|
HC CATH PICC POWER 4FR 55CM
|
Facility
|
OP
|
$1,168.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606369
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$233.68 |
| Max. Negotiated Rate |
$1,051.56 |
| Rate for Payer: Adventist Health Commercial |
$233.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$993.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$642.62
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$876.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$533.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$640.75
|
| Rate for Payer: Blue Shield of California Commercial |
$937.06
|
| Rate for Payer: Blue Shield of California EPN |
$588.87
|
| Rate for Payer: Cash Price |
$525.78
|
| Rate for Payer: Central Health Plan Commercial |
$934.72
|
| Rate for Payer: Cigna of CA HMO |
$817.88
|
| Rate for Payer: Cigna of CA PPO |
$817.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$993.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$993.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$993.14
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$817.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$467.36
|
| Rate for Payer: EPIC Health Plan Senior |
$467.36
|
| Rate for Payer: Galaxy Health WC |
$993.14
|
| Rate for Payer: Global Benefits Group Commercial |
$701.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,051.56
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$741.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$424.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$689.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$233.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$817.88
|
| Rate for Payer: Multiplan Commercial |
$876.30
|
| Rate for Payer: Networks By Design Commercial |
$584.20
|
| Rate for Payer: Prime Health Services Commercial |
$993.14
|
| Rate for Payer: Riverside University Health System MISP |
$467.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$701.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$701.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$438.50
|
| Rate for Payer: United Healthcare All Other HMO |
$426.82
|
| Rate for Payer: United Healthcare HMO Rider |
$417.59
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$382.65
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$993.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$993.14
|
| Rate for Payer: Vantage Medical Group Senior |
$993.14
|
|
|
HC CATH PICC POWER 4FR DL
|
Facility
|
OP
|
$1,095.81
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698105
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$219.16 |
| Max. Negotiated Rate |
$986.23 |
| Rate for Payer: Adventist Health Commercial |
$219.16
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$931.44
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$602.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$821.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$500.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$600.94
|
| Rate for Payer: Blue Shield of California Commercial |
$878.84
|
| Rate for Payer: Blue Shield of California EPN |
$552.29
|
| Rate for Payer: Cash Price |
$493.11
|
| Rate for Payer: Central Health Plan Commercial |
$876.65
|
| Rate for Payer: Cigna of CA HMO |
$767.07
|
| Rate for Payer: Cigna of CA PPO |
$767.07
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$931.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$931.44
|
| Rate for Payer: Dignity Health Medicare Advantage |
$931.44
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$767.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$438.32
|
| Rate for Payer: EPIC Health Plan Senior |
$438.32
|
| Rate for Payer: Galaxy Health WC |
$931.44
|
| Rate for Payer: Global Benefits Group Commercial |
$657.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$986.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$695.84
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$397.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$646.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$219.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$767.07
|
| Rate for Payer: Multiplan Commercial |
$821.86
|
| Rate for Payer: Networks By Design Commercial |
$547.90
|
| Rate for Payer: Prime Health Services Commercial |
$931.44
|
| Rate for Payer: Riverside University Health System MISP |
$438.32
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$657.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$657.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$411.26
|
| Rate for Payer: United Healthcare All Other HMO |
$400.30
|
| Rate for Payer: United Healthcare HMO Rider |
$391.64
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$358.88
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$931.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$931.44
|
| Rate for Payer: Vantage Medical Group Senior |
$931.44
|
|
|
HC CATH PICC POWER 4FR DL
|
Facility
|
IP
|
$1,095.81
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698105
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$219.16 |
| Max. Negotiated Rate |
$986.23 |
| Rate for Payer: Adventist Health Commercial |
$219.16
|
| Rate for Payer: Blue Shield of California Commercial |
$878.84
|
| Rate for Payer: Blue Shield of California EPN |
$552.29
|
| Rate for Payer: Cash Price |
$493.11
|
| Rate for Payer: Central Health Plan Commercial |
$876.65
|
| Rate for Payer: Cigna of CA HMO |
$767.07
|
| Rate for Payer: Cigna of CA PPO |
$767.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$767.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$438.32
|
| Rate for Payer: EPIC Health Plan Senior |
$438.32
|
| Rate for Payer: Galaxy Health WC |
$931.44
|
| Rate for Payer: Global Benefits Group Commercial |
$657.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$986.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$695.84
