|
HC AORTO TRNSLMBR NEEDL/CATH
|
Facility
|
OP
|
$808.00
|
|
|
Service Code
|
CPT 36160
|
| Hospital Charge Code |
906820174
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.60 |
| Max. Negotiated Rate |
$7,837.47 |
| Rate for Payer: Adventist Health Commercial |
$161.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$686.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$444.40
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$606.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$391.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$474.54
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$444.40
|
| Rate for Payer: Cash Price |
$444.40
|
| Rate for Payer: Cash Price |
$444.40
|
| Rate for Payer: Central Health Plan Commercial |
$646.40
|
| Rate for Payer: Cigna of CA HMO |
$517.12
|
| Rate for Payer: Cigna of CA PPO |
$597.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$686.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$686.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$686.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$323.20
|
| Rate for Payer: EPIC Health Plan Senior |
$323.20
|
| Rate for Payer: Galaxy Health WC |
$686.80
|
| Rate for Payer: Global Benefits Group Commercial |
$484.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$727.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$192.11
|
| Rate for Payer: InnovAge PACE Commercial |
$404.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$538.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$212.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$500.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$161.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$565.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$565.60
|
| Rate for Payer: Multiplan Commercial |
$606.00
|
| Rate for Payer: Networks By Design Commercial |
$525.20
|
| Rate for Payer: Prime Health Services Commercial |
$686.80
|
| Rate for Payer: Riverside University Health System MISP |
$323.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$484.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$686.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$686.80
|
| Rate for Payer: Vantage Medical Group Senior |
$686.80
|
|
|
HC AORTO TRNSLMBR NEEDL/CATH
|
Facility
|
IP
|
$808.00
|
|
|
Service Code
|
CPT 36160
|
| Hospital Charge Code |
906820174
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.60 |
| Max. Negotiated Rate |
$727.20 |
| Rate for Payer: Adventist Health Commercial |
$161.60
|
| Rate for Payer: Cash Price |
$444.40
|
| Rate for Payer: Central Health Plan Commercial |
$646.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$323.20
|
| Rate for Payer: EPIC Health Plan Senior |
$323.20
|
| Rate for Payer: Galaxy Health WC |
$686.80
|
| Rate for Payer: Global Benefits Group Commercial |
$484.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$727.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$538.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$307.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$500.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$161.60
|
| Rate for Payer: Multiplan Commercial |
$606.00
|
| Rate for Payer: Networks By Design Commercial |
$525.20
|
| Rate for Payer: Prime Health Services Commercial |
$686.80
|
|
|
HC AORTO TRNSLMBR NEEDL/CATH
|
Facility
|
OP
|
$687.00
|
|
|
Service Code
|
CPT 36160
|
| Hospital Charge Code |
909081317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.40 |
| Max. Negotiated Rate |
$7,837.47 |
| Rate for Payer: Adventist Health Commercial |
$137.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$583.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$377.85
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$515.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$332.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$403.48
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$377.85
|
| Rate for Payer: Cash Price |
$377.85
|
| Rate for Payer: Cash Price |
$377.85
|
| Rate for Payer: Central Health Plan Commercial |
$549.60
|
| Rate for Payer: Cigna of CA HMO |
$439.68
|
| Rate for Payer: Cigna of CA PPO |
$508.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$583.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$583.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$583.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$274.80
|
| Rate for Payer: EPIC Health Plan Senior |
$274.80
|
| Rate for Payer: Galaxy Health WC |
$583.95
|
| Rate for Payer: Global Benefits Group Commercial |
$412.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$618.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$192.11
|
| Rate for Payer: InnovAge PACE Commercial |
$343.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$458.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$212.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$425.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$137.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$480.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$480.90
|
| Rate for Payer: Multiplan Commercial |
$515.25
|
| Rate for Payer: Networks By Design Commercial |
$446.55
|
| Rate for Payer: Prime Health Services Commercial |
$583.95
|
| Rate for Payer: Riverside University Health System MISP |
$274.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$412.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$583.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$583.95
|
| Rate for Payer: Vantage Medical Group Senior |
$583.95
|
|
|
HC AORTO TRNSLMBR NEEDL/CATH
|
Facility
|
IP
|
$687.00
|
|
|
Service Code
|
CPT 36160
|
| Hospital Charge Code |
909081317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.40 |
| Max. Negotiated Rate |
$618.30 |
| Rate for Payer: Adventist Health Commercial |
$137.40
|
| Rate for Payer: Cash Price |
$377.85
|
| Rate for Payer: Central Health Plan Commercial |
$549.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$274.80
|
| Rate for Payer: EPIC Health Plan Senior |
$274.80
|
| Rate for Payer: Galaxy Health WC |
$583.95
|
| Rate for Payer: Global Benefits Group Commercial |
$412.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$618.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$458.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$261.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$425.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$137.40
|
| Rate for Payer: Multiplan Commercial |
$515.25
|
| Rate for Payer: Networks By Design Commercial |
$446.55
|
| Rate for Payer: Prime Health Services Commercial |
$583.95
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
