|
HC BILIARY COPE LOOP CATH
|
Facility
|
OP
|
$418.00
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
909001069
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$83.60 |
| Max. Negotiated Rate |
$376.20 |
| Rate for Payer: Adventist Health Commercial |
$83.60
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$355.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$229.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$313.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$190.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$231.45
|
| Rate for Payer: Blue Shield of California Commercial |
$323.11
|
| Rate for Payer: Blue Shield of California EPN |
$210.67
|
| Rate for Payer: Cash Price |
$229.90
|
| Rate for Payer: Central Health Plan Commercial |
$334.40
|
| Rate for Payer: Cigna of CA HMO |
$292.60
|
| Rate for Payer: Cigna of CA PPO |
$292.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$355.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$355.30
|
| Rate for Payer: Dignity Health Medicare Advantage |
$355.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$167.20
|
| Rate for Payer: EPIC Health Plan Senior |
$167.20
|
| Rate for Payer: Galaxy Health WC |
$355.30
|
| Rate for Payer: Global Benefits Group Commercial |
$250.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$376.20
|
| Rate for Payer: InnovAge PACE Commercial |
$209.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$278.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$159.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$258.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$83.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$292.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$292.60
|
| Rate for Payer: Multiplan Commercial |
$313.50
|
| Rate for Payer: Networks By Design Commercial |
$209.00
|
| Rate for Payer: Prime Health Services Commercial |
$355.30
|
| Rate for Payer: Riverside University Health System MISP |
$167.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$250.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$250.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$156.88
|
| Rate for Payer: United Healthcare All Other HMO |
$152.70
|
| Rate for Payer: United Healthcare HMO Rider |
$149.39
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$136.90
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$355.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$355.30
|
| Rate for Payer: Vantage Medical Group Senior |
$355.30
|
|
|
HC BILIARY DILATION WITH STENT
|
Facility
|
OP
|
$21,927.00
|
|
|
Service Code
|
CPT 47556
|
| Hospital Charge Code |
909000150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$591.70 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,385.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$13,228.50
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14,551.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13,228.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,320.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,077.25
|
| Rate for Payer: Blue Shield of California Commercial |
$12,745.22
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$12,059.85
|
| Rate for Payer: Cash Price |
$12,059.85
|
| Rate for Payer: Cash Price |
$12,059.85
|
| Rate for Payer: Central Health Plan Commercial |
$17,541.60
|
| Rate for Payer: Cigna of CA HMO |
$14,033.28
|
| Rate for Payer: Cigna of CA PPO |
$16,225.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$14,551.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$13,228.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,858.47
|
| Rate for Payer: EPIC Health Plan Senior |
$13,228.50
|
| Rate for Payer: Galaxy Health WC |
$18,637.95
|
| Rate for Payer: Global Benefits Group Commercial |
$13,156.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$19,734.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,694.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$591.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,228.50
|
| Rate for Payer: InnovAge PACE Commercial |
$19,842.75
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,625.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$653.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,228.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,385.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,726.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,726.19
|
| Rate for Payer: Multiplan Commercial |
$16,445.25
|
| Rate for Payer: Multiplan WC |
$21,077.25
|
| Rate for Payer: Networks By Design Commercial |
$14,252.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,228.50
|
| Rate for Payer: Preferred Health Network WC |
$21,507.40
|
| Rate for Payer: Prime Health Services Commercial |
$18,637.95
|
| Rate for Payer: Prime Health Services Medicare |
$14,022.21
|
| Rate for Payer: Prime Health Services WC |
$20,862.18
|
| Rate for Payer: Riverside University Health System MISP |
$14,551.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13,156.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$13,228.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,551.35
|
| Rate for Payer: Vantage Medical Group Senior |
$13,228.50
|
|
|
HC BILIARY DILATION WITH STENT
|
Facility
|
IP
|
$21,927.00
|
|
|
Service Code
|
CPT 47556
|
| Hospital Charge Code |
909000150
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,385.40 |
| Max. Negotiated Rate |
$19,734.30 |
| Rate for Payer: Adventist Health Commercial |
$4,385.40
|
| Rate for Payer: Cash Price |
$12,059.85
|
| Rate for Payer: Central Health Plan Commercial |
$17,541.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,770.80
