|
HC CATH FOLEY 16FR W/TEMP SENSING
|
Facility
|
OP
|
$207.27
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901608089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.86 |
| Max. Negotiated Rate |
$186.54 |
| Rate for Payer: Adventist Health Commercial |
$41.45
|
| Rate for Payer: Aetna of CA HMO/PPO |
$30.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$176.18
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$114.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$155.45
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$100.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$120.57
|
| Rate for Payer: Blue Shield of California Commercial |
$131.41
|
| Rate for Payer: Blue Shield of California EPN |
$82.70
|
| Rate for Payer: Cash Price |
$93.27
|
| Rate for Payer: Cash Price |
$93.27
|
| Rate for Payer: Central Health Plan Commercial |
$165.82
|
| Rate for Payer: Cigna of CA HMO |
$132.65
|
| Rate for Payer: Cigna of CA PPO |
$153.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$176.18
|
| Rate for Payer: Dignity Health Medi-Cal |
$176.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$176.18
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$145.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$82.91
|
| Rate for Payer: EPIC Health Plan Senior |
$82.91
|
| Rate for Payer: Galaxy Health WC |
$176.18
|
| Rate for Payer: Global Benefits Group Commercial |
$124.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$186.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$131.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$75.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$122.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$41.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$145.09
|
| Rate for Payer: Multiplan Commercial |
$155.45
|
| Rate for Payer: Networks By Design Commercial |
$134.73
|
| Rate for Payer: Prime Health Services Commercial |
$176.18
|
| Rate for Payer: Riverside University Health System MISP |
$82.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$124.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$124.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$103.64
|
| Rate for Payer: United Healthcare All Other HMO |
$103.64
|
| Rate for Payer: United Healthcare HMO Rider |
$103.64
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$103.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$176.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$176.18
|
| Rate for Payer: Vantage Medical Group Senior |
$176.18
|
|
|
HC CATH FOLEY 18FR 30ML 3WAY
|
Facility
|
IP
|
$117.42
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698709
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.48 |
| Max. Negotiated Rate |
$105.68 |
| Rate for Payer: Adventist Health Commercial |
$23.48
|
| Rate for Payer: Cash Price |
$52.84
|
| Rate for Payer: Central Health Plan Commercial |
$93.94
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$82.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$46.97
|
| Rate for Payer: EPIC Health Plan Senior |
$46.97
|
| Rate for Payer: Galaxy Health WC |
$99.81
|
| Rate for Payer: Global Benefits Group Commercial |
$70.45
|
| Rate for Payer: Health Management Network EPO/PPO |
$105.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$74.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$69.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$23.48
|
| Rate for Payer: Multiplan Commercial |
$88.06
|
| Rate for Payer: Networks By Design Commercial |
$76.32
|
| Rate for Payer: Prime Health Services Commercial |
$99.81
|
|
|
HC CATH FOLEY 18FR 30ML 3WAY
|
Facility
|
OP
|
$117.42
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698709
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.48 |
| Max. Negotiated Rate |
$105.68 |
| Rate for Payer: Adventist Health Commercial |
$23.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$99.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$64.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$88.06
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$56.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$68.30
|
| Rate for Payer: Blue Shield of California Commercial |
$74.44
|
| Rate for Payer: Blue Shield of California EPN |
$46.85
|
| Rate for Payer: Cash Price |
$52.84
|
| Rate for Payer: Cash Price |
$52.84
|
| Rate for Payer: Central Health Plan Commercial |
$93.94
|
| Rate for Payer: Cigna of CA HMO |
$75.15
|
| Rate for Payer: Cigna of CA PPO |
$86.89
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$99.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$99.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$99.81
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$82.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$46.97
|
| Rate for Payer: EPIC Health Plan Senior |
$46.97
|
| Rate for Payer: Galaxy Health WC |
$99.81
|
| Rate for Payer: Global Benefits Group Commercial |
$70.45
|
