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Service Code NDC 0409-6648-16
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.07
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.10
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.07
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.09
Rate for Payer: Anthem Blue Cross of CA Exchange $0.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.07
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: Cigna of CA HMO $0.08
Rate for Payer: Cigna of CA PPO $0.09
Rate for Payer: Dignity Health Commercial/Exchange $0.10
Rate for Payer: Dignity Health Medi-Cal $0.10
Rate for Payer: Dignity Health Medicare Advantage $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: InnovAge PACE Commercial $0.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.08
Rate for Payer: Molina Healthcare of CA Medicare $0.08
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Rate for Payer: Riverside University Health System MISP $0.05
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.07
Rate for Payer: TriValley Medical Group Commercial/Senior $0.07
Rate for Payer: United Healthcare All Other Commercial $0.06
Rate for Payer: United Healthcare All Other HMO $0.06
Rate for Payer: United Healthcare HMO Rider $0.06
Rate for Payer: United Healthcare Select/Navigate/Core $0.06
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.10
Rate for Payer: Vantage Medical Group Senior $0.10
Service Code NDC 0409-6648-16
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.09
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Service Code NDC 76329-3302-1
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.44
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Aetna of CA HMO/PPO $0.30
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.42
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.27
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.37
Rate for Payer: Anthem Blue Cross of CA Exchange $0.24
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.29
Rate for Payer: Blue Shield of California Commercial $0.30
Rate for Payer: Blue Shield of California EPN $0.20
Rate for Payer: Cash Price $0.27
Rate for Payer: Central Health Plan Commercial $0.39
Rate for Payer: Cigna of CA HMO $0.31
Rate for Payer: Cigna of CA PPO $0.36
Rate for Payer: Dignity Health Commercial/Exchange $0.42
Rate for Payer: Dignity Health Medi-Cal $0.42
Rate for Payer: Dignity Health Medicare Advantage $0.42
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: EPIC Health Plan Senior $0.20
Rate for Payer: Galaxy Health WC $0.42
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.44
Rate for Payer: InnovAge PACE Commercial $0.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.34
Rate for Payer: Molina Healthcare of CA Medicare $0.34
Rate for Payer: Multiplan Commercial $0.37
Rate for Payer: Networks By Design Commercial $0.32
Rate for Payer: Prime Health Services Commercial $0.42
Rate for Payer: Riverside University Health System MISP $0.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.29
Rate for Payer: TriValley Medical Group Commercial/Senior $0.29
Rate for Payer: United Healthcare All Other Commercial $0.25
Rate for Payer: United Healthcare All Other HMO $0.25
Rate for Payer: United Healthcare HMO Rider $0.25
Rate for Payer: United Healthcare Select/Navigate/Core $0.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.42
Rate for Payer: Vantage Medical Group Medi-Cal $0.42
Rate for Payer: Vantage Medical Group Senior $0.42
Service Code NDC 76329-3302-1
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.44
Rate for Payer: Adventist Health Commercial $0.10
Rate for Payer: Blue Shield of California Commercial $0.38
Rate for Payer: Blue Shield of California EPN $0.25
Rate for Payer: Cash Price $0.27
Rate for Payer: Central Health Plan Commercial $0.39
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: EPIC Health Plan Senior $0.20
Rate for Payer: Galaxy Health WC $0.42
Rate for Payer: Global Benefits Group Commercial $0.29
Rate for Payer: Health Management Network EPO/PPO $0.44
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.19
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.30
Rate for Payer: LLUH Dept of Risk Management WC $0.10
Rate for Payer: 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 0338-9787-04
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0409-6648-02
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.07
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.10
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.07
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.09
Rate for Payer: Anthem Blue Cross of CA Exchange $0.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.07
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: Cigna of CA HMO $0.08
Rate for Payer: Cigna of CA PPO $0.09
Rate for Payer: Dignity Health Commercial/Exchange $0.10
Rate for Payer: Dignity Health Medi-Cal $0.10
Rate for Payer: Dignity Health Medicare Advantage $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: InnovAge PACE Commercial $0.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.08
Rate for Payer: Molina Healthcare of CA Medicare $0.08
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Rate for Payer: Riverside University Health System MISP $0.05
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.07
Rate for Payer: TriValley Medical Group Commercial/Senior $0.07
Rate for Payer: United Healthcare All Other Commercial $0.06
Rate for Payer: United Healthcare All Other HMO $0.06
Rate for Payer: United Healthcare HMO Rider $0.06
Rate for Payer: United Healthcare Select/Navigate/Core $0.06
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.10
Rate for Payer: Vantage Medical Group Senior $0.10
Service Code NDC 0409-6648-02
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.09
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Service Code NDC 0409-6648-16
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Blue Shield of California Commercial $0.09
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Service Code NDC 0338-9787-01
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0338-9787-04
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0409-6648-16