|
| Rate for Payer: EPIC Health Plan Senior |
$8,770.80
|
| Rate for Payer: Galaxy Health WC |
$18,637.95
|
| Rate for Payer: Global Benefits Group Commercial |
$13,156.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$19,734.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,625.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,354.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,572.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,385.40
|
| Rate for Payer: Multiplan Commercial |
$16,445.25
|
| Rate for Payer: Networks By Design Commercial |
$14,252.55
|
| Rate for Payer: Prime Health Services Commercial |
$18,637.95
|
|
|
HC BILIARY DILATION W/O STENT
|
Facility
|
OP
|
$11,959.00
|
|
|
Service Code
|
CPT 47555
|
| Hospital Charge Code |
909000149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$397.03 |
| Max. Negotiated Rate |
$20,902.00 |
| Rate for Payer: Adventist Health Commercial |
$2,391.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,484.02
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,484.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$6,577.45
|
| Rate for Payer: Cash Price |
$6,577.45
|
| Rate for Payer: Cash Price |
$6,577.45
|
| Rate for Payer: Central Health Plan Commercial |
$9,567.20
|
| Rate for Payer: Cigna of CA HMO |
$7,653.76
|
| Rate for Payer: Cigna of CA PPO |
$8,849.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,932.42
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,484.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,053.43
|
| Rate for Payer: EPIC Health Plan Senior |
$4,484.02
|
| Rate for Payer: Galaxy Health WC |
$10,165.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7,175.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,763.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,353.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$397.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,484.02
|
| Rate for Payer: InnovAge PACE Commercial |
$6,726.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,976.65
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$438.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,484.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,391.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,008.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,008.59
|
| Rate for Payer: Multiplan Commercial |
$8,969.25
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$7,773.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,484.02
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$10,165.15
|
| Rate for Payer: Prime Health Services Medicare |
$4,753.06
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$4,932.42
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,175.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,484.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Vantage Medical Group Senior |
$4,484.02
|
|
|
HC BILIARY DILATION W/O STENT
|
Facility
|
IP
|
$11,959.00
|
|
|
Service Code
|
CPT 47555
|
| Hospital Charge Code |
909000149
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,391.80 |
| Max. Negotiated Rate |
$10,763.10 |
| Rate for Payer: Adventist Health Commercial |
$2,391.80
|
| Rate for Payer: Cash Price |
$6,577.45
|
| Rate for Payer: Central Health Plan Commercial |
$9,567.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,783.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,783.60
|
| Rate for Payer: Galaxy Health WC |
$10,165.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7,175.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,763.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,976.65
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,556.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,402.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,391.80
|
| Rate for Payer: Multiplan Commercial |
$8,969.25
|
| Rate for Payer: Networks By Design Commercial |
$7,773.35
|
| Rate for Payer: Prime Health Services Commercial |
$10,165.15
|
|
|
HC BILIARY DRAINAGE CATH CHANGE
|
Facility
|
OP
|
$13,125.00
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
909000147
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$11,812.50 |
| Rate for Payer: Adventist Health Commercial |
$2,625.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,484.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Central Health Plan Commercial |
$10,500.00
|
| Rate for Payer: Cigna of CA HMO |
$8,400.00
|
| Rate for Payer: Cigna of CA PPO |
$9,712.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,932.42
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,484.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,053.43
|
| Rate for Payer: EPIC Health Plan Senior |
$4,484.02
|
| Rate for Payer: Galaxy Health WC |
$11,156.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,875.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,812.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,353.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,484.02
|
| Rate for Payer: InnovAge PACE Commercial |
$6,726.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,754.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,428.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,484.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,625.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,008.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,008.59
|
| Rate for Payer: Multiplan Commercial |
$9,843.75
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$8,531.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,484.02
