|
Thoracotomy; with cardiac massage
|
Facility
OP
|
$8,017.00
|
|
|
Service Code
|
CPT 32160
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$8,017.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3,958.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,017.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
|
|
Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
|
Facility
OP
|
$10,254.00
|
|
|
Service Code
|
CPT 32110
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,257.00 |
| Max. Negotiated Rate |
$10,254.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,420.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8,405.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,254.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,121.55
|
| Rate for Payer: Blue Shield of California EPN |
$2,960.28
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
|
|
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE [221104]
|
Facility
OP
|
$80.93
|
|
|
Service Code
|
NDC 0338-9568-01
|
| Hospital Charge Code |
NDG221104
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$72.84 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49.15
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$68.79
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$44.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$44.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47.81
|
| Rate for Payer: BCBS Transplant Transplant |
$48.56
|
| Rate for Payer: Blue Shield of California Commercial |
$50.90
|
| Rate for Payer: Blue Shield of California EPN |
$39.57
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Central Health Plan Commercial |
$64.74
|
| Rate for Payer: Cigna of CA HMO |
$51.80
|
| Rate for Payer: Cigna of CA PPO |
$59.89
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$68.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.37
|
| Rate for Payer: EPIC Health Plan Transplant |
$32.37
|
| Rate for Payer: Galaxy Health WC |
$68.79
|
| Rate for Payer: Global Benefits Group Commercial |
$48.56
|
| Rate for Payer: Health Management Network EPO/PPO |
$72.84
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$60.70
|
| Rate for Payer: IEHP medi-cal |
$28.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$53.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.19
|
| Rate for Payer: Multiplan Commercial |
$60.70
|
| Rate for Payer: Networks By Design Commercial |
$52.60
|
| Rate for Payer: Prime Health Services Commercial |
$68.79
|
| Rate for Payer: Riverside University Health MISP |
$32.37
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48.56
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$48.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$40.46
|
| Rate for Payer: United Healthcare All Other HMO |
$40.46
|
| Rate for Payer: United Healthcare HMO Rider |
$40.46
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$40.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$68.79
|
| Rate for Payer: Vantage Medical Group Senior |
$68.79
|
|
|
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 10 ML TOPICAL SYRINGE [221104]
|
Facility
IP
|
$80.93
|
|
|
Service Code
|
NDC 0338-9568-01
|
| Hospital Charge Code |
NDG221104
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: Blue Shield of California Commercial |
$60.70
|
| Rate for Payer: Blue Shield of California EPN |
$43.22
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Central Health Plan Commercial |
$64.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.37
|
| Rate for Payer: Galaxy Health WC |
$68.79
|
| Rate for Payer: Global Benefits Group Commercial |
$48.56
|
| Rate for Payer: Health Management Network EPO/PPO |
$72.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$53.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.19
|
| Rate for Payer: Multiplan Commercial |
$60.70
|
| Rate for Payer: Networks By Design Commercial |
$52.60
|
| Rate for Payer: Prime Health Services Commercial |
$68.79
|
|
|
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [221103]
|
Facility
IP
|
$82.46
|
|
|
Service Code
|
NDC 0338-9564-01
|
| Hospital Charge Code |
NDG221103
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.49 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: Blue Shield of California Commercial |
$61.84
|
| Rate for Payer: Blue Shield of California EPN |
$44.03
|
| Rate for Payer: Cash Price |
$37.11
|
| Rate for Payer: Cash Price |
$37.11
|
| Rate for Payer: Central Health Plan Commercial |
$65.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.98
|
| Rate for Payer: Galaxy Health WC |
$70.09
|
| Rate for Payer: Global Benefits Group Commercial |
$49.48
|
| Rate for Payer: Health Management Network EPO/PPO |
$74.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$55.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.49
|
| Rate for Payer: Multiplan Commercial |
$61.84
|
| Rate for Payer: Networks By Design Commercial |
$53.60
|
| Rate for Payer: Prime Health Services Commercial |
$70.09
|
|
|
THROMBIN(HUMAN)-FIBRINOGEN-APROTININ SYN-CALCIUM 4 ML TOPICAL SYRINGE [221103]
|
Facility
OP
|
$82.46
|
|
|
Service Code
|
NDC 0338-9564-01
|
| Hospital Charge Code |
NDG221103
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$16.49 |
| Max. Negotiated Rate |
$74.21 |
| Rate for Payer: Aetna of CA HMO/PPO |
$50.08
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$70.09
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45.35
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48.72
|
| Rate for Payer: BCBS Transplant Transplant |
$49.48
|
| Rate for Payer: Blue Shield of California Commercial |
$51.87
|
| Rate for Payer: Blue Shield of California EPN |
$40.32
|
