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Service Code NDC 0487-0301-01
Hospital Charge Code NDG31577
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Blue Shield of California Commercial $0.40
Rate for Payer: Blue Shield of California EPN $0.28
Rate for Payer: Cash Price $0.24
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: 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: 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 0487-9904-25
Hospital Charge Code NDG31578
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Aetna of CA HMO/PPO $0.32
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.45
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.29
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.29
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: BCBS Transplant Transplant $0.32
Rate for Payer: Blue Shield of California Commercial $0.33
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.24
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: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.40
Rate for Payer: IEHP medi-cal $0.19
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.32
Rate for Payer: Riverside University Health 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 Medi-Cal $0.45
Rate for Payer: Vantage Medical Group Senior $0.45
Service Code NDC 0487-9904-01
Hospital Charge Code NDG31578
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Aetna of CA HMO/PPO $0.32
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.45
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.29
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.29
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: BCBS Transplant Transplant $0.32
Rate for Payer: Blue Shield of California Commercial $0.33
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.24
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: EPIC Health Plan Commercial $0.21
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.40
Rate for Payer: IEHP medi-cal $0.19
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.35
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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.32
Rate for Payer: Riverside University Health 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 Medi-Cal $0.45
Rate for Payer: Vantage Medical Group Senior $0.45
Service Code NDC 0487-9904-01
Hospital Charge Code NDG31578
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Blue Shield of California Commercial $0.40
Rate for Payer: Blue Shield of California EPN $0.28
Rate for Payer: Cash Price $0.24
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: 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: 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 0487-9904-25
Hospital Charge Code NDG31578
Hospital Revenue Code 259
Min. Negotiated Rate $0.11
Max. Negotiated Rate $0.48
Rate for Payer: Blue Shield of California Commercial $0.40
Rate for Payer: Blue Shield of California EPN $0.28
Rate for Payer: Cash Price $0.24
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: 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: 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 76204-200-01
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Aetna of CA HMO/PPO $0.05
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.07
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.04
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.04
Rate for Payer: Anthem Blue Cross of CA Exchange $0.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: BCBS Transplant Transplant $0.05
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.07
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Transplant $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.06
Rate for Payer: IEHP medi-cal $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.05
Rate for Payer: Riverside University Health MISP $0.03
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.04
Rate for Payer: United Healthcare All Other HMO $0.04
Rate for Payer: United Healthcare HMO Rider $0.04
Rate for Payer: United Healthcare Select/Navigate/Core $0.04
Rate for Payer: Vantage Medical Group Medi-Cal $0.07
Rate for Payer: Vantage Medical Group Senior $0.07
Service Code NDC 0378-8270-91
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
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: BCBS Transplant Transplant $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
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: Dignity Health Commercial/Exchange $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.05
Rate for Payer: IEHP medi-cal $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.04
Rate for Payer: Riverside University Health 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 Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 76204-200-30
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Aetna of CA HMO/PPO $0.06
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.09
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.06
Rate for Payer: Anthem Blue Cross of CA Exchange $0.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.06
Rate for Payer: BCBS Transplant Transplant $0.06
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: Dignity Health Commercial/Exchange $0.09
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Transplant $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.08
Rate for Payer: IEHP medi-cal $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.06
Rate for Payer: Riverside University Health MISP $0.04
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.06
Rate for Payer: TriValley Medical Group Commercial/Senior $0.06
Rate for Payer: United Healthcare All Other Commercial $0.05
Rate for Payer: United Healthcare All Other HMO $0.05
Rate for Payer: United Healthcare HMO Rider $0.05
Rate for Payer: United Healthcare Select/Navigate/Core $0.05
Rate for Payer: Vantage Medical Group Medi-Cal $0.09
Rate for Payer: Vantage Medical Group Senior $0.09
Service Code NDC 0378-8270-91
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
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: 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: 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 0378-8270-93
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Service Code NDC 0378-8270-62
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
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: BCBS Transplant Transplant $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
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: Dignity Health Commercial/Exchange $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.05
Rate for Payer: IEHP medi-cal $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.04
Rate for Payer: Riverside University Health 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 Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 0487-9501-03
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
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: BCBS Transplant Transplant $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
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: Dignity Health Commercial/Exchange $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.05
Rate for Payer: IEHP medi-cal $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.04
Rate for Payer: Riverside University Health 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 Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 0487-9501-25
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
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: BCBS Transplant Transplant $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
