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Service Code NDC 60687-381-94
Hospital Charge Code 1710433
Hospital Revenue Code 259
Min. Negotiated Rate $16.17
Max. Negotiated Rate $72.76
Rate for Payer: Aetna of CA HMO/PPO $49.10
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $68.72
Rate for Payer: Alpha Care Medical Group Medi-Cal $44.47
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $44.47
Rate for Payer: Anthem Blue Cross of CA Exchange $39.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $47.77
Rate for Payer: Blue Distinction Transplant $48.51
Rate for Payer: Blue Shield of California Commercial $50.85
Rate for Payer: Blue Shield of California EPN $39.54
Rate for Payer: Cash Price $36.38
Rate for Payer: Central Health Plan Commercial $64.68
Rate for Payer: Cigna of CA HMO $56.60
Rate for Payer: Cigna of CA PPO $56.60
Rate for Payer: Dignity Health Commercial/Exchange $68.72
Rate for Payer: Dignity Health Media $68.72
Rate for Payer: Dignity Health Medi-Cal $68.72
Rate for Payer: EPIC Health Plan Commercial $32.34
Rate for Payer: EPIC Health Plan Transplant $32.34
Rate for Payer: Galaxy Health WC $68.72
Rate for Payer: Global Benefits Group Commercial $48.51
Rate for Payer: Health Management Network EPO/PPO $72.76
Rate for Payer: Health Plan of Nevada (Sierra) Other $60.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $28.30
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $53.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.80
Rate for Payer: LLUH Dept of Risk Management WC $16.17
Rate for Payer: Multiplan Commercial $60.64
Rate for Payer: Networks By Design Commercial $52.55
Rate for Payer: Prime Health Services Commercial $68.72
Rate for Payer: Riverside University Health System MISP $32.34
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $48.51
Rate for Payer: TriValley Medical Group Commercial/Senior $48.51
Rate for Payer: United Healthcare All Other Commercial $40.42
Rate for Payer: United Healthcare All Other HMO $40.42
Rate for Payer: United Healthcare HMO Rider $40.42
Rate for Payer: United Healthcare Select/Navigate/Core $40.42
Rate for Payer: Vantage Medical Group Medi-Cal $68.72
Rate for Payer: Vantage Medical Group Senior $68.72
Service Code NDC 60687-381-11
Hospital Charge Code 1710433
Hospital Revenue Code 259
Min. Negotiated Rate $16.17
Max. Negotiated Rate $72.76
Rate for Payer: Aetna of CA HMO/PPO $49.10
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $68.72
Rate for Payer: Alpha Care Medical Group Medi-Cal $44.47
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $44.47
Rate for Payer: Anthem Blue Cross of CA Exchange $39.15
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $47.77
Rate for Payer: Blue Distinction Transplant $48.51
Rate for Payer: Blue Shield of California Commercial $50.85
Rate for Payer: Blue Shield of California EPN $39.54
Rate for Payer: Cash Price $36.38
Rate for Payer: Central Health Plan Commercial $64.68
Rate for Payer: Cigna of CA HMO $56.60
Rate for Payer: Cigna of CA PPO $56.60
Rate for Payer: Dignity Health Commercial/Exchange $68.72
Rate for Payer: Dignity Health Media $68.72
Rate for Payer: Dignity Health Medi-Cal $68.72
Rate for Payer: EPIC Health Plan Commercial $32.34
Rate for Payer: EPIC Health Plan Transplant $32.34
Rate for Payer: Galaxy Health WC $68.72
Rate for Payer: Global Benefits Group Commercial $48.51
Rate for Payer: Health Management Network EPO/PPO $72.76
Rate for Payer: Health Plan of Nevada (Sierra) Other $60.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $28.30
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $53.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal $30.80
Rate for Payer: LLUH Dept of Risk Management WC $16.17
Rate for Payer: Multiplan Commercial $60.64
Rate for Payer: Networks By Design Commercial $52.55
Rate for Payer: Prime Health Services Commercial $68.72
Rate for Payer: Riverside University Health System MISP $32.34
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $48.51
Rate for Payer: TriValley Medical Group Commercial/Senior $48.51
Rate for Payer: United Healthcare All Other Commercial $40.42
Rate for Payer: United Healthcare All Other HMO $40.42
Rate for Payer: United Healthcare HMO Rider $40.42
Rate for Payer: United Healthcare Select/Navigate/Core $40.42
Rate for Payer: Vantage Medical Group Medi-Cal $68.72
Rate for Payer: Vantage Medical Group Senior $68.72
Service Code CPT A9595
Hospital Charge Code ERX231930
Hospital Revenue Code 343
Min. Negotiated Rate $947.60
Max. Negotiated Rate $4,264.20