OP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
945100103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,757.07
|
| Rate for Payer: Blue Shield of California EPN |
$8,330.72
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: Cigna of CA HMO |
$13,362.56
|
| Rate for Payer: Cigna of CA PPO |
$15,450.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,527.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12,527.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
IP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
946100103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$4,175.80 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,351.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,351.60
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,954.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,924.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
IP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
907201026
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$4,175.80 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,351.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,351.60
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,954.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,924.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
OP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
945000103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,757.07
|
| Rate for Payer: Blue Shield of California EPN |
$8,330.72
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: Cigna of CA HMO |
$13,362.56
|
| Rate for Payer: Cigna of CA PPO |
$15,450.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,527.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12,527.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
IP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
945000103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$4,175.80 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,351.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,351.60
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,954.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,924.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
OP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
946100103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,757.07
|
| Rate for Payer: Blue Shield of California EPN |
$8,330.72
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: Cigna of CA HMO |
$13,362.56
|
| Rate for Payer: Cigna of CA PPO |
$15,450.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,527.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12,527.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
OP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
946000103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,757.07
|
| Rate for Payer: Blue Shield of California EPN |
$8,330.72
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: Cigna of CA HMO |
$13,362.56
|
| Rate for Payer: Cigna of CA PPO |
$15,450.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,527.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12,527.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
OP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
907201026
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,757.07
|
| Rate for Payer: Blue Shield of California EPN |
$8,330.72
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: Cigna of CA HMO |
$13,362.56
|
| Rate for Payer: Cigna of CA PPO |
$15,450.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,527.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12,527.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
IP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
946000103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$4,175.80 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,351.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,351.60
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,954.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,924.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
|
|
HC APHERESIS PLASMA EXCHANGE
|
Facility
|
IP
|
$20,879.00
|
|
|
Service Code
|
CPT 36514
|
| Hospital Charge Code |
945100103
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$4,175.80 |
| Max. Negotiated Rate |
$18,791.10 |
| Rate for Payer: Adventist Health Commercial |
$4,175.80
|
| Rate for Payer: Cash Price |
$11,483.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,703.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,351.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,351.60
|
| Rate for Payer: Galaxy Health WC |
$17,747.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,527.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,791.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,926.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,954.90
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,924.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,175.80
|
| Rate for Payer: Multiplan Commercial |
$15,659.25
|
| Rate for Payer: Networks By Design Commercial |
$13,571.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,747.15
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
IP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945000102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,490.80 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,981.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,981.60
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,744.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,709.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
OP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945100102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$515.48 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$555.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$555.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$885.06
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: Cigna of CA HMO |
$7,970.56
|
| Rate for Payer: Cigna of CA PPO |
$9,215.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$833.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$611.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$555.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$749.90
|
| Rate for Payer: EPIC Health Plan Senior |
$555.48
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$910.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$515.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$555.48
|
| Rate for Payer: InnovAge PACE Commercial |
