|
METHYLPREDNISOLONE 16 MG TABLET [4992]
|
Facility
IP
|
$2.98
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1710277
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$2.68 |
| Rate for Payer: Blue Shield of California Commercial |
$2.24
|
| Rate for Payer: Blue Shield of California EPN |
$1.59
|
| Rate for Payer: Cash Price |
$1.34
|
| Rate for Payer: Central Health Plan Commercial |
$2.38
|
| Rate for Payer: Cigna of CA HMO |
$2.09
|
| Rate for Payer: Cigna of CA PPO |
$2.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.19
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.19
|
| Rate for Payer: Galaxy Health WC |
$2.53
|
| Rate for Payer: Global Benefits Group Commercial |
$1.79
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.68
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.60
|
| Rate for Payer: Multiplan Commercial |
$2.24
|
| Rate for Payer: Networks By Design Commercial |
$1.49
|
| Rate for Payer: Prime Health Services Commercial |
$2.53
|
|
|
METHYLPREDNISOLONE 32 MG TABLET [10575]
|
Facility
OP
|
$4.96
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1712385
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.24 |
| Max. Negotiated Rate |
$4.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.77
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$4.22
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.44
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.73
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.73
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: BCBS Transplant Transplant |
$2.98
|
| Rate for Payer: BCBS Transplant Transplant |
$2.66
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Cash Price |
$2.23
|
| Rate for Payer: Cash Price |
$2.23
|
| Rate for Payer: Cash Price |
$2.00
|
| Rate for Payer: Cash Price |
$2.00
|
| Rate for Payer: Central Health Plan Commercial |
$3.97
|
| Rate for Payer: Central Health Plan Commercial |
$3.55
|
| Rate for Payer: Cigna of CA HMO |
$3.11
|
| Rate for Payer: Cigna of CA HMO |
$3.47
|
| Rate for Payer: Cigna of CA PPO |
$3.47
|
| Rate for Payer: Cigna of CA PPO |
$3.11
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.98
|
| Rate for Payer: Galaxy Health WC |
$3.77
|
| Rate for Payer: Galaxy Health WC |
$4.22
|
| Rate for Payer: Global Benefits Group Commercial |
$2.98
|
| Rate for Payer: Global Benefits Group Commercial |
$2.66
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.46
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.72
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.33
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.89
|
| Rate for Payer: Multiplan Commercial |
$3.33
|
| Rate for Payer: Multiplan Commercial |
$3.72
|
| Rate for Payer: Networks By Design Commercial |
$2.22
|
| Rate for Payer: Networks By Design Commercial |
$2.48
|
| Rate for Payer: Prime Health Services Commercial |
$4.22
|
| Rate for Payer: Prime Health Services Commercial |
$3.77
|
| Rate for Payer: Riverside University Health MISP |
$1.78
|
| Rate for Payer: Riverside University Health MISP |
$1.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.66
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.66
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.98
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.22
|
| Rate for Payer: United Healthcare All Other HMO |
$2.48
|
| Rate for Payer: United Healthcare All Other HMO |
$2.22
|
| Rate for Payer: United Healthcare HMO Rider |
$2.22
|
| Rate for Payer: United Healthcare HMO Rider |
$2.48
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.48
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3.77
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.22
|
| Rate for Payer: Vantage Medical Group Senior |
$3.77
|
| Rate for Payer: Vantage Medical Group Senior |
$4.22
|
|
|
METHYLPREDNISOLONE 32 MG TABLET [10575]
|
Facility
IP
|
$4.44
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1712385
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.89 |
| Max. Negotiated Rate |
$4.00 |
| Rate for Payer: Blue Shield of California Commercial |
$3.33
|
| Rate for Payer: Blue Shield of California Commercial |
$3.72
|
| Rate for Payer: Blue Shield of California EPN |
$2.65
|
| Rate for Payer: Blue Shield of California EPN |
$2.37
|
| Rate for Payer: Cash Price |
$2.23
|
| Rate for Payer: Cash Price |
$2.00
|
| Rate for Payer: Central Health Plan Commercial |
$3.97
|
| Rate for Payer: Central Health Plan Commercial |
$3.55
|
| Rate for Payer: Cigna of CA HMO |
$3.11
|
| Rate for Payer: Cigna of CA HMO |
$3.47
|
| Rate for Payer: Cigna of CA PPO |
$3.11
|
| Rate for Payer: Cigna of CA PPO |
$3.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.98
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.78
|
| Rate for Payer: Galaxy Health WC |
$3.77
|
| Rate for Payer: Galaxy Health WC |
$4.22
|
| Rate for Payer: Global Benefits Group Commercial |
$2.98
|
| Rate for Payer: Global Benefits Group Commercial |
$2.66
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.46
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.99
|
| Rate for Payer: Multiplan Commercial |
$3.72
|
| Rate for Payer: Multiplan Commercial |
$3.33
|
| Rate for Payer: Networks By Design Commercial |
$2.22
|
| Rate for Payer: Networks By Design Commercial |
$2.48
|
| Rate for Payer: Prime Health Services Commercial |
$4.22
|
| Rate for Payer: Prime Health Services Commercial |
$3.77
|
|
|
METHYLPREDNISOLONE 40 MG INJ. [4081204]
|
Facility
IP
|
$7.30
|
|
|
Service Code
|
CPT J2920
|
| Hospital Charge Code |
1720346
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$6.57 |
| Rate for Payer: Blue Shield of California Commercial |
$5.48
|
| Rate for Payer: Blue Shield of California Commercial |
$5.44
|
| Rate for Payer: Blue Shield of California EPN |
$3.88
|
| Rate for Payer: Blue Shield of California EPN |
$3.90
|
| Rate for Payer: Cash Price |
$3.27
|
| Rate for Payer: Cash Price |
$3.29
|
| Rate for Payer: Central Health Plan Commercial |
$5.84
|
| Rate for Payer: Central Health Plan Commercial |
$5.81
|
| Rate for Payer: Cigna of CA HMO |
$5.11
|
| Rate for Payer: Cigna of CA HMO |
$5.08
|
| Rate for Payer: Cigna of CA PPO |
$5.08
|
| Rate for Payer: Cigna of CA PPO |
$5.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.92
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.90
|
| Rate for Payer: Galaxy Health WC |
$6.17
|
| Rate for Payer: Galaxy Health WC |
$6.20
|
| Rate for Payer: Global Benefits Group Commercial |
$4.36
|
| Rate for Payer: Global Benefits Group Commercial |
$4.38
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.45
|
| Rate for Payer: Multiplan Commercial |
$5.44
|
| Rate for Payer: Multiplan Commercial |
$5.48
|
| Rate for Payer: Networks By Design Commercial |
$3.63
|
| Rate for Payer: Networks By Design Commercial |
$3.65
|
| Rate for Payer: Prime Health Services Commercial |
$6.20
|
| Rate for Payer: Prime Health Services Commercial |
$6.17
|
|
|
METHYLPREDNISOLONE 40 MG INJ. [4081204]
|
Facility
OP
|
$7.26
|
|
|
Service Code
|
CPT J2920
|
| Hospital Charge Code |
1720346
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.45 |
| Max. Negotiated Rate |
$25.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25.95
|
| Rate for Payer: Aetna of CA HMO/PPO |
$25.95
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6.20
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6.17
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3.99
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4.07
|
| Rate for Payer: BCBS Transplant Transplant |
$4.38
|
| Rate for Payer: BCBS Transplant Transplant |
$4.36
|
| Rate for Payer: Blue Shield of California Commercial |
$6.07
|
| Rate for Payer: Blue Shield of California Commercial |
$6.07
|
| Rate for Payer: Blue Shield of California EPN |
$5.52
|
| Rate for Payer: Blue Shield of California EPN |
$5.52
|
| Rate for Payer: Cash Price |
$3.27
|
| Rate for Payer: Cash Price |
$3.29
|
| Rate for Payer: Cash Price |
$3.27
|
| Rate for Payer: Cash Price |
$3.29
|
| Rate for Payer: Central Health Plan Commercial |
$5.84
|
| Rate for Payer: Central Health Plan Commercial |
$5.81
|
| Rate for Payer: Cigna of CA HMO |
$5.08
|
| Rate for Payer: Cigna of CA HMO |
$5.11
|
| Rate for Payer: Cigna of CA PPO |
$5.08
|
| Rate for Payer: Cigna of CA PPO |
$5.11
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.92
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.90
|