| Rate for Payer: Cash Price |
$37.11
|
| Rate for Payer: Cash Price |
$37.11
|
| Rate for Payer: Central Health Plan Commercial |
$65.97
|
| Rate for Payer: Cigna of CA HMO |
$52.77
|
| Rate for Payer: Cigna of CA PPO |
$61.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$70.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.98
|
| Rate for Payer: EPIC Health Plan Transplant |
$32.98
|
| Rate for Payer: Galaxy Health WC |
$70.09
|
| Rate for Payer: Global Benefits Group Commercial |
$49.48
|
| Rate for Payer: Health Management Network EPO/PPO |
$74.21
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$61.84
|
| Rate for Payer: IEHP medi-cal |
$28.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$55.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.49
|
| Rate for Payer: Multiplan Commercial |
$61.84
|
| Rate for Payer: Networks By Design Commercial |
$53.60
|
| Rate for Payer: Prime Health Services Commercial |
$70.09
|
| Rate for Payer: Riverside University Health MISP |
$32.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.48
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.48
|
| Rate for Payer: United Healthcare All Other Commercial |
$41.23
|
| Rate for Payer: United Healthcare All Other HMO |
$41.23
|
| Rate for Payer: United Healthcare HMO Rider |
$41.23
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$41.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$70.09
|
| Rate for Payer: Vantage Medical Group Senior |
$70.09
|
|
|
THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]
|
Facility
IP
|
$103.20
|
|
|
Service Code
|
NDC 0338-0324-01
|
| Hospital Charge Code |
ERX89570
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: Blue Shield of California Commercial |
$77.40
|
| Rate for Payer: Blue Shield of California EPN |
$55.11
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Central Health Plan Commercial |
$82.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$41.28
|
| Rate for Payer: Galaxy Health WC |
$87.72
|
| Rate for Payer: Global Benefits Group Commercial |
$61.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$92.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$68.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$20.64
|
| Rate for Payer: Multiplan Commercial |
$77.40
|
| Rate for Payer: Networks By Design Commercial |
$67.08
|
| Rate for Payer: Prime Health Services Commercial |
$87.72
|
|
|
THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]
|
Facility
OP
|
$103.20
|
|
|
Service Code
|
NDC 0338-0322-01
|
| Hospital Charge Code |
ERX89570
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$92.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62.67
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$87.72
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$56.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$56.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60.97
|
| Rate for Payer: BCBS Transplant Transplant |
$61.92
|
| Rate for Payer: Blue Shield of California Commercial |
$64.91
|
| Rate for Payer: Blue Shield of California EPN |
$50.46
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Central Health Plan Commercial |
$82.56
|
| Rate for Payer: Cigna of CA HMO |
$66.05
|
| Rate for Payer: Cigna of CA PPO |
$76.37
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$87.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$41.28
|
| Rate for Payer: EPIC Health Plan Transplant |
$41.28
|
| Rate for Payer: Galaxy Health WC |
$87.72
|
| Rate for Payer: Global Benefits Group Commercial |
$61.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$92.88
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$77.40
|
| Rate for Payer: IEHP medi-cal |
$36.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$68.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$20.64
|
| Rate for Payer: Multiplan Commercial |
$77.40
|
| Rate for Payer: Networks By Design Commercial |
$67.08
|
| Rate for Payer: Prime Health Services Commercial |
$87.72
|
| Rate for Payer: Riverside University Health MISP |
$41.28
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$61.92
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$61.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$51.60
|
| Rate for Payer: United Healthcare HMO Rider |
$51.60
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$51.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$87.72
|
| Rate for Payer: Vantage Medical Group Senior |
$87.72
|
|
|
THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]
|
Facility
OP
|
$103.20
|
|
|
Service Code
|
NDC 0338-0324-01
|
| Hospital Charge Code |
ERX89570
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$92.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$62.67
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$87.72
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$56.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$56.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$49.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$60.97
|
| Rate for Payer: BCBS Transplant Transplant |
$61.92
|
| Rate for Payer: Blue Shield of California Commercial |
$64.91
|
| Rate for Payer: Blue Shield of California EPN |
$50.46
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Central Health Plan Commercial |
$82.56
|
| Rate for Payer: Cigna of CA HMO |
$66.05
|
| Rate for Payer: Cigna of CA PPO |
$76.37
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$87.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$41.28
|
| Rate for Payer: EPIC Health Plan Transplant |
$41.28
|
| Rate for Payer: Galaxy Health WC |
$87.72
|
| Rate for Payer: Global Benefits Group Commercial |