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$646.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$219.16
|
| Rate for Payer: Multiplan Commercial |
$821.86
|
| Rate for Payer: Networks By Design Commercial |
$547.90
|
| Rate for Payer: Prime Health Services Commercial |
$931.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$411.26
|
| Rate for Payer: United Healthcare All Other HMO |
$400.30
|
| Rate for Payer: United Healthcare HMO Rider |
$391.64
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$358.88
|
|
|
HC CATH PICC POWER 4FR SL 50CM
|
Facility
|
IP
|
$2,081.59
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606368
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$416.32 |
| Max. Negotiated Rate |
$1,873.43 |
| Rate for Payer: Adventist Health Commercial |
$416.32
|
| Rate for Payer: Blue Shield of California Commercial |
$1,669.44
|
| Rate for Payer: Blue Shield of California EPN |
$1,049.12
|
| Rate for Payer: Cash Price |
$936.72
|
| Rate for Payer: Central Health Plan Commercial |
$1,665.27
|
| Rate for Payer: Cigna of CA HMO |
$1,457.11
|
| Rate for Payer: Cigna of CA PPO |
$1,457.11
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,457.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$832.64
|
| Rate for Payer: EPIC Health Plan Senior |
$832.64
|
| Rate for Payer: Galaxy Health WC |
$1,769.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,248.95
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,873.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,321.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,228.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$416.32
|
| Rate for Payer: Multiplan Commercial |
$1,561.19
|
| Rate for Payer: Networks By Design Commercial |
$1,040.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,769.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$781.22
|
| Rate for Payer: United Healthcare All Other HMO |
$760.40
|
| Rate for Payer: United Healthcare HMO Rider |
$743.96
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$681.72
|
|
|
HC CATH PICC POWER 4FR SL 50CM
|
Facility
|
OP
|
$2,081.59
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606368
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$416.32 |
| Max. Negotiated Rate |
$1,873.43 |
| Rate for Payer: Adventist Health Commercial |
$416.32
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,769.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,144.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,561.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$950.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,141.54
|
| Rate for Payer: Blue Shield of California Commercial |
$1,669.44
|
| Rate for Payer: Blue Shield of California EPN |
$1,049.12
|
| Rate for Payer: Cash Price |
$936.72
|
| Rate for Payer: Central Health Plan Commercial |
$1,665.27
|
| Rate for Payer: Cigna of CA HMO |
$1,457.11
|
| Rate for Payer: Cigna of CA PPO |
$1,457.11
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,769.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,769.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,769.35
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,457.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$832.64
|
| Rate for Payer: EPIC Health Plan Senior |
$832.64
|
| Rate for Payer: Galaxy Health WC |
$1,769.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,248.95
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,873.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,321.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$755.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,228.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$416.32
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,457.11
|
| Rate for Payer: Multiplan Commercial |
$1,561.19
|
| Rate for Payer: Networks By Design Commercial |
$1,040.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,769.35
|
| Rate for Payer: Riverside University Health System MISP |
$832.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,248.95
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,248.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$781.22
|
| Rate for Payer: United Healthcare All Other HMO |
$760.40
|
| Rate for Payer: United Healthcare HMO Rider |
$743.96
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$681.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,769.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,769.35
|
| Rate for Payer: Vantage Medical Group Senior |
$1,769.35
|
|
|
HC CATH PICC POWER 6FR TL
|
Facility
|
OP
|
$989.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695698
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.80 |
| Max. Negotiated Rate |
$890.10 |
| Rate for Payer: Adventist Health Commercial |
$197.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$840.65
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$543.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$741.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$451.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$542.37
|
| Rate for Payer: Blue Shield of California Commercial |
$793.18
|
| Rate for Payer: Blue Shield of California EPN |
$498.46
|
| Rate for Payer: Cash Price |
$445.05
|
| Rate for Payer: Central Health Plan Commercial |
$791.20
|
| Rate for Payer: Cigna of CA HMO |
$692.30
|
| Rate for Payer: Cigna of CA PPO |
$692.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$840.65
|
| Rate for Payer: Dignity Health Medi-Cal |
$840.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$840.65
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$692.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$395.60
|
| Rate for Payer: EPIC Health Plan Senior |
$395.60
|
| Rate for Payer: Galaxy Health WC |
$840.65
|
| Rate for Payer: Global Benefits Group Commercial |
