|
HC BX BONE OPEN SUPERFICIAL
|
Facility
|
OP
|
$11,656.00
|
|
|
Service Code
|
CPT 20240
|
| Hospital Charge Code |
902320240
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$217.72 |
| Max. Negotiated Rate |
$16,122.00 |
| Rate for Payer: Adventist Health Commercial |
$2,331.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,636.52
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| 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 |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$6,410.80
|
| Rate for Payer: Cash Price |
$6,410.80
|
| Rate for Payer: Cash Price |
$6,410.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,324.80
|
| Rate for Payer: Cigna of CA HMO |
$7,459.84
|
| Rate for Payer: Cigna of CA PPO |
$8,625.44
|
| 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 |
$9,907.60
|
| Rate for Payer: Global Benefits Group Commercial |
$6,993.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,490.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,963.89
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$217.72
|
| 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 |
$7,774.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$240.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,636.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,331.20
|
| 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 |
$8,742.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$7,576.40
|
| 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 |
$9,907.60
|
| 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 |
$6,993.60
|
| 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 BX BONE OPEN SUPERFICIAL
|
Facility
|
IP
|
$11,656.00
|
|
|
Service Code
|
CPT 20240
|
| Hospital Charge Code |
902320240
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,331.20 |
| Max. Negotiated Rate |
$10,490.40 |
| Rate for Payer: Adventist Health Commercial |
$2,331.20
|
| Rate for Payer: Cash Price |
$6,410.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,324.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,662.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,662.40
|
| Rate for Payer: Galaxy Health WC |
$9,907.60
|
| Rate for Payer: Global Benefits Group Commercial |
$6,993.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,490.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,774.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,440.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,215.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,331.20
|
| Rate for Payer: Multiplan Commercial |
$8,742.00
|
| Rate for Payer: Networks By Design Commercial |
$7,576.40
|
| Rate for Payer: Prime Health Services Commercial |
$9,907.60
|
|
|
HC BX BREAST 1ST LESION MR IMAG
|
Facility
|
IP
|
$6,074.00
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
900100008
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,214.80 |
| Max. Negotiated Rate |
$5,466.60 |
| Rate for Payer: Adventist Health Commercial |
$1,214.80
|
| Rate for Payer: Cash Price |
$3,340.70
|
| Rate for Payer: Central Health Plan Commercial |
$4,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,429.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,429.60
|
| Rate for Payer: Galaxy Health WC |
$5,162.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,644.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,466.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,051.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,314.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,759.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,214.80
|
| Rate for Payer: Multiplan Commercial |
$4,555.50
|
| Rate for Payer: Networks By Design Commercial |
$3,948.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,162.90
|
|
|
HC BX BREAST 1ST LESION MR IMAG
|
Facility
|
OP
|
$6,074.00
|
|
|
Service Code
|
CPT 19085
|
| Hospital Charge Code |
900100008
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$286.24 |
| Max. Negotiated Rate |
$8,114.00 |
| Rate for Payer: Adventist Health Commercial |
$1,214.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,058.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,340.70
|
| Rate for Payer: Cash Price |
$3,340.70
|
| Rate for Payer: Cash Price |
$3,340.70
|
| Rate for Payer: Central Health Plan Commercial |
$4,859.20
|
| Rate for Payer: Cigna of CA HMO |
$3,887.36
|
| Rate for Payer: Cigna of CA PPO |
$4,494.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$5,162.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,644.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,466.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$286.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,051.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$316.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,214.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$4,555.50
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$3,948.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$5,162.90
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,644.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST 1ST LESION STRTCTC
|
Facility
|
IP
|
$5,327.00
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
900100004
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,065.40 |
| Max. Negotiated Rate |
$4,794.30 |
| Rate for Payer: Adventist Health Commercial |
$1,065.40
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,261.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,130.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,130.80
|
| Rate for Payer: Galaxy Health WC |
$4,527.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,196.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,794.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,553.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,029.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,297.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,065.40
|
| Rate for Payer: Multiplan Commercial |
$3,995.25
|
| Rate for Payer: Networks By Design Commercial |
$3,462.55
|
| Rate for Payer: Prime Health Services Commercial |
$4,527.95
|
|
|
HC BX BREAST 1ST LESION STRTCTC
|
Facility
|
OP
|
$5,327.00
|
|
|
Service Code
|
CPT 19081
|
| Hospital Charge Code |
900100004
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,065.40 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$1,065.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,058.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,261.60
|
| Rate for Payer: Cigna of CA HMO |
$3,409.28
|
| Rate for Payer: Cigna of CA PPO |
