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Service Code NDC 60687-315-11
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.37
Max. Negotiated Rate $1.66
Rate for Payer: Adventist Health Commercial $0.37
Rate for Payer: Aetna of CA HMO/PPO $1.12
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $1.56
Rate for Payer: Alpha Care Medical Group Medi-Cal $1.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $1.38
Rate for Payer: Anthem Blue Cross of CA Exchange $0.89
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.08
Rate for Payer: Blue Shield of California Commercial $1.12
Rate for Payer: Blue Shield of California EPN $0.73
Rate for Payer: Cash Price $1.01
Rate for Payer: Central Health Plan Commercial $1.47
Rate for Payer: Cigna of CA HMO $1.29
Rate for Payer: Cigna of CA PPO $1.29
Rate for Payer: Dignity Health Commercial/Exchange $1.56
Rate for Payer: Dignity Health Medi-Cal $1.56
Rate for Payer: Dignity Health Medicare Advantage $1.56
Rate for Payer: EPIC Health Plan Commercial $0.74
Rate for Payer: EPIC Health Plan Senior $0.74
Rate for Payer: Galaxy Health WC $1.56
Rate for Payer: Global Benefits Group Commercial $1.10
Rate for Payer: Health Management Network EPO/PPO $1.66
Rate for Payer: InnovAge PACE Commercial $0.92
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.70
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1.14
Rate for Payer: LLUH Dept of Risk Management WC $0.37
Rate for Payer: Molina Healthcare of CA Medi-Cal $1.29
Rate for Payer: Molina Healthcare of CA Medicare $1.29
Rate for Payer: Multiplan Commercial $1.38
Rate for Payer: Networks By Design Commercial $1.20
Rate for Payer: Prime Health Services Commercial $1.56
Rate for Payer: Riverside University Health System MISP $0.74
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.10
Rate for Payer: TriValley Medical Group Commercial/Senior $1.10
Rate for Payer: United Healthcare All Other Commercial $0.92
Rate for Payer: United Healthcare All Other HMO $0.92
Rate for Payer: United Healthcare HMO Rider $0.92
Rate for Payer: United Healthcare Select/Navigate/Core $0.92
Rate for Payer: Vantage Medical Group Commercial/Exchange $1.56
Rate for Payer: Vantage Medical Group Medi-Cal $1.56
Rate for Payer: Vantage Medical Group Senior $1.56
Service Code NDC 9994-0802-50
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.03
Rate for Payer: Cash Price $0.03
Rate for Payer: Central Health Plan Commercial $0.05
Rate for Payer: Cigna of CA HMO $0.04
Rate for Payer: Cigna of CA PPO $0.04
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Senior $0.02
Rate for Payer: Galaxy Health WC $0.05
Rate for Payer: Global Benefits Group Commercial $0.04
Rate for Payer: Health Management Network EPO/PPO $0.05
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.05
Rate for Payer: Networks By Design Commercial $0.04
Rate for Payer: Prime Health Services Commercial $0.05
Service Code NDC 9994-0802-50
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.05
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.03
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.05
Rate for Payer: Anthem Blue Cross of CA Exchange $0.03
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
Rate for Payer: Blue Shield of California EPN $0.02
Rate for Payer: Cash Price $0.03
Rate for Payer: Central Health Plan Commercial $0.05
Rate for Payer: Cigna of CA HMO $0.04
Rate for Payer: Cigna of CA PPO $0.04
Rate for Payer: Dignity Health Commercial/Exchange $0.05
Rate for Payer: Dignity Health Medi-Cal $0.05
Rate for Payer: Dignity Health Medicare Advantage $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Senior $0.02
Rate for Payer: Galaxy Health WC $0.05
Rate for Payer: Global Benefits Group Commercial $0.04
Rate for Payer: Health Management Network EPO/PPO $0.05
Rate for Payer: InnovAge PACE Commercial $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.04
Rate for Payer: Molina Healthcare of CA Medicare $0.04
Rate for Payer: Multiplan Commercial $0.05
Rate for Payer: Networks By Design Commercial $0.04
Rate for Payer: Prime Health Services Commercial $0.05
Rate for Payer: Riverside University Health System MISP $0.02
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.04
Rate for Payer: TriValley Medical Group Commercial/Senior $0.04
Rate for Payer: United Healthcare All Other Commercial $0.03
Rate for Payer: United Healthcare All Other HMO $0.03