| Rate for Payer: Health Management Network EPO/PPO |
$105.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$74.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$42.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$69.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$23.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$82.19
|
| Rate for Payer: Multiplan Commercial |
$88.06
|
| Rate for Payer: Networks By Design Commercial |
$76.32
|
| Rate for Payer: Prime Health Services Commercial |
$99.81
|
| Rate for Payer: Riverside University Health System MISP |
$46.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$70.45
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$70.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$58.71
|
| Rate for Payer: United Healthcare All Other HMO |
$58.71
|
| Rate for Payer: United Healthcare HMO Rider |
$58.71
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$58.71
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$99.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$99.81
|
| Rate for Payer: Vantage Medical Group Senior |
$99.81
|
|
|
HC CATH FOLEY 18FR COUDE TIP 2WAY
|
Facility
|
IP
|
$38.38
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901698754
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$34.54 |
| Rate for Payer: Adventist Health Commercial |
$7.68
|
| Rate for Payer: Cash Price |
$17.27
|
| Rate for Payer: Central Health Plan Commercial |
$30.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$26.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.35
|
| Rate for Payer: EPIC Health Plan Senior |
$15.35
|
| Rate for Payer: Galaxy Health WC |
$32.62
|
| Rate for Payer: Global Benefits Group Commercial |
$23.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$34.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$24.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$22.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.68
|
| Rate for Payer: Multiplan Commercial |
$28.79
|
| Rate for Payer: Networks By Design Commercial |
$24.95
|
| Rate for Payer: Prime Health Services Commercial |
$32.62
|
|
|
HC CATH FOLEY 18FR COUDE TIP 2WAY
|
Facility
|
OP
|
$38.38
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901698754
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$34.54 |
| Rate for Payer: Adventist Health Commercial |
$7.68
|
| Rate for Payer: Aetna of CA HMO/PPO |
$30.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$32.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$21.11
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$18.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$22.33
|
| Rate for Payer: Blue Shield of California Commercial |
$24.33
|
| Rate for Payer: Blue Shield of California EPN |
$15.31
|
| Rate for Payer: Cash Price |
$17.27
|
| Rate for Payer: Cash Price |
$17.27
|
| Rate for Payer: Central Health Plan Commercial |
$30.70
|
| Rate for Payer: Cigna of CA HMO |
$24.56
|
| Rate for Payer: Cigna of CA PPO |
$28.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$32.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$32.62
|
| Rate for Payer: Dignity Health Medicare Advantage |
$32.62
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$26.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.35
|
| Rate for Payer: EPIC Health Plan Senior |
$15.35
|
| Rate for Payer: Galaxy Health WC |
$32.62
|
| Rate for Payer: Global Benefits Group Commercial |
$23.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$34.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$24.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$13.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$22.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$26.87
|
| Rate for Payer: Multiplan Commercial |
$28.79
|
| Rate for Payer: Networks By Design Commercial |
$24.95
|
| Rate for Payer: Prime Health Services Commercial |
$32.62
|
| Rate for Payer: Riverside University Health System MISP |
$15.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.03
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.19
|
| Rate for Payer: United Healthcare All Other HMO |
$19.19
|
| Rate for Payer: United Healthcare HMO Rider |
$19.19
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32.62
|
| Rate for Payer: Vantage Medical Group Senior |
$32.62
|
|
|
HC CATH FOLEY 22FR 5CC 2WAY
|
Facility
|
IP
|
$39.77
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901601366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.95 |
| Max. Negotiated Rate |
$35.79 |
| Rate for Payer: Adventist Health Commercial |
$7.95
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Central Health Plan Commercial |
$31.82
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$27.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.91
|
| Rate for Payer: EPIC Health Plan Senior |
$15.91
|
| Rate for Payer: Galaxy Health WC |
$33.80
|
| Rate for Payer: Global Benefits Group Commercial |
$23.86
|