| Rate for Payer: Galaxy Health WC |
$6.20
|
| Rate for Payer: Galaxy Health WC |
$6.17
|
| Rate for Payer: Global Benefits Group Commercial |
$4.38
|
| Rate for Payer: Global Benefits Group Commercial |
$4.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.53
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5.44
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5.48
|
| Rate for Payer: IEHP medi-cal |
$2.54
|
| Rate for Payer: IEHP medi-cal |
$2.56
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.87
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.45
|
| Rate for Payer: Multiplan Commercial |
$5.48
|
| Rate for Payer: Multiplan Commercial |
$5.44
|
| Rate for Payer: Networks By Design Commercial |
$3.65
|
| Rate for Payer: Networks By Design Commercial |
$3.63
|
| Rate for Payer: Prime Health Services Commercial |
$6.17
|
| Rate for Payer: Prime Health Services Commercial |
$6.20
|
| Rate for Payer: Riverside University Health MISP |
$2.92
|
| Rate for Payer: Riverside University Health MISP |
$2.90
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4.38
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$3.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$3.65
|
| Rate for Payer: United Healthcare All Other HMO |
$3.65
|
| Rate for Payer: United Healthcare All Other HMO |
$3.63
|
| Rate for Payer: United Healthcare HMO Rider |
$3.65
|
| Rate for Payer: United Healthcare HMO Rider |
$3.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.20
|
| Rate for Payer: Vantage Medical Group Senior |
$6.17
|
| Rate for Payer: Vantage Medical Group Senior |
$6.20
|
|
|
METHYLPREDNISOLONE 4 MG TABLET [4993]
|
Facility
OP
|
$0.39
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1710271
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$1.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.88
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.90
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.71
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.33
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.57
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.21
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.11
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.23
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.57
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.23
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: BCBS Transplant Transplant |
$1.21
|
| Rate for Payer: BCBS Transplant Transplant |
$0.62
|
| Rate for Payer: BCBS Transplant Transplant |
$0.23
|
| Rate for Payer: BCBS Transplant Transplant |
$1.34
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Cash Price |
$0.46
|
| Rate for Payer: Cash Price |
$0.90
|
| Rate for Payer: Cash Price |
$1.00
|
| Rate for Payer: Cash Price |
$0.18
|
| Rate for Payer: Cash Price |
$0.18
|
| Rate for Payer: Cash Price |
$1.00
|
| Rate for Payer: Cash Price |
$0.90
|
| Rate for Payer: Cash Price |
$0.46
|
| Rate for Payer: Central Health Plan Commercial |
$0.31
|
| Rate for Payer: Central Health Plan Commercial |
$1.61
|
| Rate for Payer: Central Health Plan Commercial |
$1.78
|
| Rate for Payer: Central Health Plan Commercial |
$0.82
|
| Rate for Payer: Cigna of CA HMO |
$1.56
|
| Rate for Payer: Cigna of CA HMO |
$0.72
|
| Rate for Payer: Cigna of CA HMO |
$1.41
|
| Rate for Payer: Cigna of CA HMO |
$0.27
|
| Rate for Payer: Cigna of CA PPO |
$0.27
|
| Rate for Payer: Cigna of CA PPO |
$1.41
|
| Rate for Payer: Cigna of CA PPO |
$0.72
|
| Rate for Payer: Cigna of CA PPO |
$1.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1.71
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$0.33
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$0.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.41
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.89
|
| Rate for Payer: Galaxy Health WC |
$0.88
|
| Rate for Payer: Galaxy Health WC |
$1.90
|
| Rate for Payer: Galaxy Health WC |
$0.33
|
| Rate for Payer: Galaxy Health WC |
$1.71
|
| Rate for Payer: Global Benefits Group Commercial |
$0.23
|
| Rate for Payer: Global Benefits Group Commercial |
$1.34
|
| Rate for Payer: Global Benefits Group Commercial |
$0.62
|
| Rate for Payer: Global Benefits Group Commercial |
$1.21
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.81
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.93
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.77
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.51
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.67
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.29
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.49
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.69
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.34
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.40
|
| Rate for Payer: Multiplan Commercial |
$1.67
|
| Rate for Payer: Multiplan Commercial |
$0.29
|
| Rate for Payer: Multiplan Commercial |
$1.51
|
| Rate for Payer: Multiplan Commercial |
$0.77
|
| Rate for Payer: Networks By Design Commercial |
$1.12
|
| Rate for Payer: Networks By Design Commercial |
$1.00
|
| Rate for Payer: Networks By Design Commercial |
$0.20
|
| Rate for Payer: Networks By Design Commercial |
$0.52
|
| Rate for Payer: Prime Health Services Commercial |
$1.90
|
| Rate for Payer: Prime Health Services Commercial |
$1.71
|
| Rate for Payer: Prime Health Services Commercial |
$0.88
|
| Rate for Payer: Prime Health Services Commercial |
$0.33
|
| Rate for Payer: Riverside University Health MISP |
$0.80
|
| Rate for Payer: Riverside University Health MISP |
$0.16
|
| Rate for Payer: Riverside University Health MISP |
$0.41
|
| Rate for Payer: Riverside University Health MISP |
$0.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.21
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.62
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.34
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.62
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.21
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.34
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.23
|
| Rate for Payer: United Healthcare All Other Commercial |
$1.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.52
|
| Rate for Payer: United Healthcare All Other HMO |
$1.12
|
| Rate for Payer: United Healthcare All Other HMO |
$0.20
|
| Rate for Payer: United Healthcare All Other HMO |
$0.52
|
| Rate for Payer: United Healthcare All Other HMO |
$1.00
|
| Rate for Payer: United Healthcare HMO Rider |
$0.52
|
| Rate for Payer: United Healthcare HMO Rider |
$1.00
|
| Rate for Payer: United Healthcare HMO Rider |
$0.20
|
| Rate for Payer: United Healthcare HMO Rider |
$1.12
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.20
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.52
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$0.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$0.33
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1.90
|
| Rate for Payer: Vantage Medical Group Senior |
$1.71
|
| Rate for Payer: Vantage Medical Group Senior |
$0.33
|
| Rate for Payer: Vantage Medical Group Senior |
$0.88
|
| Rate for Payer: Vantage Medical Group Senior |
$1.90
|
|
|
METHYLPREDNISOLONE 4 MG TABLET [4993]
|
Facility
IP
|
$2.23
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1710271
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$2.01 |
| Rate for Payer: Blue Shield of California Commercial |
$1.67
|
| Rate for Payer: Blue Shield of California Commercial |
$0.29
|
| Rate for Payer: Blue Shield of California Commercial |
$0.77
|
| Rate for Payer: Blue Shield of California Commercial |
$1.51
|
| Rate for Payer: Blue Shield of California EPN |
$0.21
|
| Rate for Payer: Blue Shield of California EPN |
$1.07
|
| Rate for Payer: Blue Shield of California EPN |
$1.19
|
| Rate for Payer: Blue Shield of California EPN |
$0.55
|
| Rate for Payer: Cash Price |
$1.00
|
| Rate for Payer: Cash Price |
$0.18
|
| Rate for Payer: Cash Price |
$0.46
|
| Rate for Payer: Cash Price |
$0.90
|
| Rate for Payer: Central Health Plan Commercial |
$0.82
|
| Rate for Payer: Central Health Plan Commercial |
$1.78
|
| Rate for Payer: Central Health Plan Commercial |
$1.61
|
| Rate for Payer: Central Health Plan Commercial |
$0.31
|
| Rate for Payer: Cigna of CA HMO |
$0.27
|
| Rate for Payer: Cigna of CA HMO |
$1.56
|
| Rate for Payer: Cigna of CA HMO |
$1.41
|
| Rate for Payer: Cigna of CA HMO |