Rate for Payer: United Healthcare HMO Rider $0.03
Rate for Payer: United Healthcare Select/Navigate/Core $0.03
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.05
Rate for Payer: Vantage Medical Group Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 0065-0023-15
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $7.44
Max. Negotiated Rate $33.46
Rate for Payer: Adventist Health Commercial $7.44
Rate for Payer: Blue Shield of California Commercial $28.74
Rate for Payer: Blue Shield of California EPN $18.74
Rate for Payer: Cash Price $20.45
Rate for Payer: Central Health Plan Commercial $29.74
Rate for Payer: EPIC Health Plan Commercial $14.87
Rate for Payer: EPIC Health Plan Senior $14.87
Rate for Payer: Galaxy Health WC $31.60
Rate for Payer: Global Benefits Group Commercial $22.31
Rate for Payer: Health Management Network EPO/PPO $33.46
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $23.01
Rate for Payer: LLUH Dept of Risk Management WC $7.44
Rate for Payer: Multiplan Commercial $27.89
Rate for Payer: Networks By Design Commercial $24.17
Rate for Payer: Prime Health Services Commercial $31.60
Service Code NDC 0065-0023-15
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $7.44
Max. Negotiated Rate $33.46
Rate for Payer: Adventist Health Commercial $7.44
Rate for Payer: Aetna of CA HMO/PPO $22.58
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $31.60
Rate for Payer: Alpha Care Medical Group Medi-Cal $20.45
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $27.89
Rate for Payer: Anthem Blue Cross of CA Exchange $18.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $21.84
Rate for Payer: Blue Shield of California Commercial $22.72
Rate for Payer: Blue Shield of California EPN $14.83
Rate for Payer: Cash Price $20.45
Rate for Payer: Central Health Plan Commercial $29.74
Rate for Payer: Cigna of CA HMO $23.80
Rate for Payer: Cigna of CA PPO $27.51
Rate for Payer: Dignity Health Commercial/Exchange $31.60
Rate for Payer: Dignity Health Medi-Cal $31.60
Rate for Payer: Dignity Health Medicare Advantage $31.60
Rate for Payer: EPIC Health Plan Commercial $14.87
Rate for Payer: EPIC Health Plan Senior $14.87
Rate for Payer: Galaxy Health WC $31.60
Rate for Payer: Global Benefits Group Commercial $22.31
Rate for Payer: Health Management Network EPO/PPO $33.46
Rate for Payer: InnovAge PACE Commercial $18.59
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $24.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $23.01
Rate for Payer: LLUH Dept of Risk Management WC $7.44
Rate for Payer: Molina Healthcare of CA Medi-Cal $26.03
Rate for Payer: Molina Healthcare of CA Medicare $26.03
Rate for Payer: Multiplan Commercial $27.89
Rate for Payer: Networks By Design Commercial $24.17
Rate for Payer: Prime Health Services Commercial $31.60
Rate for Payer: Riverside University Health System MISP $14.87
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $22.31
Rate for Payer: TriValley Medical Group Commercial/Senior $22.31
Rate for Payer: United Healthcare All Other Commercial $18.59
Rate for Payer: United Healthcare All Other HMO $18.59
Rate for Payer: United Healthcare HMO Rider $18.59
Rate for Payer: United Healthcare Select/Navigate/Core $18.59
Rate for Payer: Vantage Medical Group Commercial/Exchange $31.60
Rate for Payer: Vantage Medical Group Medi-Cal $31.60
Rate for Payer: Vantage Medical Group Senior $31.60
Service Code NDC 0078-0508-83
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Adventist Health Commercial $0.11
Rate for Payer: Aetna of CA HMO/PPO $0.32
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.45
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.29
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.40
Rate for Payer: Anthem Blue Cross of CA Exchange $0.26
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.31
Rate for Payer: Blue Shield of California Commercial $0.32
Rate for Payer: Blue Shield of California EPN $0.21
Rate for Payer: Cash Price $0.29
Rate for Payer: Central Health Plan Commercial $0.42
Rate for Payer: Cigna of CA HMO $0.37
Rate for Payer: Cigna of CA PPO $0.37
Rate for Payer: Dignity Health Commercial/Exchange $0.45
Rate for Payer: Dignity Health Medi-Cal $0.45
Rate for Payer: Dignity Health Medicare Advantage $0.45
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Senior $0.21
Rate for Payer: Galaxy Health WC $0.45
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Health Management Network EPO/PPO $0.48