Rate for Payer: Blue Shield of California Commercial $3,553.50
Rate for Payer: Blue Shield of California EPN $2,530.09
Rate for Payer: Cash Price $2,132.10
Rate for Payer: Central Health Plan Commercial $3,790.40
Rate for Payer: EPIC Health Plan Commercial $1,895.20
Rate for Payer: Galaxy Health WC $4,027.30
Rate for Payer: Global Benefits Group Commercial $2,842.80
Rate for Payer: Health Management Network EPO/PPO $4,264.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,160.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,805.18
Rate for Payer: LLUH Dept of Risk Management WC $947.60
Rate for Payer: Multiplan Commercial $3,553.50
Rate for Payer: Networks By Design Commercial $3,079.70
Rate for Payer: Prime Health Services Commercial $4,027.30
Rate for Payer: United Healthcare All Other Commercial $1,789.07
Rate for Payer: United Healthcare All Other HMO $1,747.37
Rate for Payer: United Healthcare HMO Rider $1,709.47
Rate for Payer: United Healthcare Select/Navigate/Core $1,563.54
Service Code CPT A9595
Hospital Charge Code ERX231930
Hospital Revenue Code 343
Min. Negotiated Rate $580.35
Max. Negotiated Rate $4,264.20
Rate for Payer: Adventist Health Medi-Cal $580.35
Rate for Payer: Aetna of CA HMO/PPO $3,345.86
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $870.53
Rate for Payer: Alpha Care Medical Group Medi-Cal $638.39
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $580.35
Rate for Payer: Anthem Blue Cross of CA Exchange $1,011.54
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,107.53
Rate for Payer: Blue Distinction Transplant $2,842.80
Rate for Payer: Blue Shield of California Commercial $2,928.08
Rate for Payer: Blue Shield of California EPN $2,302.67
Rate for Payer: Caremore Medicare Advantage $580.35
Rate for Payer: Cash Price $2,132.10
Rate for Payer: Cash Price $2,132.10
Rate for Payer: Central Health Plan Commercial $3,790.40
Rate for Payer: Cigna of CA HMO $3,032.32
Rate for Payer: Cigna of CA PPO $3,506.12
Rate for Payer: Dignity Health Commercial/Exchange $725.44
Rate for Payer: Dignity Health Media $638.39
Rate for Payer: Dignity Health Medi-Cal $638.39
Rate for Payer: EPIC Health Plan Commercial $783.48
Rate for Payer: EPIC Health Plan Medicare/Senior $580.35
Rate for Payer: EPIC Health Plan Transplant $580.35
Rate for Payer: Galaxy Health WC $4,027.30
Rate for Payer: Global Benefits Group Commercial $2,842.80
Rate for Payer: Health Management Network EPO/PPO $4,264.20
Rate for Payer: Health Plan of Nevada (Sierra) Other $3,553.50
Rate for Payer: Heritage Provider Network Commercial/Senior $951.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $957.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $580.35
Rate for Payer: InnovAge PACE Commercial $870.53
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3,160.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,048.72
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $580.35
Rate for Payer: LLUH Dept of Risk Management WC $947.60
Rate for Payer: Molina Healthcare of CA Medi-Cal $777.67
Rate for Payer: Molina Healthcare of CA Medicare $777.67
Rate for Payer: Multiplan Commercial $3,553.50
Rate for Payer: Networks By Design Commercial $3,079.70
Rate for Payer: Prime Health Services Commercial $4,027.30
Rate for Payer: Prime Health Services Medicare $615.17
Rate for Payer: Riverside University Health System MISP $638.39
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2,842.80
Rate for Payer: TriValley Medical Group Commercial/Senior $2,842.80
Rate for Payer: United Healthcare All Other Commercial $2,369.00
Rate for Payer: United Healthcare All Other HMO $2,369.00
Rate for Payer: United Healthcare HMO Rider $2,369.00
Rate for Payer: United Healthcare Select/Navigate/Core $2,369.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $725.44
Rate for Payer: Vantage Medical Group Medi-Cal $638.39
Rate for Payer: Vantage Medical Group Senior $638.39
Service Code NDC 69238-1745-8
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.01
Max. Negotiated Rate $4.54
Rate for Payer: Blue Shield of California Commercial $3.79
Rate for Payer: Blue Shield of California EPN $2.70
Rate for Payer: Cash Price $2.27
Rate for Payer: Central Health Plan Commercial $4.04
Rate for Payer: Cigna of CA HMO $3.54
Rate for Payer: Cigna of CA PPO $3.54
Rate for Payer: EPIC Health Plan Commercial $2.02
Rate for Payer: Galaxy Health WC $4.29
Rate for Payer: Global Benefits Group Commercial $3.03
Rate for Payer: Health Management Network EPO/PPO $4.54
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.92
