|
HC BRONCH FOREIGN BODY REMOVAL
|
Facility
|
OP
|
$7,519.00
|
|
|
Service Code
|
CPT 31635
|
| Hospital Charge Code |
900803505
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$358.60 |
| Max. Negotiated Rate |
$6,767.10 |
| Rate for Payer: Adventist Health Commercial |
$1,503.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,289.25
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,035.71
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,289.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,767.05
|
| Rate for Payer: Blue Shield of California EPN |
$3,000.08
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,015.20
|
| Rate for Payer: Cigna of CA HMO |
$4,812.16
|
| Rate for Payer: Cigna of CA PPO |
$5,564.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,518.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,289.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,263.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,777.26
|
| Rate for Payer: EPIC Health Plan Senior |
$2,518.18
|
| Rate for Payer: Galaxy Health WC |
$6,391.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,511.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,767.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,754.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$358.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,774.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$396.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,204.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,503.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,067.59
|
| Rate for Payer: Multiplan Commercial |
$5,639.25
|
| Rate for Payer: Networks By Design Commercial |
$4,887.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Prime Health Services Commercial |
$6,391.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,426.61
|
| Rate for Payer: Riverside University Health System MISP |
$2,518.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,511.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,511.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,759.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,759.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,759.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,759.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,289.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Vantage Medical Group Senior |
$2,289.25
|
|
|
HC BRONCH FOREIGN BODY REMOVAL
|
Facility
|
IP
|
$7,519.00
|
|
|
Service Code
|
CPT 31635
|
| Hospital Charge Code |
900803505
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,503.80 |
| Max. Negotiated Rate |
$6,767.10 |
| Rate for Payer: Adventist Health Commercial |
$1,503.80
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,015.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,263.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,007.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,007.60
|
| Rate for Payer: Galaxy Health WC |
$6,391.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,511.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,767.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,774.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,436.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,503.80
|
| Rate for Payer: Multiplan Commercial |
$5,639.25
|
| Rate for Payer: Networks By Design Commercial |
$4,887.35
|
| Rate for Payer: Prime Health Services Commercial |
$6,391.15
|
|
|
HC BRONCHIAL THERMOPLASTY 1 LOBE
|
Facility
|
OP
|
$13,743.00
|
|
|
Service Code
|
CPT 31660
|
| Hospital Charge Code |
900831660
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$320.81 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,748.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$9,077.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,077.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,014.35
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Central Health Plan Commercial |
$10,994.40
|
| Rate for Payer: Cigna of CA HMO |
$8,795.52
|
| Rate for Payer: Cigna of CA PPO |
$10,169.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,077.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,620.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,977.17
|
| Rate for Payer: EPIC Health Plan Senior |
$9,984.78
|
| Rate for Payer: Galaxy Health WC |
$11,681.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,245.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,368.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,886.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$320.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,726.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$354.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$12,707.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,748.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,163.27
|
| Rate for Payer: Multiplan Commercial |
$10,307.25
|
| Rate for Payer: Multiplan WC |
$14,014.35
|
| Rate for Payer: Networks By Design Commercial |
$8,932.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Preferred Health Network WC |
$14,300.36
|
| Rate for Payer: Prime Health Services Commercial |
$11,681.55
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.69
|
| Rate for Payer: Prime Health Services WC |
$13,871.35
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,245.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,871.50
|
| 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 |
$9,077.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Vantage Medical Group Senior |
$9,077.07
|
|
|
HC BRONCHIAL THERMOPLASTY 1 LOBE
|
Facility
|
IP
|
$13,743.00
|
|
|
Service Code
|
CPT 31660
|
| Hospital Charge Code |
900831660
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,748.60 |
| Max. Negotiated Rate |
$12,368.70 |
| Rate for Payer: Adventist Health Commercial |
$2,748.60
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Central Health Plan Commercial |
$10,994.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,620.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,497.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,497.20
|
| Rate for Payer: Galaxy Health WC |
$11,681.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,245.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,368.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,726.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,108.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,748.60
|
| Rate for Payer: Multiplan Commercial |
$10,307.25
|
| Rate for Payer: Networks By Design Commercial |
$8,932.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,681.55
|
|
|
HC BRONCHIAL THERMOPLASTY 2+ LOBES
|