Rate for Payer: InnovAge PACE Commercial $0.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.33
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.37
Rate for Payer: Molina Healthcare of CA Medicare $0.37
Rate for Payer: Multiplan Commercial $0.40
Rate for Payer: Networks By Design Commercial $0.34
Rate for Payer: Prime Health Services Commercial $0.45
Rate for Payer: Riverside University Health System MISP $0.21
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.32
Rate for Payer: TriValley Medical Group Commercial/Senior $0.32
Rate for Payer: United Healthcare All Other Commercial $0.27
Rate for Payer: United Healthcare All Other HMO $0.27
Rate for Payer: United Healthcare HMO Rider $0.27
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.45
Rate for Payer: Vantage Medical Group Medi-Cal $0.45
Rate for Payer: Vantage Medical Group Senior $0.45
Service Code NDC 0078-0508-83
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Adventist Health Commercial $0.11
Rate for Payer: Blue Shield of California Commercial $0.41
Rate for Payer: Blue Shield of California EPN $0.27
Rate for Payer: Cash Price $0.29
Rate for Payer: Central Health Plan Commercial $0.42
Rate for Payer: Cigna of CA HMO $0.37
Rate for Payer: Cigna of CA PPO $0.37
Rate for Payer: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Senior $0.21
Rate for Payer: Galaxy Health WC $0.45
Rate for Payer: Global Benefits Group Commercial $0.32
Rate for Payer: Health Management Network EPO/PPO $0.48
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.20
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.33
Rate for Payer: LLUH Dept of Risk Management WC $0.11
Rate for Payer: Multiplan Commercial $0.40
Rate for Payer: Networks By Design Commercial $0.34
Rate for Payer: Prime Health Services Commercial $0.45
Service Code NDC 51672-4041-1
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Blue Shield of California Commercial $0.37
Rate for Payer: Blue Shield of California EPN $0.24
Rate for Payer: Cash Price $0.27
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Senior $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.18
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 0904-3854-61
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.55
Rate for Payer: Adventist Health Commercial $0.12
Rate for Payer: Aetna of CA HMO/PPO $0.37
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.52
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.34
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.46
Rate for Payer: Anthem Blue Cross of CA Exchange $0.30
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.36
Rate for Payer: Blue Shield of California Commercial $0.37
Rate for Payer: Blue Shield of California EPN $0.24
Rate for Payer: Cash Price $0.34
Rate for Payer: Central Health Plan Commercial $0.49
Rate for Payer: Cigna of CA HMO $0.43
Rate for Payer: Cigna of CA PPO $0.43
Rate for Payer: Dignity Health Commercial/Exchange $0.52
Rate for Payer: Dignity Health Medi-Cal $0.52
Rate for Payer: Dignity Health Medicare Advantage $0.52
Rate for Payer: EPIC Health Plan Commercial $0.24
Rate for Payer: EPIC Health Plan Senior $0.24
Rate for Payer: Galaxy Health WC $0.52
Rate for Payer: Global Benefits Group Commercial $0.37
Rate for Payer: Health Management Network EPO/PPO $0.55
Rate for Payer: InnovAge PACE Commercial $0.31
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.38
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.43
Rate for Payer: Molina Healthcare of CA Medicare $0.43
Rate for Payer: Multiplan Commercial $0.46
Rate for Payer: Networks By Design Commercial $0.40
Rate for Payer: Prime Health Services Commercial $0.52
Rate for Payer: Riverside University Health System MISP $0.24
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.37
Rate for Payer: TriValley Medical Group Commercial/Senior $0.37
Rate for Payer: United Healthcare All Other Commercial $0.31
Rate for Payer: United Healthcare All Other HMO $0.31
Rate for Payer: United Healthcare HMO Rider $0.31
Rate for Payer: United Healthcare Select/Navigate/Core $0.31
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.52
Rate for Payer: Vantage Medical Group Medi-Cal $0.52
Rate for Payer: Vantage Medical Group Senior $0.52
Service Code NDC 60687-479-11
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.52
Rate for Payer: Adventist Health Commercial $0.12