$833.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$569.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$555.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$744.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$744.34
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Multiplan WC |
$885.06
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$555.48
|
| Rate for Payer: Preferred Health Network WC |
$903.12
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
| Rate for Payer: Prime Health Services Medicare |
$588.81
|
| Rate for Payer: Prime Health Services WC |
$876.03
|
| Rate for Payer: Riverside University Health System MISP |
$611.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,472.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$555.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Vantage Medical Group Senior |
$555.48
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
IP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945000102
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$2,490.80 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,981.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,981.60
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,744.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,709.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
OP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945000102
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$555.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$555.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.39
|
| Rate for Payer: Blue Shield of California EPN |
$4,969.15
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: Cigna of CA HMO |
$7,970.56
|
| Rate for Payer: Cigna of CA PPO |
$9,215.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$833.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$611.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$555.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$749.90
|
| Rate for Payer: EPIC Health Plan Senior |
$555.48
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$910.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$515.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$555.48
|
| Rate for Payer: InnovAge PACE Commercial |
$833.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$569.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$555.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$744.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$744.34
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$555.48
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
| Rate for Payer: Prime Health Services Medicare |
$588.81
|
| Rate for Payer: Riverside University Health System MISP |
$611.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,472.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7,472.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$803.00
|
| Rate for Payer: United Healthcare All Other HMO |
$541.00
|
| Rate for Payer: United Healthcare HMO Rider |
$328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$555.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Vantage Medical Group Senior |
$555.48
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
IP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945100102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,490.80 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,981.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,981.60
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,744.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,709.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
OP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
946100102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$515.48 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$555.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$555.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$885.06
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: Cigna of CA HMO |
$7,970.56
|
| Rate for Payer: Cigna of CA PPO |
$9,215.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$833.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$611.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$555.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$749.90
|
| Rate for Payer: EPIC Health Plan Senior |
$555.48
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$910.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$515.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$555.48
|
| Rate for Payer: InnovAge PACE Commercial |
$833.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$569.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$555.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$744.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$744.34
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Multiplan WC |
$885.06
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$555.48
|
| Rate for Payer: Preferred Health Network WC |
$903.12
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
| Rate for Payer: Prime Health Services Medicare |
$588.81
|
| Rate for Payer: Prime Health Services WC |
$876.03
|
| Rate for Payer: Riverside University Health System MISP |
$611.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,472.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$555.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Vantage Medical Group Senior |
$555.48
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
IP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
946100102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,490.80 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,981.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,981.60
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,744.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,709.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
|
|
HC APHERESIS PLATELETS
|
Facility
|
OP
|
$12,454.00
|
|
|
Service Code
|
CPT 36513
|
| Hospital Charge Code |
945000102
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$515.48 |
| Max. Negotiated Rate |
$11,208.60 |
| Rate for Payer: Adventist Health Commercial |
$2,490.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$555.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$555.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$885.06
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Cash Price |
$6,849.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,963.20
|
| Rate for Payer: Cigna of CA HMO |
$7,970.56
|
| Rate for Payer: Cigna of CA PPO |