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,156.25
|
| Rate for Payer: Prime Health Services Medicare |
$4,753.06
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$4,932.42
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,875.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,562.50
|
| Rate for Payer: United Healthcare All Other HMO |
$6,562.50
|
| Rate for Payer: United Healthcare HMO Rider |
$6,562.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,562.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,484.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Vantage Medical Group Senior |
$4,484.02
|
|
|
HC BILIARY DRAINAGE CATH CHANGE
|
Facility
|
IP
|
$13,125.00
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
909000147
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,625.00 |
| Max. Negotiated Rate |
$11,812.50 |
| Rate for Payer: Adventist Health Commercial |
$2,625.00
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Central Health Plan Commercial |
$10,500.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,250.00
|
| Rate for Payer: EPIC Health Plan Senior |
$5,250.00
|
| Rate for Payer: Galaxy Health WC |
$11,156.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,875.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,812.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,754.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,000.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,124.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,625.00
|
| Rate for Payer: Multiplan Commercial |
$9,843.75
|
| Rate for Payer: Networks By Design Commercial |
$8,531.25
|
| Rate for Payer: Prime Health Services Commercial |
$11,156.25
|
|
|
HC BILIARY DRAINAGE CATH CHANGE
|
Facility
|
IP
|
$13,125.00
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
909000147
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,625.00 |
| Max. Negotiated Rate |
$11,812.50 |
| Rate for Payer: Adventist Health Commercial |
$2,625.00
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Central Health Plan Commercial |
$10,500.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,250.00
|
| Rate for Payer: EPIC Health Plan Senior |
$5,250.00
|
| Rate for Payer: Galaxy Health WC |
$11,156.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,875.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,812.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,754.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,000.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,124.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,625.00
|
| Rate for Payer: Multiplan Commercial |
$9,843.75
|
| Rate for Payer: Networks By Design Commercial |
$8,531.25
|
| Rate for Payer: Prime Health Services Commercial |
$11,156.25
|
|
|
HC BILIARY DRAINAGE CATH CHANGE
|
Facility
|
OP
|
$13,125.00
|
|
|
Service Code
|
CPT 47536
|
| Hospital Charge Code |
909000147
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,293.53 |
| Max. Negotiated Rate |
$20,902.00 |
| Rate for Payer: Adventist Health Commercial |
$2,625.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,484.02
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,484.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Cash Price |
$7,218.75
|
| Rate for Payer: Central Health Plan Commercial |
$10,500.00
|
| Rate for Payer: Cigna of CA HMO |
$8,400.00
|
| Rate for Payer: Cigna of CA PPO |
$9,712.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,932.42
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,484.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,053.43
|
| Rate for Payer: EPIC Health Plan Senior |
$4,484.02
|
| Rate for Payer: Galaxy Health WC |
$11,156.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,875.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,812.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,353.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,293.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,484.02
|
| Rate for Payer: InnovAge PACE Commercial |
$6,726.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,754.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,428.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,484.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,625.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,008.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,008.59
|
| Rate for Payer: Multiplan Commercial |
$9,843.75
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$8,531.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,484.02
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,156.25
|
| Rate for Payer: Prime Health Services Medicare |
$4,753.06
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$4,932.42
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,875.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,484.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Vantage Medical Group Senior |
$4,484.02
|
|
|
HC BILIARY ENDOPROSTHESIS
|
Facility
|
OP
|
$2,611.00
|
|
|
Service Code
|
CPT C1874
|
| Hospital Charge Code |
909001046
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$522.20 |
| Max. Negotiated Rate |
$2,349.90 |
| Rate for Payer: Adventist Health Commercial |
$522.20
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,219.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,436.05
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,958.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,192.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,445.71
|
| Rate for Payer: Blue Shield of California Commercial |
$2,018.30
|
| Rate for Payer: Blue Shield of California EPN |