Rate for Payer: Aetna of CA HMO/PPO $0.35
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.49
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.32
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.44
Rate for Payer: Anthem Blue Cross of CA Exchange $0.28
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.34
Rate for Payer: Blue Shield of California Commercial $0.35
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.32
Rate for Payer: Central Health Plan Commercial $0.46
Rate for Payer: Cigna of CA HMO $0.41
Rate for Payer: Cigna of CA PPO $0.41
Rate for Payer: Dignity Health Commercial/Exchange $0.49
Rate for Payer: Dignity Health Medi-Cal $0.49
Rate for Payer: Dignity Health Medicare Advantage $0.49
Rate for Payer: EPIC Health Plan Commercial $0.23
Rate for Payer: EPIC Health Plan Senior $0.23
Rate for Payer: Galaxy Health WC $0.49
Rate for Payer: Global Benefits Group Commercial $0.35
Rate for Payer: Health Management Network EPO/PPO $0.52
Rate for Payer: InnovAge PACE Commercial $0.29
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.22
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.36
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.41
Rate for Payer: Molina Healthcare of CA Medicare $0.41
Rate for Payer: Multiplan Commercial $0.44
Rate for Payer: Networks By Design Commercial $0.38
Rate for Payer: Prime Health Services Commercial $0.49
Rate for Payer: Riverside University Health System MISP $0.23
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.35
Rate for Payer: TriValley Medical Group Commercial/Senior $0.35
Rate for Payer: United Healthcare All Other Commercial $0.29
Rate for Payer: United Healthcare All Other HMO $0.29
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.29
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.49
Rate for Payer: Vantage Medical Group Medi-Cal $0.49
Rate for Payer: Vantage Medical Group Senior $0.49
Service Code NDC 60687-479-11
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.52
Rate for Payer: Adventist Health Commercial $0.12
Rate for Payer: Blue Shield of California Commercial $0.45
Rate for Payer: Blue Shield of California EPN $0.29
Rate for Payer: Cash Price $0.32
Rate for Payer: Central Health Plan Commercial $0.46
Rate for Payer: Cigna of CA HMO $0.41
Rate for Payer: Cigna of CA PPO $0.41
Rate for Payer: EPIC Health Plan Commercial $0.23
Rate for Payer: EPIC Health Plan Senior $0.23
Rate for Payer: Galaxy Health WC $0.49
Rate for Payer: Global Benefits Group Commercial $0.35
Rate for Payer: Health Management Network EPO/PPO $0.52
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.22
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.36
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Commercial $0.44
Rate for Payer: Networks By Design Commercial $0.38
Rate for Payer: Prime Health Services Commercial $0.49
Service Code NDC 51079-870-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.41
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.26
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.36
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: Blue Shield of California Commercial $0.29
Rate for Payer: Blue Shield of California EPN $0.19
Rate for Payer: Cash Price $0.26
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: Dignity Health Medi-Cal $0.41
Rate for Payer: Dignity Health Medicare Advantage $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Senior $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: InnovAge PACE Commercial $0.24
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.18
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.34
Rate for Payer: Molina Healthcare of CA Medicare $0.34
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Riverside University Health System MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.41
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 51672-4041-1
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.41
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.26
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.36
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: Blue Shield of California Commercial $0.29
Rate for Payer: Blue Shield of California EPN $0.19
Rate for Payer: Cash Price $0.27
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: Dignity Health Medi-Cal $0.41