Rate for Payer: LLUH Dept of Risk Management WC $1.01
Rate for Payer: Multiplan Commercial $3.79
Rate for Payer: Networks By Design Commercial $3.28
Rate for Payer: Prime Health Services Commercial $4.29
Service Code NDC 70069-181-01
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.19
Max. Negotiated Rate $5.35
Rate for Payer: Blue Shield of California Commercial $4.46
Rate for Payer: Blue Shield of California EPN $3.17
Rate for Payer: Cash Price $2.67
Rate for Payer: Central Health Plan Commercial $4.75
Rate for Payer: Cigna of CA HMO $4.16
Rate for Payer: Cigna of CA PPO $4.16
Rate for Payer: EPIC Health Plan Commercial $2.38
Rate for Payer: Galaxy Health WC $5.05
Rate for Payer: Global Benefits Group Commercial $3.56
Rate for Payer: Health Management Network EPO/PPO $5.35
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.26
Rate for Payer: LLUH Dept of Risk Management WC $1.19
Rate for Payer: Multiplan Commercial $4.46
Rate for Payer: Networks By Design Commercial $3.86
Rate for Payer: Prime Health Services Commercial $5.05
Service Code NDC 69238-1745-8
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.01
Max. Negotiated Rate $4.54
Rate for Payer: Aetna of CA HMO/PPO $3.07
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $4.29
Rate for Payer: Alpha Care Medical Group Medi-Cal $2.78
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2.78
Rate for Payer: Anthem Blue Cross of CA Exchange $2.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.98
Rate for Payer: Blue Distinction Transplant $3.03
Rate for Payer: Blue Shield of California Commercial $3.18
Rate for Payer: Blue Shield of California EPN $2.47
Rate for Payer: Cash Price $2.27
Rate for Payer: Central Health Plan Commercial $4.04
Rate for Payer: Cigna of CA HMO $3.54
Rate for Payer: Cigna of CA PPO $3.54
Rate for Payer: Dignity Health Commercial/Exchange $4.29
Rate for Payer: Dignity Health Media $4.29
Rate for Payer: Dignity Health Medi-Cal $4.29
Rate for Payer: EPIC Health Plan Commercial $2.02
Rate for Payer: EPIC Health Plan Transplant $2.02
Rate for Payer: Galaxy Health WC $4.29
Rate for Payer: Global Benefits Group Commercial $3.03
Rate for Payer: Health Management Network EPO/PPO $4.54
Rate for Payer: Health Plan of Nevada (Sierra) Other $3.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.77
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.92
Rate for Payer: LLUH Dept of Risk Management WC $1.01
Rate for Payer: Multiplan Commercial $3.79
Rate for Payer: Networks By Design Commercial $3.28
Rate for Payer: Prime Health Services Commercial $4.29
Rate for Payer: Riverside University Health System MISP $2.02
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.03
Rate for Payer: TriValley Medical Group Commercial/Senior $3.03
Rate for Payer: United Healthcare All Other Commercial $2.52
Rate for Payer: United Healthcare All Other HMO $2.52
Rate for Payer: United Healthcare HMO Rider $2.52
Rate for Payer: United Healthcare Select/Navigate/Core $2.52
Rate for Payer: Vantage Medical Group Medi-Cal $4.29
Rate for Payer: Vantage Medical Group Senior $4.29
Service Code NDC 61314-203-15
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.26
Max. Negotiated Rate $5.68
Rate for Payer: Aetna of CA HMO/PPO $3.83
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.36
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.47
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.47
Rate for Payer: Anthem Blue Cross of CA Exchange $3.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.73
Rate for Payer: Blue Distinction Transplant $3.79
Rate for Payer: Blue Shield of California Commercial $3.97
Rate for Payer: Blue Shield of California EPN $3.09
Rate for Payer: Cash Price $2.84
Rate for Payer: Central Health Plan Commercial $5.05
Rate for Payer: Cigna of CA HMO $4.42
Rate for Payer: Cigna of CA PPO $4.42
Rate for Payer: Dignity Health Commercial/Exchange $5.36
Rate for Payer: Dignity Health Media $5.36
Rate for Payer: Dignity Health Medi-Cal $5.36
Rate for Payer: EPIC Health Plan Commercial $2.52
Rate for Payer: EPIC Health Plan Transplant $2.52
Rate for Payer: Galaxy Health WC $5.36
Rate for Payer: Global Benefits Group Commercial $3.79
Rate for Payer: Health Management Network EPO/PPO $5.68
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.40
Rate for Payer: LLUH Dept of Risk Management WC $1.26
Rate for Payer: Multiplan Commercial $4.73
Rate for Payer: Networks By Design Commercial $4.10
Rate for Payer: Prime Health Services Commercial $5.36
Rate for Payer: Riverside University Health System MISP $2.52
