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Service Code NDC 62584-984-11
Hospital Charge Code 1710795
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.34
Rate for Payer: Aetna of CA HMO/PPO $0.23
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.32
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.21
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.21
Rate for Payer: Anthem Blue Cross of CA Exchange $0.18
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.22
Rate for Payer: BCBS Transplant Transplant $0.23
Rate for Payer: Blue Shield of California Commercial $0.24
Rate for Payer: Blue Shield of California EPN $0.19
Rate for Payer: Cash Price $0.17
Rate for Payer: Central Health Plan Commercial $0.30
Rate for Payer: Cigna of CA HMO $0.27
Rate for Payer: Cigna of CA PPO $0.27
Rate for Payer: Dignity Health Commercial/Exchange $0.32
Rate for Payer: EPIC Health Plan Commercial $0.15
Rate for Payer: EPIC Health Plan Transplant $0.15
Rate for Payer: Galaxy Health WC $0.32
Rate for Payer: Global Benefits Group Commercial $0.23
Rate for Payer: Health Management Network EPO/PPO $0.34
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.29
Rate for Payer: IEHP medi-cal $0.13
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.25
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.29
Rate for Payer: Networks By Design Commercial $0.25
Rate for Payer: Prime Health Services Commercial $0.32
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.23
Rate for Payer: Riverside University Health MISP $0.15
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.23
Rate for Payer: TriValley Medical Group Commercial/Senior $0.23
Rate for Payer: United Healthcare All Other Commercial $0.19
Rate for Payer: United Healthcare All Other HMO $0.19
Rate for Payer: United Healthcare HMO Rider $0.19
Rate for Payer: United Healthcare Select/Navigate/Core $0.19
Rate for Payer: Vantage Medical Group Medi-Cal $0.32
Rate for Payer: Vantage Medical Group Senior $0.32
Service Code NDC 65162-762-10
Hospital Charge Code 1710795
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Aetna of CA HMO/PPO $0.12
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.17
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.11
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.11
Rate for Payer: Anthem Blue Cross of CA Exchange $0.10
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.12
Rate for Payer: BCBS Transplant Transplant $0.12
Rate for Payer: Blue Shield of California Commercial $0.13
Rate for Payer: Blue Shield of California EPN $0.10
Rate for Payer: Cash Price $0.09
Rate for Payer: Central Health Plan Commercial $0.16
Rate for Payer: Cigna of CA HMO $0.14
Rate for Payer: Cigna of CA PPO $0.14
Rate for Payer: Dignity Health Commercial/Exchange $0.17
Rate for Payer: EPIC Health Plan Commercial $0.08
Rate for Payer: EPIC Health Plan Transplant $0.08
Rate for Payer: Galaxy Health WC $0.17
Rate for Payer: Global Benefits Group Commercial $0.12
Rate for Payer: Health Management Network EPO/PPO $0.18
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.15
Rate for Payer: IEHP medi-cal $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.15
Rate for Payer: Networks By Design Commercial $0.13
Rate for Payer: Prime Health Services Commercial $0.17
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.12
Rate for Payer: Riverside University Health MISP $0.08
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.12
Rate for Payer: TriValley Medical Group Commercial/Senior $0.12
Rate for Payer: United Healthcare All Other Commercial $0.10
Rate for Payer: United Healthcare All Other HMO $0.10
Rate for Payer: United Healthcare HMO Rider $0.10
Rate for Payer: United Healthcare Select/Navigate/Core $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.17
Rate for Payer: Vantage Medical Group Senior $0.17
Service Code NDC 62584-984-01
Hospital Charge Code 1710795
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.34
Rate for Payer: Blue Shield of California Commercial $0.29
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.17
Rate for Payer: Central Health Plan Commercial $0.30
Rate for Payer: Cigna of CA HMO $0.27
Rate for Payer: Cigna of CA PPO $0.27
Rate for Payer: EPIC Health Plan Commercial $0.15
Rate for Payer: Galaxy Health WC $0.32
Rate for Payer: Global Benefits Group Commercial $0.23
Rate for Payer: Health Management Network EPO/PPO $0.34
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.25
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.29
Rate for Payer: Networks By Design Commercial $0.25
Rate for Payer: Prime Health Services Commercial $0.32
Service Code NDC 0093-1713-01
Hospital Charge Code 1710795
Hospital Revenue Code 259
