Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search
Charge Type Price  
Service Code NDC 43598-220-28
Hospital Charge Code ERX33862
Hospital Revenue Code 259
Min. Negotiated Rate $1.34
Max. Negotiated Rate $6.03
Rate for Payer: Aetna of CA HMO/PPO $4.07
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5.70
Rate for Payer: AlphaCare Medical Group Medi-Cal $3.68
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3.68
Rate for Payer: Anthem Blue Cross of CA Exchange $3.24
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3.96
Rate for Payer: BCBS Transplant Transplant $4.02
Rate for Payer: Blue Shield of California Commercial $4.21
Rate for Payer: Blue Shield of California EPN $3.28
Rate for Payer: Cash Price $3.02
Rate for Payer: Central Health Plan Commercial $5.36
Rate for Payer: Cigna of CA HMO $4.69
Rate for Payer: Cigna of CA PPO $4.69
Rate for Payer: Dignity Health Commercial/Exchange $5.70
Rate for Payer: EPIC Health Plan Commercial $2.68
Rate for Payer: EPIC Health Plan Transplant $2.68
Rate for Payer: Galaxy Health WC $5.70
Rate for Payer: Global Benefits Group Commercial $4.02
Rate for Payer: Health Management Network EPO/PPO $6.03
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5.02
Rate for Payer: IEHP medi-cal $2.34
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.47
Rate for Payer: LLUH Dept of Risk Management WC $1.34
Rate for Payer: Multiplan Commercial $5.02
Rate for Payer: Networks By Design Commercial $4.36
Rate for Payer: Prime Health Services Commercial $5.70
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4.02
Rate for Payer: Riverside University Health MISP $2.68
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.02
Rate for Payer: TriValley Medical Group Commercial/Senior $4.02
Rate for Payer: United Healthcare All Other Commercial $3.35
Rate for Payer: United Healthcare All Other HMO $3.35
Rate for Payer: United Healthcare HMO Rider $3.35
Rate for Payer: United Healthcare Select/Navigate/Core $3.35
Rate for Payer: Vantage Medical Group Medi-Cal $5.70
Rate for Payer: Vantage Medical Group Senior $5.70
Service Code NDC 0781-1943-82
Hospital Charge Code ERX33862
Hospital Revenue Code 259
Min. Negotiated Rate $1.47
Max. Negotiated Rate $6.63
Rate for Payer: Aetna of CA HMO/PPO $4.48
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $4.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4.05
Rate for Payer: Anthem Blue Cross of CA Exchange $3.57
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4.35
Rate for Payer: BCBS Transplant Transplant $4.42
Rate for Payer: Blue Shield of California Commercial $4.64
Rate for Payer: Blue Shield of California EPN $3.60
Rate for Payer: Cash Price $3.32
Rate for Payer: Central Health Plan Commercial $5.90
Rate for Payer: Cigna of CA HMO $5.16
Rate for Payer: Cigna of CA PPO $5.16
Rate for Payer: Dignity Health Commercial/Exchange $6.26
Rate for Payer: EPIC Health Plan Commercial $2.95
Rate for Payer: EPIC Health Plan Transplant $2.95
Rate for Payer: Galaxy Health WC $6.26
Rate for Payer: Global Benefits Group Commercial $4.42
Rate for Payer: Health Management Network EPO/PPO $6.63
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5.53
Rate for Payer: IEHP medi-cal $2.58
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.92
Rate for Payer: LLUH Dept of Risk Management WC $1.47
Rate for Payer: Multiplan Commercial $5.53
Rate for Payer: Networks By Design Commercial $4.79
Rate for Payer: Prime Health Services Commercial $6.26
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $4.42
Rate for Payer: Riverside University Health MISP $2.95
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.42
Rate for Payer: TriValley Medical Group Commercial/Senior $4.42
Rate for Payer: United Healthcare All Other Commercial $3.68
Rate for Payer: United Healthcare All Other HMO $3.68
Rate for Payer: United Healthcare HMO Rider $3.68
Rate for Payer: United Healthcare Select/Navigate/Core $3.68
Rate for Payer: Vantage Medical Group Medi-Cal $6.26
Rate for Payer: Vantage Medical Group Senior $6.26
Service Code CPT J0285
Hospital Charge Code 1757256
Hospital Revenue Code 636
Min. Negotiated Rate $10.49
Max. Negotiated Rate $59.09
Rate for Payer: Aetna of CA HMO/PPO $59.09
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $44.57
Rate for Payer: AlphaCare Medical Group Medi-Cal $28.84
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $28.84
Rate for Payer: Anthem Blue Cross of CA Exchange $31.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $34.69
Rate for Payer: BCBS Transplant Transplant $31.46
Rate for Payer: Blue Shield of California Commercial $57.68
Rate for Payer: Blue Shield of California EPN $52.44
Rate for Payer: Cash Price $23.60
Rate for Payer: Cash Price $23.60
Rate for Payer: Central Health Plan Commercial $41.95
Rate for Payer: Cigna of CA HMO $36.71
Rate for Payer: Cigna of CA PPO $36.71
Rate for Payer: Dignity Health Commercial/Exchange $44.57
Rate for Payer: EPIC Health Plan Commercial $20.98
Rate for Payer: EPIC Health Plan Transplant $20.98
Rate for Payer: Galaxy Health WC $44.57
Rate for Payer: Global Benefits Group Commercial $31.46
Rate for Payer: Health Management Network EPO/PPO $47.20
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $39.33
Rate for Payer: IEHP medi-cal $46.90
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $34.98
Rate for Payer: LLUH Dept of Risk Management WC $10.49
Rate for Payer: Multiplan Commercial $39.33
Rate for Payer: Networks By Design Commercial $26.22
Rate for Payer: Prime Health Services Commercial $44.57
Rate for Payer: Riverside University Health MISP $20.98
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $31.46
Rate for Payer: TriValley Medical Group Commercial/Senior $31.46
Rate for Payer: United Healthcare All Other Commercial $26.22
Rate for Payer: United Healthcare All Other HMO $26.22
Rate for Payer: United Healthcare HMO Rider $26.22
Rate for Payer: United Healthcare Select/Navigate/Core $26.22
Rate for Payer: Vantage Medical Group Medi-Cal $44.57
Rate for Payer: Vantage Medical Group Senior $44.57
Service Code CPT J0285
Hospital Charge Code 1757256
Hospital Revenue Code 636
Min. Negotiated Rate $10.49
Max. Negotiated Rate $47.20
Rate for Payer: Blue Shield of California Commercial $39.33
Rate for Payer: Blue Shield of California EPN $28.00
Rate for Payer: Cash Price $23.60
Rate for Payer: Central Health Plan Commercial $41.95
Rate for Payer: Cigna of CA HMO $36.71
Rate for Payer: Cigna of CA PPO $36.71
Rate for Payer: EPIC Health Plan Commercial $20.98
Rate for Payer: EPIC Health Plan Transplant $20.98
Rate for Payer: Galaxy Health WC $44.57
Rate for Payer: Global Benefits Group Commercial $31.46
Rate for Payer: Health Management Network EPO/PPO $47.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $34.98
Rate for Payer: LLUH Dept of Risk Management WC $10.49
Rate for Payer: Multiplan Commercial $39.33
Rate for Payer: Networks By Design Commercial $26.22
Rate for Payer: Prime Health Services Commercial $44.57
Service Code NDC 55150-365-01
Hospital Charge Code 1757065
Hospital Revenue Code 636
Min. Negotiated Rate $61.14
Max. Negotiated Rate $275.13
Rate for Payer: Blue Shield of California Commercial $229.28
Rate for Payer: Blue Shield of California EPN $163.24
Rate for Payer: Cash Price $137.57
Rate for Payer: Central Health Plan Commercial $244.56
Rate for Payer: Cigna of CA HMO $213.99
Rate for Payer: Cigna of CA PPO $213.99
Rate for Payer: EPIC Health Plan Commercial $122.28
Rate for Payer: EPIC Health Plan Transplant $122.28
Rate for Payer: Galaxy Health WC $259.84
Rate for Payer: Global Benefits Group Commercial $183.42
Rate for Payer: Health Management Network EPO/PPO $275.13
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $203.90