$593.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$890.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$628.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$359.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$583.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$197.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$692.30
|
| Rate for Payer: Multiplan Commercial |
$741.75
|
| Rate for Payer: Networks By Design Commercial |
$494.50
|
| Rate for Payer: Prime Health Services Commercial |
$840.65
|
| Rate for Payer: Riverside University Health System MISP |
$395.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$593.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$593.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$371.17
|
| Rate for Payer: United Healthcare All Other HMO |
$361.28
|
| Rate for Payer: United Healthcare HMO Rider |
$353.47
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$323.90
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$840.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$840.65
|
| Rate for Payer: Vantage Medical Group Senior |
$840.65
|
|
|
HC CATH PICC POWER 6FR TL
|
Facility
|
IP
|
$989.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695698
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.80 |
| Max. Negotiated Rate |
$890.10 |
| Rate for Payer: Adventist Health Commercial |
$197.80
|
| Rate for Payer: Blue Shield of California Commercial |
$793.18
|
| Rate for Payer: Blue Shield of California EPN |
$498.46
|
| Rate for Payer: Cash Price |
$445.05
|
| Rate for Payer: Central Health Plan Commercial |
$791.20
|
| Rate for Payer: Cigna of CA HMO |
$692.30
|
| Rate for Payer: Cigna of CA PPO |
$692.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$692.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$395.60
|
| Rate for Payer: EPIC Health Plan Senior |
$395.60
|
| Rate for Payer: Galaxy Health WC |
$840.65
|
| Rate for Payer: Global Benefits Group Commercial |
$593.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$890.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$628.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$583.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$197.80
|
| Rate for Payer: Multiplan Commercial |
$741.75
|
| Rate for Payer: Networks By Design Commercial |
$494.50
|
| Rate for Payer: Prime Health Services Commercial |
$840.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$371.17
|
| Rate for Payer: United Healthcare All Other HMO |
$361.28
|
| Rate for Payer: United Healthcare HMO Rider |
$353.47
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$323.90
|
|
|
HC CATH PICC POWER 6FR TL 50CM
|
Facility
|
IP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606366
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$1,155.06 |
| Rate for Payer: Adventist Health Commercial |
$256.68
|
| Rate for Payer: Blue Shield of California Commercial |
$1,029.29
|
| Rate for Payer: Blue Shield of California EPN |
$646.83
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Central Health Plan Commercial |
$1,026.72
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$898.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Senior |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,155.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$814.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$757.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$256.68
|
| Rate for Payer: Multiplan Commercial |
$962.55
|
| Rate for Payer: Networks By Design Commercial |
$641.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: United Healthcare All Other Commercial |
$481.66
|
| Rate for Payer: United Healthcare All Other HMO |
$468.83
|
| Rate for Payer: United Healthcare HMO Rider |
$458.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$420.31
|
|
|
HC CATH PICC POWER 6FR TL 50CM
|
Facility
|
OP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606366
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$1,155.06 |
| Rate for Payer: Adventist Health Commercial |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$705.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$962.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$586.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$703.82
|
| Rate for Payer: Blue Shield of California Commercial |
$1,029.29
|
| Rate for Payer: Blue Shield of California EPN |
$646.83
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Central Health Plan Commercial |
$1,026.72
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,090.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,090.89
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$898.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Senior |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,155.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$814.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$465.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$757.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$256.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$898.38
|
| Rate for Payer: Multiplan Commercial |
$962.55
|
| Rate for Payer: Networks By Design Commercial |
$641.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: Riverside University Health System MISP |
$513.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$770.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$770.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$481.66
|
| Rate for Payer: United Healthcare All Other HMO |
$468.83
|
| Rate for Payer: United Healthcare HMO Rider |
$458.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$420.31
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,090.89
|
| Rate for Payer: Vantage Medical Group Senior |
$1,090.89
|
|
|
HC CATH PICC POWER 6FR TL 55CM
|
Facility
|
OP
|
$1,346.28
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606367
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$269.26 |
| Max. Negotiated Rate |
$1,211.65 |
| Rate for Payer: Adventist Health Commercial |
$269.26
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,144.34