$3,941.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$4,527.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,196.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,794.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,087.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,553.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,201.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,065.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$3,995.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$3,462.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$4,527.95
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,196.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST 1ST LESION US IMAG
|
Facility
|
IP
|
$6,660.00
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
900100006
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,332.00 |
| Max. Negotiated Rate |
$5,994.00 |
| Rate for Payer: Adventist Health Commercial |
$1,332.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Central Health Plan Commercial |
$5,328.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,664.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,664.00
|
| Rate for Payer: Galaxy Health WC |
$5,661.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,996.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,994.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,442.22
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,537.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,122.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,332.00
|
| Rate for Payer: Multiplan Commercial |
$4,995.00
|
| Rate for Payer: Networks By Design Commercial |
$4,329.00
|
| Rate for Payer: Prime Health Services Commercial |
$5,661.00
|
|
|
HC BX BREAST 1ST LESION US IMAG
|
Facility
|
OP
|
$6,660.00
|
|
|
Service Code
|
CPT 19083
|
| Hospital Charge Code |
900100006
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,055.94 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$1,332.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,058.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Central Health Plan Commercial |
$5,328.00
|
| Rate for Payer: Cigna of CA HMO |
$4,262.40
|
| Rate for Payer: Cigna of CA PPO |
$4,928.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$5,661.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,996.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,994.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,055.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,442.22
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,166.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,332.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$4,995.00
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$4,329.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$5,661.00
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,996.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST ADD LESION MR IMAG
|
Facility
|
IP
|
$6,392.00
|
|
|
Service Code
|
CPT 19086
|
| Hospital Charge Code |
900100009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,278.40 |
| Max. Negotiated Rate |
$5,752.80 |
| Rate for Payer: Adventist Health Commercial |
$1,278.40
|
| Rate for Payer: Cash Price |
$3,515.60
|
| Rate for Payer: Central Health Plan Commercial |
$5,113.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,556.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,556.80
|
| Rate for Payer: Galaxy Health WC |
$5,433.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,835.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,752.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,263.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,435.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,956.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,278.40
|
| Rate for Payer: Multiplan Commercial |
$4,794.00
|
| Rate for Payer: Networks By Design Commercial |
$4,154.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,433.20
|
|
|
HC BX BREAST ADD LESION MR IMAG
|
Facility
|
OP
|
$6,392.00
|
|
|
Service Code
|
CPT 19086
|
| Hospital Charge Code |
900100009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$133.20 |
| Max. Negotiated Rate |
$7,837.47 |
| Rate for Payer: Adventist Health Commercial |
$1,278.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,433.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,515.60
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,794.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,095.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,754.02
|
| 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 |
$3,515.60
|
| Rate for Payer: Cash Price |
$3,515.60
|
| Rate for Payer: Cash Price |
$3,515.60
|
| Rate for Payer: Central Health Plan Commercial |
$5,113.60
|
| Rate for Payer: Cigna of CA HMO |
$4,090.88
|
| Rate for Payer: Cigna of CA PPO |
$4,730.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,433.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,433.20
|
| Rate for Payer: Dignity Health Medicare Advantage |
$5,433.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,556.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,556.80
|
| Rate for Payer: Galaxy Health WC |
$5,433.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,835.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,752.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$133.20
|
| Rate for Payer: InnovAge PACE Commercial |
$3,196.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,263.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$147.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,956.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,278.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,474.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,474.40
|
| Rate for Payer: Multiplan Commercial |
$4,794.00
|
| Rate for Payer: Networks By Design Commercial |
$4,154.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,433.20
|
| Rate for Payer: Riverside University Health System MISP |
$2,556.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,835.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,433.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,433.20
|
| Rate for Payer: Vantage Medical Group Senior |
$5,433.20
|
|
|
HC BX BREAST ADD LESION STRTCTC
|
Facility
|
OP
|
$5,327.00
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
900100005
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$906.10 |
| Max. Negotiated Rate |
$7,837.47 |
| Rate for Payer: Adventist Health Commercial |
$1,065.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4,527.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,929.85
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,995.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2,579.33
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,128.55
|
| 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 |
$2,929.85