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.79
Rate for Payer: TriValley Medical Group Commercial/Senior $3.79
Rate for Payer: United Healthcare All Other Commercial $3.16
Rate for Payer: United Healthcare All Other HMO $3.16
Rate for Payer: United Healthcare HMO Rider $3.16
Rate for Payer: United Healthcare Select/Navigate/Core $3.16
Rate for Payer: Vantage Medical Group Medi-Cal $5.36
Rate for Payer: Vantage Medical Group Senior $5.36
Service Code NDC 70069-181-01
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.19
Max. Negotiated Rate $5.35
Rate for Payer: Aetna of CA HMO/PPO $3.61
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.05
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.27
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.27
Rate for Payer: Anthem Blue Cross of CA Exchange $2.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.51
Rate for Payer: Blue Distinction Transplant $3.56
Rate for Payer: Blue Shield of California Commercial $3.74
Rate for Payer: Blue Shield of California EPN $2.90
Rate for Payer: Cash Price $2.67
Rate for Payer: Central Health Plan Commercial $4.75
Rate for Payer: Cigna of CA HMO $4.16
Rate for Payer: Cigna of CA PPO $4.16
Rate for Payer: Dignity Health Commercial/Exchange $5.05
Rate for Payer: Dignity Health Media $5.05
Rate for Payer: Dignity Health Medi-Cal $5.05
Rate for Payer: EPIC Health Plan Commercial $2.38
Rate for Payer: EPIC Health Plan Transplant $2.38
Rate for Payer: Galaxy Health WC $5.05
Rate for Payer: Global Benefits Group Commercial $3.56
Rate for Payer: Health Management Network EPO/PPO $5.35
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.08
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.26
Rate for Payer: LLUH Dept of Risk Management WC $1.19
Rate for Payer: Multiplan Commercial $4.46
Rate for Payer: Networks By Design Commercial $3.86
Rate for Payer: Prime Health Services Commercial $5.05
Rate for Payer: Riverside University Health System MISP $2.38
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.56
Rate for Payer: TriValley Medical Group Commercial/Senior $3.56
Rate for Payer: United Healthcare All Other Commercial $2.97
Rate for Payer: United Healthcare All Other HMO $2.97
Rate for Payer: United Healthcare HMO Rider $2.97
Rate for Payer: United Healthcare Select/Navigate/Core $2.97
Rate for Payer: Vantage Medical Group Medi-Cal $5.05
Rate for Payer: Vantage Medical Group Senior $5.05
Service Code NDC 61314-203-15
Hospital Charge Code 1740073
Hospital Revenue Code 259
Min. Negotiated Rate $1.26
Max. Negotiated Rate $5.68
Rate for Payer: Blue Shield of California Commercial $4.73
Rate for Payer: Blue Shield of California EPN $3.37
Rate for Payer: Cash Price $2.84
Rate for Payer: Central Health Plan Commercial $5.05
Rate for Payer: Cigna of CA HMO $4.42
Rate for Payer: Cigna of CA PPO $4.42
Rate for Payer: EPIC Health Plan Commercial $2.52
Rate for Payer: Galaxy Health WC $5.36
Rate for Payer: Global Benefits Group Commercial $3.79
Rate for Payer: Health Management Network EPO/PPO $5.68
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.40
Rate for Payer: LLUH Dept of Risk Management WC $1.26
Rate for Payer: Multiplan Commercial $4.73
Rate for Payer: Networks By Design Commercial $4.10
Rate for Payer: Prime Health Services Commercial $5.36
Service Code NDC 61314-204-15
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.29
Max. Negotiated Rate $5.80
Rate for Payer: Blue Shield of California Commercial $4.84
Rate for Payer: Blue Shield of California EPN $3.44
Rate for Payer: Cash Price $2.90
Rate for Payer: Central Health Plan Commercial $5.16
Rate for Payer: Cigna of CA HMO $4.52
Rate for Payer: Cigna of CA PPO $4.52
Rate for Payer: EPIC Health Plan Commercial $2.58
Rate for Payer: Galaxy Health WC $5.48
Rate for Payer: Global Benefits Group Commercial $3.87
Rate for Payer: Health Management Network EPO/PPO $5.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.46
Rate for Payer: LLUH Dept of Risk Management WC $1.29
Rate for Payer: Multiplan Commercial $4.84
Rate for Payer: Networks By Design Commercial $4.19
Rate for Payer: Prime Health Services Commercial $5.48
Service Code NDC 17478-224-12
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.25
Max. Negotiated Rate $5.63
Rate for Payer: Aetna of CA HMO/PPO $3.80
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.32
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.44
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.44
Rate for Payer: Anthem Blue Cross of CA Exchange $3.03
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.70