$61.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$92.88
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$77.40
|
| Rate for Payer: IEHP medi-cal |
$36.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$68.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$20.64
|
| Rate for Payer: Multiplan Commercial |
$77.40
|
| Rate for Payer: Networks By Design Commercial |
$67.08
|
| Rate for Payer: Prime Health Services Commercial |
$87.72
|
| Rate for Payer: Riverside University Health MISP |
$41.28
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$61.92
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$61.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$51.60
|
| Rate for Payer: United Healthcare HMO Rider |
$51.60
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$51.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$87.72
|
| Rate for Payer: Vantage Medical Group Senior |
$87.72
|
|
|
THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [89570]
|
Facility
IP
|
$103.20
|
|
|
Service Code
|
NDC 0338-0322-01
|
| Hospital Charge Code |
ERX89570
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: Blue Shield of California Commercial |
$77.40
|
| Rate for Payer: Blue Shield of California EPN |
$55.11
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Cash Price |
$46.44
|
| Rate for Payer: Central Health Plan Commercial |
$82.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$41.28
|
| Rate for Payer: Galaxy Health WC |
$87.72
|
| Rate for Payer: Global Benefits Group Commercial |
$61.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$92.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$68.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$20.64
|
| Rate for Payer: Multiplan Commercial |
$77.40
|
| Rate for Payer: Networks By Design Commercial |
$67.08
|
| Rate for Payer: Prime Health Services Commercial |
$87.72
|
|
|
THYROID DISORDERS
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4271
|
| Min. Negotiated Rate |
$4,483.68 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,483.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$5,343.05
|
|
|
THYROID DISORDERS
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4274
|
| Min. Negotiated Rate |
$17,203.31 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$17,203.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$20,500.61
|
|
|
THYROID DISORDERS
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4273
|
| Min. Negotiated Rate |
$9,849.98 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,849.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$11,737.90
|
|
|
THYROID DISORDERS
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4272
|
| Min. Negotiated Rate |
$6,183.96 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$6,183.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$7,369.22
|
|
|
Thyroidectomy, including substernal thyroid; cervical approach
|
Facility
OP
|
$25,512.00
|
|
|
Service Code
|
CPT 60271
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$25,512.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,316.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,316.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$10,003.24
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,316.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,975.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,877.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,316.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,316.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,999.72
|
| Rate for Payer: IEHP medi-cal |
$12,072.88
|
| Rate for Payer: IEHP Medicare Advantage |
$7,316.90
|
| Rate for Payer: Innovage PACE Commercial |
$10,975.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,316.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,804.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,804.65
|
| Rate for Payer: Multiplan WC |
$10,003.24
|
| Rate for Payer: Preferred Health Network WC |
$10,207.39
|
| Rate for Payer: Prime Health Services Medicare |
$7,755.91
|
| Rate for Payer: Prime Health Services WC |
$9,901.17
|
| Rate for Payer: Riverside University Health MISP |
$8,048.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,836.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,512.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,069.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,692.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: Vantage Medical Group Senior |
$7,316.90
|
|
|
Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
|
Facility
OP
|
$13,979.00
|
|
|
Service Code
|
CPT 60270
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$13,979.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,104.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
|
|
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
|
Facility
OP
|
$25,512.00
|
|
|
Service Code
|
CPT 60260
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,603.71 |
| Max. Negotiated Rate |
$25,512.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,316.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,316.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,877.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,389.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$10,003.24
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$7,316.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,975.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,877.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,316.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,316.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,999.72
|
