|
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 |
$2,582.00 |
| 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 |
$2,582.00
|
| Rate for Payer: Blue Shield of California Commercial |
$423.42
|
| Rate for Payer: Blue Shield of California EPN |
$276.51
|
| Rate for Payer: Cash Price |
$381.15
|
| Rate for Payer: Cash Price |
$381.15
|
| 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: 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: InnovAge PACE Commercial |
$346.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$462.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$264.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$428.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$138.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$485.10
|
| Rate for Payer: Molina Healthcare of CA 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 |
$381.15
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| 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 Permanente of CA Commercial/Self Funded |
$462.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$264.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$428.97
|
| 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
|
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 |
$381.15
|
| Rate for Payer: Central Health Plan Commercial |
$554.40
|
| 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 Permanente of CA Commercial/Self Funded |
$462.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$264.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$428.97
|
| 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
|
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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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
|
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 |
$2,582.00
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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
|
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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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 |
$866.27
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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
|
516
|
| Min. Negotiated Rate |
$295.00 |
| Max. Negotiated Rate |
$2,582.00 |
| 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 |
$2,582.00
|
| Rate for Payer: Blue Shield of California Commercial |
$901.23
|
| Rate for Payer: Blue Shield of California EPN |
$588.52
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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 |
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 |
$866.27
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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
|
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 |
$990.00
|
| Rate for Payer: Blue Shield of California Commercial |
$901.23
|
| Rate for Payer: Blue Shield of California EPN |
$588.52
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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
|
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 |
$866.27
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$811.25
|
| Rate for Payer: Cash Price |
$811.25
|
| 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: 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: InnovAge PACE Commercial |
$737.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$295.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,032.50
|
| Rate for Payer: Molina Healthcare of CA 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
|
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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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
|
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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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
|
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 |
$811.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,180.00
|
| 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 Permanente of CA Commercial/Self Funded |
$983.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$561.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$913.02
|
| 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
|
OP
|
$10,207.00
|
|
|
Service Code
|
CPT 27324
|
| Hospital Charge Code |
906601324
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$332.34 |
| Max. Negotiated Rate |
$16,122.00 |
| Rate for Payer: Adventist Health Commercial |
$2,041.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,636.52
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,454.78
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,000.17
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,636.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| 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 |
$5,613.85
|
| Rate for Payer: Cash Price |
$5,613.85
|
| Rate for Payer: Cash Price |
$5,613.85
|
| 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 |
$5,454.78
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,000.17
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,636.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,909.30
|
| Rate for Payer: EPIC Health Plan Senior |
$3,636.52
|
| 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 |
$5,963.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$332.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,636.52
|
| Rate for Payer: InnovAge PACE Commercial |
$5,454.78
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,808.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$367.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,636.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,041.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,872.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,872.94
|
| 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 |
$3,636.52
|
| 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 |
$3,854.71
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,000.17
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,124.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$11,984.00
|
| 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 |
$3,636.52
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,454.78
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,000.17
|
| Rate for Payer: Vantage Medical Group Senior |
$3,636.52
|
|
|
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 |
$5,613.85
|
| Rate for Payer: Central Health Plan Commercial |
$8,165.60
|
| 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 Permanente of CA Commercial/Self Funded |
$6,808.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,888.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,318.13
|
| 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 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 |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$302.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,106.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,659.54
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,217.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,106.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,762.79
|
| 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 |
$832.15
|
| Rate for Payer: Cash Price |
$832.15
|
| Rate for Payer: Cash Price |
$832.15
|
| 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 |
$1,659.54
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,217.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,106.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,493.59
|
| Rate for Payer: EPIC Health Plan Senior |
$1,106.36
|
| 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 |
$1,814.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$152.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,106.36
|
| Rate for Payer: InnovAge PACE Commercial |
$1,659.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,009.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$168.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,106.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$302.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,482.52