Rate for Payer: Blue Distinction Transplant $3.76
Rate for Payer: Blue Shield of California Commercial $3.94
Rate for Payer: Blue Shield of California EPN $3.06
Rate for Payer: Cash Price $2.82
Rate for Payer: Central Health Plan Commercial $5.01
Rate for Payer: Cigna of CA HMO $4.38
Rate for Payer: Cigna of CA PPO $4.38
Rate for Payer: Dignity Health Commercial/Exchange $5.32
Rate for Payer: Dignity Health Media $5.32
Rate for Payer: Dignity Health Medi-Cal $5.32
Rate for Payer: EPIC Health Plan Commercial $2.50
Rate for Payer: EPIC Health Plan Transplant $2.50
Rate for Payer: Galaxy Health WC $5.32
Rate for Payer: Global Benefits Group Commercial $3.76
Rate for Payer: Health Management Network EPO/PPO $5.63
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.19
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.39
Rate for Payer: LLUH Dept of Risk Management WC $1.25
Rate for Payer: Multiplan Commercial $4.70
Rate for Payer: Networks By Design Commercial $4.07
Rate for Payer: Prime Health Services Commercial $5.32
Rate for Payer: Riverside University Health System MISP $2.50
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.76
Rate for Payer: TriValley Medical Group Commercial/Senior $3.76
Rate for Payer: United Healthcare All Other Commercial $3.13
Rate for Payer: United Healthcare All Other HMO $3.13
Rate for Payer: United Healthcare HMO Rider $3.13
Rate for Payer: United Healthcare Select/Navigate/Core $3.13
Rate for Payer: Vantage Medical Group Medi-Cal $5.32
Rate for Payer: Vantage Medical Group Senior $5.32
Service Code NDC 0998-0204-15
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.52
Max. Negotiated Rate $6.85
Rate for Payer: Blue Shield of California Commercial $5.71
Rate for Payer: Blue Shield of California EPN $4.06
Rate for Payer: Cash Price $3.42
Rate for Payer: Central Health Plan Commercial $6.09
Rate for Payer: Cigna of CA HMO $5.33
Rate for Payer: Cigna of CA PPO $5.33
Rate for Payer: EPIC Health Plan Commercial $3.04
Rate for Payer: Galaxy Health WC $6.47
Rate for Payer: Global Benefits Group Commercial $4.57
Rate for Payer: Health Management Network EPO/PPO $6.85
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.90
Rate for Payer: LLUH Dept of Risk Management WC $1.52
Rate for Payer: Multiplan Commercial $5.71
Rate for Payer: Networks By Design Commercial $4.95
Rate for Payer: Prime Health Services Commercial $6.47
Service Code NDC 0998-0204-15
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.52
Max. Negotiated Rate $6.85
Rate for Payer: Aetna of CA HMO/PPO $4.62
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $6.47
Rate for Payer: Alpha Care Medical Group Medi-Cal $4.19
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $4.19
Rate for Payer: Anthem Blue Cross of CA Exchange $3.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4.50
Rate for Payer: Blue Distinction Transplant $4.57
Rate for Payer: Blue Shield of California Commercial $4.79
Rate for Payer: Blue Shield of California EPN $3.72
Rate for Payer: Cash Price $3.42
Rate for Payer: Central Health Plan Commercial $6.09
Rate for Payer: Cigna of CA HMO $5.33
Rate for Payer: Cigna of CA PPO $5.33
Rate for Payer: Dignity Health Commercial/Exchange $6.47
Rate for Payer: Dignity Health Media $6.47
Rate for Payer: Dignity Health Medi-Cal $6.47
Rate for Payer: EPIC Health Plan Commercial $3.04
Rate for Payer: EPIC Health Plan Transplant $3.04
Rate for Payer: Galaxy Health WC $6.47
Rate for Payer: Global Benefits Group Commercial $4.57
Rate for Payer: Health Management Network EPO/PPO $6.85
Rate for Payer: Health Plan of Nevada (Sierra) Other $5.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.66
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.90
Rate for Payer: LLUH Dept of Risk Management WC $1.52
Rate for Payer: Multiplan Commercial $5.71
Rate for Payer: Networks By Design Commercial $4.95
Rate for Payer: Prime Health Services Commercial $6.47
Rate for Payer: Riverside University Health System MISP $3.04
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.57
Rate for Payer: TriValley Medical Group Commercial/Senior $4.57
Rate for Payer: United Healthcare All Other Commercial $3.80
Rate for Payer: United Healthcare All Other HMO $3.80
Rate for Payer: United Healthcare HMO Rider $3.80
Rate for Payer: United Healthcare Select/Navigate/Core $3.80
Rate for Payer: Vantage Medical Group Medi-Cal $6.47
Rate for Payer: Vantage Medical Group Senior $6.47
Service Code NDC 70069-191-01
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.21
Max. Negotiated Rate $5.46