| Rate for Payer: Health Management Network EPO/PPO |
$35.79
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.95
|
| Rate for Payer: Multiplan Commercial |
$29.83
|
| Rate for Payer: Networks By Design Commercial |
$25.85
|
| Rate for Payer: Prime Health Services Commercial |
$33.80
|
|
|
HC CATH FOLEY 22FR 5CC 2WAY
|
Facility
|
OP
|
$39.77
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901601366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.95 |
| Max. Negotiated Rate |
$35.79 |
| Rate for Payer: Adventist Health Commercial |
$7.95
|
| Rate for Payer: Aetna of CA HMO/PPO |
$30.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$33.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$21.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$29.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23.13
|
| Rate for Payer: Blue Shield of California Commercial |
$25.21
|
| Rate for Payer: Blue Shield of California EPN |
$15.87
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Central Health Plan Commercial |
$31.82
|
| Rate for Payer: Cigna of CA HMO |
$25.45
|
| Rate for Payer: Cigna of CA PPO |
$29.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$33.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$33.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$33.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$27.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.91
|
| Rate for Payer: EPIC Health Plan Senior |
$15.91
|
| Rate for Payer: Galaxy Health WC |
$33.80
|
| Rate for Payer: Global Benefits Group Commercial |
$23.86
|
| Rate for Payer: Health Management Network EPO/PPO |
$35.79
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$14.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$27.84
|
| Rate for Payer: Multiplan Commercial |
$29.83
|
| Rate for Payer: Networks By Design Commercial |
$25.85
|
| Rate for Payer: Prime Health Services Commercial |
$33.80
|
| Rate for Payer: Riverside University Health System MISP |
$15.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.86
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.89
|
| Rate for Payer: United Healthcare All Other HMO |
$19.89
|
| Rate for Payer: United Healthcare HMO Rider |
$19.89
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$33.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$33.80
|
| Rate for Payer: Vantage Medical Group Senior |
$33.80
|
|
|
HC CATH FOLEY 24FR 5CC 2 WAY
|
Facility
|
OP
|
$18.20
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901601367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.64 |
| Max. Negotiated Rate |
$30.86 |
| Rate for Payer: Adventist Health Commercial |
$3.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$30.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15.47
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.01
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.59
|
| Rate for Payer: Blue Shield of California Commercial |
$11.54
|
| Rate for Payer: Blue Shield of California EPN |
$7.26
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Central Health Plan Commercial |
$14.56
|
| Rate for Payer: Cigna of CA HMO |
$11.65
|
| Rate for Payer: Cigna of CA PPO |
$13.47
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15.47
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.47
|
| Rate for Payer: Dignity Health Medicare Advantage |
$15.47
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.28
|
| Rate for Payer: EPIC Health Plan Senior |
$7.28
|
| Rate for Payer: Galaxy Health WC |
$15.47
|
| Rate for Payer: Global Benefits Group Commercial |
$10.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.38
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.61
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.74
|
| Rate for Payer: Multiplan Commercial |
$13.65
|
| Rate for Payer: Networks By Design Commercial |
$11.83
|
| Rate for Payer: Prime Health Services Commercial |
$15.47
|
| Rate for Payer: Riverside University Health System MISP |
$7.28
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.92
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.10
|
| Rate for Payer: United Healthcare All Other HMO |
$9.10
|
| Rate for Payer: United Healthcare HMO Rider |
$9.10
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.10
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15.47
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.47
|
| Rate for Payer: Vantage Medical Group Senior |
$15.47
|
|
|
HC CATH FOLEY 24FR 5CC 2 WAY
|
Facility
|
IP
|
$18.20
|
|
|
Service Code
|
CPT A4338
|
| Hospital Charge Code |
901601367
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.64 |
| Max. Negotiated Rate |
$16.38 |
| Rate for Payer: Adventist Health Commercial |
$3.64
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Central Health Plan Commercial |
$14.56
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.28
|
| Rate for Payer: EPIC Health Plan Senior |
$7.28
|
| Rate for Payer: Galaxy Health WC |