$1,315.94
|
| Rate for Payer: Cash Price |
$1,436.05
|
| Rate for Payer: Central Health Plan Commercial |
$2,088.80
|
| Rate for Payer: Cigna of CA HMO |
$1,827.70
|
| Rate for Payer: Cigna of CA PPO |
$1,827.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,219.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,219.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,219.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,044.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,044.40
|
| Rate for Payer: Galaxy Health WC |
$2,219.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,566.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,349.90
|
| Rate for Payer: InnovAge PACE Commercial |
$1,305.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,741.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,616.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$522.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,827.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,827.70
|
| Rate for Payer: Multiplan Commercial |
$1,958.25
|
| Rate for Payer: Networks By Design Commercial |
$1,305.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,219.35
|
| Rate for Payer: Riverside University Health System MISP |
$1,044.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,566.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,566.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$979.91
|
| Rate for Payer: United Healthcare All Other HMO |
$953.80
|
| Rate for Payer: United Healthcare HMO Rider |
$933.17
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$855.10
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,219.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,219.35
|
| Rate for Payer: Vantage Medical Group Senior |
$2,219.35
|
|
|
HC BILIARY ENDOPROSTHESIS
|
Facility
|
IP
|
$2,611.00
|
|
|
Service Code
|
CPT C1874
|
| Hospital Charge Code |
909001046
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$522.20 |
| Max. Negotiated Rate |
$2,349.90 |
| Rate for Payer: Adventist Health Commercial |
$522.20
|
| Rate for Payer: Blue Shield of California Commercial |
$2,018.30
|
| Rate for Payer: Blue Shield of California EPN |
$1,315.94
|
| Rate for Payer: Cash Price |
$1,436.05
|
| Rate for Payer: Central Health Plan Commercial |
$2,088.80
|
| Rate for Payer: Cigna of CA HMO |
$1,827.70
|
| Rate for Payer: Cigna of CA PPO |
$1,827.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,044.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,044.40
|
| Rate for Payer: Galaxy Health WC |
$2,219.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,566.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,349.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,741.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$994.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,616.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$522.20
|
| Rate for Payer: Multiplan Commercial |
$1,958.25
|
| Rate for Payer: Networks By Design Commercial |
$1,305.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,219.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$979.91
|
| Rate for Payer: United Healthcare All Other HMO |
$953.80
|
| Rate for Payer: United Healthcare HMO Rider |
$933.17
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$855.10
|
|
|
HC BILIARY ENDOPROTHESIS
|
Facility
|
OP
|
$455.00
|
|
|
Service Code
|
CPT C1874
|
| Hospital Charge Code |
909001066
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$91.00 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Adventist Health Commercial |
$91.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$386.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$250.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$341.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$207.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$251.93
|
| Rate for Payer: Blue Shield of California Commercial |
$351.71
|
| Rate for Payer: Blue Shield of California EPN |
$229.32
|
| Rate for Payer: Cash Price |
$250.25
|
| Rate for Payer: Central Health Plan Commercial |
$364.00
|
| Rate for Payer: Cigna of CA HMO |
$318.50
|
| Rate for Payer: Cigna of CA PPO |
$318.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$386.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$386.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$386.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$182.00
|
| Rate for Payer: EPIC Health Plan Senior |
$182.00
|
| Rate for Payer: Galaxy Health WC |
$386.75
|
| Rate for Payer: Global Benefits Group Commercial |
$273.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$409.50
|
| Rate for Payer: InnovAge PACE Commercial |
$227.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$303.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$281.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$91.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$318.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$318.50
|
| Rate for Payer: Multiplan Commercial |
$341.25
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$386.75
|
| Rate for Payer: Riverside University Health System MISP |
$182.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$273.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$273.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$170.76
|
| Rate for Payer: United Healthcare All Other HMO |
$166.21
|
| Rate for Payer: United Healthcare HMO Rider |
$162.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$149.01
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$386.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$386.75