$0.72
|
| Rate for Payer: Cigna of CA PPO |
$0.27
|
| Rate for Payer: Cigna of CA PPO |
$0.72
|
| Rate for Payer: Cigna of CA PPO |
$1.41
|
| Rate for Payer: Cigna of CA PPO |
$1.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.89
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.16
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.89
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.41
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.80
|
| Rate for Payer: Galaxy Health WC |
$1.71
|
| Rate for Payer: Galaxy Health WC |
$0.33
|
| Rate for Payer: Galaxy Health WC |
$0.88
|
| Rate for Payer: Galaxy Health WC |
$1.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1.34
|
| Rate for Payer: Global Benefits Group Commercial |
$0.62
|
| Rate for Payer: Global Benefits Group Commercial |
$0.23
|
| Rate for Payer: Global Benefits Group Commercial |
$1.21
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.81
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.49
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.26
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.69
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.08
|
| Rate for Payer: Multiplan Commercial |
$0.29
|
| Rate for Payer: Multiplan Commercial |
$1.51
|
| Rate for Payer: Multiplan Commercial |
$1.67
|
| Rate for Payer: Multiplan Commercial |
$0.77
|
| Rate for Payer: Networks By Design Commercial |
$0.20
|
| Rate for Payer: Networks By Design Commercial |
$0.52
|
| Rate for Payer: Networks By Design Commercial |
$1.00
|
| Rate for Payer: Networks By Design Commercial |
$1.12
|
| Rate for Payer: Prime Health Services Commercial |
$0.33
|
| Rate for Payer: Prime Health Services Commercial |
$0.88
|
| Rate for Payer: Prime Health Services Commercial |
$1.71
|
| Rate for Payer: Prime Health Services Commercial |
$1.90
|
|
|
METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [4991]
|
Facility
IP
|
$0.37
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1711427
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$0.33 |
| Rate for Payer: Blue Shield of California Commercial |
$0.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.03
|
| Rate for Payer: Blue Shield of California EPN |
$0.20
|
| Rate for Payer: Blue Shield of California EPN |
$0.73
|
| Rate for Payer: Cash Price |
$0.62
|
| Rate for Payer: Cash Price |
$0.17
|
| Rate for Payer: Central Health Plan Commercial |
$0.30
|
| Rate for Payer: Central Health Plan Commercial |
$1.10
|
| Rate for Payer: Cigna of CA HMO |
$0.96
|
| Rate for Payer: Cigna of CA HMO |
$0.26
|
| Rate for Payer: Cigna of CA PPO |
$0.96
|
| Rate for Payer: Cigna of CA PPO |
$0.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.55
|
| Rate for Payer: Galaxy Health WC |
$1.16
|
| Rate for Payer: Galaxy Health WC |
$0.31
|
| Rate for Payer: Global Benefits Group Commercial |
$0.82
|
| Rate for Payer: Global Benefits Group Commercial |
$0.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
| Rate for Payer: Multiplan Commercial |
$1.03
|
| Rate for Payer: Multiplan Commercial |
$0.28
|
| Rate for Payer: Networks By Design Commercial |
$0.69
|
| Rate for Payer: Networks By Design Commercial |
$0.19
|
| Rate for Payer: Prime Health Services Commercial |
$0.31
|
| Rate for Payer: Prime Health Services Commercial |
$1.16
|
|
|
METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [4991]
|
Facility
OP
|
$1.37
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1711427
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.24 |
| Max. Negotiated Rate |
$1.41 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$0.31
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.16
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.75
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.20
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.20
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: BCBS Transplant Transplant |
$0.22
|
| Rate for Payer: BCBS Transplant Transplant |
$0.82
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Cash Price |
$0.62
|
| Rate for Payer: Cash Price |
$0.17
|
| Rate for Payer: Cash Price |
$0.62
|
| Rate for Payer: Cash Price |
$0.17
|
| Rate for Payer: Central Health Plan Commercial |
$1.10
|
| Rate for Payer: Central Health Plan Commercial |
$0.30
|
| Rate for Payer: Cigna of CA HMO |
$0.26
|
| Rate for Payer: Cigna of CA HMO |
$0.96
|
| Rate for Payer: Cigna of CA PPO |
$0.26
|
| Rate for Payer: Cigna of CA PPO |
$0.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$0.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.55
|
| Rate for Payer: Galaxy Health WC |
$1.16
|
| Rate for Payer: Galaxy Health WC |
$0.31
|
| Rate for Payer: Global Benefits Group Commercial |
$0.82
|
| Rate for Payer: Global Benefits Group Commercial |
$0.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.23
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.33
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$0.28
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.03
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.27
|
| Rate for Payer: Multiplan Commercial |
$0.28
|
| Rate for Payer: Multiplan Commercial |
$1.03
|
| Rate for Payer: Networks By Design Commercial |
$0.19
|
| Rate for Payer: Networks By Design Commercial |
$0.69
|
| Rate for Payer: Prime Health Services Commercial |
$1.16
|
| Rate for Payer: Prime Health Services Commercial |
$0.31
|
| Rate for Payer: Riverside University Health MISP |
$0.15
|
| Rate for Payer: Riverside University Health MISP |
$0.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.82
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.69
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.19
|
| Rate for Payer: United Healthcare All Other HMO |
$0.69
|
| Rate for Payer: United Healthcare All Other HMO |
$0.19
|
| Rate for Payer: United Healthcare HMO Rider |
$0.19
|
| Rate for Payer: United Healthcare HMO Rider |
$0.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$0.31
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1.16
|
| Rate for Payer: Vantage Medical Group Senior |
$0.31
|
| Rate for Payer: Vantage Medical Group Senior |
$1.16
|
|
|
METHYLPREDNISOLONE 500 MG INJ WRAP FOR CNR USE ONLY [4081203]
|
Facility
OP
|
$29.14
|
|
|
Service Code
|
CPT J2930
|
| Hospital Charge Code |
ERX4081203
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.83 |
| Max. Negotiated Rate |
$36.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36.45
|
| Rate for Payer: Aetna of CA HMO/PPO |
$36.45
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$45.17
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$24.77
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$16.03
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$29.23
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29.23
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$16.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.67
|
| Rate for Payer: BCBS Transplant Transplant |
$17.48
|
| Rate for Payer: BCBS Transplant Transplant |
$31.88
|
| Rate for Payer: Blue Shield of California Commercial |
$9.36
|
| Rate for Payer: Blue Shield of California Commercial |
$9.36
|
| Rate for Payer: Blue Shield of California EPN |
$8.51
|
| Rate for Payer: Blue Shield of California EPN |
$8.51
|
| Rate for Payer: Cash Price |
$13.11
|
| Rate for Payer: Cash Price |
$13.11
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Central Health Plan Commercial |
$23.31
|
| Rate for Payer: Central Health Plan Commercial |
$42.51
|
| Rate for Payer: Cigna of CA HMO |
$37.20
|
| Rate for Payer: Cigna of CA HMO |
$20.40
|
| Rate for Payer: Cigna of CA PPO |
$37.20
|
| Rate for Payer: Cigna of CA PPO |
$20.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$11.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.26
|
| Rate for Payer: EPIC Health Plan Transplant |
$11.66
|
| Rate for Payer: EPIC Health Plan Transplant |
$21.26
|
| Rate for Payer: Galaxy Health WC |
$45.17
|
| Rate for Payer: Galaxy Health WC |
$24.77
|
| Rate for Payer: Global Benefits Group Commercial |
$17.48
|
| Rate for Payer: Global Benefits Group Commercial |
$31.88
|
| Rate for Payer: Health Management Network EPO/PPO |
$26.23
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.83
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$21.86
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$39.86
|
| Rate for Payer: IEHP medi-cal |
$10.20
|
| Rate for Payer: IEHP medi-cal |