Rate for Payer: LLUH Dept of Risk Management WC $61.14
Rate for Payer: Multiplan Commercial $229.28
Rate for Payer: Networks By Design Commercial $152.85
Rate for Payer: Prime Health Services Commercial $259.84
Service Code NDC 55150-365-01
Hospital Charge Code 1757065
Hospital Revenue Code 636
Min. Negotiated Rate $61.14
Max. Negotiated Rate $275.13
Rate for Payer: Aetna of CA HMO/PPO $185.65
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $259.84
Rate for Payer: AlphaCare Medical Group Medi-Cal $168.14
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $168.14
Rate for Payer: Anthem Blue Cross of CA Exchange $148.02
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $180.61
Rate for Payer: BCBS Transplant Transplant $183.42
Rate for Payer: Blue Shield of California Commercial $192.29
Rate for Payer: Blue Shield of California EPN $149.49
Rate for Payer: Cash Price $137.57
Rate for Payer: Cash Price $137.57
Rate for Payer: Central Health Plan Commercial $244.56
Rate for Payer: Cigna of CA HMO $213.99
Rate for Payer: Cigna of CA PPO $213.99
Rate for Payer: Dignity Health Commercial/Exchange $259.84
Rate for Payer: EPIC Health Plan Commercial $122.28
Rate for Payer: EPIC Health Plan Transplant $122.28
Rate for Payer: Galaxy Health WC $259.84
Rate for Payer: Global Benefits Group Commercial $183.42
Rate for Payer: Health Management Network EPO/PPO $275.13
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $229.28
Rate for Payer: IEHP medi-cal $107.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $203.90
Rate for Payer: LLUH Dept of Risk Management WC $61.14
Rate for Payer: Multiplan Commercial $229.28
Rate for Payer: Networks By Design Commercial $152.85
Rate for Payer: Prime Health Services Commercial $259.84
Rate for Payer: Riverside University Health MISP $122.28
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $183.42
Rate for Payer: TriValley Medical Group Commercial/Senior $183.42
Rate for Payer: United Healthcare All Other Commercial $152.85
Rate for Payer: United Healthcare All Other HMO $152.85
Rate for Payer: United Healthcare HMO Rider $152.85
Rate for Payer: United Healthcare Select/Navigate/Core $152.85
Rate for Payer: Vantage Medical Group Medi-Cal $259.84
Rate for Payer: Vantage Medical Group Senior $259.84
Service Code NDC 0469-3051-30
Hospital Charge Code 1757065
Hospital Revenue Code 636
Min. Negotiated Rate $72.01
Max. Negotiated Rate $324.04
Rate for Payer: Blue Shield of California Commercial $270.04
Rate for Payer: Blue Shield of California EPN $192.27
Rate for Payer: Cash Price $162.02
Rate for Payer: Central Health Plan Commercial $288.04
Rate for Payer: Cigna of CA HMO $252.04
Rate for Payer: Cigna of CA PPO $252.04
Rate for Payer: EPIC Health Plan Commercial $144.02
Rate for Payer: EPIC Health Plan Transplant $144.02
Rate for Payer: Galaxy Health WC $306.04
Rate for Payer: Global Benefits Group Commercial $216.03
Rate for Payer: Health Management Network EPO/PPO $324.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $240.15
Rate for Payer: LLUH Dept of Risk Management WC $72.01
Rate for Payer: Multiplan Commercial $270.04
Rate for Payer: Networks By Design Commercial $180.02
Rate for Payer: Prime Health Services Commercial $306.04
Service Code NDC 0469-3051-30
Hospital Charge Code 1757065
Hospital Revenue Code 636
Min. Negotiated Rate $72.01
Max. Negotiated Rate $324.04
Rate for Payer: Aetna of CA HMO/PPO $218.66
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $306.04
Rate for Payer: AlphaCare Medical Group Medi-Cal $198.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $198.03
Rate for Payer: Anthem Blue Cross of CA Exchange $174.34
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $212.72
Rate for Payer: BCBS Transplant Transplant $216.03
Rate for Payer: Blue Shield of California Commercial $226.47
Rate for Payer: Blue Shield of California EPN $176.06
Rate for Payer: Cash Price $162.02
Rate for Payer: Cash Price $162.02
Rate for Payer: Central Health Plan Commercial $288.04
Rate for Payer: Cigna of CA HMO $252.04
Rate for Payer: Cigna of CA PPO $252.04
Rate for Payer: Dignity Health Commercial/Exchange $306.04
Rate for Payer: EPIC Health Plan Commercial $144.02
Rate for Payer: EPIC Health Plan Transplant $144.02
Rate for Payer: Galaxy Health WC $306.04
Rate for Payer: Global Benefits Group Commercial $216.03
Rate for Payer: Health Management Network EPO/PPO $324.04
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $270.04
Rate for Payer: IEHP medi-cal $126.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $240.15
Rate for Payer: LLUH Dept of Risk Management WC $72.01
Rate for Payer: Multiplan Commercial $270.04
Rate for Payer: Networks By Design Commercial $180.02
Rate for Payer: Prime Health Services Commercial $306.04
Rate for Payer: Riverside University Health MISP $144.02
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $216.03
Rate for Payer: TriValley Medical Group Commercial/Senior $216.03
Rate for Payer: United Healthcare All Other Commercial $180.02
Rate for Payer: United Healthcare All Other HMO $180.02
Rate for Payer: United Healthcare HMO Rider $180.02
Rate for Payer: United Healthcare Select/Navigate/Core $180.02
Rate for Payer: Vantage Medical Group Medi-Cal $306.04
Rate for Payer: Vantage Medical Group Senior $306.04
Service Code NDC 9994-0802-41
Hospital Charge Code 1715157
Hospital Revenue Code 259
Min. Negotiated Rate $0.91
Max. Negotiated Rate $4.10
Rate for Payer: Aetna of CA HMO/PPO $2.77
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3.88
Rate for Payer: AlphaCare Medical Group Medi-Cal $2.51
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $2.51
Rate for Payer: Anthem Blue Cross of CA Exchange $2.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.69
Rate for Payer: BCBS Transplant Transplant $2.74
Rate for Payer: Blue Shield of California Commercial $2.87
Rate for Payer: Blue Shield of California EPN $2.23
Rate for Payer: Cash Price $2.05
Rate for Payer: Central Health Plan Commercial $3.65
Rate for Payer: Cigna of CA HMO $3.19
Rate for Payer: Cigna of CA PPO $3.19
Rate for Payer: Dignity Health Commercial/Exchange $3.88
Rate for Payer: EPIC Health Plan Commercial $1.82
Rate for Payer: EPIC Health Plan Transplant $1.82
Rate for Payer: Galaxy Health WC $3.88
Rate for Payer: Global Benefits Group Commercial $2.74
Rate for Payer: Health Management Network EPO/PPO $4.10
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $3.42
Rate for Payer: IEHP medi-cal $1.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.04
Rate for Payer: LLUH Dept of Risk Management WC $0.91
Rate for Payer: Multiplan Commercial $3.42
Rate for Payer: Networks By Design Commercial $2.96
Rate for Payer: Prime Health Services Commercial $3.88
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $2.74
Rate for Payer: Riverside University Health MISP $1.82
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2.74
Rate for Payer: TriValley Medical Group Commercial/Senior $2.74
Rate for Payer: United Healthcare All Other Commercial $2.28
Rate for Payer: United Healthcare All Other HMO $2.28
Rate for Payer: United Healthcare HMO Rider $2.28
Rate for Payer: United Healthcare Select/Navigate/Core $2.28
Rate for Payer: Vantage Medical Group Medi-Cal $3.88
Rate for Payer: Vantage Medical Group Senior $3.88
Service Code NDC 9994-0802-41
Hospital Charge Code 1715157
Hospital Revenue Code 259
Min. Negotiated Rate $0.91
Max. Negotiated Rate $4.10
Rate for Payer: Blue Shield of California Commercial $3.42
Rate for Payer: Blue Shield of California EPN $2.44
Rate for Payer: Cash Price $2.05
Rate for Payer: Central Health Plan Commercial $3.65
Rate for Payer: Cigna of CA HMO $3.19
Rate for Payer: Cigna of CA PPO $3.19
Rate for Payer: EPIC Health Plan Commercial $1.82
Rate for Payer: Galaxy Health WC $3.88