|
| Rate for Payer: Vantage Medical Group Senior |
$386.75
|
|
|
HC BILIARY ENDOPROTHESIS
|
Facility
|
IP
|
$455.00
|
|
|
Service Code
|
CPT C1874
|
| Hospital Charge Code |
909001066
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$91.00 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Adventist Health Commercial |
$91.00
|
| Rate for Payer: Blue Shield of California Commercial |
$351.71
|
| Rate for Payer: Blue Shield of California EPN |
$229.32
|
| Rate for Payer: Cash Price |
$250.25
|
| Rate for Payer: Central Health Plan Commercial |
$364.00
|
| Rate for Payer: Cigna of CA HMO |
$318.50
|
| Rate for Payer: Cigna of CA PPO |
$318.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$182.00
|
| Rate for Payer: EPIC Health Plan Senior |
$182.00
|
| Rate for Payer: Galaxy Health WC |
$386.75
|
| Rate for Payer: Global Benefits Group Commercial |
$273.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$409.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$303.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$173.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$281.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$91.00
|
| Rate for Payer: Multiplan Commercial |
$341.25
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$386.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$170.76
|
| Rate for Payer: United Healthcare All Other HMO |
$166.21
|
| Rate for Payer: United Healthcare HMO Rider |
$162.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$149.01
|
|
|
HC BILIARY ENDSCPY, INTRAOP
|
Facility
|
OP
|
$10,365.00
|
|
|
Service Code
|
CPT 47550
|
| Hospital Charge Code |
909047550
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$190.18 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,073.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8,810.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,700.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,773.75
|
| 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 |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$5,700.75
|
| Rate for Payer: Cash Price |
$5,700.75
|
| Rate for Payer: Cash Price |
$5,700.75
|
| Rate for Payer: Central Health Plan Commercial |
$8,292.00
|
| Rate for Payer: Cigna of CA HMO |
$6,633.60
|
| Rate for Payer: Cigna of CA PPO |
$7,670.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8,810.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,810.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8,810.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,146.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,146.00
|
| Rate for Payer: Galaxy Health WC |
$8,810.25
|
| Rate for Payer: Global Benefits Group Commercial |
$6,219.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,328.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$190.18
|
| Rate for Payer: InnovAge PACE Commercial |
$5,182.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,913.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$210.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,415.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,073.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7,255.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7,255.50
|
| Rate for Payer: Multiplan Commercial |
$7,773.75
|
| Rate for Payer: Networks By Design Commercial |
$6,737.25
|
| Rate for Payer: Prime Health Services Commercial |
$8,810.25
|
| Rate for Payer: Riverside University Health System MISP |
$4,146.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,219.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,341.00
|
| 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: Vantage Medical Group Commercial/Exchange |
$8,810.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,810.25
|
| Rate for Payer: Vantage Medical Group Senior |
$8,810.25
|
|
|
HC BILIARY ENDSCPY, INTRAOP
|
Facility
|
IP
|
$10,365.00
|
|
|
Service Code
|
CPT 47550
|
| Hospital Charge Code |
909047550
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,073.00 |
| Max. Negotiated Rate |
$9,328.50 |
| Rate for Payer: Adventist Health Commercial |
$2,073.00
|
| Rate for Payer: Cash Price |
$5,700.75
|
| Rate for Payer: Central Health Plan Commercial |
$8,292.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,146.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,146.00
|
| Rate for Payer: Galaxy Health WC |
$8,810.25
|
| Rate for Payer: Global Benefits Group Commercial |
$6,219.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,328.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,913.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,949.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,415.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,073.00
|
| Rate for Payer: Multiplan Commercial |
$7,773.75
|
| Rate for Payer: Networks By Design Commercial |
$6,737.25
|
| Rate for Payer: Prime Health Services Commercial |
$8,810.25
|
|
|
HC BILIARY ENDSCPY, PERC; W RMVL OF CLCLS
|
Facility
|
IP
|
$17,964.00
|
|
|
Service Code
|
CPT 47554
|
| Hospital Charge Code |
909047554
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,592.80 |
| Max. Negotiated Rate |
$16,167.60 |
| Rate for Payer: Adventist Health Commercial |
$3,592.80
|
| Rate for Payer: Cash Price |
$9,880.20
|
| Rate for Payer: Central Health Plan Commercial |
$14,371.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,185.60
|
| Rate for Payer: EPIC Health Plan Senior |
$7,185.60
|
| Rate for Payer: Galaxy Health WC |
$15,269.40
|
| Rate for Payer: Global Benefits Group Commercial |