| Rate for Payer: IEHP medi-cal |
$12,072.88
|
| Rate for Payer: IEHP Medicare Advantage |
$7,316.90
|
| Rate for Payer: Innovage PACE Commercial |
$10,975.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,316.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,804.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,804.65
|
| Rate for Payer: Multiplan WC |
$10,003.24
|
| Rate for Payer: Preferred Health Network WC |
$10,207.39
|
| Rate for Payer: Prime Health Services Medicare |
$7,755.91
|
| Rate for Payer: Prime Health Services WC |
$9,901.17
|
| Rate for Payer: Riverside University Health MISP |
$8,048.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,836.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,512.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,069.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,692.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: Vantage Medical Group Senior |
$7,316.90
|
|
|
Thyroidectomy, total or complete
|
Facility
OP
|
$27,445.00
|
|
|
Service Code
|
CPT 60240
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,603.71 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,209.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,813.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,930.13
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,209.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,877.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,389.00
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$7,209.21
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,813.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,732.43
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,209.21
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,209.21
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,823.10
|
| Rate for Payer: IEHP medi-cal |
$11,895.20
|
| Rate for Payer: IEHP Medicare Advantage |
$7,209.21
|
| Rate for Payer: Innovage PACE Commercial |
$10,813.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,209.21
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,660.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,660.34
|
| Rate for Payer: Prime Health Services Medicare |
$7,641.76
|
| Rate for Payer: Riverside University Health MISP |
$7,930.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,813.82
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,930.13
|
| Rate for Payer: Vantage Medical Group Senior |
$7,209.21
|
|
|
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
|
Facility
OP
|
$25,512.00
|
|
|
Service Code
|
CPT 60252
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$6,419.00 |
| Max. Negotiated Rate |
$25,512.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,316.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,316.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$10,003.24
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$7,316.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,975.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,877.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,316.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,316.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,999.72
|
| Rate for Payer: IEHP medi-cal |
$12,072.88
|
| Rate for Payer: IEHP Medicare Advantage |
$7,316.90
|
| Rate for Payer: Innovage PACE Commercial |
$10,975.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,316.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,804.65
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,804.65
|
| Rate for Payer: Multiplan WC |
$10,003.24
|
| Rate for Payer: Preferred Health Network WC |
$10,207.39
|
| Rate for Payer: Prime Health Services Medicare |
$7,755.91
|
| Rate for Payer: Prime Health Services WC |
$9,901.17
|
| Rate for Payer: Riverside University Health MISP |
$8,048.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,836.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,512.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,069.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,692.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,975.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,048.59
|
| Rate for Payer: Vantage Medical Group Senior |
$7,316.90
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
IP
|
$56,322.95
|
|
|
Service Code
|
APR-DRG 4044
|
| Min. Negotiated Rate |
$34,005.88 |
| Max. Negotiated Rate |
$56,322.95 |
| Rate for Payer: Adventist Health Medi-Cal |
$47,264.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$56,322.95
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4041
|
| Min. Negotiated Rate |
$9,229.46 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,229.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$10,998.44
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4042
|
| Min. Negotiated Rate |
$13,539.53 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,539.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$16,134.60
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
APR-DRG 4043
|
| Min. Negotiated Rate |
$22,720.82 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Adventist Health Medi-Cal |
$22,720.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
| Rate for Payer: IEHP medi-cal |
$27,075.65
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
TRIS-DRG 626
|
| Min. Negotiated Rate |
$34,005.88 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
|
|
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
|
Facility
IP
|
$34,005.88
|
|
|
Service Code
|
TRIS-DRG 625
|
| Min. Negotiated Rate |
$34,005.88 |
| Max. Negotiated Rate |
$34,005.88 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34,005.88
|
|