Facility
|
IP
|
$13,743.00
|
|
|
Service Code
|
CPT 31661
|
| Hospital Charge Code |
900831661
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,748.60 |
| Max. Negotiated Rate |
$12,368.70 |
| Rate for Payer: Adventist Health Commercial |
$2,748.60
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Central Health Plan Commercial |
$10,994.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,620.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,497.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,497.20
|
| Rate for Payer: Galaxy Health WC |
$11,681.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,245.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,368.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,726.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,108.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,748.60
|
| Rate for Payer: Multiplan Commercial |
$10,307.25
|
| Rate for Payer: Networks By Design Commercial |
$8,932.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,681.55
|
|
|
HC BRONCHIAL THERMOPLASTY 2+ LOBES
|
Facility
|
OP
|
$13,743.00
|
|
|
Service Code
|
CPT 31661
|
| Hospital Charge Code |
900831661
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$338.10 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,748.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$9,077.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,077.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,014.35
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Cash Price |
$6,184.35
|
| Rate for Payer: Central Health Plan Commercial |
$10,994.40
|
| Rate for Payer: Cigna of CA HMO |
$8,795.52
|
| Rate for Payer: Cigna of CA PPO |
$10,169.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,077.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,620.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,977.17
|
| Rate for Payer: EPIC Health Plan Senior |
$9,984.78
|
| Rate for Payer: Galaxy Health WC |
$11,681.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,245.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,368.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,886.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$338.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,726.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$373.48
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$12,707.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,748.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,163.27
|
| Rate for Payer: Multiplan Commercial |
$10,307.25
|
| Rate for Payer: Multiplan WC |
$14,014.35
|
| Rate for Payer: Networks By Design Commercial |
$8,932.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Preferred Health Network WC |
$14,300.36
|
| Rate for Payer: Prime Health Services Commercial |
$11,681.55
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.69
|
| Rate for Payer: Prime Health Services WC |
$13,871.35
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,245.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,871.50
|
| 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 |
$9,077.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Vantage Medical Group Senior |
$9,077.07
|
|
|
HC BRONCHOSCOPY W BRONCH ALVEOLAR
|
Facility
|
IP
|
$9,338.00
|
|
|
Service Code
|
CPT 31624
|
| Hospital Charge Code |
900803502
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,867.60 |
| Max. Negotiated Rate |
$8,404.20 |
| Rate for Payer: Adventist Health Commercial |
$1,867.60
|
| Rate for Payer: Cash Price |
$4,202.10
|
| Rate for Payer: Central Health Plan Commercial |
$7,470.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,536.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,735.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,735.20
|
| Rate for Payer: Galaxy Health WC |
$7,937.30
|
| Rate for Payer: Global Benefits Group Commercial |
$5,602.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,404.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,929.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,509.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,867.60
|
| Rate for Payer: Multiplan Commercial |
$7,003.50
|
| Rate for Payer: Networks By Design Commercial |
$6,069.70
|
| Rate for Payer: Prime Health Services Commercial |
$7,937.30
|
|
|
HC BRONCHOSCOPY W BRONCH ALVEOLAR
|
Facility
|
OP
|
$9,338.00
|
|
|
Service Code
|
CPT 31624
|
| Hospital Charge Code |
900803502
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$366.93 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,867.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,289.25
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,289.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,491.15
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$4,202.10
|
| Rate for Payer: Cash Price |
$4,202.10
|
| Rate for Payer: Cash Price |
$4,202.10
|
| Rate for Payer: Central Health Plan Commercial |
$7,470.40
|
| Rate for Payer: Cigna of CA HMO |
$5,976.32
|
| Rate for Payer: Cigna of CA PPO |
$6,910.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,518.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,289.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,536.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,777.26
|
| Rate for Payer: EPIC Health Plan Senior |
$2,518.18
|
| Rate for Payer: Galaxy Health WC |
$7,937.30
|
| Rate for Payer: Global Benefits Group Commercial |
$5,602.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,404.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,754.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$366.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,929.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$405.33
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,204.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,867.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,067.59
|
| Rate for Payer: Multiplan Commercial |
$7,003.50
|
| Rate for Payer: Multiplan WC |
$3,491.15
|
| Rate for Payer: Networks By Design Commercial |
$6,069.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Preferred Health Network WC |
$3,562.40
|
| Rate for Payer: Prime Health Services Commercial |
$7,937.30
|
| Rate for Payer: Prime Health Services Medicare |
$2,426.61
|
| Rate for Payer: Prime Health Services WC |
$3,455.53
|
| Rate for Payer: Riverside University Health System MISP |
$2,518.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,602.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,669.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,289.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Vantage Medical Group Senior |
$2,289.25
|
|
|
HC BRONCHOSCOPY W/RMVL OF F.B.
