commercial |
$9,090.75
|
| Rate for Payer: Networks By Design Commercial |
$7,878.65
|
| Rate for Payer: Prime Health Services Commercial |
$10,302.85
|
| Rate for Payer: Riverside University Health System MISP |
$4,848.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,272.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,302.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,302.85
|
| Rate for Payer: Vantage Medical Group Senior |
$10,302.85
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
IP
|
$12,121.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
906820287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,424.20 |
| Max. Negotiated Rate |
$10,908.90 |
| Rate for Payer: Adventist Health Commercial |
$2,424.20
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Central Health Plan Commercial |
$9,696.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,848.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,848.40
|
| Rate for Payer: Galaxy Health WC |
$10,302.85
|
| Rate for Payer: Global Benefits Group Commercial |
$7,272.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,908.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,084.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,618.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,502.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,424.20
|
| Rate for Payer: Multiplan Commercial |
$9,090.75
|
| Rate for Payer: Networks By Design Commercial |
$7,878.65
|
| Rate for Payer: Prime Health Services Commercial |
$10,302.85
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
IP
|
$10,303.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
909037249
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,060.60 |
| Max. Negotiated Rate |
$9,272.70 |
| Rate for Payer: Adventist Health Commercial |
$2,060.60
|
| Rate for Payer: Cash Price |
$5,666.65
|
| Rate for Payer: Central Health Plan Commercial |
$8,242.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,121.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,121.20
|
| Rate for Payer: Galaxy Health WC |
$8,757.55
|
| Rate for Payer: Global Benefits Group Commercial |
$6,181.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,272.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,925.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,377.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,060.60
|
| Rate for Payer: Multiplan Commercial |
$7,727.25
|
| Rate for Payer: Networks By Design Commercial |
$6,696.95
|
| Rate for Payer: Prime Health Services Commercial |
$8,757.55
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
IP
|
$24,047.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
909037246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,809.40 |
| Max. Negotiated Rate |
$21,642.30 |
| Rate for Payer: Adventist Health Commercial |
$4,809.40
|
| Rate for Payer: Cash Price |
$13,225.85
|
| Rate for Payer: Central Health Plan Commercial |
$19,237.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,618.80
|
| Rate for Payer: EPIC Health Plan Senior |
$9,618.80
|
| Rate for Payer: Galaxy Health WC |
$20,439.95
|
| Rate for Payer: Global Benefits Group Commercial |
$14,428.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,642.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,039.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,161.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,885.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,809.40
|
| Rate for Payer: Multiplan Commercial |
$18,035.25
|
| Rate for Payer: Networks By Design Commercial |
$15,630.55
|
| Rate for Payer: Prime Health Services Commercial |
$20,439.95
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
OP
|
$24,047.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
909037246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,809.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,542.58
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$13,225.85
|
| Rate for Payer: Cash Price |
$13,225.85
|
| Rate for Payer: Cash Price |
$13,225.85
|
| Rate for Payer: Central Health Plan Commercial |
$19,237.60
|
| Rate for Payer: Cigna of CA HMO |
$15,390.08
|
| Rate for Payer: Cigna of CA PPO |
$17,794.78
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$20,439.95
|
| Rate for Payer: Global Benefits Group Commercial |
$14,428.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,642.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,372.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,039.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,725.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,809.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$18,035.25
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: Networks By Design Commercial |
$15,630.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Preferred Health Network WC |
$11,778.14
|
| Rate for Payer: Prime Health Services Commercial |
$20,439.95
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Prime Health Services WC |
$11,424.80
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,428.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
IP
|
$28,291.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,658.20 |
| Max. Negotiated Rate |
$25,461.90 |
| Rate for Payer: Adventist Health Commercial |
$5,658.20
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Central Health Plan Commercial |
$22,632.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,316.40
|
| Rate for Payer: EPIC Health Plan Senior |
$11,316.40
|
| Rate for Payer: Galaxy Health WC |
$24,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$16,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,461.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,870.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,778.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,512.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,658.20
|
| Rate for Payer: Multiplan Commercial |
$21,218.25
|
| Rate for Payer: Networks By Design Commercial |
$18,389.15
|
| Rate for Payer: Prime Health Services Commercial |
$24,047.35
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
OP
|
$28,291.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$5,658.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,542.58
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Central Health Plan Commercial |
$22,632.80
|
| Rate for Payer: Cigna of CA HMO |
$18,106.24
|
| Rate for Payer: Cigna of CA PPO |
$20,935.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$24,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$16,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,461.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,372.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,870.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,725.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,658.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$21,218.25
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: Networks By Design Commercial |
$18,389.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Preferred Health Network WC |
$11,778.14
|
| Rate for Payer: Prime Health Services Commercial |
$24,047.35
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Prime Health Services WC |
$11,424.80
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,974.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
|
IP
|
$24,242.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
906820286
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,848.40 |
| Max. Negotiated Rate |
$21,817.80 |
| Rate for Payer: Adventist Health Commercial |
$4,848.40
|
| Rate for Payer: Cash Price |
$13,333.10
|
| Rate for Payer: Central Health Plan Commercial |
$19,393.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,696.80
|
| Rate for Payer: EPIC Health Plan Senior |
$9,696.80
|
| Rate for Payer: Galaxy Health WC |
$20,605.70
|
| Rate for Payer: Global Benefits Group Commercial |
$14,545.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,817.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,169.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,236.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,005.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,848.40
|
| Rate for Payer: Multiplan Commercial |
$18,181.50
|
| Rate for Payer: Networks By Design Commercial |
$15,757.30
|
| Rate for Payer: Prime Health Services Commercial |
$20,605.70
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
|
OP
|
$24,242.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
906820286
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,848.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,542.58
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$13,333.10
|
| Rate for Payer: Cash Price |
$13,333.10
|
| Rate for Payer: Cash Price |
$13,333.10
|
| Rate for Payer: Central Health Plan Commercial |
$19,393.60
|
| Rate for Payer: Cigna of CA HMO |
$15,514.88
|
| Rate for Payer: Cigna of CA PPO |
$17,939.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$20,605.70
|
| Rate for Payer: Global Benefits Group Commercial |
$14,545.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,817.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,325.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,169.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,568.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,848.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$18,181.50
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: Networks By Design Commercial |
$15,757.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Preferred Health Network WC |
$11,778.14
|
| Rate for Payer: Prime Health Services Commercial |
$20,605.70
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Prime Health Services WC |
$11,424.80
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,545.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
|
OP
|
$20,606.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
909037248
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,121.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,542.58
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$11,333.30
|
| Rate for Payer: Cash Price |
$11,333.30
|
| Rate for Payer: Cash Price |
$11,333.30
|
| Rate for Payer: Central Health Plan Commercial |
$16,484.80
|
| Rate for Payer: Cigna of CA HMO |
$13,187.84
|
| Rate for Payer: Cigna of CA PPO |
$15,248.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$17,515.10
|
| Rate for Payer: Global Benefits Group Commercial |
$12,363.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,545.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,325.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,744.20
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,568.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,121.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$15,454.50
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: Networks By Design Commercial |
$13,393.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Preferred Health Network WC |
$11,778.14
|
| Rate for Payer: Prime Health Services Commercial |
$17,515.10
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Prime Health Services WC |
$11,424.80
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,363.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