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: Dignity Health Commercial/Exchange $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.05
Rate for Payer: IEHP medi-cal $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.04
Rate for Payer: Riverside University Health 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 Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 76204-200-60
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Blue Shield of California Commercial $0.08
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09
Service Code NDC 0487-9501-01
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Blue Shield of California Commercial $0.09
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: Cigna of CA HMO $0.08
Rate for Payer: Cigna of CA PPO $0.08
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Service Code NDC 76204-200-60
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Aetna of CA HMO/PPO $0.06
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.09
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.06
Rate for Payer: Anthem Blue Cross of CA Exchange $0.05
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.06
Rate for Payer: BCBS Transplant Transplant $0.06
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: Dignity Health Commercial/Exchange $0.09
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: EPIC Health Plan Transplant $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.08
Rate for Payer: IEHP medi-cal $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.06
Rate for Payer: Riverside University Health MISP $0.04
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.06
Rate for Payer: TriValley Medical Group Commercial/Senior $0.06
Rate for Payer: United Healthcare All Other Commercial $0.05
Rate for Payer: United Healthcare All Other HMO $0.05
Rate for Payer: United Healthcare HMO Rider $0.05
Rate for Payer: United Healthcare Select/Navigate/Core $0.05
Rate for Payer: Vantage Medical Group Medi-Cal $0.09
Rate for Payer: Vantage Medical Group Senior $0.09
Service Code NDC 0378-8270-93
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Aetna of CA HMO/PPO $0.05
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.07
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.04
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.04
Rate for Payer: Anthem Blue Cross of CA Exchange $0.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.05
Rate for Payer: BCBS Transplant Transplant $0.05
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.04
Rate for Payer: Central Health Plan Commercial $0.06
Rate for Payer: Cigna of CA HMO $0.06
Rate for Payer: Cigna of CA PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.07
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: EPIC Health Plan Transplant $0.03
Rate for Payer: Galaxy Health WC $0.07
Rate for Payer: Global Benefits Group Commercial $0.05
Rate for Payer: Health Management Network EPO/PPO $0.07
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.06
Rate for Payer: IEHP medi-cal $0.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.06
Rate for Payer: Networks By Design Commercial $0.05
Rate for Payer: Prime Health Services Commercial $0.07
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.05
Rate for Payer: Riverside University Health MISP $0.03
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.05
Rate for Payer: TriValley Medical Group Commercial/Senior $0.05
Rate for Payer: United Healthcare All Other Commercial $0.04
Rate for Payer: United Healthcare All Other HMO $0.04
Rate for Payer: United Healthcare HMO Rider $0.04
Rate for Payer: United Healthcare Select/Navigate/Core $0.04
Rate for Payer: Vantage Medical Group Medi-Cal $0.07
Rate for Payer: Vantage Medical Group Senior $0.07
Service Code NDC 0487-9501-03
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
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: 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: 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 0487-9501-25
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
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: 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: 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 0378-8270-64
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Aetna of CA HMO/PPO $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
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: BCBS Transplant Transplant $0.04
Rate for Payer: Blue Shield of California Commercial $0.04
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: Dignity Health Commercial/Exchange $0.05
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada - Sierra Transplant Other $0.05
Rate for Payer: IEHP medi-cal $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $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
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.04
Rate for Payer: Riverside University Health 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 Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 0378-8270-64
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
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: 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: 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 0487-9501-01
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Aetna of CA HMO/PPO $0.07
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.10
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.07
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.07
Rate for Payer: Anthem Blue Cross of CA Exchange $0.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.07
Rate for Payer: BCBS Transplant Transplant $0.07
Rate for Payer: Blue Shield of California Commercial $0.08
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: Cigna of CA HMO $0.08
Rate for Payer: Cigna of CA PPO $0.08
Rate for Payer: Dignity Health Commercial/Exchange $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Transplant $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.09
Rate for Payer: IEHP medi-cal $0.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.07
Rate for Payer: Riverside University Health MISP $0.05
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.07
Rate for Payer: TriValley Medical Group Commercial/Senior $0.07
Rate for Payer: United Healthcare All Other Commercial $0.06
Rate for Payer: United Healthcare All Other HMO $0.06
Rate for Payer: United Healthcare HMO Rider $0.06
Rate for Payer: United Healthcare Select/Navigate/Core $0.06
Rate for Payer: Vantage Medical Group Medi-Cal $0.10
Rate for Payer: Vantage Medical Group Senior $0.10
Service Code NDC 0378-8270-62
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
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: 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: 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 76204-200-25
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Blue Shield of California Commercial $0.08
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09
Service Code NDC 76204-200-30
Hospital Charge Code 1781155
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Blue Shield of California Commercial $0.08
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.05
Rate for Payer: Central Health Plan Commercial $0.08
Rate for Payer: Cigna of CA HMO $0.07
Rate for Payer: Cigna of CA PPO $0.07
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Galaxy Health WC $0.09
Rate for Payer: Global Benefits Group Commercial $0.06
Rate for Payer: Health Management Network EPO/PPO $0.09
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Networks By Design Commercial $0.07
Rate for Payer: Prime Health Services Commercial $0.09