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,261.60
|
| Rate for Payer: Cigna of CA HMO |
$3,409.28
|
| Rate for Payer: Cigna of CA PPO |
$3,941.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4,527.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,527.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,527.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,130.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,130.80
|
| Rate for Payer: Galaxy Health WC |
$4,527.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,196.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,794.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$906.10
|
| Rate for Payer: InnovAge PACE Commercial |
$2,663.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,553.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,000.92
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,297.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,065.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,728.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,728.90
|
| Rate for Payer: Multiplan Commercial |
$3,995.25
|
| Rate for Payer: Networks By Design Commercial |
$3,462.55
|
| Rate for Payer: Prime Health Services Commercial |
$4,527.95
|
| Rate for Payer: Riverside University Health System MISP |
$2,130.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,196.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4,527.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,527.95
|
| Rate for Payer: Vantage Medical Group Senior |
$4,527.95
|
|
|
HC BX BREAST ADD LESION STRTCTC
|
Facility
|
IP
|
$5,327.00
|
|
|
Service Code
|
CPT 19082
|
| Hospital Charge Code |
900100005
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,065.40 |
| Max. Negotiated Rate |
$4,794.30 |
| Rate for Payer: Adventist Health Commercial |
$1,065.40
|
| Rate for Payer: Cash Price |
$2,929.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,261.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,130.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,130.80
|
| Rate for Payer: Galaxy Health WC |
$4,527.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,196.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,794.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,553.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,029.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,297.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,065.40
|
| Rate for Payer: Multiplan Commercial |
$3,995.25
|
| Rate for Payer: Networks By Design Commercial |
$3,462.55
|
| Rate for Payer: Prime Health Services Commercial |
$4,527.95
|
|
|
HC BX BREAST ADD LESION US IMAG
|
Facility
|
OP
|
$6,660.00
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
900100007
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$871.52 |
| Max. Negotiated Rate |
$5,994.00 |
| Rate for Payer: Adventist Health Commercial |
$1,332.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,661.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,663.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,995.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,224.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,911.42
|
| Rate for Payer: Blue Shield of California Commercial |
$4,042.62
|
| Rate for Payer: Blue Shield of California EPN |
$2,644.02
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Central Health Plan Commercial |
$5,328.00
|
| Rate for Payer: Cigna of CA HMO |
$4,262.40
|
| Rate for Payer: Cigna of CA PPO |
$4,928.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,661.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,661.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$5,661.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,664.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,664.00
|
| Rate for Payer: Galaxy Health WC |
$5,661.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,996.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,994.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$871.52
|
| Rate for Payer: InnovAge PACE Commercial |
$3,330.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,442.22
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$962.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,122.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,332.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,662.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,662.00
|
| Rate for Payer: Multiplan Commercial |
$4,995.00
|
| Rate for Payer: Networks By Design Commercial |
$4,329.00
|
| Rate for Payer: Prime Health Services Commercial |
$5,661.00
|
| Rate for Payer: Riverside University Health System MISP |
$2,664.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,996.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,996.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,330.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,330.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,330.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,330.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,661.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,661.00
|
| Rate for Payer: Vantage Medical Group Senior |
$5,661.00
|
|
|
HC BX BREAST ADD LESION US IMAG
|
Facility
|
IP
|
$6,660.00
|
|
|
Service Code
|
CPT 19084
|
| Hospital Charge Code |
900100007
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$1,332.00 |
| Max. Negotiated Rate |
$5,994.00 |
| Rate for Payer: Adventist Health Commercial |
$1,332.00
|
| Rate for Payer: Cash Price |
$3,663.00
|
| Rate for Payer: Central Health Plan Commercial |
$5,328.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,664.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,664.00
|
| Rate for Payer: Galaxy Health WC |
$5,661.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,996.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,994.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,442.22
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,537.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,122.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,332.00
|
| Rate for Payer: Multiplan Commercial |
$4,995.00
|
| Rate for Payer: Networks By Design Commercial |
$4,329.00
|
| Rate for Payer: Prime Health Services Commercial |
$5,661.00
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
IP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$754.20 |
| Max. Negotiated Rate |
$3,393.90 |
| Rate for Payer: Adventist Health Commercial |
$754.20
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,508.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,508.40
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,436.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,334.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