|
Facility
|
IP
|
$7,519.00
|
|
|
Service Code
|
CPT 31635
|
| Hospital Charge Code |
900501509
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,503.80 |
| Max. Negotiated Rate |
$6,767.10 |
| Rate for Payer: Adventist Health Commercial |
$1,503.80
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,015.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,263.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,007.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,007.60
|
| Rate for Payer: Galaxy Health WC |
$6,391.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,511.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,767.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,774.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,436.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,503.80
|
| Rate for Payer: Multiplan Commercial |
$5,639.25
|
| Rate for Payer: Networks By Design Commercial |
$4,887.35
|
| Rate for Payer: Prime Health Services Commercial |
$6,391.15
|
|
|
HC BRONCHOSCOPY W/RMVL OF F.B.
|
Facility
|
OP
|
$7,519.00
|
|
|
Service Code
|
CPT 31635
|
| Hospital Charge Code |
900501509
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$396.13 |
| Max. Negotiated Rate |
$6,767.10 |
| Rate for Payer: Adventist Health Commercial |
$1,503.80
|
| 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 |
$3,433.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,289.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,491.15
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Cash Price |
$3,383.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,015.20
|
| Rate for Payer: Cigna of CA HMO |
$4,812.16
|
| Rate for Payer: Cigna of CA PPO |
$5,564.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,518.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,289.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,263.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,777.26
|
| Rate for Payer: EPIC Health Plan Senior |
$2,518.18
|
| Rate for Payer: Galaxy Health WC |
$6,391.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,511.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,767.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,754.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,774.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$396.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,460.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,503.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,067.59
|
| Rate for Payer: Multiplan Commercial |
$5,639.25
|
| Rate for Payer: Multiplan WC |
$3,491.15
|
| Rate for Payer: Networks By Design Commercial |
$4,887.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Preferred Health Network WC |
$3,562.40
|
| Rate for Payer: Prime Health Services Commercial |
$6,391.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,426.61
|
| Rate for Payer: Prime Health Services WC |
$3,455.53
|
| Rate for Payer: Riverside University Health System MISP |
$2,518.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,511.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,759.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,759.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,759.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,759.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,289.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Vantage Medical Group Senior |
$2,289.25
|
|
|
HC BRONCH-RADIOELEMENT PLACEMENT
|
Facility
|
OP
|
$5,620.00
|
|
|
Service Code
|
CPT 31643
|
| Hospital Charge Code |
900803506
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$309.29 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$1,124.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,289.25
|
| Rate for Payer: Aetna of CA HMO/PPO |
$959.19
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,289.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,563.08
|
| Rate for Payer: Blue Shield of California EPN |
$2,242.38
|
| Rate for Payer: Cash Price |
$2,529.00
|
| Rate for Payer: Cash Price |
$2,529.00
|
| Rate for Payer: Cash Price |
$2,529.00
|
| Rate for Payer: Central Health Plan Commercial |
$4,496.00
|
| Rate for Payer: Cigna of CA HMO |
$3,596.80
|
| Rate for Payer: Cigna of CA PPO |
$4,158.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,518.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,289.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,934.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,777.26
|
| Rate for Payer: EPIC Health Plan Senior |
$2,518.18
|
| Rate for Payer: Galaxy Health WC |
$4,777.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,372.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,058.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,754.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$309.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,568.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$341.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,204.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,124.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,067.59
|
| Rate for Payer: Multiplan Commercial |
$4,215.00
|
| Rate for Payer: Networks By Design Commercial |
$3,653.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Prime Health Services Commercial |
$4,777.00
|
| Rate for Payer: Prime Health Services Medicare |
$2,426.61
|
| Rate for Payer: Riverside University Health System MISP |
$2,518.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,372.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,372.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,810.00