$18.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.83
|
| Rate for Payer: Multiplan Commercial |
$39.86
|
| Rate for Payer: Multiplan Commercial |
$21.86
|
| Rate for Payer: Networks By Design Commercial |
$26.57
|
| Rate for Payer: Networks By Design Commercial |
$14.57
|
| Rate for Payer: Prime Health Services Commercial |
$45.17
|
| Rate for Payer: Prime Health Services Commercial |
$24.77
|
| Rate for Payer: Riverside University Health MISP |
$11.66
|
| Rate for Payer: Riverside University Health MISP |
$21.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.88
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.88
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$17.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$14.57
|
| Rate for Payer: United Healthcare All Other Commercial |
$26.57
|
| Rate for Payer: United Healthcare All Other HMO |
$14.57
|
| Rate for Payer: United Healthcare All Other HMO |
$26.57
|
| Rate for Payer: United Healthcare HMO Rider |
$26.57
|
| Rate for Payer: United Healthcare HMO Rider |
$14.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$24.77
|
| Rate for Payer: Vantage Medical Group Senior |
$24.77
|
| Rate for Payer: Vantage Medical Group Senior |
$45.17
|
|
|
METHYLPREDNISOLONE 500 MG INJ WRAP FOR CNR USE ONLY [4081203]
|
Facility
IP
|
$53.14
|
|
|
Service Code
|
CPT J2930
|
| Hospital Charge Code |
ERX4081203
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.63 |
| Max. Negotiated Rate |
$47.83 |
| Rate for Payer: Blue Shield of California Commercial |
$39.86
|
| Rate for Payer: Blue Shield of California Commercial |
$21.86
|
| Rate for Payer: Blue Shield of California EPN |
$28.38
|
| Rate for Payer: Blue Shield of California EPN |
$15.56
|
| Rate for Payer: Cash Price |
$23.91
|
| Rate for Payer: Cash Price |
$13.11
|
| Rate for Payer: Central Health Plan Commercial |
$23.31
|
| Rate for Payer: Central Health Plan Commercial |
$42.51
|
| Rate for Payer: Cigna of CA HMO |
$20.40
|
| Rate for Payer: Cigna of CA HMO |
$37.20
|
| Rate for Payer: Cigna of CA PPO |
$20.40
|
| Rate for Payer: Cigna of CA PPO |
$37.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$11.66
|
| Rate for Payer: EPIC Health Plan Transplant |
$11.66
|
| Rate for Payer: EPIC Health Plan Transplant |
$21.26
|
| Rate for Payer: Galaxy Health WC |
$24.77
|
| Rate for Payer: Galaxy Health WC |
$45.17
|
| Rate for Payer: Global Benefits Group Commercial |
$31.88
|
| Rate for Payer: Global Benefits Group Commercial |
$17.48
|
| Rate for Payer: Health Management Network EPO/PPO |
$26.23
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.83
|
| Rate for Payer: Multiplan Commercial |
$21.86
|
| Rate for Payer: Multiplan Commercial |
$39.86
|
| Rate for Payer: Networks By Design Commercial |
$26.57
|
| Rate for Payer: Networks By Design Commercial |
$14.57
|
| Rate for Payer: Prime Health Services Commercial |
$24.77
|
| Rate for Payer: Prime Health Services Commercial |
$45.17
|
|
|
METHYLPREDNISOLONE 8 MG TABLET [10576]
|
Facility
IP
|
$1.73
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1710983
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.35 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Blue Shield of California Commercial |
$1.30
|
| Rate for Payer: Blue Shield of California Commercial |
$1.45
|
| Rate for Payer: Blue Shield of California EPN |
$1.03
|
| Rate for Payer: Blue Shield of California EPN |
$0.92
|
| Rate for Payer: Cash Price |
$0.78
|
| Rate for Payer: Cash Price |
$0.87
|
| Rate for Payer: Central Health Plan Commercial |
$1.54
|
| Rate for Payer: Central Health Plan Commercial |
$1.38
|
| Rate for Payer: Cigna of CA HMO |
$1.21
|
| Rate for Payer: Cigna of CA HMO |
$1.35
|
| Rate for Payer: Cigna of CA PPO |
$1.35
|
| Rate for Payer: Cigna of CA PPO |
$1.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.77
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.77
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.69
|
| Rate for Payer: Galaxy Health WC |
$1.47
|
| Rate for Payer: Galaxy Health WC |
$1.64
|
| Rate for Payer: Global Benefits Group Commercial |
$1.04
|
| Rate for Payer: Global Benefits Group Commercial |
$1.16
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.56
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.29
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.39
|
| Rate for Payer: Multiplan Commercial |
$1.30
|
| Rate for Payer: Multiplan Commercial |
$1.45
|
| Rate for Payer: Networks By Design Commercial |
$0.87
|
| Rate for Payer: Networks By Design Commercial |
$0.97
|
| Rate for Payer: Prime Health Services Commercial |
$1.47
|
| Rate for Payer: Prime Health Services Commercial |
$1.64
|
|
|
METHYLPREDNISOLONE 8 MG TABLET [10576]
|
Facility
OP
|
$1.73
|
|
|
Service Code
|
CPT J7509
|
| Hospital Charge Code |
1710983
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.24 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1.41
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.47
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1.64
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$0.95
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.06
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$0.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$0.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$0.84
|
| Rate for Payer: BCBS Transplant Transplant |
$1.04
|
| Rate for Payer: BCBS Transplant Transplant |
$1.16
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1.28
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Blue Shield of California EPN |
$1.17
|
| Rate for Payer: Cash Price |
$0.78
|
| Rate for Payer: Cash Price |
$0.78
|
| Rate for Payer: Cash Price |
$0.87
|
| Rate for Payer: Cash Price |
$0.87
|
| Rate for Payer: Central Health Plan Commercial |
$1.38
|
| Rate for Payer: Central Health Plan Commercial |
$1.54
|
| Rate for Payer: Cigna of CA HMO |
$1.21
|
| Rate for Payer: Cigna of CA HMO |
$1.35
|
| Rate for Payer: Cigna of CA PPO |
$1.35
|
| Rate for Payer: Cigna of CA PPO |
$1.21
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1.47
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.69
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.69
|
| Rate for Payer: EPIC Health Plan Transplant |
$0.77
|
| Rate for Payer: Galaxy Health WC |
$1.64
|
| Rate for Payer: Galaxy Health WC |
$1.47
|
| Rate for Payer: Global Benefits Group Commercial |
$1.04
|
| Rate for Payer: Global Benefits Group Commercial |
$1.16
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$1.56
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.45
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: IEHP medi-cal |
$0.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.29
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.35
|
| Rate for Payer: Multiplan Commercial |
$1.30
|
| Rate for Payer: Multiplan Commercial |
$1.45
|
| Rate for Payer: Networks By Design Commercial |
$0.97
|
| Rate for Payer: Networks By Design Commercial |
$0.87
|
| Rate for Payer: Prime Health Services Commercial |
$1.64
|
| Rate for Payer: Prime Health Services Commercial |
$1.47
|
| Rate for Payer: Riverside University Health MISP |
$0.69
|
| Rate for Payer: Riverside University Health MISP |
$0.77
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.16
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.87
|
| Rate for Payer: United Healthcare All Other Commercial |
$0.97
|
| Rate for Payer: United Healthcare All Other HMO |
$0.87
|
| Rate for Payer: United Healthcare All Other HMO |
$0.97
|
| Rate for Payer: United Healthcare HMO Rider |
$0.87
|
| Rate for Payer: United Healthcare HMO Rider |
$0.97
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$0.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1.47
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1.64
|
| Rate for Payer: Vantage Medical Group Senior |
$1.47
|
| Rate for Payer: Vantage Medical Group Senior |
$1.64
|
|
|
METHYLPREDNISOLONE ACETATE 20 MG/ML SUSPENSION FOR INJECTION [4994]
|
Facility
IP
|
$8.53
|
|
|
Service Code
|
CPT J1020
|
| Hospital Charge Code |
NDG4994
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$7.68 |
| Rate for Payer: Blue Shield of California Commercial |
$6.40
|
| Rate for Payer: Blue Shield of California EPN |
$4.56
|
| Rate for Payer: Cash Price |
$3.84
|
| Rate for Payer: Central Health Plan Commercial |
$6.82
|
| Rate for Payer: Cigna of CA HMO |
$5.97
|