IP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$754.20 |
| Max. Negotiated Rate |
$3,393.90 |
| Rate for Payer: Adventist Health Commercial |
$754.20
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,508.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,508.40
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,436.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,334.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
OP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$130.63 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$754.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,058.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| 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 |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: Cigna of CA HMO |
$2,413.44
|
| Rate for Payer: Cigna of CA PPO |
$2,790.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$130.63
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$144.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,262.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
OP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$144.31 |
| Max. Negotiated Rate |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$1,546.11
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: Cigna of CA HMO |
$2,413.44
|
| Rate for Payer: Cigna of CA PPO |
$2,790.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$144.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,262.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,262.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
OP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$144.31 |
| Max. Negotiated Rate |
$3,393.90 |
| Rate for Payer: Adventist Health Commercial |
$754.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| 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: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: Cigna of CA HMO |
$2,413.44
|
| Rate for Payer: Cigna of CA PPO |
$2,790.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$144.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,262.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,885.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,885.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,885.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,885.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX BREAST PERCUT W/O IMAGE
|
Facility
|
IP
|
$3,771.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
900501761
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$754.20 |
| Max. Negotiated Rate |
$3,393.90 |
| Rate for Payer: Adventist Health Commercial |
$754.20
|
| Rate for Payer: Cash Price |
$2,074.05
|
| Rate for Payer: Central Health Plan Commercial |
$3,016.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,508.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,508.40
|
| Rate for Payer: Galaxy Health WC |
$3,205.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,262.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,393.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,515.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,436.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,334.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$754.20
|
| Rate for Payer: Multiplan Commercial |
$2,828.25
|
| Rate for Payer: Networks By Design Commercial |
$2,451.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,205.35
|
|
|
HC BX OF LACRIMAL GLAND
|
Facility
|
IP
|
$9,219.00
|
|
|
Service Code
|
CPT 68510
|
| Hospital Charge Code |
988168510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,843.80 |
| Max. Negotiated Rate |
$8,297.10 |
| Rate for Payer: Adventist Health Commercial |
$1,843.80
|
| Rate for Payer: Cash Price |
$5,070.45
|
| Rate for Payer: Central Health Plan Commercial |
$7,375.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,687.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,687.60
|
| Rate for Payer: Galaxy Health WC |
$7,836.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,531.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,297.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,149.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,512.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,706.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,843.80
|
| Rate for Payer: Multiplan Commercial |
$6,914.25
|
| Rate for Payer: Networks By Design Commercial |
$5,992.35
|
| Rate for Payer: Prime Health Services Commercial |
$7,836.15
|
|
|
HC BX OF LACRIMAL GLAND
|
Facility
|
OP
|
$9,219.00
|
|
|
Service Code
|
CPT 68510
|
| Hospital Charge Code |
988168510
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$819.01 |
| Max. Negotiated Rate |
$16,122.00 |
| Rate for Payer: Adventist Health Commercial |
$1,843.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,964.26
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4,446.39
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,260.69
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,964.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$4,723.01
|
| 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 |
$5,070.45
|
| Rate for Payer: Cash Price |
$5,070.45
|
| Rate for Payer: Cash Price |
$5,070.45
|
| Rate for Payer: Central Health Plan Commercial |
$7,375.20
|
| Rate for Payer: Cigna of CA HMO |
$5,900.16
|
| Rate for Payer: Cigna of CA PPO |
$6,822.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4,446.39
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,260.69
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,964.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,001.75
|
| Rate for Payer: EPIC Health Plan Senior |
$2,964.26
|
| Rate for Payer: Galaxy Health WC |
$7,836.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,531.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,297.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,861.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$819.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,964.26
|
| Rate for Payer: InnovAge PACE Commercial |
$4,446.39
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,149.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$904.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,964.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,843.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,972.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,972.11
|
| Rate for Payer: Multiplan Commercial |
$6,914.25
|
| Rate for Payer: Multiplan WC |
$4,723.01
|
| Rate for Payer: Networks By Design Commercial |
$5,992.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,964.26
|
| Rate for Payer: Preferred Health Network WC |
$4,819.40
|
| Rate for Payer: Prime Health Services Commercial |
$7,836.15
|