|
| Rate for Payer: United Healthcare All Other HMO |
$2,810.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,810.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,810.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,289.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Vantage Medical Group Senior |
$2,289.25
|
|
|
HC BRONCH-RADIOELEMENT PLACEMENT
|
Facility
|
IP
|
$5,620.00
|
|
|
Service Code
|
CPT 31643
|
| Hospital Charge Code |
900803506
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,124.00 |
| Max. Negotiated Rate |
$5,058.00 |
| Rate for Payer: Adventist Health Commercial |
$1,124.00
|
| Rate for Payer: Cash Price |
$2,529.00
|
| Rate for Payer: Central Health Plan Commercial |
$4,496.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,934.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,248.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,248.00
|
| Rate for Payer: Galaxy Health WC |
$4,777.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,372.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,058.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,568.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,315.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,124.00
|
| Rate for Payer: Multiplan Commercial |
$4,215.00
|
| Rate for Payer: Networks By Design Commercial |
$3,653.00
|
| Rate for Payer: Prime Health Services Commercial |
$4,777.00
|
|
|
HC BRONCH W BLLN OCC ADD LOBES
|
Facility
|
IP
|
$6,130.00
|
|
|
Service Code
|
CPT 31651
|
| Hospital Charge Code |
900831651
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,226.00 |
| Max. Negotiated Rate |
$5,517.00 |
| Rate for Payer: Adventist Health Commercial |
$1,226.00
|
| Rate for Payer: Cash Price |
$2,758.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,904.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,291.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,452.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,452.00
|
| Rate for Payer: Galaxy Health WC |
$5,210.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,678.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,517.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,892.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,616.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,226.00
|
| Rate for Payer: Multiplan Commercial |
$4,597.50
|
| Rate for Payer: Networks By Design Commercial |
$3,984.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,210.50
|
|
|
HC BRONCH W BLLN OCC ADD LOBES
|
Facility
|
OP
|
$6,130.00
|
|
|
Service Code
|
CPT 31651
|
| Hospital Charge Code |
900831651
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$112.69 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,226.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,210.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,371.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,597.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,758.50
|
| Rate for Payer: Cash Price |
$2,758.50
|
| Rate for Payer: Cash Price |
$2,758.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,904.00
|
| Rate for Payer: Cigna of CA HMO |
$3,923.20
|
| Rate for Payer: Cigna of CA PPO |
$4,536.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,210.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,210.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$5,210.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,291.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,452.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,452.00
|
| Rate for Payer: Galaxy Health WC |
$5,210.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,678.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,517.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$112.69
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,892.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$124.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,616.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,226.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$4,291.00
|
| Rate for Payer: Multiplan Commercial |
$4,597.50
|
| Rate for Payer: Networks By Design Commercial |
$3,984.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,210.50
|
| Rate for Payer: Riverside University Health System MISP |
$2,452.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,678.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,065.00
|
| 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 |
$5,210.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,210.50
|
| Rate for Payer: Vantage Medical Group Senior |
$5,210.50
|
|
|
HC BRONCH W/BLLN OCCLUSION
|
Facility
|
IP
|
$6,014.00
|
|
|
Service Code
|
CPT 31634
|
| Hospital Charge Code |
900803513
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,202.80 |
| Max. Negotiated Rate |
$5,412.60 |
| Rate for Payer: Adventist Health Commercial |
$1,202.80
|
| Rate for Payer: Cash Price |
$2,706.30
|
| Rate for Payer: Central Health Plan Commercial |
$4,811.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,209.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,405.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,405.60
|
| Rate for Payer: Galaxy Health WC |
$5,111.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,608.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,412.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,818.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,548.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,202.80