Rate for Payer: Global Benefits Group Commercial $2.74
Rate for Payer: Health Management Network EPO/PPO $4.10
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.04
Rate for Payer: LLUH Dept of Risk Management WC $0.91
Rate for Payer: Multiplan Commercial $3.42
Rate for Payer: Networks By Design Commercial $2.96
Rate for Payer: Prime Health Services Commercial $3.88
Service Code CPT J0290
Hospital Charge Code 1752200
Hospital Revenue Code 636
Min. Negotiated Rate $18.00
Max. Negotiated Rate $81.00
Rate for Payer: Blue Shield of California Commercial $67.50
Rate for Payer: Blue Shield of California Commercial $62.08
Rate for Payer: Blue Shield of California Commercial $58.50
Rate for Payer: Blue Shield of California EPN $44.20
Rate for Payer: Blue Shield of California EPN $41.65
Rate for Payer: Blue Shield of California EPN $48.06
Rate for Payer: Cash Price $40.50
Rate for Payer: Cash Price $35.10
Rate for Payer: Cash Price $37.25
Rate for Payer: Central Health Plan Commercial $62.40
Rate for Payer: Central Health Plan Commercial $66.22
Rate for Payer: Central Health Plan Commercial $72.00
Rate for Payer: Cigna of CA HMO $54.60
Rate for Payer: Cigna of CA HMO $57.94
Rate for Payer: Cigna of CA HMO $63.00
Rate for Payer: Cigna of CA PPO $57.94
Rate for Payer: Cigna of CA PPO $63.00
Rate for Payer: Cigna of CA PPO $54.60
Rate for Payer: EPIC Health Plan Commercial $36.00
Rate for Payer: EPIC Health Plan Commercial $31.20
Rate for Payer: EPIC Health Plan Commercial $33.11
Rate for Payer: EPIC Health Plan Transplant $36.00
Rate for Payer: EPIC Health Plan Transplant $33.11
Rate for Payer: EPIC Health Plan Transplant $31.20
Rate for Payer: Galaxy Health WC $76.50
Rate for Payer: Galaxy Health WC $66.30
Rate for Payer: Galaxy Health WC $70.35
Rate for Payer: Global Benefits Group Commercial $54.00
Rate for Payer: Global Benefits Group Commercial $49.66
Rate for Payer: Global Benefits Group Commercial $46.80
Rate for Payer: Health Management Network EPO/PPO $81.00
Rate for Payer: Health Management Network EPO/PPO $74.49
Rate for Payer: Health Management Network EPO/PPO $70.20
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $55.21
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $60.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $52.03
Rate for Payer: LLUH Dept of Risk Management WC $18.00
Rate for Payer: LLUH Dept of Risk Management WC $15.60
Rate for Payer: LLUH Dept of Risk Management WC $16.55
Rate for Payer: Multiplan Commercial $67.50
Rate for Payer: Multiplan Commercial $62.08
Rate for Payer: Multiplan Commercial $58.50
Rate for Payer: Networks By Design Commercial $41.38
Rate for Payer: Networks By Design Commercial $39.00
Rate for Payer: Networks By Design Commercial $45.00
Rate for Payer: Prime Health Services Commercial $66.30
Rate for Payer: Prime Health Services Commercial $70.35
Rate for Payer: Prime Health Services Commercial $76.50
Service Code CPT J0290
Hospital Charge Code 1752200
Hospital Revenue Code 636
Min. Negotiated Rate $0.88
Max. Negotiated Rate $70.20
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $66.30
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $76.50
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $70.35
Rate for Payer: AlphaCare Medical Group Medi-Cal $45.52
Rate for Payer: AlphaCare Medical Group Medi-Cal $42.90
Rate for Payer: AlphaCare Medical Group Medi-Cal $49.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $42.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $49.50
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $45.52
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: BCBS Transplant Transplant $46.80
Rate for Payer: BCBS Transplant Transplant $49.66
Rate for Payer: BCBS Transplant Transplant $54.00
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Cash Price $35.10
Rate for Payer: Cash Price $35.10
Rate for Payer: Cash Price $37.25
Rate for Payer: Cash Price $40.50
Rate for Payer: Cash Price $40.50
Rate for Payer: Cash Price $37.25
Rate for Payer: Central Health Plan Commercial $72.00
Rate for Payer: Central Health Plan Commercial $66.22
Rate for Payer: Central Health Plan Commercial $62.40
Rate for Payer: Cigna of CA HMO $57.94
Rate for Payer: Cigna of CA HMO $63.00
Rate for Payer: Cigna of CA HMO $54.60
Rate for Payer: Cigna of CA PPO $57.94
Rate for Payer: Cigna of CA PPO $63.00
Rate for Payer: Cigna of CA PPO $54.60
Rate for Payer: Dignity Health Commercial/Exchange $66.30
Rate for Payer: Dignity Health Commercial/Exchange $76.50
Rate for Payer: Dignity Health Commercial/Exchange $70.35
Rate for Payer: EPIC Health Plan Commercial $33.11
Rate for Payer: EPIC Health Plan Commercial $31.20
Rate for Payer: EPIC Health Plan Commercial $36.00
Rate for Payer: EPIC Health Plan Transplant $33.11
Rate for Payer: EPIC Health Plan Transplant $31.20
Rate for Payer: EPIC Health Plan Transplant $36.00
Rate for Payer: Galaxy Health WC $70.35
Rate for Payer: Galaxy Health WC $66.30
Rate for Payer: Galaxy Health WC $76.50
Rate for Payer: Global Benefits Group Commercial $54.00
Rate for Payer: Global Benefits Group Commercial $49.66
Rate for Payer: Global Benefits Group Commercial $46.80
Rate for Payer: Health Management Network EPO/PPO $81.00
Rate for Payer: Health Management Network EPO/PPO $70.20
Rate for Payer: Health Management Network EPO/PPO $74.49
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $58.50
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $67.50
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $62.08
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $60.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $52.03
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $55.21
Rate for Payer: LLUH Dept of Risk Management WC $15.60
Rate for Payer: LLUH Dept of Risk Management WC $16.55
Rate for Payer: LLUH Dept of Risk Management WC $18.00
Rate for Payer: Multiplan Commercial $58.50
Rate for Payer: Multiplan Commercial $62.08
Rate for Payer: Multiplan Commercial $67.50
Rate for Payer: Networks By Design Commercial $45.00
Rate for Payer: Networks By Design Commercial $41.38
Rate for Payer: Networks By Design Commercial $39.00
Rate for Payer: Prime Health Services Commercial $76.50
Rate for Payer: Prime Health Services Commercial $70.35
Rate for Payer: Prime Health Services Commercial $66.30
Rate for Payer: Riverside University Health MISP $33.11
Rate for Payer: Riverside University Health MISP $36.00
Rate for Payer: Riverside University Health MISP $31.20
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $46.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $49.66
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $54.00
Rate for Payer: TriValley Medical Group Commercial/Senior $49.66
Rate for Payer: TriValley Medical Group Commercial/Senior $46.80
Rate for Payer: TriValley Medical Group Commercial/Senior $54.00
Rate for Payer: United Healthcare All Other Commercial $45.00
Rate for Payer: United Healthcare All Other Commercial $41.38
Rate for Payer: United Healthcare All Other Commercial $39.00
Rate for Payer: United Healthcare All Other HMO $41.38
Rate for Payer: United Healthcare All Other HMO $45.00
Rate for Payer: United Healthcare All Other HMO $39.00
Rate for Payer: United Healthcare HMO Rider $41.38
Rate for Payer: United Healthcare HMO Rider $45.00
Rate for Payer: United Healthcare HMO Rider $39.00
Rate for Payer: United Healthcare Select/Navigate/Core $45.00
Rate for Payer: United Healthcare Select/Navigate/Core $39.00
Rate for Payer: United Healthcare Select/Navigate/Core $41.38
Rate for Payer: Vantage Medical Group Medi-Cal $70.35
Rate for Payer: Vantage Medical Group Medi-Cal $76.50
Rate for Payer: Vantage Medical Group Medi-Cal $66.30
Rate for Payer: Vantage Medical Group Senior $70.35