| Rate for Payer: Prime Health Services Medicare |
$3,142.12
|
| Rate for Payer: Prime Health Services WC |
$4,674.82
|
| Rate for Payer: Riverside University Health System MISP |
$3,260.69
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,531.40
|
| 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 |
$2,964.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4,446.39
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,260.69
|
| Rate for Payer: Vantage Medical Group Senior |
$2,964.26
|
|
|
HC BX OF PLEURA PERC NEEDLE
|
Facility
|
OP
|
$6,395.00
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
900831706
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$230.53 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$1,279.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,058.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,058.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| 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 |
$3,517.25
|
| Rate for Payer: Cash Price |
$3,517.25
|
| Rate for Payer: Cash Price |
$3,517.25
|
| Rate for Payer: Central Health Plan Commercial |
$5,116.00
|
| Rate for Payer: Cigna of CA HMO |
$4,092.80
|
| Rate for Payer: Cigna of CA PPO |
$4,732.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,264.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,058.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,779.22
|
| Rate for Payer: EPIC Health Plan Senior |
$2,058.68
|
| Rate for Payer: Galaxy Health WC |
$5,435.75
|
| Rate for Payer: Global Benefits Group Commercial |
$3,837.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,755.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,376.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$230.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,058.68
|
| Rate for Payer: InnovAge PACE Commercial |
$3,088.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,265.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$254.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,058.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,279.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,758.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,758.63
|
| Rate for Payer: Multiplan Commercial |
$4,796.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$4,156.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,058.68
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$5,435.75
|
| Rate for Payer: Prime Health Services Medicare |
$2,182.20
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,264.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,837.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,058.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,088.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,264.55
|
| Rate for Payer: Vantage Medical Group Senior |
$2,058.68
|
|
|
HC BX OF PLEURA PERC NEEDLE
|
Facility
|
IP
|
$6,395.00
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
900831706
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,279.00 |
| Max. Negotiated Rate |
$5,755.50 |
| Rate for Payer: Adventist Health Commercial |
$1,279.00
|
| Rate for Payer: Cash Price |
$3,517.25
|
| Rate for Payer: Central Health Plan Commercial |
$5,116.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,558.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,558.00
|
| Rate for Payer: Galaxy Health WC |
$5,435.75
|
| Rate for Payer: Global Benefits Group Commercial |
$3,837.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,755.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,265.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,436.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,958.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,279.00
|
| Rate for Payer: Multiplan Commercial |
$4,796.25
|
| Rate for Payer: Networks By Design Commercial |
$4,156.75
|
| Rate for Payer: Prime Health Services Commercial |
$5,435.75
|
|
|
HC BX OR EXC OF LN OPEN, INGFEM NODES
|
Facility
|
OP
|
$11,525.00
|
|
|
Service Code
|
CPT 38531
|
| Hospital Charge Code |
909008531
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$647.41 |
| Max. Negotiated Rate |
$20,902.00 |
| Rate for Payer: Adventist Health Commercial |
$2,305.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,865.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,298.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,352.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,865.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,752.28
|
| Rate for Payer: Blue Shield of California Commercial |
$5,999.40
|
| Rate for Payer: Blue Shield of California EPN |
$3,914.40
|
| Rate for Payer: Cash Price |
$6,338.75
|
| Rate for Payer: Cash Price |
$6,338.75
|
| Rate for Payer: Cash Price |
$6,338.75
|
| Rate for Payer: Central Health Plan Commercial |
$9,220.00
|
| Rate for Payer: Cigna of CA HMO |
$7,376.00
|
| Rate for Payer: Cigna of CA PPO |
$8,528.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,298.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,352.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,865.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,568.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,865.48
|
| Rate for Payer: Galaxy Health WC |
$9,796.25
|
| Rate for Payer: Global Benefits Group Commercial |
$6,915.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,372.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,979.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$647.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,865.48
|
| Rate for Payer: InnovAge PACE Commercial |
$7,298.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,687.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$715.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,865.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,305.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,519.74
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,519.74
|
| Rate for Payer: Multiplan Commercial |
$8,643.75
|
| Rate for Payer: Multiplan WC |
$7,752.28
|
| Rate for Payer: Networks By Design Commercial |
$7,491.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,865.48
|
| Rate for Payer: Preferred Health Network WC |
$7,910.49
|
| Rate for Payer: Prime Health Services Commercial |
$9,796.25
|
| Rate for Payer: Prime Health Services Medicare |
$5,157.41
|
| Rate for Payer: Prime Health Services WC |
$7,673.18
|
| Rate for Payer: Riverside University Health System MISP |
$5,352.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,915.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,865.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,298.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,352.03
|
| Rate for Payer: Vantage Medical Group Senior |
$4,865.48
|
|