| Rate for Payer: Cigna of CA PPO |
$5.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.41
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.41
|
| Rate for Payer: Galaxy Health WC |
$7.25
|
| Rate for Payer: Global Benefits Group Commercial |
$5.12
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.68
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.71
|
| Rate for Payer: Multiplan Commercial |
$6.40
|
| Rate for Payer: Networks By Design Commercial |
$4.26
|
| Rate for Payer: Prime Health Services Commercial |
$7.25
|
|
|
METHYLPREDNISOLONE ACETATE 20 MG/ML SUSPENSION FOR INJECTION [4994]
|
Facility
OP
|
$8.53
|
|
|
Service Code
|
CPT J1020
|
| Hospital Charge Code |
NDG4994
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$43.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$43.62
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7.25
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.69
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4.92
|
| Rate for Payer: BCBS Transplant Transplant |
$5.12
|
| Rate for Payer: Blue Shield of California Commercial |
$5.38
|
| Rate for Payer: Blue Shield of California EPN |
$4.89
|
| Rate for Payer: Cash Price |
$3.84
|
| Rate for Payer: Cash Price |
$3.84
|
| Rate for Payer: Central Health Plan Commercial |
$6.82
|
| Rate for Payer: Cigna of CA HMO |
$5.97
|
| Rate for Payer: Cigna of CA PPO |
$5.97
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.41
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.41
|
| Rate for Payer: Galaxy Health WC |
$7.25
|
| Rate for Payer: Global Benefits Group Commercial |
$5.12
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.68
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6.40
|
| Rate for Payer: IEHP medi-cal |
$2.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.71
|
| Rate for Payer: Multiplan Commercial |
$6.40
|
| Rate for Payer: Networks By Design Commercial |
$4.26
|
| Rate for Payer: Prime Health Services Commercial |
$7.25
|
| Rate for Payer: Riverside University Health MISP |
$3.41
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5.12
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$4.26
|
| Rate for Payer: United Healthcare All Other HMO |
$4.26
|
| Rate for Payer: United Healthcare HMO Rider |
$4.26
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7.25
|
| Rate for Payer: Vantage Medical Group Senior |
$7.25
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
OP
|
$13.64
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
1720218
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.73 |
| Max. Negotiated Rate |
$39.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$8.87
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$11.59
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$11.59
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7.50
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7.50
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: BCBS Transplant Transplant |
$8.18
|
| Rate for Payer: BCBS Transplant Transplant |
$6.26
|
| Rate for Payer: BCBS Transplant Transplant |
$8.18
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Cash Price |
$4.70
|
| Rate for Payer: Cash Price |
$6.13
|
| Rate for Payer: Cash Price |
$6.13
|
| Rate for Payer: Cash Price |
$6.14
|
| Rate for Payer: Cash Price |
$4.70
|
| Rate for Payer: Cash Price |
$6.14
|
| Rate for Payer: Central Health Plan Commercial |
$10.90
|
| Rate for Payer: Central Health Plan Commercial |
$10.91
|
| Rate for Payer: Central Health Plan Commercial |
$8.35
|
| Rate for Payer: Cigna of CA HMO |
$9.54
|
| Rate for Payer: Cigna of CA HMO |
$9.55
|
| Rate for Payer: Cigna of CA HMO |
$7.31
|
| Rate for Payer: Cigna of CA PPO |
$9.55
|
| Rate for Payer: Cigna of CA PPO |
$9.54
|
| Rate for Payer: Cigna of CA PPO |
$7.31
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8.87
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.18
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.18
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.46
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.45
|
| Rate for Payer: Galaxy Health WC |
$8.87
|
| Rate for Payer: Galaxy Health WC |
$11.59
|
| Rate for Payer: Galaxy Health WC |
$11.59
|
| Rate for Payer: Global Benefits Group Commercial |
$6.26
|
| Rate for Payer: Global Benefits Group Commercial |
$8.18
|
| Rate for Payer: Global Benefits Group Commercial |
$8.18
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.28
|
| Rate for Payer: Health Management Network EPO/PPO |
$9.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.27
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7.83
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10.23
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10.22
|
| Rate for Payer: IEHP medi-cal |
$3.65
|
| Rate for Payer: IEHP medi-cal |
$4.77
|
| Rate for Payer: IEHP medi-cal |
$4.77
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.73
|
| Rate for Payer: Multiplan Commercial |
$10.22
|
| Rate for Payer: Multiplan Commercial |
$10.23
|
| Rate for Payer: Multiplan Commercial |
$7.83
|
| Rate for Payer: Networks By Design Commercial |
$6.82
|
| Rate for Payer: Networks By Design Commercial |
$6.82
|
| Rate for Payer: Networks By Design Commercial |
$5.22
|
| Rate for Payer: Prime Health Services Commercial |
$11.59
|
| Rate for Payer: Prime Health Services Commercial |
$8.87
|
| Rate for Payer: Prime Health Services Commercial |
$11.59
|
| Rate for Payer: Riverside University Health MISP |
$5.45
|
| Rate for Payer: Riverside University Health MISP |
$4.18
|
| Rate for Payer: Riverside University Health MISP |
$5.46
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8.18
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8.18
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6.26
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8.18
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.22
|
| Rate for Payer: United Healthcare All Other HMO |
$6.82
|
| Rate for Payer: United Healthcare All Other HMO |
$5.22
|
| Rate for Payer: United Healthcare All Other HMO |
$6.82
|
| Rate for Payer: United Healthcare HMO Rider |
$6.82
|
| Rate for Payer: United Healthcare HMO Rider |
$5.22
|
| Rate for Payer: United Healthcare HMO Rider |
$6.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.82
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8.87
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11.59
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11.59
|
| Rate for Payer: Vantage Medical Group Senior |
$8.87
|
| Rate for Payer: Vantage Medical Group Senior |
$11.59
|
| Rate for Payer: Vantage Medical Group Senior |
$11.59
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
IP
|
$11.84
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
NDG4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.37 |
| Max. Negotiated Rate |
$10.66 |
| Rate for Payer: Blue Shield of California Commercial |
$8.88
|
| Rate for Payer: Blue Shield of California EPN |
$6.32
|
| Rate for Payer: Cash Price |
$5.33
|
| Rate for Payer: Central Health Plan Commercial |
$9.47
|
| Rate for Payer: Cigna of CA HMO |
$8.29
|
| Rate for Payer: Cigna of CA PPO |
$8.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.74
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.74
|
| Rate for Payer: Galaxy Health WC |
$10.06
|
| Rate for Payer: Global Benefits Group Commercial |
$7.10
|
| Rate for Payer: Health Management Network EPO/PPO |
$10.66
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.37
|
| Rate for Payer: Multiplan Commercial |
$8.88
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Prime Health Services Commercial |
$10.06
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
OP
|
$11.84
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
NDG4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.37 |
| Max. Negotiated Rate |
$39.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$6.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: BCBS Transplant Transplant |
$7.10
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Cash Price |
$5.33
|
| Rate for Payer: Cash Price |
$5.33
|
| Rate for Payer: Central Health Plan Commercial |
$9.47
|
| Rate for Payer: Cigna of CA HMO |
$8.29
|
| Rate for Payer: Cigna of CA PPO |
$8.29
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.74
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.74
|
| Rate for Payer: Galaxy Health WC |