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.24
Rate for Payer: Blue Shield of California Commercial $0.20
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.12
Rate for Payer: Central Health Plan Commercial $0.22
Rate for Payer: Cigna of CA HMO $0.19
Rate for Payer: Cigna of CA PPO $0.19
Rate for Payer: EPIC Health Plan Commercial $0.11
Rate for Payer: Galaxy Health WC $0.23
Rate for Payer: Global Benefits Group Commercial $0.16
Rate for Payer: Health Management Network EPO/PPO $0.24
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.18
Rate for Payer: LLUH Dept of Risk Management WC $0.05
Rate for Payer: Multiplan Commercial $0.20
Rate for Payer: Networks By Design Commercial $0.18
Rate for Payer: Prime Health Services Commercial $0.23
Service Code NDC 62584-984-01
Hospital Charge Code 1710795
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.34
Rate for Payer: Aetna of CA HMO/PPO $0.23
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.32
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.21
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.21
Rate for Payer: Anthem Blue Cross of CA Exchange $0.18
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.22
Rate for Payer: BCBS Transplant Transplant $0.23
Rate for Payer: Blue Shield of California Commercial $0.24
Rate for Payer: Blue Shield of California EPN $0.19
Rate for Payer: Cash Price $0.17
Rate for Payer: Central Health Plan Commercial $0.30
Rate for Payer: Cigna of CA HMO $0.27
Rate for Payer: Cigna of CA PPO $0.27
Rate for Payer: Dignity Health Commercial/Exchange $0.32
Rate for Payer: EPIC Health Plan Commercial $0.15
Rate for Payer: EPIC Health Plan Transplant $0.15
Rate for Payer: Galaxy Health WC $0.32
Rate for Payer: Global Benefits Group Commercial $0.23
Rate for Payer: Health Management Network EPO/PPO $0.34
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.29
Rate for Payer: IEHP medi-cal $0.13
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.25
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.29
Rate for Payer: Networks By Design Commercial $0.25
Rate for Payer: Prime Health Services Commercial $0.32
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.23
Rate for Payer: Riverside University Health MISP $0.15
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.23
Rate for Payer: TriValley Medical Group Commercial/Senior $0.23
Rate for Payer: United Healthcare All Other Commercial $0.19
Rate for Payer: United Healthcare All Other HMO $0.19
Rate for Payer: United Healthcare HMO Rider $0.19
Rate for Payer: United Healthcare Select/Navigate/Core $0.19
Rate for Payer: Vantage Medical Group Medi-Cal $0.32
Rate for Payer: Vantage Medical Group Senior $0.32
Service Code NDC 65162-764-10
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Aetna of CA HMO/PPO $0.12
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.17
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.11
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.11
Rate for Payer: Anthem Blue Cross of CA Exchange $0.10
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.12
Rate for Payer: BCBS Transplant Transplant $0.12
Rate for Payer: Blue Shield of California Commercial $0.13
Rate for Payer: Blue Shield of California EPN $0.10
Rate for Payer: Cash Price $0.09
Rate for Payer: Central Health Plan Commercial $0.16
Rate for Payer: Cigna of CA HMO $0.14
Rate for Payer: Cigna of CA PPO $0.14
Rate for Payer: Dignity Health Commercial/Exchange $0.17
Rate for Payer: EPIC Health Plan Commercial $0.08
Rate for Payer: EPIC Health Plan Transplant $0.08
Rate for Payer: Galaxy Health WC $0.17
Rate for Payer: Global Benefits Group Commercial $0.12
Rate for Payer: Health Management Network EPO/PPO $0.18
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.15
Rate for Payer: IEHP medi-cal $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.15
Rate for Payer: Networks By Design Commercial $0.13
Rate for Payer: Prime Health Services Commercial $0.17
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.12
Rate for Payer: Riverside University Health MISP $0.08
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.12
Rate for Payer: TriValley Medical Group Commercial/Senior $0.12
Rate for Payer: United Healthcare All Other Commercial $0.10
Rate for Payer: United Healthcare All Other HMO $0.10
Rate for Payer: United Healthcare HMO Rider $0.10
Rate for Payer: United Healthcare Select/Navigate/Core $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.17
Rate for Payer: Vantage Medical Group Senior $0.17
Service Code NDC 0093-1715-01
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.25
Rate for Payer: Blue Shield of California Commercial $0.21
Rate for Payer: Blue Shield of California EPN $0.15