Rate for Payer: Blue Shield of California Commercial $4.55
Rate for Payer: Blue Shield of California EPN $3.24
Rate for Payer: Cash Price $2.73
Rate for Payer: Central Health Plan Commercial $4.86
Rate for Payer: Cigna of CA HMO $4.25
Rate for Payer: Cigna of CA PPO $4.25
Rate for Payer: EPIC Health Plan Commercial $2.43
Rate for Payer: Galaxy Health WC $5.16
Rate for Payer: Global Benefits Group Commercial $3.64
Rate for Payer: Health Management Network EPO/PPO $5.46
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.31
Rate for Payer: LLUH Dept of Risk Management WC $1.21
Rate for Payer: Multiplan Commercial $4.55
Rate for Payer: Networks By Design Commercial $3.95
Rate for Payer: Prime Health Services Commercial $5.16
Service Code NDC 70069-191-01
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.21
Max. Negotiated Rate $5.46
Rate for Payer: Aetna of CA HMO/PPO $3.69
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.16
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.34
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.34
Rate for Payer: Anthem Blue Cross of CA Exchange $2.94
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.59
Rate for Payer: Blue Distinction Transplant $3.64
Rate for Payer: Blue Shield of California Commercial $3.82
Rate for Payer: Blue Shield of California EPN $2.97
Rate for Payer: Cash Price $2.73
Rate for Payer: Central Health Plan Commercial $4.86
Rate for Payer: Cigna of CA HMO $4.25
Rate for Payer: Cigna of CA PPO $4.25
Rate for Payer: Dignity Health Commercial/Exchange $5.16
Rate for Payer: Dignity Health Media $5.16
Rate for Payer: Dignity Health Medi-Cal $5.16
Rate for Payer: EPIC Health Plan Commercial $2.43
Rate for Payer: EPIC Health Plan Transplant $2.43
Rate for Payer: Galaxy Health WC $5.16
Rate for Payer: Global Benefits Group Commercial $3.64
Rate for Payer: Health Management Network EPO/PPO $5.46
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.12
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.31
Rate for Payer: LLUH Dept of Risk Management WC $1.21
Rate for Payer: Multiplan Commercial $4.55
Rate for Payer: Networks By Design Commercial $3.95
Rate for Payer: Prime Health Services Commercial $5.16
Rate for Payer: Riverside University Health System MISP $2.43
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.64
Rate for Payer: TriValley Medical Group Commercial/Senior $3.64
Rate for Payer: United Healthcare All Other Commercial $3.04
Rate for Payer: United Healthcare All Other HMO $3.04
Rate for Payer: United Healthcare HMO Rider $3.04
Rate for Payer: United Healthcare Select/Navigate/Core $3.04
Rate for Payer: Vantage Medical Group Medi-Cal $5.16
Rate for Payer: Vantage Medical Group Senior $5.16
Service Code NDC 61314-204-15
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.29
Max. Negotiated Rate $5.80
Rate for Payer: Aetna of CA HMO/PPO $3.92
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.48
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.55
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.55
Rate for Payer: Anthem Blue Cross of CA Exchange $3.12
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.81
Rate for Payer: Blue Distinction Transplant $3.87
Rate for Payer: Blue Shield of California Commercial $4.06
Rate for Payer: Blue Shield of California EPN $3.15
Rate for Payer: Cash Price $2.90
Rate for Payer: Central Health Plan Commercial $5.16
Rate for Payer: Cigna of CA HMO $4.52
Rate for Payer: Cigna of CA PPO $4.52
Rate for Payer: Dignity Health Commercial/Exchange $5.48
Rate for Payer: Dignity Health Media $5.48
Rate for Payer: Dignity Health Medi-Cal $5.48
Rate for Payer: EPIC Health Plan Commercial $2.58
Rate for Payer: EPIC Health Plan Transplant $2.58
Rate for Payer: Galaxy Health WC $5.48
Rate for Payer: Global Benefits Group Commercial $3.87
Rate for Payer: Health Management Network EPO/PPO $5.80
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.46
Rate for Payer: LLUH Dept of Risk Management WC $1.29
Rate for Payer: Multiplan Commercial $4.84
Rate for Payer: Networks By Design Commercial $4.19
Rate for Payer: Prime Health Services Commercial $5.48
Rate for Payer: Riverside University Health System MISP $2.58
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.87
Rate for Payer: TriValley Medical Group Commercial/Senior $3.87
Rate for Payer: United Healthcare All Other Commercial $3.22
Rate for Payer: United Healthcare All Other HMO $3.22
Rate for Payer: United Healthcare HMO Rider $3.22
Rate for Payer: United Healthcare Select/Navigate/Core $3.22