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.11
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA HMO/PPO $0.07
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.10
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.07
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.09
Rate for Payer: Anthem Blue Cross of CA Exchange $0.06
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.07
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.07
Rate for Payer: Central Health Plan Commercial $0.10
Rate for Payer: Cigna of CA HMO $0.08
Rate for Payer: Cigna of CA PPO $0.09
Rate for Payer: Dignity Health Commercial/Exchange $0.10
Rate for Payer: Dignity Health Medi-Cal $0.10
Rate for Payer: Dignity Health Medicare Advantage $0.10
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: EPIC Health Plan Senior $0.05
Rate for Payer: Galaxy Health WC $0.10
Rate for Payer: Global Benefits Group Commercial $0.07
Rate for Payer: Health Management Network EPO/PPO $0.11
Rate for Payer: InnovAge PACE Commercial $0.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.07
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.08
Rate for Payer: Molina Healthcare of CA Medicare $0.08
Rate for Payer: Multiplan Commercial $0.09
Rate for Payer: Networks By Design Commercial $0.08
Rate for Payer: Prime Health Services Commercial $0.10
Rate for Payer: Riverside University Health System MISP $0.05
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.07
Rate for Payer: TriValley Medical Group Commercial/Senior $0.07
Rate for Payer: United Healthcare All Other Commercial $0.06
Rate for Payer: United Healthcare All Other HMO $0.06
Rate for Payer: United Healthcare HMO Rider $0.06
Rate for Payer: United Healthcare Select/Navigate/Core $0.06
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.10
Rate for Payer: Vantage Medical Group Medi-Cal $0.10
Rate for Payer: Vantage Medical Group Senior $0.10
Service Code NDC 0338-9787-01
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0264-7616-00
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0264-7616-10
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0264-7616-10
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0264-7616-00
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0264-7616-20
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.02
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Anthem Blue Cross of CA Exchange $0.01
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Medicare Advantage $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.02
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.02
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.02
Rate for Payer: Riverside University Health System MISP $0.01
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code NDC 0264-7616-20
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Senior $0.01
Rate for Payer: Galaxy Health WC $0.02
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.02
Service Code NDC 0264-7612-10
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0264-7612-10
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0338-0085-04
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code NDC 0338-0085-04
Hospital Charge Code 901700004
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $0.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code HCPCS J7042
Hospital Charge Code 901700008
Hospital Revenue Code 258
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Service Code HCPCS J7042
Hospital Charge Code 901700008
Hospital Revenue Code 258
Max. Negotiated Rate $6.51
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $6.51
Rate for Payer: Anthem Blue Cross of CA Exchange $6.51
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.00
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.00
Rate for Payer: Cash Price $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.25
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.24
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.01
Rate for Payer: United Healthcare All Other HMO $0.01
Rate for Payer: United Healthcare HMO Rider $0.01
Rate for Payer: United Healthcare Select/Navigate/Core $0.01
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code HCPCS J7121
Hospital Charge Code 901700025
Hospital Revenue Code 636
Max. Negotiated Rate $17.56
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA HMO/PPO $0.01
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.01
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Anthem Blue Cross of CA Exchange $17.56
Rate for Payer: Anthem Blue Cross of CA Exchange $17.56
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5.39
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5.39
Rate for Payer: Blue Shield of California Commercial $10.54
Rate for Payer: Blue Shield of California Commercial $10.54
Rate for Payer: Blue Shield of California EPN $9.58
Rate for Payer: Blue Shield of California EPN $9.58
Rate for Payer: Cash Price $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Central Health Plan Commercial $0.01
Rate for Payer: Cigna of CA HMO $0.01
Rate for Payer: Cigna of CA PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Medicare Advantage $0.01
Rate for Payer: EPIC Health Plan Commercial $0.00
Rate for Payer: EPIC Health Plan Senior $0.00
Rate for Payer: Galaxy Health WC $0.01
Rate for Payer: Global Benefits Group Commercial $0.01
Rate for Payer: Health Management Network EPO/PPO $0.01
Rate for Payer: InnovAge PACE Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.01
Rate for Payer: Molina Healthcare of CA Medicare $0.01
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Networks By Design Commercial $0.01
Rate for Payer: Prime Health Services Commercial $0.01
Rate for Payer: Riverside University Health System MISP $0.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.01
Rate for Payer: TriValley Medical Group Commercial/Senior $0.01
Rate for Payer: United Healthcare All Other Commercial $0.00
Rate for Payer: United Healthcare All Other HMO $0.00
Rate for Payer: United Healthcare HMO Rider $0.00
Rate for Payer: United Healthcare Select/Navigate/Core $0.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01