Rate for Payer: Cash Price $0.13
Rate for Payer: Central Health Plan Commercial $0.22
Rate for Payer: Cigna of CA HMO $0.20
Rate for Payer: Cigna of CA PPO $0.20
Rate for Payer: EPIC Health Plan Commercial $0.11
Rate for Payer: Galaxy Health WC $0.24
Rate for Payer: Global Benefits Group Commercial $0.17
Rate for Payer: Health Management Network EPO/PPO $0.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.18
Rate for Payer: Prime Health Services Commercial $0.24
Service Code NDC 0832-1214-01
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Blue Shield of California Commercial $0.36
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 65162-764-10
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Blue Shield of California Commercial $0.15
Rate for Payer: Blue Shield of California EPN $0.11
Rate for Payer: Cash Price $0.09
Rate for Payer: Central Health Plan Commercial $0.16
Rate for Payer: Cigna of CA HMO $0.14
Rate for Payer: Cigna of CA PPO $0.14
Rate for Payer: EPIC Health Plan Commercial $0.08
Rate for Payer: Galaxy Health WC $0.17
Rate for Payer: Global Benefits Group Commercial $0.12
Rate for Payer: Health Management Network EPO/PPO $0.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.15
Rate for Payer: Networks By Design Commercial $0.13
Rate for Payer: Prime Health Services Commercial $0.17
Service Code NDC 0832-1214-89
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.41
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.26
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: BCBS Transplant Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Transplant $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.36
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 0832-1214-01
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.41
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.26
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: BCBS Transplant Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Transplant $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.36
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 0832-1214-89
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Blue Shield of California Commercial $0.36
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 0093-1715-01
Hospital Charge Code 1711672
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.25
Rate for Payer: Aetna of CA HMO/PPO $0.17
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.24
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.15
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.15
Rate for Payer: Anthem Blue Cross of CA Exchange $0.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.17
Rate for Payer: BCBS Transplant Transplant $0.17
Rate for Payer: Blue Shield of California Commercial $0.18
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.13
Rate for Payer: Central Health Plan Commercial $0.22
Rate for Payer: Cigna of CA HMO $0.20
Rate for Payer: Cigna of CA PPO $0.20
Rate for Payer: Dignity Health Commercial/Exchange $0.24
Rate for Payer: EPIC Health Plan Commercial $0.11
Rate for Payer: EPIC Health Plan Transplant $0.11
Rate for Payer: Galaxy Health WC $0.24
Rate for Payer: Global Benefits Group Commercial $0.17
Rate for Payer: Health Management Network EPO/PPO $0.25
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.21
Rate for Payer: IEHP medi-cal $0.10
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.18
Rate for Payer: Prime Health Services Commercial $0.24
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.17
Rate for Payer: Riverside University Health MISP $0.11
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.17
Rate for Payer: TriValley Medical Group Commercial/Senior $0.17
Rate for Payer: United Healthcare All Other Commercial $0.14
Rate for Payer: United Healthcare All Other HMO $0.14
Rate for Payer: United Healthcare HMO Rider $0.14
Rate for Payer: United Healthcare Select/Navigate/Core $0.14
Rate for Payer: Vantage Medical Group Medi-Cal $0.24
Rate for Payer: Vantage Medical Group Senior $0.24
Service Code NDC 0832-1215-01
Hospital Charge Code 1711844
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Blue Shield of California Commercial $0.36
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 0832-1215-01
Hospital Charge Code 1711844
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.41
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.26
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: BCBS Transplant Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Transplant $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.36
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 0832-1215-89
Hospital Charge Code 1711844
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Aetna of CA HMO/PPO $0.29