$15.47
|
| Rate for Payer: Global Benefits Group Commercial |
$10.92
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.38
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.64
|
| Rate for Payer: Multiplan Commercial |
$13.65
|
| Rate for Payer: Networks By Design Commercial |
$11.83
|
| Rate for Payer: Prime Health Services Commercial |
$15.47
|
|
|
HC CATH FOLEY 3WAY 16FR 30ML
|
Facility
|
OP
|
$61.66
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698649
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.33 |
| Max. Negotiated Rate |
$55.49 |
| Rate for Payer: Adventist Health Commercial |
$12.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$52.41
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$33.91
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$46.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35.87
|
| Rate for Payer: Blue Shield of California Commercial |
$39.09
|
| Rate for Payer: Blue Shield of California EPN |
$24.60
|
| Rate for Payer: Cash Price |
$27.75
|
| Rate for Payer: Cash Price |
$27.75
|
| Rate for Payer: Central Health Plan Commercial |
$49.33
|
| Rate for Payer: Cigna of CA HMO |
$39.46
|
| Rate for Payer: Cigna of CA PPO |
$45.63
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$52.41
|
| Rate for Payer: Dignity Health Medi-Cal |
$52.41
|
| Rate for Payer: Dignity Health Medicare Advantage |
$52.41
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$43.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$24.66
|
| Rate for Payer: EPIC Health Plan Senior |
$24.66
|
| Rate for Payer: Galaxy Health WC |
$52.41
|
| Rate for Payer: Global Benefits Group Commercial |
$37.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$55.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$39.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$36.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$43.16
|
| Rate for Payer: Multiplan Commercial |
$46.24
|
| Rate for Payer: Networks By Design Commercial |
$40.08
|
| Rate for Payer: Prime Health Services Commercial |
$52.41
|
| Rate for Payer: Riverside University Health System MISP |
$24.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$37.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$37.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.83
|
| Rate for Payer: United Healthcare All Other HMO |
$30.83
|
| Rate for Payer: United Healthcare HMO Rider |
$30.83
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30.83
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$52.41
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$52.41
|
| Rate for Payer: Vantage Medical Group Senior |
$52.41
|
|
|
HC CATH FOLEY 3WAY 16FR 30ML
|
Facility
|
IP
|
$61.66
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698649
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.33 |
| Max. Negotiated Rate |
$55.49 |
| Rate for Payer: Adventist Health Commercial |
$12.33
|
| Rate for Payer: Cash Price |
$27.75
|
| Rate for Payer: Central Health Plan Commercial |
$49.33
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$43.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$24.66
|
| Rate for Payer: EPIC Health Plan Senior |
$24.66
|
| Rate for Payer: Galaxy Health WC |
$52.41
|
| Rate for Payer: Global Benefits Group Commercial |
$37.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$55.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$39.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$36.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.33
|
| Rate for Payer: Multiplan Commercial |
$46.24
|
| Rate for Payer: Networks By Design Commercial |
$40.08
|
| Rate for Payer: Prime Health Services Commercial |
$52.41
|
|
|
HC CATH FOLEY 3WAY 18FR 30ML
|
Facility
|
IP
|
$65.44
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607381
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.09 |
| Max. Negotiated Rate |
$58.90 |
| Rate for Payer: Adventist Health Commercial |
$13.09
|
| Rate for Payer: Cash Price |
$29.45
|
| Rate for Payer: Central Health Plan Commercial |
$52.35
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$26.18
|
| Rate for Payer: EPIC Health Plan Senior |
$26.18
|
| Rate for Payer: Galaxy Health WC |
$55.62
|
| Rate for Payer: Global Benefits Group Commercial |
$39.26
|
| Rate for Payer: Health Management Network EPO/PPO |
$58.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$41.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$38.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.09
|
| Rate for Payer: Multiplan Commercial |
$49.08
|
| Rate for Payer: Networks By Design Commercial |
$42.54
|
| Rate for Payer: Prime Health Services Commercial |
$55.62
|
|
|
HC CATH FOLEY 3WAY 18FR 30ML
|
Facility
|
OP
|
$65.44
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607381
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.09 |
| Max. Negotiated Rate |
$58.90 |
| Rate for Payer: Adventist Health Commercial |
$13.09
