|
HC BIOPSY SINONASAL MASS PALAT
|
Facility
|
IP
|
$3,873.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
900501728
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$774.60 |
| Max. Negotiated Rate |
$3,485.70 |
| Rate for Payer: Adventist Health Commercial |
$774.60
|
| Rate for Payer: Cash Price |
$1,742.85
|
| Rate for Payer: Central Health Plan Commercial |
$3,098.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,711.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,549.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,549.20
|
| Rate for Payer: Galaxy Health WC |
$3,292.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,323.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,485.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,459.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,285.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$774.60
|
| Rate for Payer: Multiplan Commercial |
$2,904.75
|
| Rate for Payer: Networks By Design Commercial |
$2,517.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,292.05
|
|
|
HC BIOPSY SINONASAL MASS PALAT
|
Facility
|
OP
|
$3,873.00
|
|
|
Service Code
|
CPT 42100
|
| Hospital Charge Code |
900501728
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$111.06 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$774.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,993.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,195.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,995.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,998.82
|
| Rate for Payer: Cash Price |
$1,742.85
|
| Rate for Payer: Cash Price |
$1,742.85
|
| Rate for Payer: Cash Price |
$1,742.85
|
| Rate for Payer: Cash Price |
$1,742.85
|
| Rate for Payer: Central Health Plan Commercial |
$3,098.40
|
| Rate for Payer: Cigna of CA HMO |
$2,478.72
|
| Rate for Payer: Cigna of CA PPO |
$2,866.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,993.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,195.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,995.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,711.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,292.74
|
| Rate for Payer: EPIC Health Plan Senior |
$2,195.16
|
| Rate for Payer: Galaxy Health WC |
$3,292.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,323.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,485.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,272.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,995.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,459.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$111.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,145.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$774.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,674.10
|
| Rate for Payer: Multiplan Commercial |
$2,904.75
|
| Rate for Payer: Multiplan WC |
$2,998.82
|
| Rate for Payer: Networks By Design Commercial |
$2,517.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,995.60
|
| Rate for Payer: Preferred Health Network WC |
$3,060.02
|
| Rate for Payer: Prime Health Services Commercial |
$3,292.05
|
| Rate for Payer: Prime Health Services Medicare |
$2,115.34
|
| Rate for Payer: Prime Health Services WC |
$2,968.22
|
| Rate for Payer: Riverside University Health System MISP |
$2,195.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,323.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,936.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,936.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,936.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,936.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,995.60
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,993.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,195.16
|
| Rate for Payer: Vantage Medical Group Senior |
$1,995.60
|
|
|
HC BIOPSY SKIN EA ADDL LESION
|
Facility
|
IP
|
$693.00
|
|
|
Service Code
|
CPT 11101
|
| Hospital Charge Code |
902890012
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$138.60 |
| Max. Negotiated Rate |
$623.70 |
| Rate for Payer: Adventist Health Commercial |
$138.60
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$485.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$277.20
|
| Rate for Payer: EPIC Health Plan Senior |
$277.20
|
| Rate for Payer: Galaxy Health WC |
$589.05
|
| Rate for Payer: Global Benefits Group Commercial |
$415.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$623.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$440.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$408.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$138.60
|
| Rate for Payer: Multiplan Commercial |
$519.75
|
| Rate for Payer: Networks By Design Commercial |
$450.45
|
| Rate for Payer: Prime Health Services Commercial |
$589.05
|
|
|
HC BIOPSY SKIN EA ADDL LESION
|
Facility
|
OP
|
$693.00
|
|
|
Service Code
|
CPT 11101
|
| Hospital Charge Code |
902890012
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$138.60 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$138.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$589.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$381.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$519.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$335.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$403.12
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| Rate for Payer: Cigna of CA HMO |
$443.52
|
| Rate for Payer: Cigna of CA PPO |
$512.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$589.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$589.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$589.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$485.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$277.20
|
| Rate for Payer: EPIC Health Plan Senior |
$277.20
|
| Rate for Payer: Galaxy Health WC |
$589.05
|
| Rate for Payer: Global Benefits Group Commercial |
$415.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$623.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$440.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$251.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$408.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$138.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$485.10