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.41
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.26
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.26
Rate for Payer: Anthem Blue Cross of CA Exchange $0.23
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.28
Rate for Payer: BCBS Transplant Transplant $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.23
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: Dignity Health Commercial/Exchange $0.41
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: EPIC Health Plan Transplant $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.36
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health MISP $0.19
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.24
Rate for Payer: United Healthcare All Other HMO $0.24
Rate for Payer: United Healthcare HMO Rider $0.24
Rate for Payer: United Healthcare Select/Navigate/Core $0.24
Rate for Payer: Vantage Medical Group Medi-Cal $0.41
Rate for Payer: Vantage Medical Group Senior $0.41
Service Code NDC 0832-1215-89
Hospital Charge Code 1711844
Hospital Revenue Code 259
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.43
Rate for Payer: Blue Shield of California Commercial $0.36
Rate for Payer: Blue Shield of California EPN $0.26
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.38
Rate for Payer: Cigna of CA HMO $0.34
Rate for Payer: Cigna of CA PPO $0.34
Rate for Payer: EPIC Health Plan Commercial $0.19
Rate for Payer: Galaxy Health WC $0.41
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.43
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.32
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Multiplan Commercial $0.36
Rate for Payer: Networks By Design Commercial $0.31
Rate for Payer: Prime Health Services Commercial $0.41
Service Code NDC 65162-766-10
Hospital Charge Code 1710797
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Aetna of CA HMO/PPO $0.12
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.17
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.11
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.11
Rate for Payer: Anthem Blue Cross of CA Exchange $0.10
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.12
Rate for Payer: BCBS Transplant Transplant $0.12
Rate for Payer: Blue Shield of California Commercial $0.13
Rate for Payer: Blue Shield of California EPN $0.10
Rate for Payer: Cash Price $0.09
Rate for Payer: Central Health Plan Commercial $0.16
Rate for Payer: Cigna of CA HMO $0.14
Rate for Payer: Cigna of CA PPO $0.14
Rate for Payer: Dignity Health Commercial/Exchange $0.17
Rate for Payer: EPIC Health Plan Commercial $0.08
Rate for Payer: EPIC Health Plan Transplant $0.08
Rate for Payer: Galaxy Health WC $0.17
Rate for Payer: Global Benefits Group Commercial $0.12
Rate for Payer: Health Management Network EPO/PPO $0.18
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.15
Rate for Payer: IEHP medi-cal $0.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.15
Rate for Payer: Networks By Design Commercial $0.13
Rate for Payer: Prime Health Services Commercial $0.17
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.12
Rate for Payer: Riverside University Health MISP $0.08
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.12
Rate for Payer: TriValley Medical Group Commercial/Senior $0.12
Rate for Payer: United Healthcare All Other Commercial $0.10
Rate for Payer: United Healthcare All Other HMO $0.10
Rate for Payer: United Healthcare HMO Rider $0.10
Rate for Payer: United Healthcare Select/Navigate/Core $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.17
Rate for Payer: Vantage Medical Group Senior $0.17
Service Code NDC 65162-766-10
Hospital Charge Code 1710797
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Blue Shield of California Commercial $0.15
Rate for Payer: Blue Shield of California EPN $0.11
Rate for Payer: Cash Price $0.09
Rate for Payer: Central Health Plan Commercial $0.16
Rate for Payer: Cigna of CA HMO $0.14
Rate for Payer: Cigna of CA PPO $0.14
Rate for Payer: EPIC Health Plan Commercial $0.08
Rate for Payer: Galaxy Health WC $0.17
Rate for Payer: Global Benefits Group Commercial $0.12
Rate for Payer: Health Management Network EPO/PPO $0.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.13
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.15
Rate for Payer: Networks By Design Commercial $0.13
Rate for Payer: Prime Health Services Commercial $0.17
Service Code NDC 0832-1216-01
Hospital Charge Code 1710797
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: AlphaCare Medical Group Commercial/Exchange $0.42
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.27