$9,215.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$833.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$611.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$555.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$749.90
|
| Rate for Payer: EPIC Health Plan Senior |
$555.48
|
| Rate for Payer: Galaxy Health WC |
$10,585.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,472.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,208.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$910.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$515.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$555.48
|
| Rate for Payer: InnovAge PACE Commercial |
$833.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,306.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$569.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$555.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,490.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$744.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$744.34
|
| Rate for Payer: Multiplan Commercial |
$9,340.50
|
| Rate for Payer: Multiplan WC |
$885.06
|
| Rate for Payer: Networks By Design Commercial |
$8,095.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$555.48
|
| Rate for Payer: Preferred Health Network WC |
$903.12
|
| Rate for Payer: Prime Health Services Commercial |
$10,585.90
|
| Rate for Payer: Prime Health Services Medicare |
$588.81
|
| Rate for Payer: Prime Health Services WC |
$876.03
|
| Rate for Payer: Riverside University Health System MISP |
$611.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,472.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$555.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$833.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$611.03
|
| Rate for Payer: Vantage Medical Group Senior |
$555.48
|
|
|
HC APHERESIS RBC
|
Facility
|
IP
|
$12,846.00
|
|
|
Service Code
|
CPT 36512
|
| Hospital Charge Code |
945000101
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$2,569.20 |
| Max. Negotiated Rate |
$11,561.40 |
| Rate for Payer: Adventist Health Commercial |
$2,569.20
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Central Health Plan Commercial |
$10,276.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,138.40
|
| Rate for Payer: EPIC Health Plan Senior |
$5,138.40
|
| Rate for Payer: Galaxy Health WC |
$10,919.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,707.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,561.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,568.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,894.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,951.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,569.20
|
| Rate for Payer: Multiplan Commercial |
$9,634.50
|
| Rate for Payer: Networks By Design Commercial |
$8,349.90
|
| Rate for Payer: Prime Health Services Commercial |
$10,919.10
|
|
|
HC APHERESIS RBC
|
Facility
|
OP
|
$12,846.00
|
|
|
Service Code
|
CPT 36512
|
| Hospital Charge Code |
945100101
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,680.94 |
| Max. Negotiated Rate |
$11,561.40 |
| Rate for Payer: Adventist Health Commercial |
$2,569.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,318.68
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Central Health Plan Commercial |
$10,276.80
|
| Rate for Payer: Cigna of CA HMO |
$8,221.44
|
| Rate for Payer: Cigna of CA PPO |
$9,506.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$10,919.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,707.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,561.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,568.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,569.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$9,634.50
|
| Rate for Payer: Multiplan WC |
$3,318.68
|
| Rate for Payer: Networks By Design Commercial |
$8,349.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Preferred Health Network WC |
$3,386.41
|
| Rate for Payer: Prime Health Services Commercial |
$10,919.10
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Prime Health Services WC |
$3,284.82
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,707.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
|
HC APHERESIS RBC
|
Facility
|
OP
|
$12,846.00
|
|
|
Service Code
|
CPT 36512
|
| Hospital Charge Code |
946100101
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,680.94 |
| Max. Negotiated Rate |
$11,561.40 |
| Rate for Payer: Adventist Health Commercial |
$2,569.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,082.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,082.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,318.68
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Cash Price |
$7,065.30
|
| Rate for Payer: Central Health Plan Commercial |
$10,276.80
|
| Rate for Payer: Cigna of CA HMO |
$8,221.44
|
| Rate for Payer: Cigna of CA PPO |
$9,506.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,291.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,082.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,811.87
|
| Rate for Payer: EPIC Health Plan Senior |
$2,082.87
|
| Rate for Payer: Galaxy Health WC |
$10,919.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,707.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,561.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,415.91
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,680.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,082.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,124.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,568.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,856.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,082.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,569.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,791.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,791.05
|
| Rate for Payer: Multiplan Commercial |
$9,634.50
|
| Rate for Payer: Multiplan WC |
$3,318.68
|
| Rate for Payer: Networks By Design Commercial |
$8,349.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,082.87
|
| Rate for Payer: Preferred Health Network WC |
$3,386.41
|
| Rate for Payer: Prime Health Services Commercial |
$10,919.10
|
| Rate for Payer: Prime Health Services Medicare |
$2,207.84
|
| Rate for Payer: Prime Health Services WC |
$3,284.82
|
| Rate for Payer: Riverside University Health System MISP |
$2,291.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,707.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,082.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,124.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,291.16
|
| Rate for Payer: Vantage Medical Group Senior |
$2,082.87
|
|