$10,778.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,167.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,981.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,844.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11,119.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,592.80
|
| Rate for Payer: Multiplan Commercial |
$13,473.00
|
| Rate for Payer: Networks By Design Commercial |
$11,676.60
|
| Rate for Payer: Prime Health Services Commercial |
$15,269.40
|
|
|
HC BILIARY ENDSCPY, PERC; W RMVL OF CLCLS
|
Facility
|
OP
|
$17,964.00
|
|
|
Service Code
|
CPT 47554
|
| Hospital Charge Code |
909047554
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$521.88 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$3,592.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$13,228.50
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14,551.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13,228.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$21,077.25
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$9,880.20
|
| Rate for Payer: Cash Price |
$9,880.20
|
| Rate for Payer: Cash Price |
$9,880.20
|
| Rate for Payer: Central Health Plan Commercial |
$14,371.20
|
| Rate for Payer: Cigna of CA HMO |
$11,496.96
|
| Rate for Payer: Cigna of CA PPO |
$13,293.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$14,551.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$13,228.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,858.47
|
| Rate for Payer: EPIC Health Plan Senior |
$13,228.50
|
| Rate for Payer: Galaxy Health WC |
$15,269.40
|
| Rate for Payer: Global Benefits Group Commercial |
$10,778.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,167.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,694.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$521.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$13,228.50
|
| Rate for Payer: InnovAge PACE Commercial |
$19,842.75
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,981.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$576.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,228.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,592.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,726.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,726.19
|
| Rate for Payer: Multiplan Commercial |
$13,473.00
|
| Rate for Payer: Multiplan WC |
$21,077.25
|
| Rate for Payer: Networks By Design Commercial |
$11,676.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$13,228.50
|
| Rate for Payer: Preferred Health Network WC |
$21,507.40
|
| Rate for Payer: Prime Health Services Commercial |
$15,269.40
|
| Rate for Payer: Prime Health Services Medicare |
$14,022.21
|
| Rate for Payer: Prime Health Services WC |
$20,862.18
|
| Rate for Payer: Riverside University Health System MISP |
$14,551.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,778.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$13,228.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$19,842.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,551.35
|
| Rate for Payer: Vantage Medical Group Senior |
$13,228.50
|
|
|
HC BILIARY STNT PLCMNT EXT ACCESS
|
Facility
|
OP
|
$20,499.00
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
909047538
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,165.61 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,099.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,413.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,413.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,811.52
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$11,274.45
|
| Rate for Payer: Cash Price |
$11,274.45
|
| Rate for Payer: Cash Price |
$11,274.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,399.20
|
| Rate for Payer: Cigna of CA HMO |
$13,119.36
|
| Rate for Payer: Cigna of CA PPO |
$15,169.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,154.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,413.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,007.74
|
| Rate for Payer: EPIC Health Plan Senior |
$7,413.14
|
| Rate for Payer: Galaxy Health WC |
$17,424.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,299.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,449.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,157.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$7,205.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,413.14
|
| Rate for Payer: InnovAge PACE Commercial |
$11,119.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,672.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,960.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,413.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,099.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,933.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,933.61
|
| Rate for Payer: Multiplan Commercial |
$15,374.25
|
| Rate for Payer: Multiplan WC |
$11,811.52
|
| Rate for Payer: Networks By Design Commercial |
$13,324.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,413.14
|
| Rate for Payer: Preferred Health Network WC |
$12,052.57
|
| Rate for Payer: Prime Health Services Commercial |
$17,424.15
|
| Rate for Payer: Prime Health Services Medicare |
$7,857.93
|
| Rate for Payer: Prime Health Services WC |
$11,690.99
|
| Rate for Payer: Riverside University Health System MISP |
$8,154.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,299.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,413.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Vantage Medical Group Senior |
$7,413.14
|
|
|
HC BILIARY STNT PLCMNT EXT ACCESS
|
Facility
|
IP
|
$20,499.00
|
|
|
Service Code
|
CPT 47538
|
| Hospital Charge Code |
909047538