Rate for Payer: Dignity Health Medicare Advantage $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Senior $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: InnovAge PACE Commercial $0.24
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.18
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.34
Rate for Payer: Molina Healthcare of CA Medicare $0.34
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Riverside University Health System MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.41
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 13668-271-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.13
Max. Negotiated Rate $0.57
Rate for Payer: Adventist Health Commercial $0.13
Rate for Payer: Aetna of CA HMO/PPO $0.38
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.54
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.35
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.47
Rate for Payer: Anthem Blue Cross of CA Exchange $0.31
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.37
Rate for Payer: Blue Shield of California Commercial $0.38
Rate for Payer: Blue Shield of California EPN $0.25
Rate for Payer: Cash Price $0.35
Rate for Payer: Central Health Plan Commercial $0.50
Rate for Payer: Cigna of CA HMO $0.44
Rate for Payer: Cigna of CA PPO $0.44
Rate for Payer: Dignity Health Commercial/Exchange $0.54
Rate for Payer: Dignity Health Medi-Cal $0.54
Rate for Payer: Dignity Health Medicare Advantage $0.54
Rate for Payer: EPIC Health Plan Commercial $0.25
Rate for Payer: EPIC Health Plan Senior $0.25
Rate for Payer: Galaxy Health WC $0.54
Rate for Payer: Global Benefits Group Commercial $0.38
Rate for Payer: Health Management Network EPO/PPO $0.57
Rate for Payer: InnovAge PACE Commercial $0.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.39
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.44
Rate for Payer: Molina Healthcare of CA Medicare $0.44
Rate for Payer: Multiplan Commercial $0.47
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.54
Rate for Payer: Riverside University Health System MISP $0.25
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.38
Rate for Payer: TriValley Medical Group Commercial/Senior $0.38
Rate for Payer: United Healthcare All Other Commercial $0.32
Rate for Payer: United Healthcare All Other HMO $0.32
Rate for Payer: United Healthcare HMO Rider $0.32
Rate for Payer: United Healthcare Select/Navigate/Core $0.32
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.54
Rate for Payer: Vantage Medical Group Medi-Cal $0.54
Rate for Payer: Vantage Medical Group Senior $0.54
Service Code NDC 0904-3854-61
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.55
Rate for Payer: Adventist Health Commercial $0.12
Rate for Payer: Blue Shield of California Commercial $0.47
Rate for Payer: Blue Shield of California EPN $0.31
Rate for Payer: Cash Price $0.34
Rate for Payer: Central Health Plan Commercial $0.49
Rate for Payer: Cigna of CA HMO $0.43
Rate for Payer: Cigna of CA PPO $0.43
Rate for Payer: EPIC Health Plan Commercial $0.24
Rate for Payer: EPIC Health Plan Senior $0.24
Rate for Payer: Galaxy Health WC $0.52
Rate for Payer: Global Benefits Group Commercial $0.37
Rate for Payer: Health Management Network EPO/PPO $0.55
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.23
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.38
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Commercial $0.46
Rate for Payer: Networks By Design Commercial $0.40
Rate for Payer: Prime Health Services Commercial $0.52
Service Code NDC 51079-870-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Blue Shield of California Commercial $0.37
Rate for Payer: Blue Shield of California EPN $0.24
Rate for Payer: Cash Price $0.26
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Senior $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.18
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 13668-271-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.13
Max. Negotiated Rate $0.57
Rate for Payer: Adventist Health Commercial $0.13
Rate for Payer: Blue Shield of California Commercial $0.49
Rate for Payer: Blue Shield of California EPN $0.32
Rate for Payer: Cash Price $0.35
Rate for Payer: Central Health Plan Commercial $0.50
Rate for Payer: Cigna of CA HMO $0.44
Rate for Payer: Cigna of CA PPO $0.44
Rate for Payer: EPIC Health Plan Commercial $0.25
Rate for Payer: EPIC Health Plan Senior $0.25