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$740.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,009.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$614.71
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$738.30
|
| Rate for Payer: Blue Shield of California Commercial |
$1,079.72
|
| Rate for Payer: Blue Shield of California EPN |
$678.53
|
| Rate for Payer: Cash Price |
$605.83
|
| Rate for Payer: Central Health Plan Commercial |
$1,077.02
|
| Rate for Payer: Cigna of CA HMO |
$942.40
|
| Rate for Payer: Cigna of CA PPO |
$942.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,144.34
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,144.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,144.34
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$942.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$538.51
|
| Rate for Payer: EPIC Health Plan Senior |
$538.51
|
| Rate for Payer: Galaxy Health WC |
$1,144.34
|
| Rate for Payer: Global Benefits Group Commercial |
$807.77
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,211.65
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$854.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$488.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$794.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$269.26
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$942.40
|
| Rate for Payer: Multiplan Commercial |
$1,009.71
|
| Rate for Payer: Networks By Design Commercial |
$673.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,144.34
|
| Rate for Payer: Riverside University Health System MISP |
$538.51
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$807.77
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$807.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$505.26
|
| Rate for Payer: United Healthcare All Other HMO |
$491.80
|
| Rate for Payer: United Healthcare HMO Rider |
$481.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.91
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,144.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,144.34
|
| Rate for Payer: Vantage Medical Group Senior |
$1,144.34
|
|
|
HC CATH PICC POWER 6FR TL 55CM
|
Facility
|
IP
|
$1,346.28
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606367
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$269.26 |
| Max. Negotiated Rate |
$1,211.65 |
| Rate for Payer: Adventist Health Commercial |
$269.26
|
| Rate for Payer: Blue Shield of California Commercial |
$1,079.72
|
| Rate for Payer: Blue Shield of California EPN |
$678.53
|
| Rate for Payer: Cash Price |
$605.83
|
| Rate for Payer: Central Health Plan Commercial |
$1,077.02
|
| Rate for Payer: Cigna of CA HMO |
$942.40
|
| Rate for Payer: Cigna of CA PPO |
$942.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$942.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$538.51
|
| Rate for Payer: EPIC Health Plan Senior |
$538.51
|
| Rate for Payer: Galaxy Health WC |
$1,144.34
|
| Rate for Payer: Global Benefits Group Commercial |
$807.77
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,211.65
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$854.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$794.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$269.26
|
| Rate for Payer: Multiplan Commercial |
$1,009.71
|
| Rate for Payer: Networks By Design Commercial |
$673.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,144.34
|
| Rate for Payer: United Healthcare All Other Commercial |
$505.26
|
| Rate for Payer: United Healthcare All Other HMO |
$491.80
|
| Rate for Payer: United Healthcare HMO Rider |
$481.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.91
|
|
|
HC CATH PICC POWER NVLST 5FR DL 50CM
|
Facility
|
IP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606364
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Adventist Health Commercial |
$247.48
|
| Rate for Payer: Blue Shield of California Commercial |
$992.39
|
| Rate for Payer: Blue Shield of California EPN |
$623.65
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$866.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Senior |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$785.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$730.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Networks By Design Commercial |
$618.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$464.40
|
| Rate for Payer: United Healthcare All Other HMO |
$452.02
|
| Rate for Payer: United Healthcare HMO Rider |
$442.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$405.25
|
|
|
HC CATH PICC POWER NVLST 5FR DL 50CM
|
Facility
|
OP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606364
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Adventist Health Commercial |
$247.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$680.57
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$928.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$565.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$678.59
|
| Rate for Payer: Blue Shield of California Commercial |
$992.39
|
| Rate for Payer: Blue Shield of California EPN |
$623.65
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,051.79
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,051.79
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$866.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Senior |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$785.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$449.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$730.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$866.18
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Networks By Design Commercial |
$618.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: Riverside University Health System MISP |
$494.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$742.44
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$742.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$464.40
|