Rate for Payer: Vantage Medical Group Senior $66.30
Rate for Payer: Vantage Medical Group Senior $76.50
Service Code CPT J0290
Hospital Charge Code 1720397
Hospital Revenue Code 636
Min. Negotiated Rate $0.88
Max. Negotiated Rate $7.58
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6.12
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5.64
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $4.94
Rate for Payer: AlphaCare Medical Group Medi-Cal $3.96
Rate for Payer: AlphaCare Medical Group Medi-Cal $3.65
Rate for Payer: AlphaCare Medical Group Medi-Cal $3.20
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3.20
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3.65
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3.96
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: BCBS Transplant Transplant $3.98
Rate for Payer: BCBS Transplant Transplant $3.49
Rate for Payer: BCBS Transplant Transplant $4.32
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Cash Price $2.98
Rate for Payer: Cash Price $2.61
Rate for Payer: Cash Price $3.24
Rate for Payer: Cash Price $2.98
Rate for Payer: Cash Price $3.24
Rate for Payer: Cash Price $2.61
Rate for Payer: Central Health Plan Commercial $4.65
Rate for Payer: Central Health Plan Commercial $5.30
Rate for Payer: Central Health Plan Commercial $5.76
Rate for Payer: Cigna of CA HMO $4.07
Rate for Payer: Cigna of CA HMO $5.04
Rate for Payer: Cigna of CA HMO $4.64
Rate for Payer: Cigna of CA PPO $5.04
Rate for Payer: Cigna of CA PPO $4.07
Rate for Payer: Cigna of CA PPO $4.64
Rate for Payer: Dignity Health Commercial/Exchange $5.64
Rate for Payer: Dignity Health Commercial/Exchange $6.12
Rate for Payer: Dignity Health Commercial/Exchange $4.94
Rate for Payer: EPIC Health Plan Commercial $2.65
Rate for Payer: EPIC Health Plan Commercial $2.88
Rate for Payer: EPIC Health Plan Commercial $2.32
Rate for Payer: EPIC Health Plan Transplant $2.88
Rate for Payer: EPIC Health Plan Transplant $2.32
Rate for Payer: EPIC Health Plan Transplant $2.65
Rate for Payer: Galaxy Health WC $6.12
Rate for Payer: Galaxy Health WC $5.64
Rate for Payer: Galaxy Health WC $4.94
Rate for Payer: Global Benefits Group Commercial $3.98
Rate for Payer: Global Benefits Group Commercial $3.49
Rate for Payer: Global Benefits Group Commercial $4.32
Rate for Payer: Health Management Network EPO/PPO $6.48
Rate for Payer: Health Management Network EPO/PPO $5.23
Rate for Payer: Health Management Network EPO/PPO $5.97
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $5.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4.36
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $4.97
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.42
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.80
Rate for Payer: LLUH Dept of Risk Management WC $1.16
Rate for Payer: LLUH Dept of Risk Management WC $1.44
Rate for Payer: LLUH Dept of Risk Management WC $1.33
Rate for Payer: Multiplan Commercial $4.97
Rate for Payer: Multiplan Commercial $4.36
Rate for Payer: Multiplan Commercial $5.40
Rate for Payer: Networks By Design Commercial $3.60
Rate for Payer: Networks By Design Commercial $2.90
Rate for Payer: Networks By Design Commercial $3.32
Rate for Payer: Prime Health Services Commercial $4.94
Rate for Payer: Prime Health Services Commercial $6.12
Rate for Payer: Prime Health Services Commercial $5.64
Rate for Payer: Riverside University Health MISP $2.65
Rate for Payer: Riverside University Health MISP $2.32
Rate for Payer: Riverside University Health MISP $2.88
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.32
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.98
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $3.49
Rate for Payer: TriValley Medical Group Commercial/Senior $3.98
Rate for Payer: TriValley Medical Group Commercial/Senior $4.32
Rate for Payer: TriValley Medical Group Commercial/Senior $3.49
Rate for Payer: United Healthcare All Other Commercial $2.90
Rate for Payer: United Healthcare All Other Commercial $3.60
Rate for Payer: United Healthcare All Other Commercial $3.32
Rate for Payer: United Healthcare All Other HMO $2.90
Rate for Payer: United Healthcare All Other HMO $3.60
Rate for Payer: United Healthcare All Other HMO $3.32
Rate for Payer: United Healthcare HMO Rider $2.90
Rate for Payer: United Healthcare HMO Rider $3.60
Rate for Payer: United Healthcare HMO Rider $3.32
Rate for Payer: United Healthcare Select/Navigate/Core $2.90
Rate for Payer: United Healthcare Select/Navigate/Core $3.60
Rate for Payer: United Healthcare Select/Navigate/Core $3.32
Rate for Payer: Vantage Medical Group Medi-Cal $6.12
Rate for Payer: Vantage Medical Group Medi-Cal $4.94
Rate for Payer: Vantage Medical Group Medi-Cal $5.64
Rate for Payer: Vantage Medical Group Senior $4.94
Rate for Payer: Vantage Medical Group Senior $5.64
Rate for Payer: Vantage Medical Group Senior $6.12
Service Code CPT J0290
Hospital Charge Code 1720397
Hospital Revenue Code 636
Min. Negotiated Rate $1.44
Max. Negotiated Rate $6.48
Rate for Payer: Blue Shield of California Commercial $5.40
Rate for Payer: Blue Shield of California Commercial $4.97
Rate for Payer: Blue Shield of California Commercial $4.36
Rate for Payer: Blue Shield of California EPN $3.10
Rate for Payer: Blue Shield of California EPN $3.84
Rate for Payer: Blue Shield of California EPN $3.54
Rate for Payer: Cash Price $2.98
Rate for Payer: Cash Price $2.61
Rate for Payer: Cash Price $3.24
Rate for Payer: Central Health Plan Commercial $5.30
Rate for Payer: Central Health Plan Commercial $5.76
Rate for Payer: Central Health Plan Commercial $4.65
Rate for Payer: Cigna of CA HMO $4.64
Rate for Payer: Cigna of CA HMO $5.04
Rate for Payer: Cigna of CA HMO $4.07
Rate for Payer: Cigna of CA PPO $4.64
Rate for Payer: Cigna of CA PPO $4.07
Rate for Payer: Cigna of CA PPO $5.04
Rate for Payer: EPIC Health Plan Commercial $2.32
Rate for Payer: EPIC Health Plan Commercial $2.65
Rate for Payer: EPIC Health Plan Commercial $2.88
Rate for Payer: EPIC Health Plan Transplant $2.32
Rate for Payer: EPIC Health Plan Transplant $2.88
Rate for Payer: EPIC Health Plan Transplant $2.65
Rate for Payer: Galaxy Health WC $6.12
Rate for Payer: Galaxy Health WC $5.64
Rate for Payer: Galaxy Health WC $4.94
Rate for Payer: Global Benefits Group Commercial $3.49
Rate for Payer: Global Benefits Group Commercial $4.32
Rate for Payer: Global Benefits Group Commercial $3.98
Rate for Payer: Health Management Network EPO/PPO $5.97
Rate for Payer: Health Management Network EPO/PPO $6.48
Rate for Payer: Health Management Network EPO/PPO $5.23
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.80
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.42
Rate for Payer: LLUH Dept of Risk Management WC $1.16
Rate for Payer: LLUH Dept of Risk Management WC $1.33
Rate for Payer: LLUH Dept of Risk Management WC $1.44
Rate for Payer: Multiplan Commercial $4.97
Rate for Payer: Multiplan Commercial $5.40
Rate for Payer: Multiplan Commercial $4.36
Rate for Payer: Networks By Design Commercial $2.90
Rate for Payer: Networks By Design Commercial $3.32
Rate for Payer: Networks By Design Commercial $3.60
Rate for Payer: Prime Health Services Commercial $5.64
Rate for Payer: Prime Health Services Commercial $4.94
Rate for Payer: Prime Health Services Commercial $6.12
Service Code CPT J0290
Hospital Charge Code 1720395
Hospital Revenue Code 636
Min. Negotiated Rate $0.48
Max. Negotiated Rate $7.58
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1.89
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1.88
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.22
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.22
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.32
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.22