|
| Rate for Payer: Multiplan Commercial |
$4,510.50
|
| Rate for Payer: Networks By Design Commercial |
$3,909.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,111.90
|
|
|
HC BRONCH W/BLLN OCCLUSION
|
Facility
|
OP
|
$6,014.00
|
|
|
Service Code
|
CPT 31634
|
| Hospital Charge Code |
900803513
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$299.04 |
| Max. Negotiated Rate |
$14,977.17 |
| Rate for Payer: Adventist Health Commercial |
$1,202.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$9,077.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,129.77
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,077.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,812.88
|
| Rate for Payer: Blue Shield of California EPN |
$2,399.59
|
| Rate for Payer: Cash Price |
$2,706.30
|
| Rate for Payer: Cash Price |
$2,706.30
|
| Rate for Payer: Cash Price |
$2,706.30
|
| Rate for Payer: Central Health Plan Commercial |
$4,811.20
|
| Rate for Payer: Cigna of CA HMO |
$3,848.96
|
| Rate for Payer: Cigna of CA PPO |
$4,450.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,077.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,209.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,977.17
|
| Rate for Payer: EPIC Health Plan Senior |
$9,984.78
|
| Rate for Payer: Galaxy Health WC |
$5,111.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,608.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,412.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,886.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$299.04
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,818.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$330.33
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$12,707.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,202.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,163.27
|
| Rate for Payer: Multiplan Commercial |
$4,510.50
|
| Rate for Payer: Networks By Design Commercial |
$3,909.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Prime Health Services Commercial |
$5,111.90
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.69
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,608.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,608.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,007.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,007.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,007.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,007.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,077.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Vantage Medical Group Senior |
$9,077.07
|
|
|
HC BRONCH W PLCMNT FIDUCIAL MRK
|
Facility
|
IP
|
$16,363.00
|
|
|
Service Code
|
CPT 31626
|
| Hospital Charge Code |
900531626
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,272.60 |
| Max. Negotiated Rate |
$14,726.70 |
| Rate for Payer: Adventist Health Commercial |
$3,272.60
|
| Rate for Payer: Cash Price |
$7,363.35
|
| Rate for Payer: Central Health Plan Commercial |
$13,090.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$11,454.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,545.20
|
| Rate for Payer: EPIC Health Plan Senior |
$6,545.20
|
| Rate for Payer: Galaxy Health WC |
$13,908.55
|
| Rate for Payer: Global Benefits Group Commercial |
$9,817.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,726.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10,390.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$9,654.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,272.60
|
| Rate for Payer: Multiplan Commercial |
$12,272.25
|
| Rate for Payer: Networks By Design Commercial |
$10,635.95
|
| Rate for Payer: Prime Health Services Commercial |
$13,908.55
|
|
|
HC BRONCH W PLCMNT FIDUCIAL MRK
|
Facility
|
OP
|
$16,363.00
|
|
|
Service Code
|
CPT 31626
|
| Hospital Charge Code |
900531626
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$645.48 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$3,272.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$9,077.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,077.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,014.35
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$7,363.35
|
| Rate for Payer: Cash Price |
$7,363.35
|
| Rate for Payer: Cash Price |
$7,363.35
|
| Rate for Payer: Central Health Plan Commercial |
$13,090.40
|
| Rate for Payer: Cigna of CA HMO |
$10,472.32
|
| Rate for Payer: Cigna of CA PPO |
$12,108.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,077.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$11,454.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,977.17
|
| Rate for Payer: EPIC Health Plan Senior |
$9,984.78
|
| Rate for Payer: Galaxy Health WC |
$13,908.55
|
| Rate for Payer: Global Benefits Group Commercial |
$9,817.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,726.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,886.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$645.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10,390.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$713.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$12,707.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,272.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,163.27
|
| Rate for Payer: Multiplan Commercial |
$12,272.25
|
| Rate for Payer: Multiplan WC |
$14,014.35
|
| Rate for Payer: Networks By Design Commercial |
$10,635.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,077.07
|
| Rate for Payer: Preferred Health Network WC |