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$55.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$35.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$49.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$38.07
|
| Rate for Payer: Blue Shield of California Commercial |
$41.49
|
| Rate for Payer: Blue Shield of California EPN |
$26.11
|
| Rate for Payer: Cash Price |
$29.45
|
| Rate for Payer: Cash Price |
$29.45
|
| Rate for Payer: Central Health Plan Commercial |
$52.35
|
| Rate for Payer: Cigna of CA HMO |
$41.88
|
| Rate for Payer: Cigna of CA PPO |
$48.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$55.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$55.62
|
| Rate for Payer: Dignity Health Medicare Advantage |
$55.62
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$26.18
|
| Rate for Payer: EPIC Health Plan Senior |
$26.18
|
| Rate for Payer: Galaxy Health WC |
$55.62
|
| Rate for Payer: Global Benefits Group Commercial |
$39.26
|
| Rate for Payer: Health Management Network EPO/PPO |
$58.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$41.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$23.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$38.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$45.81
|
| Rate for Payer: Multiplan Commercial |
$49.08
|
| Rate for Payer: Networks By Design Commercial |
$42.54
|
| Rate for Payer: Prime Health Services Commercial |
$55.62
|
| Rate for Payer: Riverside University Health System MISP |
$26.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$39.26
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$39.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$32.72
|
| Rate for Payer: United Healthcare All Other HMO |
$32.72
|
| Rate for Payer: United Healthcare HMO Rider |
$32.72
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$55.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$55.62
|
| Rate for Payer: Vantage Medical Group Senior |
$55.62
|
|
|
HC CATH FOLEY 3WAY 22FR 30ML
|
Facility
|
OP
|
$56.25
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Adventist Health Commercial |
$11.25
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.94
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$42.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.72
|
| Rate for Payer: Blue Shield of California Commercial |
$35.66
|
| Rate for Payer: Blue Shield of California EPN |
$22.44
|
| Rate for Payer: Cash Price |
$25.31
|
| Rate for Payer: Cash Price |
$25.31
|
| Rate for Payer: Central Health Plan Commercial |
$45.00
|
| Rate for Payer: Cigna of CA HMO |
$36.00
|
| Rate for Payer: Cigna of CA PPO |
$41.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$47.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$47.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$47.81
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.50
|
| Rate for Payer: EPIC Health Plan Senior |
$22.50
|
| Rate for Payer: Galaxy Health WC |
$47.81
|
| Rate for Payer: Global Benefits Group Commercial |
$33.75
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.62
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$39.38
|
| Rate for Payer: Multiplan Commercial |
$42.19
|
| Rate for Payer: Networks By Design Commercial |
$36.56
|
| Rate for Payer: Prime Health Services Commercial |
$47.81
|
| Rate for Payer: Riverside University Health System MISP |
$22.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.75
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.12
|
| Rate for Payer: United Healthcare All Other HMO |
$28.12
|
| Rate for Payer: United Healthcare HMO Rider |
$28.12
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$47.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$47.81
|
| Rate for Payer: Vantage Medical Group Senior |
$47.81
|
|
|
HC CATH FOLEY 3WAY 22FR 30ML
|
Facility
|
IP
|
$56.25
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.25 |
| Max. Negotiated Rate |
$50.62 |
| Rate for Payer: Adventist Health Commercial |
$11.25
|
| Rate for Payer: Cash Price |
$25.31
|
| Rate for Payer: Central Health Plan Commercial |
$45.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.50
|
| Rate for Payer: EPIC Health Plan Senior |
$22.50
|
| Rate for Payer: Galaxy Health WC |
$47.81
|
| Rate for Payer: Global Benefits Group Commercial |
$33.75
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.62
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.25
|
| Rate for Payer: Multiplan Commercial |
$42.19
|
| Rate for Payer: Networks By Design Commercial |
$36.56
|
| Rate for Payer: Prime Health Services Commercial |
$47.81
|
|
|
HC CATH FOLEY 3WAY 24FR 30ML
|
Facility
|
OP
|
$64.94
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$58.45 |
| Rate for Payer: Adventist Health Commercial |
$12.99
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$55.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$35.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$48.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37.78