$10.06
|
| Rate for Payer: Global Benefits Group Commercial |
$7.10
|
| Rate for Payer: Health Management Network EPO/PPO |
$10.66
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$8.88
|
| Rate for Payer: IEHP medi-cal |
$4.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.37
|
| Rate for Payer: Multiplan Commercial |
$8.88
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Prime Health Services Commercial |
$10.06
|
| Rate for Payer: Riverside University Health MISP |
$4.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.10
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.92
|
| Rate for Payer: United Healthcare All Other HMO |
$5.92
|
| Rate for Payer: United Healthcare HMO Rider |
$5.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10.06
|
| Rate for Payer: Vantage Medical Group Senior |
$10.06
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
IP
|
$10.44
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
1720218
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.09 |
| Max. Negotiated Rate |
$9.40 |
| Rate for Payer: Blue Shield of California Commercial |
$7.83
|
| Rate for Payer: Blue Shield of California Commercial |
$10.22
|
| Rate for Payer: Blue Shield of California Commercial |
$10.23
|
| Rate for Payer: Blue Shield of California EPN |
$7.28
|
| Rate for Payer: Blue Shield of California EPN |
$7.28
|
| Rate for Payer: Blue Shield of California EPN |
$5.57
|
| Rate for Payer: Cash Price |
$6.13
|
| Rate for Payer: Cash Price |
$6.14
|
| Rate for Payer: Cash Price |
$4.70
|
| Rate for Payer: Central Health Plan Commercial |
$10.91
|
| Rate for Payer: Central Health Plan Commercial |
$8.35
|
| Rate for Payer: Central Health Plan Commercial |
$10.90
|
| Rate for Payer: Cigna of CA HMO |
$7.31
|
| Rate for Payer: Cigna of CA HMO |
$9.54
|
| Rate for Payer: Cigna of CA HMO |
$9.55
|
| Rate for Payer: Cigna of CA PPO |
$9.54
|
| Rate for Payer: Cigna of CA PPO |
$7.31
|
| Rate for Payer: Cigna of CA PPO |
$9.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.45
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.18
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.46
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.45
|
| Rate for Payer: Galaxy Health WC |
$11.59
|
| Rate for Payer: Galaxy Health WC |
$8.87
|
| Rate for Payer: Galaxy Health WC |
$11.59
|
| Rate for Payer: Global Benefits Group Commercial |
$8.18
|
| Rate for Payer: Global Benefits Group Commercial |
$8.18
|
| Rate for Payer: Global Benefits Group Commercial |
$6.26
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.28
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.27
|
| Rate for Payer: Health Management Network EPO/PPO |
$9.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.73
|
| Rate for Payer: Multiplan Commercial |
$10.23
|
| Rate for Payer: Multiplan Commercial |
$7.83
|
| Rate for Payer: Multiplan Commercial |
$10.22
|
| Rate for Payer: Networks By Design Commercial |
$5.22
|
| Rate for Payer: Networks By Design Commercial |
$6.82
|
| Rate for Payer: Networks By Design Commercial |
$6.82
|
| Rate for Payer: Prime Health Services Commercial |
$11.59
|
| Rate for Payer: Prime Health Services Commercial |
$8.87
|
| Rate for Payer: Prime Health Services Commercial |
$11.59
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
OP
|
$8.58
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
1720226
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.72 |
| Max. Negotiated Rate |
$39.76 |
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$39.76
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7.29
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$6.51
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.72
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4.72
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.39
|
| Rate for Payer: BCBS Transplant Transplant |
$7.10
|
| Rate for Payer: BCBS Transplant Transplant |
$5.15
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California Commercial |
$10.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.96
|
| Rate for Payer: Cash Price |
$3.86
|
| Rate for Payer: Cash Price |
$5.32
|
| Rate for Payer: Cash Price |
$3.86
|
| Rate for Payer: Cash Price |
$5.32
|
| Rate for Payer: Central Health Plan Commercial |
$9.46
|
| Rate for Payer: Central Health Plan Commercial |
$6.86
|
| Rate for Payer: Cigna of CA HMO |
$8.28
|
| Rate for Payer: Cigna of CA HMO |
$6.01
|
| Rate for Payer: Cigna of CA PPO |
$6.01
|
| Rate for Payer: Cigna of CA PPO |
$8.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7.29
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.43
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.73
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.43
|
| Rate for Payer: Galaxy Health WC |
$10.06
|
| Rate for Payer: Galaxy Health WC |
$7.29
|
| Rate for Payer: Global Benefits Group Commercial |
$5.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7.10
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.72
|
| Rate for Payer: Health Management Network EPO/PPO |
$10.65
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$8.87
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6.44
|
| Rate for Payer: IEHP medi-cal |
$3.00
|
| Rate for Payer: IEHP medi-cal |
$4.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.89
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.37
|
| Rate for Payer: Multiplan Commercial |
$8.87
|
| Rate for Payer: Multiplan Commercial |
$6.44
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Networks By Design Commercial |
$4.29
|
| Rate for Payer: Prime Health Services Commercial |
$10.06
|
| Rate for Payer: Prime Health Services Commercial |
$7.29
|
| Rate for Payer: Riverside University Health MISP |
$4.73
|
| Rate for Payer: Riverside University Health MISP |
$3.43
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.10
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.10
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$4.29
|
| Rate for Payer: United Healthcare All Other HMO |
$4.29
|
| Rate for Payer: United Healthcare All Other HMO |
$5.92
|
| Rate for Payer: United Healthcare HMO Rider |
$5.92
|
| Rate for Payer: United Healthcare HMO Rider |
$4.29
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4.29
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7.29
|
| Rate for Payer: Vantage Medical Group Senior |
$10.06
|
| Rate for Payer: Vantage Medical Group Senior |
$7.29
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [4995]
|
Facility
IP
|
$11.83
|
|
|
Service Code
|
CPT J1030
|
| Hospital Charge Code |
1720226
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.37 |
| Max. Negotiated Rate |
$10.65 |
| Rate for Payer: Blue Shield of California Commercial |
$8.87
|
| Rate for Payer: Blue Shield of California Commercial |
$6.44
|
| Rate for Payer: Blue Shield of California EPN |
$4.58
|
| Rate for Payer: Blue Shield of California EPN |
$6.32
|
| Rate for Payer: Cash Price |
$3.86
|
| Rate for Payer: Cash Price |
$5.32
|
| Rate for Payer: Central Health Plan Commercial |
$6.86
|
| Rate for Payer: Central Health Plan Commercial |
$9.46
|
| Rate for Payer: Cigna of CA HMO |
$8.28
|
| Rate for Payer: Cigna of CA HMO |
$6.01
|
| Rate for Payer: Cigna of CA PPO |
$8.28
|
| Rate for Payer: Cigna of CA PPO |
$6.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.73
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.43
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.73
|
| Rate for Payer: Galaxy Health WC |
$7.29
|
| Rate for Payer: Galaxy Health WC |
$10.06
|
| Rate for Payer: Global Benefits Group Commercial |
$5.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7.10
|
| Rate for Payer: Health Management Network EPO/PPO |
$10.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.37
|
| Rate for Payer: Multiplan Commercial |
$8.87
|
| Rate for Payer: Multiplan Commercial |
$6.44
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Networks By Design Commercial |
$4.29
|
| Rate for Payer: Prime Health Services Commercial |
$7.29
|
| Rate for Payer: Prime Health Services Commercial |
$10.06
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996]
|
Facility
OP
|
$19.58
|
|
|
Service Code
|
CPT J1040
|
| Hospital Charge Code |
1720010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.92 |
| Max. Negotiated Rate |
$60.74 |
| Rate for Payer: Aetna of CA HMO/PPO |
$60.74
|
| Rate for Payer: Aetna of CA HMO/PPO |