|
| Rate for Payer: Multiplan Commercial |
$519.75
|
| Rate for Payer: Networks By Design Commercial |
$450.45
|
| Rate for Payer: Prime Health Services Commercial |
$589.05
|
| Rate for Payer: Riverside University Health System MISP |
$277.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$415.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$346.50
|
| Rate for Payer: United Healthcare All Other HMO |
$346.50
|
| Rate for Payer: United Healthcare HMO Rider |
$346.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$346.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$589.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$589.05
|
| Rate for Payer: Vantage Medical Group Senior |
$589.05
|
|
|
HC BIOPSY SKIN EA ADDL LESION
|
Facility
|
OP
|
$693.00
|
|
|
Service Code
|
CPT 11101
|
| Hospital Charge Code |
902890012
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$138.60 |
| Max. Negotiated Rate |
$2,685.00 |
| Rate for Payer: Adventist Health Commercial |
$138.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$420.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$589.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$381.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$519.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,685.00
|
| Rate for Payer: Blue Shield of California Commercial |
$439.36
|
| Rate for Payer: Blue Shield of California EPN |
$276.51
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| Rate for Payer: Cigna of CA HMO |
$443.52
|
| Rate for Payer: Cigna of CA PPO |
$512.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$589.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$589.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$589.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$485.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$277.20
|
| Rate for Payer: EPIC Health Plan Senior |
$277.20
|
| Rate for Payer: Galaxy Health WC |
$589.05
|
| Rate for Payer: Global Benefits Group Commercial |
$415.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$623.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$440.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$251.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$408.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$138.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$485.10
|
| Rate for Payer: Multiplan Commercial |
$519.75
|
| Rate for Payer: Networks By Design Commercial |
$450.45
|
| Rate for Payer: Prime Health Services Commercial |
$589.05
|
| Rate for Payer: Riverside University Health System MISP |
$277.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$415.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$415.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$346.50
|
| Rate for Payer: United Healthcare All Other HMO |
$346.50
|
| Rate for Payer: United Healthcare HMO Rider |
$346.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$346.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$589.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$589.05
|
| Rate for Payer: Vantage Medical Group Senior |
$589.05
|
|
|
HC BIOPSY SKIN EA ADDL LESION
|
Facility
|
IP
|
$693.00
|
|
|
Service Code
|
CPT 11101
|
| Hospital Charge Code |
902890012
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$138.60 |
| Max. Negotiated Rate |
$623.70 |
| Rate for Payer: Adventist Health Commercial |
$138.60
|
| Rate for Payer: Cash Price |
$311.85
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$485.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$277.20
|
| Rate for Payer: EPIC Health Plan Senior |
$277.20
|
| Rate for Payer: Galaxy Health WC |
$589.05
|
| Rate for Payer: Global Benefits Group Commercial |
$415.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$623.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$440.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$408.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$138.60
|
| Rate for Payer: Multiplan Commercial |
$519.75
|
| Rate for Payer: Networks By Design Commercial |
$450.45
|
| Rate for Payer: Prime Health Services Commercial |
$589.05
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$2,685.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$895.77
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,685.00
|
| Rate for Payer: Blue Shield of California Commercial |
$935.15
|
| Rate for Payer: Blue Shield of California EPN |
$588.52
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$737.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
280
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$3,250.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$895.77
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$742.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,029.00
|
| Rate for Payer: Blue Shield of California Commercial |
$935.15
|
| Rate for Payer: Blue Shield of California EPN |
$588.52
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,183.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,250.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,912.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,668.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
909000100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$714.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$858.01
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$737.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
280
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
909000100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$714.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$858.01
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$737.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,685.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$737.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$811.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$714.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$858.01
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Cigna of CA HMO |