|
| Rate for Payer: Blue Shield of California Commercial |
$41.17
|
| Rate for Payer: Blue Shield of California EPN |
$25.91
|
| Rate for Payer: Cash Price |
$29.22
|
| Rate for Payer: Cash Price |
$29.22
|
| Rate for Payer: Central Health Plan Commercial |
$51.95
|
| Rate for Payer: Cigna of CA HMO |
$41.56
|
| Rate for Payer: Cigna of CA PPO |
$48.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$55.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$55.20
|
| Rate for Payer: Dignity Health Medicare Advantage |
$55.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$25.98
|
| Rate for Payer: EPIC Health Plan Senior |
$25.98
|
| Rate for Payer: Galaxy Health WC |
$55.20
|
| Rate for Payer: Global Benefits Group Commercial |
$38.96
|
| Rate for Payer: Health Management Network EPO/PPO |
$58.45
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$41.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$23.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$38.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.99
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$45.46
|
| Rate for Payer: Multiplan Commercial |
$48.70
|
| Rate for Payer: Networks By Design Commercial |
$42.21
|
| Rate for Payer: Prime Health Services Commercial |
$55.20
|
| Rate for Payer: Riverside University Health System MISP |
$25.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$38.96
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$38.96
|
| Rate for Payer: United Healthcare All Other Commercial |
$32.47
|
| Rate for Payer: United Healthcare All Other HMO |
$32.47
|
| Rate for Payer: United Healthcare HMO Rider |
$32.47
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32.47
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$55.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$55.20
|
| Rate for Payer: Vantage Medical Group Senior |
$55.20
|
|
|
HC CATH FOLEY 3WAY 24FR 30ML
|
Facility
|
IP
|
$64.94
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901607382
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.99 |
| Max. Negotiated Rate |
$58.45 |
| Rate for Payer: Adventist Health Commercial |
$12.99
|
| Rate for Payer: Cash Price |
$29.22
|
| Rate for Payer: Central Health Plan Commercial |
$51.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$25.98
|
| Rate for Payer: EPIC Health Plan Senior |
$25.98
|
| Rate for Payer: Galaxy Health WC |
$55.20
|
| Rate for Payer: Global Benefits Group Commercial |
$38.96
|
| Rate for Payer: Health Management Network EPO/PPO |
$58.45
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$41.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$38.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.99
|
| Rate for Payer: Multiplan Commercial |
$48.70
|
| Rate for Payer: Networks By Design Commercial |
$42.21
|
| Rate for Payer: Prime Health Services Commercial |
$55.20
|
|
|
HC CATH FOLEY 6FR LF
|
Facility
|
OP
|
$82.00
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901606996
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$40.31
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47.70
|
| Rate for Payer: Blue Shield of California Commercial |
$51.99
|
| Rate for Payer: Blue Shield of California EPN |
$32.72
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Cigna of CA HMO |
$52.48
|
| Rate for Payer: Cigna of CA PPO |
$60.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$69.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$69.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$57.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$53.30
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: Riverside University Health System MISP |
$32.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$41.00
|
| Rate for Payer: United Healthcare All Other HMO |
$41.00
|
| Rate for Payer: United Healthcare HMO Rider |
$41.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$41.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$69.70
|
| Rate for Payer: Vantage Medical Group Senior |
$69.70
|
|
|
HC CATH FOLEY 6FR LF
|
Facility
|
IP
|
$82.00
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901606996
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$53.30
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
|
|
HC CATH FOLEY 6FR UR METER TRAY
|
Facility
|
IP
|
$287.21
|
|
| Hospital Charge Code |
901698921
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.44 |
| Max. Negotiated Rate |
$258.49 |
| Rate for Payer: Adventist Health Commercial |
$57.44
|
| Rate for Payer: Cash Price |
$129.24
|
| Rate for Payer: Central Health Plan Commercial |
$229.77
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$201.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$114.88
|
| Rate for Payer: EPIC Health Plan Senior |
$114.88
|
| Rate for Payer: Galaxy Health WC |
$244.13
|
| Rate for Payer: Global Benefits Group Commercial |