$60.74
|
| Rate for Payer: Aetna of CA HMO/PPO |
$60.74
|
| Rate for Payer: Aetna of CA HMO/PPO |
$60.74
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20.11
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$16.64
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$14.59
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20.12
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$13.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$9.44
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$13.01
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10.77
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13.01
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10.77
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.13
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.13
|
| Rate for Payer: BCBS Transplant Transplant |
$14.20
|
| Rate for Payer: BCBS Transplant Transplant |
$11.75
|
| Rate for Payer: BCBS Transplant Transplant |
$10.30
|
| Rate for Payer: BCBS Transplant Transplant |
$14.20
|
| Rate for Payer: Blue Shield of California Commercial |
$18.88
|
| Rate for Payer: Blue Shield of California Commercial |
$18.88
|
| Rate for Payer: Blue Shield of California Commercial |
$18.88
|
| Rate for Payer: Blue Shield of California Commercial |
$18.88
|
| Rate for Payer: Blue Shield of California EPN |
$17.16
|
| Rate for Payer: Blue Shield of California EPN |
$17.16
|
| Rate for Payer: Blue Shield of California EPN |
$17.16
|
| Rate for Payer: Blue Shield of California EPN |
$17.16
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Cash Price |
$7.72
|
| Rate for Payer: Cash Price |
$8.81
|
| Rate for Payer: Cash Price |
$7.72
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Cash Price |
$8.81
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Central Health Plan Commercial |
$15.66
|
| Rate for Payer: Central Health Plan Commercial |
$18.94
|
| Rate for Payer: Central Health Plan Commercial |
$13.73
|
| Rate for Payer: Central Health Plan Commercial |
$18.93
|
| Rate for Payer: Cigna of CA HMO |
$16.57
|
| Rate for Payer: Cigna of CA HMO |
$13.71
|
| Rate for Payer: Cigna of CA HMO |
$16.56
|
| Rate for Payer: Cigna of CA HMO |
$12.01
|
| Rate for Payer: Cigna of CA PPO |
$16.56
|
| Rate for Payer: Cigna of CA PPO |
$12.01
|
| Rate for Payer: Cigna of CA PPO |
$13.71
|
| Rate for Payer: Cigna of CA PPO |
$16.57
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20.11
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$16.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.86
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.46
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.47
|
| Rate for Payer: EPIC Health Plan Transplant |
$7.83
|
| Rate for Payer: EPIC Health Plan Transplant |
$6.86
|
| Rate for Payer: Galaxy Health WC |
$20.11
|
| Rate for Payer: Galaxy Health WC |
$14.59
|
| Rate for Payer: Galaxy Health WC |
$20.12
|
| Rate for Payer: Galaxy Health WC |
$16.64
|
| Rate for Payer: Global Benefits Group Commercial |
$10.30
|
| Rate for Payer: Global Benefits Group Commercial |
$11.75
|
| Rate for Payer: Global Benefits Group Commercial |
$14.20
|
| Rate for Payer: Global Benefits Group Commercial |
$14.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.62
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.29
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17.74
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$14.68
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$12.87
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17.75
|
| Rate for Payer: IEHP medi-cal |
$8.28
|
| Rate for Payer: IEHP medi-cal |
$8.28
|
| Rate for Payer: IEHP medi-cal |
$6.85
|
| Rate for Payer: IEHP medi-cal |
$6.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.78
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11.45
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.73
|
| Rate for Payer: Multiplan Commercial |
$17.74
|
| Rate for Payer: Multiplan Commercial |
$14.68
|
| Rate for Payer: Multiplan Commercial |
$17.75
|
| Rate for Payer: Multiplan Commercial |
$12.87
|
| Rate for Payer: Networks By Design Commercial |
$9.79
|
| Rate for Payer: Networks By Design Commercial |
$11.83
|
| Rate for Payer: Networks By Design Commercial |
$8.58
|
| Rate for Payer: Networks By Design Commercial |
$11.84
|
| Rate for Payer: Prime Health Services Commercial |
$14.59
|
| Rate for Payer: Prime Health Services Commercial |
$16.64
|
| Rate for Payer: Prime Health Services Commercial |
$20.12
|
| Rate for Payer: Prime Health Services Commercial |
$20.11
|
| Rate for Payer: Riverside University Health MISP |
$7.83
|
| Rate for Payer: Riverside University Health MISP |
$9.46
|
| Rate for Payer: Riverside University Health MISP |
$6.86
|
| Rate for Payer: Riverside University Health MISP |
$9.47
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.75
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.30
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.30
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.75
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$8.58
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.84
|
| Rate for Payer: United Healthcare All Other HMO |
$8.58
|
| Rate for Payer: United Healthcare All Other HMO |
$9.79
|
| Rate for Payer: United Healthcare All Other HMO |
$11.83
|
| Rate for Payer: United Healthcare All Other HMO |
$11.84
|
| Rate for Payer: United Healthcare HMO Rider |
$9.79
|
| Rate for Payer: United Healthcare HMO Rider |
$11.83
|
| Rate for Payer: United Healthcare HMO Rider |
$11.84
|
| Rate for Payer: United Healthcare HMO Rider |
$8.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.83
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.84
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.79
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$20.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$20.11
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.59
|
| Rate for Payer: Vantage Medical Group Senior |
$20.11
|
| Rate for Payer: Vantage Medical Group Senior |
$14.59
|
| Rate for Payer: Vantage Medical Group Senior |
$16.64
|
| Rate for Payer: Vantage Medical Group Senior |
$20.12
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION [4996]
|
Facility
IP
|
$19.58
|
|
|
Service Code
|
CPT J1040
|
| Hospital Charge Code |
1720010
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.92 |
| Max. Negotiated Rate |
$17.62 |
| Rate for Payer: Blue Shield of California Commercial |
$14.68
|
| Rate for Payer: Blue Shield of California Commercial |
$12.87
|
| Rate for Payer: Blue Shield of California Commercial |
$17.74
|
| Rate for Payer: Blue Shield of California Commercial |
$17.75
|
| Rate for Payer: Blue Shield of California EPN |
$10.46
|
| Rate for Payer: Blue Shield of California EPN |
$12.64
|
| Rate for Payer: Blue Shield of California EPN |
$12.63
|
| Rate for Payer: Blue Shield of California EPN |
$9.16
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Cash Price |
$10.65
|
| Rate for Payer: Cash Price |
$8.81
|
| Rate for Payer: Cash Price |
$7.72
|
| Rate for Payer: Central Health Plan Commercial |
$15.66
|
| Rate for Payer: Central Health Plan Commercial |
$13.73
|
| Rate for Payer: Central Health Plan Commercial |
$18.94
|
| Rate for Payer: Central Health Plan Commercial |
$18.93
|
| Rate for Payer: Cigna of CA HMO |
$16.56
|
| Rate for Payer: Cigna of CA HMO |
$16.57
|
| Rate for Payer: Cigna of CA HMO |
$12.01
|
| Rate for Payer: Cigna of CA HMO |
$13.71
|
| Rate for Payer: Cigna of CA PPO |
$16.56
|
| Rate for Payer: Cigna of CA PPO |
$12.01
|
| Rate for Payer: Cigna of CA PPO |
$13.71
|
| Rate for Payer: Cigna of CA PPO |
$16.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.46
|
| Rate for Payer: EPIC Health Plan Transplant |
$7.83
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.46
|
| Rate for Payer: EPIC Health Plan Transplant |
$6.86
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.47
|
| Rate for Payer: Galaxy Health WC |
$20.11
|
| Rate for Payer: Galaxy Health WC |
$16.64
|
| Rate for Payer: Galaxy Health WC |
$14.59
|
| Rate for Payer: Galaxy Health WC |
$20.12
|
| Rate for Payer: Global Benefits Group Commercial |
$14.20
|
| Rate for Payer: Global Benefits Group Commercial |
$14.20
|
| Rate for Payer: Global Benefits Group Commercial |
$10.30
|
| Rate for Payer: Global Benefits Group Commercial |
$11.75
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.29