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.22
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.32
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: BCBS Transplant Transplant $1.44
Rate for Payer: BCBS Transplant Transplant $1.33
Rate for Payer: BCBS Transplant Transplant $1.33
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Cash Price $0.99
Rate for Payer: Cash Price $1.08
Rate for Payer: Cash Price $1.00
Rate for Payer: Cash Price $0.99
Rate for Payer: Cash Price $1.08
Rate for Payer: Cash Price $1.00
Rate for Payer: Central Health Plan Commercial $1.77
Rate for Payer: Central Health Plan Commercial $1.92
Rate for Payer: Central Health Plan Commercial $1.78
Rate for Payer: Cigna of CA HMO $1.55
Rate for Payer: Cigna of CA HMO $1.68
Rate for Payer: Cigna of CA HMO $1.55
Rate for Payer: Cigna of CA PPO $1.68
Rate for Payer: Cigna of CA PPO $1.55
Rate for Payer: Cigna of CA PPO $1.55
Rate for Payer: Dignity Health Commercial/Exchange $1.89
Rate for Payer: Dignity Health Commercial/Exchange $1.88
Rate for Payer: Dignity Health Commercial/Exchange $2.04
Rate for Payer: EPIC Health Plan Commercial $0.96
Rate for Payer: EPIC Health Plan Commercial $0.89
Rate for Payer: EPIC Health Plan Commercial $0.88
Rate for Payer: EPIC Health Plan Transplant $0.96
Rate for Payer: EPIC Health Plan Transplant $0.88
Rate for Payer: EPIC Health Plan Transplant $0.89
Rate for Payer: Galaxy Health WC $1.88
Rate for Payer: Galaxy Health WC $2.04
Rate for Payer: Galaxy Health WC $1.89
Rate for Payer: Global Benefits Group Commercial $1.33
Rate for Payer: Global Benefits Group Commercial $1.33
Rate for Payer: Global Benefits Group Commercial $1.44
Rate for Payer: Health Management Network EPO/PPO $1.99
Rate for Payer: Health Management Network EPO/PPO $2.16
Rate for Payer: Health Management Network EPO/PPO $2.00
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1.66
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1.80
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $1.66
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.48
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.47
Rate for Payer: LLUH Dept of Risk Management WC $0.44
Rate for Payer: LLUH Dept of Risk Management WC $0.48
Rate for Payer: LLUH Dept of Risk Management WC $0.44
Rate for Payer: Multiplan Commercial $1.66
Rate for Payer: Multiplan Commercial $1.80
Rate for Payer: Multiplan Commercial $1.66
Rate for Payer: Networks By Design Commercial $1.20
Rate for Payer: Networks By Design Commercial $1.10
Rate for Payer: Networks By Design Commercial $1.11
Rate for Payer: Prime Health Services Commercial $1.88
Rate for Payer: Prime Health Services Commercial $2.04
Rate for Payer: Prime Health Services Commercial $1.89
Rate for Payer: Riverside University Health MISP $0.88
Rate for Payer: Riverside University Health MISP $0.89
Rate for Payer: Riverside University Health MISP $0.96
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.33
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.33
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.44
Rate for Payer: TriValley Medical Group Commercial/Senior $1.33
Rate for Payer: TriValley Medical Group Commercial/Senior $1.33
Rate for Payer: TriValley Medical Group Commercial/Senior $1.44
Rate for Payer: United Healthcare All Other Commercial $1.10
Rate for Payer: United Healthcare All Other Commercial $1.11
Rate for Payer: United Healthcare All Other Commercial $1.20
Rate for Payer: United Healthcare All Other HMO $1.20
Rate for Payer: United Healthcare All Other HMO $1.11
Rate for Payer: United Healthcare All Other HMO $1.10
Rate for Payer: United Healthcare HMO Rider $1.10
Rate for Payer: United Healthcare HMO Rider $1.11
Rate for Payer: United Healthcare HMO Rider $1.20
Rate for Payer: United Healthcare Select/Navigate/Core $1.10
Rate for Payer: United Healthcare Select/Navigate/Core $1.11
Rate for Payer: United Healthcare Select/Navigate/Core $1.20
Rate for Payer: Vantage Medical Group Medi-Cal $1.89
Rate for Payer: Vantage Medical Group Medi-Cal $1.88
Rate for Payer: Vantage Medical Group Medi-Cal $2.04
Rate for Payer: Vantage Medical Group Senior $1.89
Rate for Payer: Vantage Medical Group Senior $2.04
Rate for Payer: Vantage Medical Group Senior $1.88
Service Code CPT J0290
Hospital Charge Code 1720395
Hospital Revenue Code 636
Min. Negotiated Rate $0.44
Max. Negotiated Rate $1.99
Rate for Payer: Blue Shield of California Commercial $1.66
Rate for Payer: Blue Shield of California Commercial $1.66
Rate for Payer: Blue Shield of California Commercial $1.80
Rate for Payer: Blue Shield of California EPN $1.19
Rate for Payer: Blue Shield of California EPN $1.18
Rate for Payer: Blue Shield of California EPN $1.28
Rate for Payer: Cash Price $1.08
Rate for Payer: Cash Price $0.99
Rate for Payer: Cash Price $1.00
Rate for Payer: Central Health Plan Commercial $1.92
Rate for Payer: Central Health Plan Commercial $1.77
Rate for Payer: Central Health Plan Commercial $1.78
Rate for Payer: Cigna of CA HMO $1.68
Rate for Payer: Cigna of CA HMO $1.55
Rate for Payer: Cigna of CA HMO $1.55
Rate for Payer: Cigna of CA PPO $1.68
Rate for Payer: Cigna of CA PPO $1.55
Rate for Payer: Cigna of CA PPO $1.55
Rate for Payer: EPIC Health Plan Commercial $0.96
Rate for Payer: EPIC Health Plan Commercial $0.88
Rate for Payer: EPIC Health Plan Commercial $0.89
Rate for Payer: EPIC Health Plan Transplant $0.88
Rate for Payer: EPIC Health Plan Transplant $0.96
Rate for Payer: EPIC Health Plan Transplant $0.89
Rate for Payer: Galaxy Health WC $1.89
Rate for Payer: Galaxy Health WC $2.04
Rate for Payer: Galaxy Health WC $1.88
Rate for Payer: Global Benefits Group Commercial $1.33
Rate for Payer: Global Benefits Group Commercial $1.33
Rate for Payer: Global Benefits Group Commercial $1.44
Rate for Payer: Health Management Network EPO/PPO $1.99
Rate for Payer: Health Management Network EPO/PPO $2.00
Rate for Payer: Health Management Network EPO/PPO $2.16
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.48
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.47
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.60
Rate for Payer: LLUH Dept of Risk Management WC $0.48
Rate for Payer: LLUH Dept of Risk Management WC $0.44
Rate for Payer: LLUH Dept of Risk Management WC $0.44
Rate for Payer: Multiplan Commercial $1.66
Rate for Payer: Multiplan Commercial $1.80
Rate for Payer: Multiplan Commercial $1.66
Rate for Payer: Networks By Design Commercial $1.11
Rate for Payer: Networks By Design Commercial $1.10
Rate for Payer: Networks By Design Commercial $1.20
Rate for Payer: Prime Health Services Commercial $1.89
Rate for Payer: Prime Health Services Commercial $2.04
Rate for Payer: Prime Health Services Commercial $1.88
Service Code CPT J0290
Hospital Charge Code 1720398
Hospital Revenue Code 636
Min. Negotiated Rate $0.88
Max. Negotiated Rate $7.68
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $13.67
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $7.25
Rate for Payer: AlphaCare Medical Group Medi-Cal $4.69
Rate for Payer: AlphaCare Medical Group Medi-Cal $8.84
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $8.84
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4.69
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: BCBS Transplant Transplant $5.12
Rate for Payer: BCBS Transplant Transplant $9.65
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Cash Price $7.24
Rate for Payer: Cash Price $3.84
Rate for Payer: Cash Price $7.24
Rate for Payer: Cash Price $3.84
Rate for Payer: Central Health Plan Commercial $6.82
Rate for Payer: Central Health Plan Commercial $12.86
Rate for Payer: Cigna of CA HMO $5.97
Rate for Payer: Cigna of CA HMO $11.26
Rate for Payer: Cigna of CA PPO $5.97