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,099.80 |
| Max. Negotiated Rate |
$18,449.10 |
| Rate for Payer: Adventist Health Commercial |
$4,099.80
|
| Rate for Payer: Cash Price |
$11,274.45
|
| Rate for Payer: Central Health Plan Commercial |
$16,399.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,199.60
|
| Rate for Payer: EPIC Health Plan Senior |
$8,199.60
|
| Rate for Payer: Galaxy Health WC |
$17,424.15
|
| Rate for Payer: Global Benefits Group Commercial |
$12,299.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,449.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13,672.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7,810.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$12,688.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,099.80
|
| Rate for Payer: Multiplan Commercial |
$15,374.25
|
| Rate for Payer: Networks By Design Commercial |
$13,324.35
|
| Rate for Payer: Prime Health Services Commercial |
$17,424.15
|
|
|
HC BILIARY STONE REMVL T-TUBE
|
Facility
|
OP
|
$10,114.00
|
|
|
Service Code
|
CPT 47544
|
| Hospital Charge Code |
909000151
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$9,102.60 |
| Rate for Payer: Adventist Health Commercial |
$2,022.80
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8,596.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,562.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,585.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$5,562.70
|
| Rate for Payer: Cash Price |
$5,562.70
|
| Rate for Payer: Cash Price |
$5,562.70
|
| Rate for Payer: Central Health Plan Commercial |
$8,091.20
|
| Rate for Payer: Cigna of CA HMO |
$6,472.96
|
| Rate for Payer: Cigna of CA PPO |
$7,484.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8,596.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,596.90
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8,596.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,045.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,045.60
|
| Rate for Payer: Galaxy Health WC |
$8,596.90
|
| Rate for Payer: Global Benefits Group Commercial |
$6,068.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,102.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,280.71
|
| Rate for Payer: InnovAge PACE Commercial |
$5,057.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,746.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,414.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,260.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,022.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7,079.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7,079.80
|
| Rate for Payer: Multiplan Commercial |
$7,585.50
|
| Rate for Payer: Networks By Design Commercial |
$6,574.10
|
| Rate for Payer: Prime Health Services Commercial |
$8,596.90
|
| Rate for Payer: Riverside University Health System MISP |
$4,045.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,068.40
|
| 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: Vantage Medical Group Commercial/Exchange |
$8,596.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,596.90
|
| Rate for Payer: Vantage Medical Group Senior |
$8,596.90
|
|
|
HC BILIARY STONE REMVL T-TUBE
|
Facility
|
IP
|
$10,114.00
|
|
|
Service Code
|
CPT 47544
|
| Hospital Charge Code |
909000151
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,022.80 |
| Max. Negotiated Rate |
$9,102.60 |
| Rate for Payer: Adventist Health Commercial |
$2,022.80
|
| Rate for Payer: Cash Price |
$5,562.70
|
| Rate for Payer: Central Health Plan Commercial |
$8,091.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,045.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,045.60
|
| Rate for Payer: Galaxy Health WC |
$8,596.90
|
| Rate for Payer: Global Benefits Group Commercial |
$6,068.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,102.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,746.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,853.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,260.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,022.80
|
| Rate for Payer: Multiplan Commercial |
$7,585.50
|
| Rate for Payer: Networks By Design Commercial |
$6,574.10
|
| Rate for Payer: Prime Health Services Commercial |
$8,596.90
|
|
|
HC BILIARY TRACT CELLVIZIO
|
Facility
|
OP
|
$7,965.00
|
|
|
Service Code
|
CPT 47999
|
| Hospital Charge Code |
906747999
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,191.26 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,593.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,191.26
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,786.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,310.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,191.26
|
| 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 |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$4,380.75
|
| Rate for Payer: Cash Price |
$4,380.75
|
| Rate for Payer: Cash Price |
$4,380.75
|
| Rate for Payer: Central Health Plan Commercial |
$6,372.00
|
| Rate for Payer: Cigna of CA HMO |
$5,097.60
|
| Rate for Payer: Cigna of CA PPO |
$5,894.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,786.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,310.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,191.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,608.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,191.26
|
| Rate for Payer: Galaxy Health WC |
$6,770.25
|
| Rate for Payer: Global Benefits Group Commercial |
$4,779.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,168.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,953.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,191.26