Rate for Payer: Galaxy Health WC $0.54
Rate for Payer: Global Benefits Group Commercial $0.38
Rate for Payer: Health Management Network EPO/PPO $0.57
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.39
Rate for Payer: LLUH Dept of Risk Management WC $0.13
Rate for Payer: Multiplan Commercial $0.47
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.54
Service Code NDC 0121-1894-10
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.41
Rate for Payer: Adventist Health Commercial $0.09
Rate for Payer: Blue Shield of California Commercial $0.35
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.25
Rate for Payer: Central Health Plan Commercial $0.36
Rate for Payer: Cigna of CA HMO $0.32
Rate for Payer: Cigna of CA PPO $0.32
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: EPIC Health Plan Senior $0.18
Rate for Payer: Galaxy Health WC $0.38
Rate for Payer: Global Benefits Group Commercial $0.27
Rate for Payer: Health Management Network EPO/PPO $0.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.28
Rate for Payer: LLUH Dept of Risk Management WC $0.09
Rate for Payer: Multiplan Commercial $0.34
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.38
Service Code NDC 0121-1894-94
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.41
Rate for Payer: Adventist Health Commercial $0.09
Rate for Payer: Aetna of CA HMO/PPO $0.27
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.38
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.25
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.34
Rate for Payer: Anthem Blue Cross of CA Exchange $0.22
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.26
Rate for Payer: Blue Shield of California Commercial $0.27
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.25
Rate for Payer: Central Health Plan Commercial $0.36
Rate for Payer: Cigna of CA HMO $0.32
Rate for Payer: Cigna of CA PPO $0.32
Rate for Payer: Dignity Health Commercial/Exchange $0.38
Rate for Payer: Dignity Health Medi-Cal $0.38
Rate for Payer: Dignity Health Medicare Advantage $0.38
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: EPIC Health Plan Senior $0.18
Rate for Payer: Galaxy Health WC $0.38
Rate for Payer: Global Benefits Group Commercial $0.27
Rate for Payer: Health Management Network EPO/PPO $0.41
Rate for Payer: InnovAge PACE Commercial $0.23
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.28
Rate for Payer: LLUH Dept of Risk Management WC $0.09
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.32
Rate for Payer: Molina Healthcare of CA Medicare $0.32
Rate for Payer: Multiplan Commercial $0.34
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.38
Rate for Payer: Riverside University Health System MISP $0.18
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.27
Rate for Payer: TriValley Medical Group Commercial/Senior $0.27
Rate for Payer: United Healthcare All Other Commercial $0.23
Rate for Payer: United Healthcare All Other HMO $0.23
Rate for Payer: United Healthcare HMO Rider $0.23
Rate for Payer: United Healthcare Select/Navigate/Core $0.23
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.38
Rate for Payer: Vantage Medical Group Medi-Cal $0.38
Rate for Payer: Vantage Medical Group Senior $0.38
Service Code NDC 0121-1894-94
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.41
Rate for Payer: Adventist Health Commercial $0.09
Rate for Payer: Blue Shield of California Commercial $0.35
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.25
Rate for Payer: Central Health Plan Commercial $0.36
Rate for Payer: Cigna of CA HMO $0.32
Rate for Payer: Cigna of CA PPO $0.32
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: EPIC Health Plan Senior $0.18
Rate for Payer: Galaxy Health WC $0.38
Rate for Payer: Global Benefits Group Commercial $0.27
Rate for Payer: Health Management Network EPO/PPO $0.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.28
Rate for Payer: LLUH Dept of Risk Management WC $0.09
Rate for Payer: Multiplan Commercial $0.34
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.38
Service Code NDC 0121-1894-10
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.09
Max. Negotiated Rate $0.41
Rate for Payer: Adventist Health Commercial $0.09
Rate for Payer: Aetna of CA HMO/PPO $0.27
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.38
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.25
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.34