$14,300.36
|
| Rate for Payer: Prime Health Services Commercial |
$13,908.55
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.69
|
| Rate for Payer: Prime Health Services WC |
$13,871.35
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,817.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$8,181.50
|
| 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 |
$9,077.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.78
|
| Rate for Payer: Vantage Medical Group Senior |
$9,077.07
|
|
|
HC BRONCH W/TUMOR EXCISION
|
Facility
|
IP
|
$12,599.00
|
|
|
Service Code
|
CPT 31640
|
| Hospital Charge Code |
900803516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,519.80 |
| Max. Negotiated Rate |
$11,339.10 |
| Rate for Payer: Adventist Health Commercial |
$2,519.80
|
| Rate for Payer: Cash Price |
$5,669.55
|
| Rate for Payer: Central Health Plan Commercial |
$10,079.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,819.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,039.60
|
| Rate for Payer: EPIC Health Plan Senior |
$5,039.60
|
| Rate for Payer: Galaxy Health WC |
$10,709.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7,559.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,339.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,000.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,433.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,519.80
|
| Rate for Payer: Multiplan Commercial |
$9,449.25
|
| Rate for Payer: Networks By Design Commercial |
$8,189.35
|
| Rate for Payer: Prime Health Services Commercial |
$10,709.15
|
|
|
HC BRONCH W/TUMOR EXCISION
|
Facility
|
OP
|
$12,599.00
|
|
|
Service Code
|
CPT 31640
|
| Hospital Charge Code |
900803516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$362.44 |
| Max. Negotiated Rate |
$11,339.10 |
| Rate for Payer: Adventist Health Commercial |
$2,519.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,795.28
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,418.02
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,274.81
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,795.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$7,987.77
|
| Rate for Payer: Blue Shield of California EPN |
$5,027.00
|
| Rate for Payer: Cash Price |
$5,669.55
|
| Rate for Payer: Cash Price |
$5,669.55
|
| Rate for Payer: Cash Price |
$5,669.55
|
| Rate for Payer: Central Health Plan Commercial |
$10,079.20
|
| Rate for Payer: Cigna of CA HMO |
$8,063.36
|
| Rate for Payer: Cigna of CA PPO |
$9,323.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,274.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,795.28
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,819.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,912.21
|
| Rate for Payer: EPIC Health Plan Senior |
$5,274.81
|
| Rate for Payer: Galaxy Health WC |
$10,709.15
|
| Rate for Payer: Global Benefits Group Commercial |
$7,559.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,339.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,864.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$362.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,795.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,000.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$400.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,713.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,519.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,425.68
|
| Rate for Payer: Multiplan Commercial |
$9,449.25
|
| Rate for Payer: Networks By Design Commercial |
$8,189.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,795.28
|
| Rate for Payer: Prime Health Services Commercial |
$10,709.15
|
| Rate for Payer: Prime Health Services Medicare |
$5,083.00
|
| Rate for Payer: Riverside University Health System MISP |
$5,274.81
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,559.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7,559.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,299.50
|
| Rate for Payer: United Healthcare All Other HMO |
$6,299.50
|
| Rate for Payer: United Healthcare HMO Rider |
$6,299.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,299.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,795.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,274.81
|
| Rate for Payer: Vantage Medical Group Senior |
$4,795.28
|
|
|
HC BRUKER AER ID
|
Facility
|
IP
|
$50.00
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
900913001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Adventist Health Commercial |
$10.00
|
| Rate for Payer: Cash Price |
$22.50
|
| Rate for Payer: Central Health Plan Commercial |
$40.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.00
|
| Rate for Payer: EPIC Health Plan Senior |
$20.00
|
| Rate for Payer: Galaxy Health WC |
$42.50
|
| Rate for Payer: Global Benefits Group Commercial |
$30.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$31.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$29.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.00
|
| Rate for Payer: Multiplan Commercial |
$37.50
|
| Rate for Payer: Networks By Design Commercial |
$32.50
|
| Rate for Payer: Prime Health Services Commercial |
$42.50
|
|
|
HC BRUKER AER ID
|
Facility
|
OP
|
$45.00
|
|
|
Service Code
|
CPT 87077
|
| Hospital Charge Code |
900913001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Adventist Health Commercial |
$9.00
|
| Rate for Payer: Adventist Health Commercial |
$10.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$8.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$8.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$59.27