$172.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$258.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$182.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$169.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$57.44
|
| Rate for Payer: Multiplan Commercial |
$215.41
|
| Rate for Payer: Networks By Design Commercial |
$186.69
|
| Rate for Payer: Prime Health Services Commercial |
$244.13
|
|
|
HC CATH FOLEY 6FR UR METER TRAY
|
Facility
|
OP
|
$287.21
|
|
| Hospital Charge Code |
901698921
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.44 |
| Max. Negotiated Rate |
$258.49 |
| Rate for Payer: Adventist Health Commercial |
$57.44
|
| Rate for Payer: Aetna of CA HMO/PPO |
$174.42
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$244.13
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$157.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$215.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$139.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$167.07
|
| Rate for Payer: Blue Shield of California Commercial |
$182.09
|
| Rate for Payer: Blue Shield of California EPN |
$114.60
|
| Rate for Payer: Cash Price |
$129.24
|
| Rate for Payer: Central Health Plan Commercial |
$229.77
|
| Rate for Payer: Cigna of CA HMO |
$183.81
|
| Rate for Payer: Cigna of CA PPO |
$212.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$244.13
|
| Rate for Payer: Dignity Health Medi-Cal |
$244.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$244.13
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$201.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$114.88
|
| Rate for Payer: EPIC Health Plan Senior |
$114.88
|
| Rate for Payer: Galaxy Health WC |
$244.13
|
| Rate for Payer: Global Benefits Group Commercial |
$172.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$258.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$182.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$104.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$169.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$57.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$201.05
|
| Rate for Payer: Multiplan Commercial |
$215.41
|
| Rate for Payer: Networks By Design Commercial |
$186.69
|
| Rate for Payer: Prime Health Services Commercial |
$244.13
|
| Rate for Payer: Riverside University Health System MISP |
$114.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$172.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$172.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$143.60
|
| Rate for Payer: United Healthcare All Other HMO |
$143.60
|
| Rate for Payer: United Healthcare HMO Rider |
$143.60
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$143.60
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$244.13
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$244.13
|
| Rate for Payer: Vantage Medical Group Senior |
$244.13
|
|
|
HC CATH FOLEY 8FR 3ML 2WAY PEDS
|
Facility
|
IP
|
$36.82
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901698654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.36 |
| Max. Negotiated Rate |
$33.14 |
| Rate for Payer: Adventist Health Commercial |
$7.36
|
| Rate for Payer: Cash Price |
$16.57
|
| Rate for Payer: Central Health Plan Commercial |
$29.46
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$25.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$14.73
|
| Rate for Payer: EPIC Health Plan Senior |
$14.73
|
| Rate for Payer: Galaxy Health WC |
$31.30
|
| Rate for Payer: Global Benefits Group Commercial |
$22.09
|
| Rate for Payer: Health Management Network EPO/PPO |
$33.14
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$23.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$21.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.36
|
| Rate for Payer: Multiplan Commercial |
$27.61
|
| Rate for Payer: Networks By Design Commercial |
$23.93
|
| Rate for Payer: Prime Health Services Commercial |
$31.30
|
|
|
HC CATH FOLEY 8FR 3ML 2WAY PEDS
|
Facility
|
OP
|
$36.82
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901698654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.36 |
| Max. Negotiated Rate |
$40.31 |
| Rate for Payer: Adventist Health Commercial |
$7.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$40.31
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$31.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$20.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$27.61
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$17.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$21.42
|
| Rate for Payer: Blue Shield of California Commercial |
$23.34
|
| Rate for Payer: Blue Shield of California EPN |
$14.69
|
| Rate for Payer: Cash Price |
$16.57
|
| Rate for Payer: Cash Price |
$16.57
|
| Rate for Payer: Central Health Plan Commercial |
$29.46
|
| Rate for Payer: Cigna of CA HMO |
$23.56
|
| Rate for Payer: Cigna of CA PPO |
$27.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$31.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$31.30