Rate for Payer: Cigna of CA PPO $11.26
Rate for Payer: Dignity Health Commercial/Exchange $13.67
Rate for Payer: Dignity Health Commercial/Exchange $7.25
Rate for Payer: EPIC Health Plan Commercial $6.43
Rate for Payer: EPIC Health Plan Commercial $3.41
Rate for Payer: EPIC Health Plan Transplant $6.43
Rate for Payer: EPIC Health Plan Transplant $3.41
Rate for Payer: Galaxy Health WC $7.25
Rate for Payer: Galaxy Health WC $13.67
Rate for Payer: Global Benefits Group Commercial $9.65
Rate for Payer: Global Benefits Group Commercial $5.12
Rate for Payer: Health Management Network EPO/PPO $14.47
Rate for Payer: Health Management Network EPO/PPO $7.68
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $6.40
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $12.06
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5.69
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10.73
Rate for Payer: LLUH Dept of Risk Management WC $1.71
Rate for Payer: LLUH Dept of Risk Management WC $3.22
Rate for Payer: Multiplan Commercial $12.06
Rate for Payer: Multiplan Commercial $6.40
Rate for Payer: Networks By Design Commercial $4.26
Rate for Payer: Networks By Design Commercial $8.04
Rate for Payer: Prime Health Services Commercial $13.67
Rate for Payer: Prime Health Services Commercial $7.25
Rate for Payer: Riverside University Health MISP $3.41
Rate for Payer: Riverside University Health MISP $6.43
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $5.12
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $9.65
Rate for Payer: TriValley Medical Group Commercial/Senior $5.12
Rate for Payer: TriValley Medical Group Commercial/Senior $9.65
Rate for Payer: United Healthcare All Other Commercial $4.26
Rate for Payer: United Healthcare All Other Commercial $8.04
Rate for Payer: United Healthcare All Other HMO $4.26
Rate for Payer: United Healthcare All Other HMO $8.04
Rate for Payer: United Healthcare HMO Rider $4.26
Rate for Payer: United Healthcare HMO Rider $8.04
Rate for Payer: United Healthcare Select/Navigate/Core $4.26
Rate for Payer: United Healthcare Select/Navigate/Core $8.04
Rate for Payer: Vantage Medical Group Medi-Cal $13.67
Rate for Payer: Vantage Medical Group Medi-Cal $7.25
Rate for Payer: Vantage Medical Group Senior $13.67
Rate for Payer: Vantage Medical Group Senior $7.25
Service Code CPT J0290
Hospital Charge Code 1720398
Hospital Revenue Code 636
Min. Negotiated Rate $1.71
Max. Negotiated Rate $7.68
Rate for Payer: Blue Shield of California Commercial $6.40
Rate for Payer: Blue Shield of California Commercial $12.06
Rate for Payer: Blue Shield of California EPN $4.56
Rate for Payer: Blue Shield of California EPN $8.59
Rate for Payer: Cash Price $7.24
Rate for Payer: Cash Price $3.84
Rate for Payer: Central Health Plan Commercial $12.86
Rate for Payer: Central Health Plan Commercial $6.82
Rate for Payer: Cigna of CA HMO $5.97
Rate for Payer: Cigna of CA HMO $11.26
Rate for Payer: Cigna of CA PPO $11.26
Rate for Payer: Cigna of CA PPO $5.97
Rate for Payer: EPIC Health Plan Commercial $3.41
Rate for Payer: EPIC Health Plan Commercial $6.43
Rate for Payer: EPIC Health Plan Transplant $6.43
Rate for Payer: EPIC Health Plan Transplant $3.41
Rate for Payer: Galaxy Health WC $13.67
Rate for Payer: Galaxy Health WC $7.25
Rate for Payer: Global Benefits Group Commercial $5.12
Rate for Payer: Global Benefits Group Commercial $9.65
Rate for Payer: Health Management Network EPO/PPO $7.68
Rate for Payer: Health Management Network EPO/PPO $14.47
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $10.73
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $5.69
Rate for Payer: LLUH Dept of Risk Management WC $1.71
Rate for Payer: LLUH Dept of Risk Management WC $3.22
Rate for Payer: Multiplan Commercial $6.40
Rate for Payer: Multiplan Commercial $12.06
Rate for Payer: Networks By Design Commercial $8.04
Rate for Payer: Networks By Design Commercial $4.26
Rate for Payer: Prime Health Services Commercial $13.67
Rate for Payer: Prime Health Services Commercial $7.25
Service Code NDC 0781-2145-01
Hospital Charge Code 1710493
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.56
Rate for Payer: Blue Shield of California Commercial $0.47
Rate for Payer: Blue Shield of California EPN $0.33
Rate for Payer: Cash Price $0.28
Rate for Payer: Central Health Plan Commercial $0.50
Rate for Payer: Cigna of CA HMO $0.43
Rate for Payer: Cigna of CA PPO $0.43
Rate for Payer: EPIC Health Plan Commercial $0.25
Rate for Payer: Galaxy Health WC $0.53
Rate for Payer: Global Benefits Group Commercial $0.37
Rate for Payer: Health Management Network EPO/PPO $0.56
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.41
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Commercial $0.47
Rate for Payer: Networks By Design Commercial $0.40
Rate for Payer: Prime Health Services Commercial $0.53
Service Code NDC 0781-2145-01
Hospital Charge Code 1710493
Hospital Revenue Code 259
Min. Negotiated Rate $0.12
Max. Negotiated Rate $0.56
Rate for Payer: Aetna of CA HMO/PPO $0.38
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.53
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.34
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.34
Rate for Payer: Anthem Blue Cross of CA Exchange $0.30
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.37
Rate for Payer: BCBS Transplant Transplant $0.37
Rate for Payer: Blue Shield of California Commercial $0.39
Rate for Payer: Blue Shield of California EPN $0.30
Rate for Payer: Cash Price $0.28
Rate for Payer: Central Health Plan Commercial $0.50
Rate for Payer: Cigna of CA HMO $0.43
Rate for Payer: Cigna of CA PPO $0.43
Rate for Payer: Dignity Health Commercial/Exchange $0.53
Rate for Payer: EPIC Health Plan Commercial $0.25
Rate for Payer: EPIC Health Plan Transplant $0.25
Rate for Payer: Galaxy Health WC $0.53
Rate for Payer: Global Benefits Group Commercial $0.37
Rate for Payer: Health Management Network EPO/PPO $0.56
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $0.47
Rate for Payer: IEHP medi-cal $0.22
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.41
Rate for Payer: LLUH Dept of Risk Management WC $0.12
Rate for Payer: Multiplan Commercial $0.47
Rate for Payer: Networks By Design Commercial $0.40
Rate for Payer: Prime Health Services Commercial $0.53
Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior $0.37
Rate for Payer: Riverside University Health MISP $0.25
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.37
Rate for Payer: TriValley Medical Group Commercial/Senior $0.37
Rate for Payer: United Healthcare All Other Commercial $0.31
Rate for Payer: United Healthcare All Other HMO $0.31
Rate for Payer: United Healthcare HMO Rider $0.31
Rate for Payer: United Healthcare Select/Navigate/Core $0.31
Rate for Payer: Vantage Medical Group Medi-Cal $0.53
Rate for Payer: Vantage Medical Group Senior $0.53
Service Code CPT J0290
Hospital Charge Code 1720396
Hospital Revenue Code 636
Min. Negotiated Rate $0.57
Max. Negotiated Rate $7.58
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: Aetna of CA HMO/PPO $6.26
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $3.06
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2.41
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $2.87
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.56
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.86
Rate for Payer: AlphaCare Medical Group Medi-Cal $1.98
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.98
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1.86
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA Exchange $6.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7.58
Rate for Payer: BCBS Transplant Transplant $2.03
Rate for Payer: BCBS Transplant Transplant $1.70
Rate for Payer: BCBS Transplant Transplant $2.16