|
| Rate for Payer: Aetna of CA HMO/PPO |
$59.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$58.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$81.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$81.64
|
| Rate for Payer: Blue Shield of California Commercial |
$28.35
|
| Rate for Payer: Blue Shield of California Commercial |
$31.50
|
| Rate for Payer: Blue Shield of California EPN |
$19.85
|
| Rate for Payer: Blue Shield of California EPN |
$17.86
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$22.50
|
| Rate for Payer: Cash Price |
$22.50
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$22.50
|
| Rate for Payer: Central Health Plan Commercial |
$40.00
|
| Rate for Payer: Central Health Plan Commercial |
$36.00
|
| Rate for Payer: Cigna of CA HMO |
$28.80
|
| Rate for Payer: Cigna of CA HMO |
$32.00
|
| Rate for Payer: Cigna of CA PPO |
$33.30
|
| Rate for Payer: Cigna of CA PPO |
$37.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$8.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$8.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$31.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.33
|
| Rate for Payer: EPIC Health Plan Senior |
$8.89
|
| Rate for Payer: EPIC Health Plan Senior |
$8.89
|
| Rate for Payer: Galaxy Health WC |
$42.50
|
| Rate for Payer: Galaxy Health WC |
$38.25
|
| Rate for Payer: Global Benefits Group Commercial |
$30.00
|
| Rate for Payer: Global Benefits Group Commercial |
$27.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$40.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$13.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$13.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$28.57
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$31.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$12.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$12.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10.83
|
| Rate for Payer: Multiplan Commercial |
$37.50
|
| Rate for Payer: Multiplan Commercial |
$33.75
|
| Rate for Payer: Networks By Design Commercial |
$29.25
|
| Rate for Payer: Networks By Design Commercial |
$32.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8.08
|
| Rate for Payer: Prime Health Services Commercial |
$38.25
|
| Rate for Payer: Prime Health Services Commercial |
$42.50
|
| Rate for Payer: Prime Health Services Medicare |
$8.56
|
| Rate for Payer: Prime Health Services Medicare |
$8.56
|
| Rate for Payer: Riverside University Health System MISP |
$8.89
|
| Rate for Payer: Riverside University Health System MISP |
$8.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$27.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$225.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$225.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.54
|
| Rate for Payer: United Healthcare All Other HMO |
$6.54
|
| Rate for Payer: United Healthcare All Other HMO |
$6.54
|
| Rate for Payer: United Healthcare HMO Rider |
$6.54
|
| Rate for Payer: United Healthcare HMO Rider |
$6.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.54
|
| Rate for Payer: Upland Medical Group Pediatric |
$8.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$8.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Vantage Medical Group Senior |
$8.08
|
| Rate for Payer: Vantage Medical Group Senior |
$8.08
|
|
|
HC BRUKER ANA ID
|
Facility
|
OP
|
$35.00
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
900913002
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.54 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Adventist Health Commercial |
$7.00
|
| Rate for Payer: Adventist Health Commercial |
$12.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$8.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$8.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$59.27
|
| Rate for Payer: Aetna of CA HMO/PPO |
$59.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$91.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$91.64
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$127.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$127.40
|
| Rate for Payer: Blue Shield of California Commercial |
$22.05
|
| Rate for Payer: Blue Shield of California Commercial |
$37.80
|
| Rate for Payer: Blue Shield of California EPN |
$23.82
|
| Rate for Payer: Blue Shield of California EPN |
$13.89
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$27.00
|
| Rate for Payer: Cash Price |
$27.00
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$27.00
|
| Rate for Payer: Central Health Plan Commercial |
$48.00
|
| Rate for Payer: Central Health Plan Commercial |
$28.00
|
| Rate for Payer: Cigna of CA HMO |
$22.40
|
| Rate for Payer: Cigna of CA HMO |
$38.40
|
| Rate for Payer: Cigna of CA PPO |
$25.90
|
| Rate for Payer: Cigna of CA PPO |
$44.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$8.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$8.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$42.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$24.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.33
|
| Rate for Payer: EPIC Health Plan Senior |
$8.89
|
| Rate for Payer: EPIC Health Plan Senior |
$8.89
|
| Rate for Payer: Galaxy Health WC |
$51.00
|
| Rate for Payer: Galaxy Health WC |
$29.75
|
| Rate for Payer: Global Benefits Group Commercial |
$36.00
|
| Rate for Payer: Global Benefits Group Commercial |