Rate for Payer: AlphaCare 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: BCBS Transplant 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: 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 Transplant Other $0.37
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.33
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: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health 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 0832-1216-89
Hospital Charge Code 1710797
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: AlphaCare Medical Group Commercial/Exchange $0.42
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.27
Rate for Payer: AlphaCare 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: BCBS Transplant 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: 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 Transplant Other $0.37
Rate for Payer: IEHP medi-cal $0.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.33
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: Redlands Yucaipa Medical Group Commercial/Senior $0.29
Rate for Payer: Riverside University Health 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 62584-994-11
Hospital Charge Code 1710797
Hospital Revenue Code 259
Min. Negotiated Rate $0.08
Max. Negotiated Rate $0.36
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.21
Rate for Payer: Cash Price $0.18
Rate for Payer: Central Health Plan Commercial $0.32
Rate for Payer: Cigna of CA HMO $0.28
Rate for Payer: Cigna of CA PPO $0.28
Rate for Payer: EPIC Health Plan Commercial $0.16
Rate for Payer: Galaxy Health WC $0.34
Rate for Payer: Global Benefits Group Commercial $0.24
Rate for Payer: Health Management Network EPO/PPO $0.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.27
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.30
Rate for Payer: Networks By Design Commercial $0.26
Rate for Payer: Prime Health Services Commercial $0.34
Service Code NDC 0093-1721-01
Hospital Charge Code 1710797
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.26
Rate for Payer: Aetna of CA HMO/PPO $0.18
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.16
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.16
Rate for Payer: Anthem Blue Cross of CA Exchange $0.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.17
Rate for Payer: BCBS Transplant Transplant $0.17
Rate for Payer: Blue Shield of California Commercial $0.18
Rate for Payer: Blue Shield of California EPN $0.14
Rate for Payer: Cash Price $0.13
Rate for Payer: Central Health Plan Commercial $0.23
Rate for Payer: Cigna of CA HMO $0.20
Rate for Payer: Cigna of CA PPO $0.20
Rate for Payer: Dignity Health Commercial/Exchange $0.25
Rate for Payer: EPIC Health Plan Commercial $0.12
Rate for Payer: EPIC Health Plan Transplant $0.12
Rate for Payer: Galaxy Health WC $0.25
Rate for Payer: Global Benefits Group Commercial $0.17
Rate for Payer: Health Management Network EPO/PPO $0.26
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.22
Rate for Payer: IEHP medi-cal $0.10
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.22
Rate for Payer: Networks By Design Commercial $0.19
Rate for Payer: Prime Health Services Commercial $0.25
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.17
Rate for Payer: Riverside University Health MISP $0.12
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.17
Rate for Payer: TriValley Medical Group Commercial/Senior $0.17
Rate for Payer: United Healthcare All Other Commercial $0.15
Rate for Payer: United Healthcare All Other HMO $0.15
Rate for Payer: United Healthcare HMO Rider $0.15
Rate for Payer: United Healthcare Select/Navigate/Core $0.15
Rate for Payer: Vantage Medical Group Medi-Cal $0.25
Rate for Payer: Vantage Medical Group Senior $0.25
Service Code NDC 0832-1216-89
Hospital Charge Code 1710797
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: 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 0093-1721-01
Hospital Charge Code 1710797
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.26
Rate for Payer: Blue Shield of California Commercial $0.22
Rate for Payer: Blue Shield of California EPN $0.15
Rate for Payer: Cash Price $0.13
Rate for Payer: Central Health Plan Commercial $0.23
Rate for Payer: Cigna of CA HMO $0.20
Rate for Payer: Cigna of CA PPO $0.20
Rate for Payer: EPIC Health Plan Commercial $0.12
Rate for Payer: Galaxy Health WC $0.25
Rate for Payer: Global Benefits Group Commercial $0.17
Rate for Payer: Health Management Network EPO/PPO $0.26
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.19
Rate for Payer: LLUH Dept of Risk Management WC $0.06
Rate for Payer: Multiplan Commercial $0.22
Rate for Payer: Networks By Design Commercial $0.19
Rate for Payer: Prime Health Services Commercial $0.25