$944.00
|
| Rate for Payer: Cigna of CA PPO |
$1,091.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,253.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,253.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$535.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,032.50
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
| Rate for Payer: Riverside University Health System MISP |
$590.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$885.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$737.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,253.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,253.75
|
|
|
HC BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
CPT 11100
|
| Hospital Charge Code |
900501451
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$1,327.50 |
| Rate for Payer: Adventist Health Commercial |
$295.00
|
| Rate for Payer: Cash Price |
$663.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,032.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$590.00
|
| Rate for Payer: EPIC Health Plan Senior |
$590.00
|
| Rate for Payer: Galaxy Health WC |
$1,253.75
|
| Rate for Payer: Global Benefits Group Commercial |
$885.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,327.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$936.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$870.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Multiplan Commercial |
$1,106.25
|
| Rate for Payer: Networks By Design Commercial |
$958.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,253.75
|
|
|
HC BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP
|
Facility
|
IP
|
$10,207.00
|
|
|
Service Code
|
CPT 27324
|
| Hospital Charge Code |
906601324
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,041.40 |
| Max. Negotiated Rate |
$9,186.30 |
| Rate for Payer: Adventist Health Commercial |
$2,041.40
|
| Rate for Payer: Cash Price |
$4,593.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,165.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,144.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,082.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,082.80
|
| Rate for Payer: Galaxy Health WC |
$8,675.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,124.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,186.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,481.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,022.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,041.40
|
| Rate for Payer: Multiplan Commercial |
$7,655.25
|
| Rate for Payer: Networks By Design Commercial |
$6,634.55
|
| Rate for Payer: Prime Health Services Commercial |
$8,675.95
|
|
|
HC BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP
|
Facility
|
OP
|
$10,207.00
|
|
|
Service Code
|
CPT 27324
|
| Hospital Charge Code |
906601324
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$332.34 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,041.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,735.95
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,735.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$4,593.15
|
| Rate for Payer: Cash Price |
$4,593.15
|
| Rate for Payer: Cash Price |
$4,593.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,165.60
|
| Rate for Payer: Cigna of CA HMO |
$6,532.48
|
| Rate for Payer: Cigna of CA PPO |
$7,553.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,109.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,735.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,144.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.32
|
| Rate for Payer: EPIC Health Plan Senior |
$4,109.55
|
| Rate for Payer: Galaxy Health WC |
$8,675.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,124.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,186.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$332.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,481.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$367.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,230.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,041.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$7,655.25
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$6,634.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Preferred Health Network WC |
$5,912.39
|
| Rate for Payer: Prime Health Services Commercial |
$8,675.95
|
| Rate for Payer: Prime Health Services Medicare |
$3,960.11
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,109.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,124.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,103.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,735.95
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Vantage Medical Group Senior |
$3,735.95
|
|
|
HC BIOPSY VULVA/PERINEUM 1 LESION
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
904000022
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$152.29 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$302.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,184.62
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,776.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,303.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,184.62
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,762.79
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$680.85
|
| Rate for Payer: Cash Price |
$680.85
|
| Rate for Payer: Cash Price |
$680.85
|
| Rate for Payer: Central Health Plan Commercial |
$1,210.40
|
| Rate for Payer: Cigna of CA HMO |
$968.32
|
| Rate for Payer: Cigna of CA PPO |
$1,119.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,776.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,303.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,184.62
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,059.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,954.62
|
| Rate for Payer: EPIC Health Plan Senior |
$1,303.08
|
| Rate for Payer: Galaxy Health WC |
$1,286.05
|
| Rate for Payer: Global Benefits Group Commercial |