|
| Rate for Payer: InnovAge PACE Commercial |
$1,786.89
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,312.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,191.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,593.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,596.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,596.29
|
| Rate for Payer: Multiplan Commercial |
$5,973.75
|
| Rate for Payer: Networks By Design Commercial |
$5,177.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,191.26
|
| Rate for Payer: Prime Health Services Commercial |
$6,770.25
|
| Rate for Payer: Prime Health Services Medicare |
$1,262.74
|
| Rate for Payer: Riverside University Health System MISP |
$1,310.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,779.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,429.51
|
| 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 |
$1,191.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,786.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,310.39
|
| Rate for Payer: Vantage Medical Group Senior |
$1,191.26
|
|
|
HC BILIARY TRACT CELLVIZIO
|
Facility
|
IP
|
$7,965.00
|
|
|
Service Code
|
CPT 47999
|
| Hospital Charge Code |
906747999
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,593.00 |
| Max. Negotiated Rate |
$7,168.50 |
| Rate for Payer: Adventist Health Commercial |
$1,593.00
|
| Rate for Payer: Cash Price |
$4,380.75
|
| Rate for Payer: Central Health Plan Commercial |
$6,372.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,186.00
|
| Rate for Payer: EPIC Health Plan Senior |
$3,186.00
|
| Rate for Payer: Galaxy Health WC |
$6,770.25
|
| Rate for Payer: Global Benefits Group Commercial |
$4,779.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,168.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,312.65
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,034.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,930.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,593.00
|
| Rate for Payer: Multiplan Commercial |
$5,973.75
|
| Rate for Payer: Networks By Design Commercial |
$5,177.25
|
| Rate for Payer: Prime Health Services Commercial |
$6,770.25
|
|
|
HC BILIARY TUBE CK-CHOLANGIO
|
Facility
|
IP
|
$7,436.00
|
|
|
Service Code
|
CPT 47532
|
| Hospital Charge Code |
909000144
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,487.20 |
| Max. Negotiated Rate |
$6,692.40 |
| Rate for Payer: Adventist Health Commercial |
$1,487.20
|
| Rate for Payer: Cash Price |
$4,089.80
|
| Rate for Payer: Central Health Plan Commercial |
$5,948.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,974.40
|
| Rate for Payer: EPIC Health Plan Senior |
$2,974.40
|
| Rate for Payer: Galaxy Health WC |
$6,320.60
|
| Rate for Payer: Global Benefits Group Commercial |
$4,461.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,692.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,959.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,833.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,602.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,487.20
|
| Rate for Payer: Multiplan Commercial |
$5,577.00
|
| Rate for Payer: Networks By Design Commercial |
$4,833.40
|
| Rate for Payer: Prime Health Services Commercial |
$6,320.60
|
|
|
HC BILIARY TUBE CK-CHOLANGIO
|
Facility
|
OP
|
$7,436.00
|
|
|
Service Code
|
CPT 47532
|
| Hospital Charge Code |
909000144
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,288.40 |
| Max. Negotiated Rate |
$20,902.00 |
| Rate for Payer: Adventist Health Commercial |
$1,487.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,484.02
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,484.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$4,089.80
|
| Rate for Payer: Cash Price |
$4,089.80
|
| Rate for Payer: Cash Price |
$4,089.80
|
| Rate for Payer: Central Health Plan Commercial |
$5,948.80
|
| Rate for Payer: Cigna of CA HMO |
$4,759.04
|
| Rate for Payer: Cigna of CA PPO |
$5,502.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,932.42
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,484.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,053.43
|
| Rate for Payer: EPIC Health Plan Senior |
$4,484.02
|
| Rate for Payer: Galaxy Health WC |
$6,320.60
|
| Rate for Payer: Global Benefits Group Commercial |
$4,461.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,692.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,353.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,288.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,484.02
|
| Rate for Payer: InnovAge PACE Commercial |
$6,726.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,959.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,423.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,484.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,487.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,008.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,008.59
|
| Rate for Payer: Multiplan Commercial |
$5,577.00
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$4,833.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,484.02
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$6,320.60
|
| Rate for Payer: Prime Health Services Medicare |
$4,753.06
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$4,932.42
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,461.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,484.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,726.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,932.42
|
| Rate for Payer: Vantage Medical Group Senior |
$4,484.02
|
|