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California Commercial $3.43
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Blue Shield of California EPN $3.12
Rate for Payer: Cash Price $1.52
Rate for Payer: Cash Price $1.62
Rate for Payer: Cash Price $1.28
Rate for Payer: Cash Price $1.62
Rate for Payer: Cash Price $1.52
Rate for Payer: Cash Price $1.28
Rate for Payer: Central Health Plan Commercial $2.70
Rate for Payer: Central Health Plan Commercial $2.27
Rate for Payer: Central Health Plan Commercial $2.88
Rate for Payer: Cigna of CA HMO $1.99
Rate for Payer: Cigna of CA HMO $2.37
Rate for Payer: Cigna of CA HMO $2.52
Rate for Payer: Cigna of CA PPO $2.37
Rate for Payer: Cigna of CA PPO $2.52
Rate for Payer: Cigna of CA PPO $1.99
Rate for Payer: Dignity Health Commercial/Exchange $2.87
Rate for Payer: Dignity Health Commercial/Exchange $3.06
Rate for Payer: Dignity Health Commercial/Exchange $2.41
Rate for Payer: EPIC Health Plan Commercial $1.44
Rate for Payer: EPIC Health Plan Commercial $1.14
Rate for Payer: EPIC Health Plan Commercial $1.35
Rate for Payer: EPIC Health Plan Transplant $1.35
Rate for Payer: EPIC Health Plan Transplant $1.14
Rate for Payer: EPIC Health Plan Transplant $1.44
Rate for Payer: Galaxy Health WC $2.87
Rate for Payer: Galaxy Health WC $3.06
Rate for Payer: Galaxy Health WC $2.41
Rate for Payer: Global Benefits Group Commercial $2.16
Rate for Payer: Global Benefits Group Commercial $1.70
Rate for Payer: Global Benefits Group Commercial $2.03
Rate for Payer: Health Management Network EPO/PPO $2.56
Rate for Payer: Health Management Network EPO/PPO $3.04
Rate for Payer: Health Management Network EPO/PPO $3.24
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2.54
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2.13
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $2.70
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: IEHP medi-cal $0.88
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.89
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.25
Rate for Payer: LLUH Dept of Risk Management WC $0.68
Rate for Payer: LLUH Dept of Risk Management WC $0.72
Rate for Payer: LLUH Dept of Risk Management WC $0.57
Rate for Payer: Multiplan Commercial $2.54
Rate for Payer: Multiplan Commercial $2.70
Rate for Payer: Multiplan Commercial $2.13
Rate for Payer: Networks By Design Commercial $1.42
Rate for Payer: Networks By Design Commercial $1.69
Rate for Payer: Networks By Design Commercial $1.80
Rate for Payer: Prime Health Services Commercial $2.87
Rate for Payer: Prime Health Services Commercial $2.41
Rate for Payer: Prime Health Services Commercial $3.06
Rate for Payer: Riverside University Health MISP $1.14
Rate for Payer: Riverside University Health MISP $1.35
Rate for Payer: Riverside University Health MISP $1.44
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $1.70
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2.16
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2.03
Rate for Payer: TriValley Medical Group Commercial/Senior $2.03
Rate for Payer: TriValley Medical Group Commercial/Senior $2.16
Rate for Payer: TriValley Medical Group Commercial/Senior $1.70
Rate for Payer: United Healthcare All Other Commercial $1.80
Rate for Payer: United Healthcare All Other Commercial $1.42
Rate for Payer: United Healthcare All Other Commercial $1.69
Rate for Payer: United Healthcare All Other HMO $1.42
Rate for Payer: United Healthcare All Other HMO $1.69
Rate for Payer: United Healthcare All Other HMO $1.80
Rate for Payer: United Healthcare HMO Rider $1.42
Rate for Payer: United Healthcare HMO Rider $1.80
Rate for Payer: United Healthcare HMO Rider $1.69
Rate for Payer: United Healthcare Select/Navigate/Core $1.80
Rate for Payer: United Healthcare Select/Navigate/Core $1.42
Rate for Payer: United Healthcare Select/Navigate/Core $1.69
Rate for Payer: Vantage Medical Group Medi-Cal $3.06
Rate for Payer: Vantage Medical Group Medi-Cal $2.41
Rate for Payer: Vantage Medical Group Medi-Cal $2.87
Rate for Payer: Vantage Medical Group Senior $3.06
Rate for Payer: Vantage Medical Group Senior $2.87
Rate for Payer: Vantage Medical Group Senior $2.41
Service Code CPT J0290
Hospital Charge Code 1720396
Hospital Revenue Code 636
Min. Negotiated Rate $0.68
Max. Negotiated Rate $3.04
Rate for Payer: Blue Shield of California Commercial $2.54
Rate for Payer: Blue Shield of California Commercial $2.13
Rate for Payer: Blue Shield of California Commercial $2.70
Rate for Payer: Blue Shield of California EPN $1.92
Rate for Payer: Blue Shield of California EPN $1.52
Rate for Payer: Blue Shield of California EPN $1.80
Rate for Payer: Cash Price $1.28
Rate for Payer: Cash Price $1.52
Rate for Payer: Cash Price $1.62
Rate for Payer: Central Health Plan Commercial $2.27
Rate for Payer: Central Health Plan Commercial $2.88
Rate for Payer: Central Health Plan Commercial $2.70
Rate for Payer: Cigna of CA HMO $2.37
Rate for Payer: Cigna of CA HMO $2.52
Rate for Payer: Cigna of CA HMO $1.99
Rate for Payer: Cigna of CA PPO $1.99
Rate for Payer: Cigna of CA PPO $2.52
Rate for Payer: Cigna of CA PPO $2.37
Rate for Payer: EPIC Health Plan Commercial $1.14
Rate for Payer: EPIC Health Plan Commercial $1.35
Rate for Payer: EPIC Health Plan Commercial $1.44
Rate for Payer: EPIC Health Plan Transplant $1.14
Rate for Payer: EPIC Health Plan Transplant $1.44
Rate for Payer: EPIC Health Plan Transplant $1.35
Rate for Payer: Galaxy Health WC $3.06
Rate for Payer: Galaxy Health WC $2.87
Rate for Payer: Galaxy Health WC $2.41
Rate for Payer: Global Benefits Group Commercial $2.03
Rate for Payer: Global Benefits Group Commercial $2.16
Rate for Payer: Global Benefits Group Commercial $1.70
Rate for Payer: Health Management Network EPO/PPO $2.56
Rate for Payer: Health Management Network EPO/PPO $3.24
Rate for Payer: Health Management Network EPO/PPO $3.04
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $1.89
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.25
Rate for Payer: LLUH Dept of Risk Management WC $0.72
Rate for Payer: LLUH Dept of Risk Management WC $0.68
Rate for Payer: LLUH Dept of Risk Management WC $0.57
Rate for Payer: Multiplan Commercial $2.13
Rate for Payer: Multiplan Commercial $2.70
Rate for Payer: Multiplan Commercial $2.54
Rate for Payer: Networks By Design Commercial $1.69
Rate for Payer: Networks By Design Commercial $1.42
Rate for Payer: Networks By Design Commercial $1.80
Rate for Payer: Prime Health Services Commercial $2.87
Rate for Payer: Prime Health Services Commercial $2.41
Rate for Payer: Prime Health Services Commercial $3.06
Service Code CPT J0295
Hospital Charge Code ERX32469
Hospital Revenue Code 636
Min. Negotiated Rate $1.94
Max. Negotiated Rate $59.94
Rate for Payer: Aetna of CA HMO/PPO $10.98
Rate for Payer: Aetna of CA HMO/PPO $10.98
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $56.61
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $74.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $36.63
Rate for Payer: AlphaCare Medical Group Medi-Cal $48.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $36.63
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $48.05
Rate for Payer: Anthem Blue Cross of CA Exchange $13.47
Rate for Payer: Anthem Blue Cross of CA Exchange $13.47
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14.75
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14.75
Rate for Payer: BCBS Transplant Transplant $52.42
Rate for Payer: BCBS Transplant Transplant $39.96
Rate for Payer: Blue Shield of California Commercial $6.68
Rate for Payer: Blue Shield of California Commercial $6.68
Rate for Payer: Blue Shield of California EPN $6.07
Rate for Payer: Blue Shield of California EPN $6.07
Rate for Payer: Cash Price $29.97