Rate for Payer: Anthem Blue Cross of CA Exchange $0.22
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.26
Rate for Payer: Blue Shield of California Commercial $0.27
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.25
Rate for Payer: Central Health Plan Commercial $0.36
Rate for Payer: Cigna of CA HMO $0.32
Rate for Payer: Cigna of CA PPO $0.32
Rate for Payer: Dignity Health Commercial/Exchange $0.38
Rate for Payer: Dignity Health Medi-Cal $0.38
Rate for Payer: Dignity Health Medicare Advantage $0.38
Rate for Payer: EPIC Health Plan Commercial $0.18
Rate for Payer: EPIC Health Plan Senior $0.18
Rate for Payer: Galaxy Health WC $0.38
Rate for Payer: Global Benefits Group Commercial $0.27
Rate for Payer: Health Management Network EPO/PPO $0.41
Rate for Payer: InnovAge PACE Commercial $0.23
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.17
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.28
Rate for Payer: LLUH Dept of Risk Management WC $0.09
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.32
Rate for Payer: Molina Healthcare of CA Medicare $0.32
Rate for Payer: Multiplan Commercial $0.34
Rate for Payer: Networks By Design Commercial $0.29
Rate for Payer: Prime Health Services Commercial $0.38
Rate for Payer: Riverside University Health System MISP $0.18
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.27
Rate for Payer: TriValley Medical Group Commercial/Senior $0.27
Rate for Payer: United Healthcare All Other Commercial $0.23
Rate for Payer: United Healthcare All Other HMO $0.23
Rate for Payer: United Healthcare HMO Rider $0.23
Rate for Payer: United Healthcare Select/Navigate/Core $0.23
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.38
Rate for Payer: Vantage Medical Group Medi-Cal $0.38
Rate for Payer: Vantage Medical Group Senior $0.38
Service Code NDC 0904-6172-61
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.21
Max. Negotiated Rate $0.96
Rate for Payer: Adventist Health Commercial $0.21
Rate for Payer: Aetna of CA HMO/PPO $0.65
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.91
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.59
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.80
Rate for Payer: Anthem Blue Cross of CA Exchange $0.52
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.63
Rate for Payer: Blue Shield of California Commercial $0.65
Rate for Payer: Blue Shield of California EPN $0.43
Rate for Payer: Cash Price $0.59
Rate for Payer: Central Health Plan Commercial $0.86
Rate for Payer: Cigna of CA HMO $0.75
Rate for Payer: Cigna of CA PPO $0.75
Rate for Payer: Dignity Health Commercial/Exchange $0.91
Rate for Payer: Dignity Health Medi-Cal $0.91
Rate for Payer: Dignity Health Medicare Advantage $0.91
Rate for Payer: EPIC Health Plan Commercial $0.43
Rate for Payer: EPIC Health Plan Senior $0.43
Rate for Payer: Galaxy Health WC $0.91
Rate for Payer: Global Benefits Group Commercial $0.64
Rate for Payer: Health Management Network EPO/PPO $0.96
Rate for Payer: InnovAge PACE Commercial $0.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.41
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.66
Rate for Payer: LLUH Dept of Risk Management WC $0.21
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.75
Rate for Payer: Molina Healthcare of CA Medicare $0.75
Rate for Payer: Multiplan Commercial $0.80
Rate for Payer: Networks By Design Commercial $0.70
Rate for Payer: Prime Health Services Commercial $0.91
Rate for Payer: Riverside University Health System MISP $0.43
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.64
Rate for Payer: TriValley Medical Group Commercial/Senior $0.64
Rate for Payer: United Healthcare All Other Commercial $0.54
Rate for Payer: United Healthcare All Other HMO $0.54
Rate for Payer: United Healthcare HMO Rider $0.54
Rate for Payer: United Healthcare Select/Navigate/Core $0.54
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.91
Rate for Payer: Vantage Medical Group Medi-Cal $0.91
Rate for Payer: Vantage Medical Group Senior $0.91
Service Code NDC 68084-444-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.14
Max. Negotiated Rate $0.61
Rate for Payer: Adventist Health Commercial $0.14
Rate for Payer: Aetna of CA HMO/PPO $0.41
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.58
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.37
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.51