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,482.52
|
| 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 |
$1,106.36
|
| 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 |
$1,172.74
|
| Rate for Payer: Prime Health Services WC |
$1,744.81
|
| Rate for Payer: Riverside University Health System MISP |
$1,217.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$907.80
|
| 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: Upland Medical Group Pediatric |
$1,106.36
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,659.54
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,217.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,106.36
|
|
|
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 |
$832.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,210.40
|
| 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 Permanente of CA Commercial/Self Funded |
$1,009.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$576.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$936.55
|
| 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 |
$420.75
|
| Rate for Payer: Central Health Plan Commercial |
$612.00
|
| 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 Permanente of CA Commercial/Self Funded |
$510.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$291.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$473.54
|
| 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 |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$153.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| 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 |
$5,311.00
|
| 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 |
$420.75
|
| Rate for Payer: Cash Price |
$420.75
|
| Rate for Payer: Cash Price |
$420.75
|
| 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: 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: InnovAge PACE Commercial |
$382.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$510.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$66.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$473.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$153.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$535.50
|
| Rate for Payer: Molina Healthcare of CA 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 |
$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 |
$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 |
$319.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| 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 Permanente of CA Commercial/Self Funded |
$386.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$220.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$359.02
|
| 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
|
|
|
HC BIOPTOME ARGON JAWZ
|
Facility
|
OP
|
$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: Aetna of CA HMO/PPO |
$352.23
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$319.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$435.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$280.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$340.63
|
| Rate for Payer: Blue Shield of California Commercial |
$354.38
|
| Rate for Payer: Blue Shield of California EPN |
$231.42
|
| Rate for Payer: Cash Price |
$319.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Cigna of CA HMO |
$371.20
|
| Rate for Payer: Cigna of CA PPO |
$429.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$493.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$493.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$493.00
|
| 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: InnovAge PACE Commercial |
$290.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$386.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$220.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$359.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$406.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$406.00
|
| 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
|
| Rate for Payer: Riverside University Health System MISP |
$232.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$348.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$348.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$290.00
|
| Rate for Payer: United Healthcare All Other HMO |
$290.00
|
| Rate for Payer: United Healthcare HMO Rider |
$290.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$290.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$493.00
|
| Rate for Payer: Vantage Medical Group Senior |
$493.00
|
|
|
HC BIOPTOME ATC SPARROWHAWK
|
Facility
|
OP
|
$313.00
|
|
| Hospital Charge Code |
906812372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.60 |
| Max. Negotiated Rate |
$281.70 |
| Rate for Payer: Adventist Health Commercial |
$62.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$190.08
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$266.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$172.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$234.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$151.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$183.82
|
| Rate for Payer: Blue Shield of California Commercial |
$191.24
|
| Rate for Payer: Blue Shield of California EPN |
$124.89
|
| Rate for Payer: Cash Price |
$172.15
|
| Rate for Payer: Central Health Plan Commercial |
$250.40
|
| Rate for Payer: Cigna of CA HMO |
$200.32
|
| Rate for Payer: Cigna of CA PPO |
$231.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$266.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$266.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$266.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$125.20
|
| Rate for Payer: EPIC Health Plan Senior |
$125.20
|
| Rate for Payer: Galaxy Health WC |
$266.05
|
| Rate for Payer: Global Benefits Group Commercial |
$187.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$281.70
|
| Rate for Payer: InnovAge PACE Commercial |
$156.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.77
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$119.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$193.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$219.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$219.10
|
| Rate for Payer: Multiplan Commercial |
$234.75
|
| Rate for Payer: Networks By Design Commercial |
$203.45
|
| Rate for Payer: Prime Health Services Commercial |
$266.05
|
| Rate for Payer: Riverside University Health System MISP |
$125.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$187.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$187.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$156.50
|
| Rate for Payer: United Healthcare All Other HMO |
$156.50
|
| Rate for Payer: United Healthcare HMO Rider |
$156.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$156.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$266.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$266.05
|
| Rate for Payer: Vantage Medical Group Senior |
$266.05
|
|
|
HC BIOPTOME ATC SPARROWHAWK
|
Facility
|
IP
|
$313.00
|
|
| Hospital Charge Code |
906812372
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.60 |
| Max. Negotiated Rate |
$281.70 |
| Rate for Payer: Adventist Health Commercial |
$62.60
|
| Rate for Payer: Cash Price |
$172.15
|
| Rate for Payer: Central Health Plan Commercial |
$250.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$125.20
|
| Rate for Payer: EPIC Health Plan Senior |
$125.20
|
| Rate for Payer: Galaxy Health WC |
$266.05
|
| Rate for Payer: Global Benefits Group Commercial |
$187.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$281.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$208.77
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$119.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$193.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$62.60
|
| Rate for Payer: Multiplan Commercial |
$234.75
|
| Rate for Payer: Networks By Design Commercial |
$203.45
|
| Rate for Payer: Prime Health Services Commercial |
$266.05
|
|