Rate for Payer: Vantage Medical Group Medi-Cal $5.48
Rate for Payer: Vantage Medical Group Senior $5.48
Service Code NDC 17478-224-12
Hospital Charge Code 1740090
Hospital Revenue Code 259
Min. Negotiated Rate $1.25
Max. Negotiated Rate $5.63
Rate for Payer: Blue Shield of California Commercial $4.70
Rate for Payer: Blue Shield of California EPN $3.34
Rate for Payer: Cash Price $2.82
Rate for Payer: Central Health Plan Commercial $5.01
Rate for Payer: Cigna of CA HMO $4.38
Rate for Payer: Cigna of CA PPO $4.38
Rate for Payer: EPIC Health Plan Commercial $2.50
Rate for Payer: Galaxy Health WC $5.32
Rate for Payer: Global Benefits Group Commercial $3.76
Rate for Payer: Health Management Network EPO/PPO $5.63
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.39
Rate for Payer: LLUH Dept of Risk Management WC $1.25
Rate for Payer: Multiplan Commercial $4.70
Rate for Payer: Networks By Design Commercial $4.07
Rate for Payer: Prime Health Services Commercial $5.32
Service Code NDC 70069-201-01
Hospital Charge Code 1740061
Hospital Revenue Code 259
Min. Negotiated Rate $1.27
Max. Negotiated Rate $5.72
Rate for Payer: Blue Shield of California Commercial $4.77
Rate for Payer: Blue Shield of California EPN $3.40
Rate for Payer: Cash Price $2.86
Rate for Payer: Central Health Plan Commercial $5.09
Rate for Payer: Cigna of CA HMO $4.45
Rate for Payer: Cigna of CA PPO $4.45
Rate for Payer: EPIC Health Plan Commercial $2.54
Rate for Payer: Galaxy Health WC $5.41
Rate for Payer: Global Benefits Group Commercial $3.82
Rate for Payer: Health Management Network EPO/PPO $5.72
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.42
Rate for Payer: LLUH Dept of Risk Management WC $1.27
Rate for Payer: Multiplan Commercial $4.77
Rate for Payer: Networks By Design Commercial $4.13
Rate for Payer: Prime Health Services Commercial $5.41
Service Code NDC 70069-201-01
Hospital Charge Code 1740061
Hospital Revenue Code 259
Min. Negotiated Rate $1.27
Max. Negotiated Rate $5.72
Rate for Payer: Aetna of CA HMO/PPO $3.86
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.41
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3.50
Rate for Payer: Anthem Blue Cross of CA Exchange $3.08
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.76
Rate for Payer: Blue Distinction Transplant $3.82
Rate for Payer: Blue Shield of California Commercial $4.00
Rate for Payer: Blue Shield of California EPN $3.11
Rate for Payer: Cash Price $2.86
Rate for Payer: Central Health Plan Commercial $5.09
Rate for Payer: Cigna of CA HMO $4.45
Rate for Payer: Cigna of CA PPO $4.45
Rate for Payer: Dignity Health Commercial/Exchange $5.41
Rate for Payer: Dignity Health Media $5.41
Rate for Payer: Dignity Health Medi-Cal $5.41
Rate for Payer: EPIC Health Plan Commercial $2.54
Rate for Payer: EPIC Health Plan Transplant $2.54
Rate for Payer: Galaxy Health WC $5.41
Rate for Payer: Global Benefits Group Commercial $3.82
Rate for Payer: Health Management Network EPO/PPO $5.72
Rate for Payer: Health Plan of Nevada (Sierra) Other $4.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $2.23
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.42
Rate for Payer: LLUH Dept of Risk Management WC $1.27
Rate for Payer: Multiplan Commercial $4.77
Rate for Payer: Networks By Design Commercial $4.13
Rate for Payer: Prime Health Services Commercial $5.41
Rate for Payer: Riverside University Health System MISP $2.54
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.82
Rate for Payer: TriValley Medical Group Commercial/Senior $3.82
Rate for Payer: United Healthcare All Other Commercial $3.18
Rate for Payer: United Healthcare All Other HMO $3.18
Rate for Payer: United Healthcare HMO Rider $3.18
Rate for Payer: United Healthcare Select/Navigate/Core $3.18
Rate for Payer: Vantage Medical Group Medi-Cal $5.41
Rate for Payer: Vantage Medical Group Senior $5.41
Service Code NDC 0527-1313-01
Hospital Charge Code 1711692
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.44
Rate for Payer: Blue Shield of California Commercial $0.37
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.22
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: EPIC Health Plan Commercial $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: Kaiser Permanente of CA Commercial/Self Funded $0.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.10
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
Service Code NDC 0527-1313-01
Hospital Charge Code 1711692
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.44
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 $0.27