|
| Rate for Payer: Dignity Health Medicare Advantage |
$31.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$25.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$14.73
|
| Rate for Payer: EPIC Health Plan Senior |
$14.73
|
| Rate for Payer: Galaxy Health WC |
$31.30
|
| Rate for Payer: Global Benefits Group Commercial |
$22.09
|
| Rate for Payer: Health Management Network EPO/PPO |
$33.14
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$23.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$13.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$21.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$25.77
|
| Rate for Payer: Multiplan Commercial |
$27.61
|
| Rate for Payer: Networks By Design Commercial |
$23.93
|
| Rate for Payer: Prime Health Services Commercial |
$31.30
|
| Rate for Payer: Riverside University Health System MISP |
$14.73
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$22.09
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$22.09
|
| Rate for Payer: United Healthcare All Other Commercial |
$18.41
|
| Rate for Payer: United Healthcare All Other HMO |
$18.41
|
| Rate for Payer: United Healthcare HMO Rider |
$18.41
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.41
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$31.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31.30
|
| Rate for Payer: Vantage Medical Group Senior |
$31.30
|
|
|
HC CATH FOLEY 8FR UR METER TRAY
|
Facility
|
IP
|
$287.21
|
|
| Hospital Charge Code |
901698922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.44 |
| Max. Negotiated Rate |
$258.49 |
| Rate for Payer: Adventist Health Commercial |
$57.44
|
| Rate for Payer: Cash Price |
$129.24
|
| Rate for Payer: Central Health Plan Commercial |
$229.77
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$201.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$114.88
|
| Rate for Payer: EPIC Health Plan Senior |
$114.88
|
| Rate for Payer: Galaxy Health WC |
$244.13
|
| Rate for Payer: Global Benefits Group Commercial |
$172.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$258.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$182.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$169.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$57.44
|
| Rate for Payer: Multiplan Commercial |
$215.41
|
| Rate for Payer: Networks By Design Commercial |
$186.69
|
| Rate for Payer: Prime Health Services Commercial |
$244.13
|
|
|
HC CATH FOLEY 8FR UR METER TRAY
|
Facility
|
OP
|
$287.21
|
|
| Hospital Charge Code |
901698922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.44 |
| Max. Negotiated Rate |
$258.49 |
| Rate for Payer: Adventist Health Commercial |
$57.44
|
| Rate for Payer: Aetna of CA HMO/PPO |
$174.42
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$244.13
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$157.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$215.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$139.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$167.07
|
| Rate for Payer: Blue Shield of California Commercial |
$182.09
|
| Rate for Payer: Blue Shield of California EPN |
$114.60
|
| Rate for Payer: Cash Price |
$129.24
|
| Rate for Payer: Central Health Plan Commercial |
$229.77
|
| Rate for Payer: Cigna of CA HMO |
$183.81
|
| Rate for Payer: Cigna of CA PPO |
$212.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$244.13
|
| Rate for Payer: Dignity Health Medi-Cal |
$244.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$244.13
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$201.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$114.88
|
| Rate for Payer: EPIC Health Plan Senior |
$114.88
|
| Rate for Payer: Galaxy Health WC |
$244.13
|
| Rate for Payer: Global Benefits Group Commercial |
$172.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$258.49
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$182.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$104.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$169.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$57.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$201.05
|
| Rate for Payer: Multiplan Commercial |
$215.41
|
| Rate for Payer: Networks By Design Commercial |
$186.69
|
| Rate for Payer: Prime Health Services Commercial |
$244.13
|
| Rate for Payer: Riverside University Health System MISP |
$114.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$172.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$172.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$143.60
|
| Rate for Payer: United Healthcare All Other HMO |
$143.60
|
| Rate for Payer: United Healthcare HMO Rider |
$143.60
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$143.60
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$244.13
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$244.13
|
| Rate for Payer: Vantage Medical Group Senior |
$244.13
|
|