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.62
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11.45
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.79
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.43
|
| Rate for Payer: Multiplan Commercial |
$17.75
|
| Rate for Payer: Multiplan Commercial |
$14.68
|
| Rate for Payer: Multiplan Commercial |
$12.87
|
| Rate for Payer: Multiplan Commercial |
$17.74
|
| Rate for Payer: Networks By Design Commercial |
$9.79
|
| Rate for Payer: Networks By Design Commercial |
$11.83
|
| Rate for Payer: Networks By Design Commercial |
$11.84
|
| Rate for Payer: Networks By Design Commercial |
$8.58
|
| Rate for Payer: Prime Health Services Commercial |
$20.12
|
| Rate for Payer: Prime Health Services Commercial |
$14.59
|
| Rate for Payer: Prime Health Services Commercial |
$16.64
|
| Rate for Payer: Prime Health Services Commercial |
$20.11
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]
|
Facility
OP
|
$41.06
|
|
|
Service Code
|
CPT J2930
|
| Hospital Charge Code |
1720344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.21 |
| Max. Negotiated Rate |
$36.95 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36.45
|
| Rate for Payer: Aetna of CA HMO/PPO |
$36.45
|
| Rate for Payer: Aetna of CA HMO/PPO |
$36.45
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44.86
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$42.73
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$34.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$27.65
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$22.58
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$29.03
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29.03
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$22.58
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$27.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.67
|
| Rate for Payer: BCBS Transplant Transplant |
$30.16
|
| Rate for Payer: BCBS Transplant Transplant |
$24.64
|
| Rate for Payer: BCBS Transplant Transplant |
$31.67
|
| Rate for Payer: Blue Shield of California Commercial |
$9.36
|
| Rate for Payer: Blue Shield of California Commercial |
$9.36
|
| Rate for Payer: Blue Shield of California Commercial |
$9.36
|
| Rate for Payer: Blue Shield of California EPN |
$8.51
|
| Rate for Payer: Blue Shield of California EPN |
$8.51
|
| Rate for Payer: Blue Shield of California EPN |
$8.51
|
| Rate for Payer: Cash Price |
$23.75
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cash Price |
$22.62
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cash Price |
$22.62
|
| Rate for Payer: Cash Price |
$23.75
|
| Rate for Payer: Central Health Plan Commercial |
$42.22
|
| Rate for Payer: Central Health Plan Commercial |
$40.22
|
| Rate for Payer: Central Health Plan Commercial |
$32.85
|
| Rate for Payer: Cigna of CA HMO |
$36.95
|
| Rate for Payer: Cigna of CA HMO |
$35.19
|
| Rate for Payer: Cigna of CA HMO |
$28.74
|
| Rate for Payer: Cigna of CA PPO |
$36.95
|
| Rate for Payer: Cigna of CA PPO |
$35.19
|
| Rate for Payer: Cigna of CA PPO |
$28.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42.73
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.11
|
| Rate for Payer: EPIC Health Plan Transplant |
$20.11
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$21.11
|
| Rate for Payer: Galaxy Health WC |
$44.86
|
| Rate for Payer: Galaxy Health WC |
$34.90
|
| Rate for Payer: Galaxy Health WC |
$42.73
|
| Rate for Payer: Global Benefits Group Commercial |
$24.64
|
| Rate for Payer: Global Benefits Group Commercial |
$30.16
|
| Rate for Payer: Global Benefits Group Commercial |
$31.67
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.95
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.24
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$37.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$39.58
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$30.80
|
| Rate for Payer: IEHP medi-cal |
$14.37
|
| Rate for Payer: IEHP medi-cal |
$17.59
|
| Rate for Payer: IEHP medi-cal |
$18.47
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.39
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$33.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.05
|
| Rate for Payer: Multiplan Commercial |
$37.70
|
| Rate for Payer: Multiplan Commercial |
$39.58
|
| Rate for Payer: Multiplan Commercial |
$30.80
|
| Rate for Payer: Networks By Design Commercial |
$26.39
|
| Rate for Payer: Networks By Design Commercial |
$25.14
|
| Rate for Payer: Networks By Design Commercial |
$20.53
|
| Rate for Payer: Prime Health Services Commercial |
$34.90
|
| Rate for Payer: Prime Health Services Commercial |
$44.86
|
| Rate for Payer: Prime Health Services Commercial |
$42.73
|
| Rate for Payer: Riverside University Health MISP |
$20.11
|
| Rate for Payer: Riverside University Health MISP |
$21.11
|
| Rate for Payer: Riverside University Health MISP |
$16.42
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.67
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.16
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$30.16
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.67
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$25.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$26.39
|
| Rate for Payer: United Healthcare All Other HMO |
$20.53
|
| Rate for Payer: United Healthcare All Other HMO |
$25.14
|
| Rate for Payer: United Healthcare All Other HMO |
$26.39
|
| Rate for Payer: United Healthcare HMO Rider |
$20.53
|
| Rate for Payer: United Healthcare HMO Rider |
$25.14
|
| Rate for Payer: United Healthcare HMO Rider |
$26.39
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$25.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20.53
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.39
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$42.73
|
| Rate for Payer: Vantage Medical Group Senior |
$34.90
|
| Rate for Payer: Vantage Medical Group Senior |
$44.86
|
| Rate for Payer: Vantage Medical Group Senior |
$42.73
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [10577]
|
Facility
IP
|
$52.78
|
|
|
Service Code
|
CPT J2930
|
| Hospital Charge Code |
1720344
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.56 |
| Max. Negotiated Rate |
$47.50 |
| Rate for Payer: Blue Shield of California Commercial |
$39.58
|
| Rate for Payer: Blue Shield of California Commercial |
$30.80
|
| Rate for Payer: Blue Shield of California Commercial |
$37.70
|
| Rate for Payer: Blue Shield of California EPN |
$21.93
|
| Rate for Payer: Blue Shield of California EPN |
$26.84
|
| Rate for Payer: Blue Shield of California EPN |
$28.18
|
| Rate for Payer: Cash Price |
$18.48
|
| Rate for Payer: Cash Price |
$22.62
|
| Rate for Payer: Cash Price |
$23.75
|
| Rate for Payer: Central Health Plan Commercial |
$32.85
|
| Rate for Payer: Central Health Plan Commercial |
$42.22
|
| Rate for Payer: Central Health Plan Commercial |
$40.22
|
| Rate for Payer: Cigna of CA HMO |
$28.74
|
| Rate for Payer: Cigna of CA HMO |
$36.95
|
| Rate for Payer: Cigna of CA HMO |
$35.19
|
| Rate for Payer: Cigna of CA PPO |
$36.95
|
| Rate for Payer: Cigna of CA PPO |
$28.74
|
| Rate for Payer: Cigna of CA PPO |
$35.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$21.11
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$20.11
|
| Rate for Payer: Galaxy Health WC |
$42.73
|
| Rate for Payer: Galaxy Health WC |
$34.90
|
| Rate for Payer: Galaxy Health WC |
$44.86
|
| Rate for Payer: Global Benefits Group Commercial |
$24.64
|
| Rate for Payer: Global Benefits Group Commercial |
$31.67
|
| Rate for Payer: Global Benefits Group Commercial |
$30.16
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.95
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.39
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$33.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.56
|
| Rate for Payer: Multiplan Commercial |
$30.80
|
| Rate for Payer: Multiplan Commercial |
$37.70
|
| Rate for Payer: Multiplan Commercial |
$39.58
|
| Rate for Payer: Networks By Design Commercial |
$25.14
|
| Rate for Payer: Networks By Design Commercial |
$26.39
|
| Rate for Payer: Networks By Design Commercial |
$20.53
|
| Rate for Payer: Prime Health Services Commercial |
$44.86
|
| Rate for Payer: Prime Health Services Commercial |
$34.90
|
| Rate for Payer: Prime Health Services Commercial |
$42.73
|
|