$907.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,361.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,942.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$152.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,184.62
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$960.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$168.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,658.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$302.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,587.39
|
| Rate for Payer: Multiplan Commercial |
$1,134.75
|
| Rate for Payer: Multiplan WC |
$1,762.79
|
| Rate for Payer: Networks By Design Commercial |
$983.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,184.62
|
| Rate for Payer: Preferred Health Network WC |
$1,798.77
|
| Rate for Payer: Prime Health Services Commercial |
$1,286.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,255.70
|
| Rate for Payer: Prime Health Services WC |
$1,744.81
|
| Rate for Payer: Riverside University Health System MISP |
$1,303.08
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$907.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$756.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,460.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,374.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,184.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,776.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,303.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,184.62
|
|
|
HC BIOPSY VULVA/PERINEUM 1 LESION
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
904000022
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$302.60 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Adventist Health Commercial |
$302.60
|
| Rate for Payer: Cash Price |
$680.85
|
| Rate for Payer: Central Health Plan Commercial |
$1,210.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,059.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$605.20
|
| Rate for Payer: EPIC Health Plan Senior |
$605.20
|
| Rate for Payer: Galaxy Health WC |
$1,286.05
|
| Rate for Payer: Global Benefits Group Commercial |
$907.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,361.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$960.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$892.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$302.60
|
| Rate for Payer: Multiplan Commercial |
$1,134.75
|
| Rate for Payer: Networks By Design Commercial |
$983.45
|
| Rate for Payer: Prime Health Services Commercial |
$1,286.05
|
|
|
HC BIOPSY VULVA/PERINEUM EA ADDL LESION
|
Facility
|
IP
|
$765.00
|
|
|
Service Code
|
CPT 56606
|
| Hospital Charge Code |
904000020
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$153.00 |
| Max. Negotiated Rate |
$688.50 |
| Rate for Payer: Adventist Health Commercial |
$153.00
|
| Rate for Payer: Cash Price |
$344.25
|
| Rate for Payer: Central Health Plan Commercial |
$612.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$535.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$306.00
|
| Rate for Payer: EPIC Health Plan Senior |
$306.00
|
| Rate for Payer: Galaxy Health WC |
$650.25
|
| Rate for Payer: Global Benefits Group Commercial |
$459.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$688.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$485.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$451.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$153.00
|
| Rate for Payer: Multiplan Commercial |
$573.75
|
| Rate for Payer: Networks By Design Commercial |
$497.25
|
| Rate for Payer: Prime Health Services Commercial |
$650.25
|
|
|
HC BIOPSY VULVA/PERINEUM EA ADDL LESION
|
Facility
|
OP
|
$765.00
|
|
|
Service Code
|
CPT 56606
|
| Hospital Charge Code |
904000020
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$60.13 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$153.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$650.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$420.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$573.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$344.25
|
| Rate for Payer: Cash Price |
$344.25
|
| Rate for Payer: Cash Price |
$344.25
|
| Rate for Payer: Central Health Plan Commercial |
$612.00
|
| Rate for Payer: Cigna of CA HMO |
$489.60
|
| Rate for Payer: Cigna of CA PPO |
$566.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$650.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$650.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$650.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$535.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$306.00
|
| Rate for Payer: EPIC Health Plan Senior |
$306.00
|
| Rate for Payer: Galaxy Health WC |
$650.25
|
| Rate for Payer: Global Benefits Group Commercial |
$459.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$688.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$60.13
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$485.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$66.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$451.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$153.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$535.50
|
| Rate for Payer: Multiplan Commercial |
$573.75
|
| Rate for Payer: Networks By Design Commercial |
$497.25
|
| Rate for Payer: Prime Health Services Commercial |
$650.25
|
| Rate for Payer: Riverside University Health System MISP |
$306.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$459.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$382.50
|
| 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 |
$650.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$650.25
|
| Rate for Payer: Vantage Medical Group Senior |
$650.25
|
|
|
HC BIOPTOME ARGON JAWZ
|
Facility
|
IP
|
$580.00
|
|
| Hospital Charge Code |
906811728
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Adventist Health Commercial |
$116.00
|
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$406.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: EPIC Health Plan Senior |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$368.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$342.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
|