$21.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$54.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$31.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$13.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$13.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$22.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$38.10
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$13.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$13.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10.83
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10.83
|
| Rate for Payer: Multiplan Commercial |
$45.00
|
| Rate for Payer: Multiplan Commercial |
$26.25
|
| Rate for Payer: Networks By Design Commercial |
$22.75
|
| Rate for Payer: Networks By Design Commercial |
$39.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$8.08
|
| Rate for Payer: Prime Health Services Commercial |
$29.75
|
| Rate for Payer: Prime Health Services Commercial |
$51.00
|
| Rate for Payer: Prime Health Services Medicare |
$8.56
|
| Rate for Payer: Prime Health Services Medicare |
$8.56
|
| Rate for Payer: Riverside University Health System MISP |
$8.89
|
| Rate for Payer: Riverside University Health System MISP |
$8.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$21.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$36.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$225.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$225.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.54
|
| Rate for Payer: United Healthcare All Other HMO |
$6.54
|
| Rate for Payer: United Healthcare All Other HMO |
$6.54
|
| Rate for Payer: United Healthcare HMO Rider |
$6.54
|
| Rate for Payer: United Healthcare HMO Rider |
$6.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.54
|
| Rate for Payer: Upland Medical Group Pediatric |
$8.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$8.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8.89
|
| Rate for Payer: Vantage Medical Group Senior |
$8.08
|
| Rate for Payer: Vantage Medical Group Senior |
$8.08
|
|
|
HC BRUKER ANA ID
|
Facility
|
IP
|
$60.00
|
|
|
Service Code
|
CPT 87076
|
| Hospital Charge Code |
900913002
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$54.00 |
| Rate for Payer: Adventist Health Commercial |
$12.00
|
| Rate for Payer: Cash Price |
$27.00
|
| Rate for Payer: Central Health Plan Commercial |
$48.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$42.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$24.00
|
| Rate for Payer: EPIC Health Plan Senior |
$24.00
|
| Rate for Payer: Galaxy Health WC |
$51.00
|
| Rate for Payer: Global Benefits Group Commercial |
$36.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$54.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$38.10
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$35.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.00
|
| Rate for Payer: Multiplan Commercial |
$45.00
|
| Rate for Payer: Networks By Design Commercial |
$39.00
|
| Rate for Payer: Prime Health Services Commercial |
$51.00
|
|
|
HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
|
Facility
|
OP
|
$792.00
|
|
|
Service Code
|
CPT Z7610
|
| Hospital Charge Code |
900831826
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$712.80 |
| Rate for Payer: Adventist Health Commercial |
$158.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$480.98
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$673.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$435.60
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$594.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$383.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$460.71
|
| Rate for Payer: Blue Shield of California Commercial |
$502.13
|
| Rate for Payer: Blue Shield of California EPN |
$316.01
|
| Rate for Payer: Cash Price |
$356.40
|
| Rate for Payer: Cash Price |
$356.40
|
| Rate for Payer: Central Health Plan Commercial |
$633.60
|
| Rate for Payer: Cigna of CA HMO |
$506.88
|
| Rate for Payer: Cigna of CA PPO |
$586.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$673.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$673.20
|
| Rate for Payer: Dignity Health Medicare Advantage |
$673.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$554.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$316.80
|
| Rate for Payer: EPIC Health Plan Senior |
$316.80
|
| Rate for Payer: Galaxy Health WC |
$673.20
|
| Rate for Payer: Global Benefits Group Commercial |
$475.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$712.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$0.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$502.92
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$0.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$467.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$158.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$554.40
|
| Rate for Payer: Multiplan Commercial |
$594.00
|
| Rate for Payer: Networks By Design Commercial |
$514.80
|
| Rate for Payer: Prime Health Services Commercial |
$673.20
|
| Rate for Payer: Riverside University Health System MISP |
$316.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$475.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$475.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$396.00
|
| Rate for Payer: United Healthcare All Other HMO |
$396.00
|
| Rate for Payer: United Healthcare HMO Rider |
$396.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$396.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$673.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$673.20
|
| Rate for Payer: Vantage Medical Group Senior |
$673.20
|
|