Rate for Payer: Anthem Blue Cross of CA Exchange $0.33
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.40
Rate for Payer: Blue Shield of California Commercial $0.42
Rate for Payer: Blue Shield of California EPN $0.27
Rate for Payer: Cash Price $0.37
Rate for Payer: Central Health Plan Commercial $0.54
Rate for Payer: Cigna of CA HMO $0.48
Rate for Payer: Cigna of CA PPO $0.48
Rate for Payer: Dignity Health Commercial/Exchange $0.58
Rate for Payer: Dignity Health Medi-Cal $0.58
Rate for Payer: Dignity Health Medicare Advantage $0.58
Rate for Payer: EPIC Health Plan Commercial $0.27
Rate for Payer: EPIC Health Plan Senior $0.27
Rate for Payer: Galaxy Health WC $0.58
Rate for Payer: Global Benefits Group Commercial $0.41
Rate for Payer: Health Management Network EPO/PPO $0.61
Rate for Payer: InnovAge PACE Commercial $0.34
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.26
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.42
Rate for Payer: LLUH Dept of Risk Management WC $0.14
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.48
Rate for Payer: Molina Healthcare of CA Medicare $0.48
Rate for Payer: Multiplan Commercial $0.51
Rate for Payer: Networks By Design Commercial $0.44
Rate for Payer: Prime Health Services Commercial $0.58
Rate for Payer: Riverside University Health System MISP $0.27
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.41
Rate for Payer: TriValley Medical Group Commercial/Senior $0.41
Rate for Payer: United Healthcare All Other Commercial $0.34
Rate for Payer: United Healthcare All Other HMO $0.34
Rate for Payer: United Healthcare HMO Rider $0.34
Rate for Payer: United Healthcare Select/Navigate/Core $0.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.58
Rate for Payer: Vantage Medical Group Medi-Cal $0.58
Rate for Payer: Vantage Medical Group Senior $0.58
Service Code NDC 51672-4005-1
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.44
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Aetna of CA HMO/PPO $0.30
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.42
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.27
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.37
Rate for Payer: Anthem Blue Cross of CA Exchange $0.24
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.27
Rate for Payer: Central Health Plan Commercial $0.39
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.42
Rate for Payer: Dignity Health Medi-Cal $0.42
Rate for Payer: Dignity Health Medicare Advantage $0.42
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: EPIC Health Plan Senior $0.20
Rate for Payer: Galaxy Health WC $0.42
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.44
Rate for Payer: InnovAge PACE Commercial $0.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.34
Rate for Payer: Molina Healthcare of CA Medicare $0.34
Rate for Payer: Multiplan Commercial $0.37
Rate for Payer: Networks By Design Commercial $0.32
Rate for Payer: Prime Health Services Commercial $0.42
Rate for Payer: Riverside University Health System MISP $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.25
Rate for Payer: United Healthcare All Other HMO $0.25
Rate for Payer: United Healthcare HMO Rider $0.25
Rate for Payer: United Healthcare Select/Navigate/Core $0.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.42
Rate for Payer: Vantage Medical Group Medi-Cal $0.42
Rate for Payer: Vantage Medical Group Senior $0.42
Service Code NDC 68084-444-11
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.14
Max. Negotiated Rate $0.61
Rate for Payer: Adventist Health Commercial $0.14
Rate for Payer: Blue Shield of California Commercial $0.53
Rate for Payer: Blue Shield of California EPN $0.34
Rate for Payer: Cash Price $0.37
Rate for Payer: Central Health Plan Commercial $0.54
Rate for Payer: Cigna of CA HMO $0.48
Rate for Payer: Cigna of CA PPO $0.48
Rate for Payer: EPIC Health Plan Commercial $0.27
Rate for Payer: EPIC Health Plan Senior $0.27
Rate for Payer: Galaxy Health WC $0.58
Rate for Payer: Global Benefits Group Commercial $0.41
Rate for Payer: Health Management Network EPO/PPO $0.61
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.26
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.42
Rate for Payer: LLUH Dept of Risk Management WC $0.14
Rate for Payer: Multiplan Commercial $0.51
Rate for Payer: Networks By Design Commercial $0.44
Rate for Payer: Prime Health Services Commercial $0.58