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 Distinction Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.31
Rate for Payer: Blue Shield of California EPN $0.24
Rate for Payer: Cash Price $0.22
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 Media $0.42
Rate for Payer: Dignity Health Medi-Cal $0.42
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: EPIC Health Plan Transplant $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: Health Plan of Nevada (Sierra) Other $0.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.17
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: LLUH Dept of Risk Management WC $0.10
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 Medi-Cal $0.42
Rate for Payer: Vantage Medical Group Senior $0.42
Service Code NDC 68084-928-95
Hospital Charge Code 1711692
Hospital Revenue Code 259
Min. Negotiated Rate $0.55
Max. Negotiated Rate $2.46
Rate for Payer: Aetna of CA HMO/PPO $1.66
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $2.32
Rate for Payer: Alpha Care Medical Group Medi-Cal $1.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $1.50
Rate for Payer: Anthem Blue Cross of CA Exchange $1.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1.61
Rate for Payer: Blue Distinction Transplant $1.64
Rate for Payer: Blue Shield of California Commercial $1.72
Rate for Payer: Blue Shield of California EPN $1.33
Rate for Payer: Cash Price $1.23
Rate for Payer: Central Health Plan Commercial $2.18
Rate for Payer: Cigna of CA HMO $1.91
Rate for Payer: Cigna of CA PPO $1.91
Rate for Payer: Dignity Health Commercial/Exchange $2.32
Rate for Payer: Dignity Health Media $2.32
Rate for Payer: Dignity Health Medi-Cal $2.32
Rate for Payer: EPIC Health Plan Commercial $1.09
Rate for Payer: EPIC Health Plan Transplant $1.09
Rate for Payer: Galaxy Health WC $2.32
Rate for Payer: Global Benefits Group Commercial $1.64
Rate for Payer: Health Management Network EPO/PPO $2.46
Rate for Payer: Health Plan of Nevada (Sierra) Other $2.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.96
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.04
Rate for Payer: LLUH Dept of Risk Management WC $0.55
Rate for Payer: Multiplan Commercial $2.05
Rate for Payer: Networks By Design Commercial $1.77
Rate for Payer: Prime Health Services Commercial $2.32
Rate for Payer: Riverside University Health System MISP $1.09
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.64
Rate for Payer: TriValley Medical Group Commercial/Senior $1.64
Rate for Payer: United Healthcare All Other Commercial $1.36
Rate for Payer: United Healthcare All Other HMO $1.36
Rate for Payer: United Healthcare HMO Rider $1.36
Rate for Payer: United Healthcare Select/Navigate/Core $1.36
Rate for Payer: Vantage Medical Group Medi-Cal $2.32
Rate for Payer: Vantage Medical Group Senior $2.32
Service Code NDC 68084-928-95
Hospital Charge Code 1711692
Hospital Revenue Code 259
Min. Negotiated Rate $0.55
Max. Negotiated Rate $2.46
Rate for Payer: Blue Shield of California Commercial $2.05
Rate for Payer: Blue Shield of California EPN $1.46
Rate for Payer: Cash Price $1.23
Rate for Payer: Central Health Plan Commercial $2.18
Rate for Payer: Cigna of CA HMO $1.91
Rate for Payer: Cigna of CA PPO $1.91
Rate for Payer: EPIC Health Plan Commercial $1.09
Rate for Payer: Galaxy Health WC $2.32
Rate for Payer: Global Benefits Group Commercial $1.64
Rate for Payer: Health Management Network EPO/PPO $2.46
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.04
Rate for Payer: LLUH Dept of Risk Management WC $0.55
Rate for Payer: Multiplan Commercial $2.05
Rate for Payer: Networks By Design Commercial $1.77
Rate for Payer: Prime Health Services Commercial $2.32
Service Code NDC 68084-928-25
Hospital Charge Code 1711692
Hospital Revenue Code 259
Min. Negotiated Rate $0.55
Max. Negotiated Rate $2.46
Rate for Payer: Blue Shield of California Commercial $2.05
Rate for Payer: Blue Shield of California EPN $1.46
Rate for Payer: Cash Price $1.23
Rate for Payer: Central Health Plan Commercial $2.18
Rate for Payer: Cigna of CA HMO $1.91
Rate for Payer: Cigna of CA PPO $1.91
Rate for Payer: EPIC Health Plan Commercial $1.09
Rate for Payer: Galaxy Health WC $2.32
Rate for Payer: Global Benefits Group Commercial $1.64
Rate for Payer: Health Management Network EPO/PPO $2.46
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.04
Rate for Payer: LLUH Dept of Risk Management WC $0.55
Rate for Payer: Multiplan Commercial $2.05
Rate for Payer: Networks By Design Commercial $1.77
Rate for Payer: Prime Health Services Commercial $2.32