Rate for Payer: Cash Price $29.97
Rate for Payer: Cash Price $39.32
Rate for Payer: Cash Price $39.32
Rate for Payer: Central Health Plan Commercial $53.28
Rate for Payer: Central Health Plan Commercial $69.90
Rate for Payer: Cigna of CA HMO $61.16
Rate for Payer: Cigna of CA HMO $46.62
Rate for Payer: Cigna of CA PPO $61.16
Rate for Payer: Cigna of CA PPO $46.62
Rate for Payer: Dignity Health Commercial/Exchange $56.61
Rate for Payer: Dignity Health Commercial/Exchange $74.26
Rate for Payer: EPIC Health Plan Commercial $34.95
Rate for Payer: EPIC Health Plan Commercial $26.64
Rate for Payer: EPIC Health Plan Transplant $26.64
Rate for Payer: EPIC Health Plan Transplant $34.95
Rate for Payer: Galaxy Health WC $56.61
Rate for Payer: Galaxy Health WC $74.26
Rate for Payer: Global Benefits Group Commercial $52.42
Rate for Payer: Global Benefits Group Commercial $39.96
Rate for Payer: Health Management Network EPO/PPO $59.94
Rate for Payer: Health Management Network EPO/PPO $78.63
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $65.53
Rate for Payer: Health Plan of Nevada - Sierra Transplant Other $49.95
Rate for Payer: IEHP medi-cal $1.94
Rate for Payer: IEHP medi-cal $1.94
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $58.28
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $44.42
Rate for Payer: LLUH Dept of Risk Management WC $17.47
Rate for Payer: LLUH Dept of Risk Management WC $13.32
Rate for Payer: Multiplan Commercial $49.95
Rate for Payer: Multiplan Commercial $65.53
Rate for Payer: Networks By Design Commercial $43.68
Rate for Payer: Networks By Design Commercial $33.30
Rate for Payer: Prime Health Services Commercial $56.61
Rate for Payer: Prime Health Services Commercial $74.26
Rate for Payer: Riverside University Health MISP $26.64
Rate for Payer: Riverside University Health MISP $34.95
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $52.42
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $39.96
Rate for Payer: TriValley Medical Group Commercial/Senior $39.96
Rate for Payer: TriValley Medical Group Commercial/Senior $52.42
Rate for Payer: United Healthcare All Other Commercial $33.30
Rate for Payer: United Healthcare All Other Commercial $43.68
Rate for Payer: United Healthcare All Other HMO $43.68
Rate for Payer: United Healthcare All Other HMO $33.30
Rate for Payer: United Healthcare HMO Rider $33.30
Rate for Payer: United Healthcare HMO Rider $43.68
Rate for Payer: United Healthcare Select/Navigate/Core $33.30
Rate for Payer: United Healthcare Select/Navigate/Core $43.68
Rate for Payer: Vantage Medical Group Medi-Cal $56.61
Rate for Payer: Vantage Medical Group Medi-Cal $74.26
Rate for Payer: Vantage Medical Group Senior $56.61
Rate for Payer: Vantage Medical Group Senior $74.26
Service Code CPT J0295
Hospital Charge Code ERX32469
Hospital Revenue Code 636
Min. Negotiated Rate $13.32
Max. Negotiated Rate $59.94
Rate for Payer: Blue Shield of California Commercial $49.95
Rate for Payer: Blue Shield of California Commercial $65.53
Rate for Payer: Blue Shield of California EPN $35.56
Rate for Payer: Blue Shield of California EPN $46.66
Rate for Payer: Cash Price $39.32
Rate for Payer: Cash Price $29.97
Rate for Payer: Central Health Plan Commercial $69.90
Rate for Payer: Central Health Plan Commercial $53.28
Rate for Payer: Cigna of CA HMO $61.16
Rate for Payer: Cigna of CA HMO $46.62
Rate for Payer: Cigna of CA PPO $61.16
Rate for Payer: Cigna of CA PPO $46.62
Rate for Payer: EPIC Health Plan Commercial $34.95
Rate for Payer: EPIC Health Plan Commercial $26.64
Rate for Payer: EPIC Health Plan Transplant $34.95
Rate for Payer: EPIC Health Plan Transplant $26.64
Rate for Payer: Galaxy Health WC $74.26
Rate for Payer: Galaxy Health WC $56.61
Rate for Payer: Global Benefits Group Commercial $39.96
Rate for Payer: Global Benefits Group Commercial $52.42
Rate for Payer: Health Management Network EPO/PPO $78.63
Rate for Payer: Health Management Network EPO/PPO $59.94
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $44.42
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $58.28
Rate for Payer: LLUH Dept of Risk Management WC $17.47
Rate for Payer: LLUH Dept of Risk Management WC $13.32
Rate for Payer: Multiplan Commercial $65.53
Rate for Payer: Multiplan Commercial $49.95
Rate for Payer: Networks By Design Commercial $33.30
Rate for Payer: Networks By Design Commercial $43.68
Rate for Payer: Prime Health Services Commercial $56.61
Rate for Payer: Prime Health Services Commercial $74.26
Service Code CPT J0295
Hospital Charge Code ERX32470
Hospital Revenue Code 636
Min. Negotiated Rate $0.93
Max. Negotiated Rate $4.20
Rate for Payer: Blue Shield of California Commercial $3.50
Rate for Payer: Blue Shield of California Commercial $4.95
Rate for Payer: Blue Shield of California Commercial $2.45
Rate for Payer: Blue Shield of California Commercial $6.94
Rate for Payer: Blue Shield of California EPN $4.94
Rate for Payer: Blue Shield of California EPN $1.75
Rate for Payer: Blue Shield of California EPN $2.49
Rate for Payer: Blue Shield of California EPN $3.52
Rate for Payer: Cash Price $4.16
Rate for Payer: Cash Price $2.97
Rate for Payer: Cash Price $2.10
Rate for Payer: Cash Price $1.47
Rate for Payer: Central Health Plan Commercial $3.74
Rate for Payer: Central Health Plan Commercial $2.62
Rate for Payer: Central Health Plan Commercial $5.28
Rate for Payer: Central Health Plan Commercial $7.40
Rate for Payer: Cigna of CA HMO $6.48
Rate for Payer: Cigna of CA HMO $2.29
Rate for Payer: Cigna of CA HMO $3.27
Rate for Payer: Cigna of CA HMO $4.62
Rate for Payer: Cigna of CA PPO $6.48
Rate for Payer: Cigna of CA PPO $2.29
Rate for Payer: Cigna of CA PPO $4.62
Rate for Payer: Cigna of CA PPO $3.27
Rate for Payer: EPIC Health Plan Commercial $1.31
Rate for Payer: EPIC Health Plan Commercial $3.70
Rate for Payer: EPIC Health Plan Commercial $1.87
Rate for Payer: EPIC Health Plan Commercial $2.64
Rate for Payer: EPIC Health Plan Transplant $3.70
Rate for Payer: EPIC Health Plan Transplant $2.64
Rate for Payer: EPIC Health Plan Transplant $1.87
Rate for Payer: EPIC Health Plan Transplant $1.31
Rate for Payer: Galaxy Health WC $3.97
Rate for Payer: Galaxy Health WC $2.78
Rate for Payer: Galaxy Health WC $7.86
Rate for Payer: Galaxy Health WC $5.61
Rate for Payer: Global Benefits Group Commercial $2.80
Rate for Payer: Global Benefits Group Commercial $3.96
Rate for Payer: Global Benefits Group Commercial $1.96
Rate for Payer: Global Benefits Group Commercial $5.55
Rate for Payer: Health Management Network EPO/PPO $5.94
Rate for Payer: Health Management Network EPO/PPO $2.94
Rate for Payer: Health Management Network EPO/PPO $4.20
Rate for Payer: Health Management Network EPO/PPO $8.32
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.18
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.40
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $6.17
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $3.11
Rate for Payer: LLUH Dept of Risk Management WC $0.93
Rate for Payer: LLUH Dept of Risk Management WC $0.65
Rate for Payer: LLUH Dept of Risk Management WC $1.32
Rate for Payer: LLUH Dept of Risk Management WC $1.85
Rate for Payer: Multiplan Commercial $6.94
Rate for Payer: Multiplan Commercial $4.95
Rate for Payer: Multiplan Commercial $3.50
Rate for Payer: Multiplan Commercial $2.45
Rate for Payer: Networks By Design Commercial $4.62
Rate for Payer: Networks By Design Commercial $2.34
Rate for Payer: Networks By Design Commercial $1.64
Rate for Payer: Networks By Design Commercial $3.30
Rate for Payer: Prime Health Services Commercial $3.97
Rate for Payer: Prime Health Services Commercial $5.61
Rate for Payer: Prime Health Services Commercial $2.78
Rate for Payer: Prime Health Services Commercial $7.86