| Rate for Payer: United Healthcare All Other HMO |
$452.02
|
| Rate for Payer: United Healthcare HMO Rider |
$442.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$405.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,051.79
|
| Rate for Payer: Vantage Medical Group Senior |
$1,051.79
|
|
|
HC CATH PICC POWER NVLST 5FR DL 55CM
|
Facility
|
OP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606365
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Adventist Health Commercial |
$247.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$680.57
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$928.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$565.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$678.59
|
| Rate for Payer: Blue Shield of California Commercial |
$992.39
|
| Rate for Payer: Blue Shield of California EPN |
$623.65
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,051.79
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,051.79
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$866.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Senior |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$785.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$449.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$730.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$866.18
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Networks By Design Commercial |
$618.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: Riverside University Health System MISP |
$494.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$742.44
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$742.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$464.40
|
| Rate for Payer: United Healthcare All Other HMO |
$452.02
|
| Rate for Payer: United Healthcare HMO Rider |
$442.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$405.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,051.79
|
| Rate for Payer: Vantage Medical Group Senior |
$1,051.79
|
|
|
HC CATH PICC POWER NVLST 5FR DL 55CM
|
Facility
|
IP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901606365
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Adventist Health Commercial |
$247.48
|
| Rate for Payer: Blue Shield of California Commercial |
$992.39
|
| Rate for Payer: Blue Shield of California EPN |
$623.65
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$866.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Senior |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$785.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$730.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Networks By Design Commercial |
$618.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$464.40
|
| Rate for Payer: United Healthcare All Other HMO |
$452.02
|
| Rate for Payer: United Healthcare HMO Rider |
$442.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$405.25
|
|
|
HC CATH PICC POWER TLS 5FR DL
|
Facility
|
OP
|
$1,249.64
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695122
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.93 |
| Max. Negotiated Rate |
$1,124.68 |
| Rate for Payer: Adventist Health Commercial |
$249.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,062.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$687.30
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$937.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$605.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$726.92
|
| Rate for Payer: Blue Shield of California Commercial |
$792.27
|
| Rate for Payer: Blue Shield of California EPN |
$498.61
|
| Rate for Payer: Cash Price |
$562.34
|
| Rate for Payer: Cash Price |
$562.34
|
| Rate for Payer: Central Health Plan Commercial |
$999.71
|
| Rate for Payer: Cigna of CA HMO |
$799.77
|
| Rate for Payer: Cigna of CA PPO |
$924.73
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,062.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,062.19
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,062.19
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$874.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$499.86
|
| Rate for Payer: EPIC Health Plan Senior |
$499.86
|
| Rate for Payer: Galaxy Health WC |
$1,062.19
|
| Rate for Payer: Global Benefits Group Commercial |
$749.78
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,124.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$793.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$453.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$737.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$249.93
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$874.75
|
| Rate for Payer: Multiplan Commercial |
$937.23
|
| Rate for Payer: Networks By Design Commercial |
$812.27
|
| Rate for Payer: Prime Health Services Commercial |
$1,062.19
|
| Rate for Payer: Riverside University Health System MISP |
$499.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$749.78
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$749.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$624.82
|
| Rate for Payer: United Healthcare All Other HMO |
$624.82
|
| Rate for Payer: United Healthcare HMO Rider |
$624.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$624.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,062.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,062.19
|
| Rate for Payer: Vantage Medical Group Senior |
$1,062.19
|
|
|
HC CATH PICC POWER TLS 5FR DL
|
Facility
|
IP
|
$1,249.64
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695122
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.93 |
| Max. Negotiated Rate |
$1,124.68 |
| Rate for Payer: Adventist Health Commercial |
$249.93
|
| Rate for Payer: Cash Price |
$562.34
|
| Rate for Payer: Central Health Plan Commercial |
$999.71
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$874.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$499.86
|
| Rate for Payer: EPIC Health Plan Senior |
$499.86
|
| Rate for Payer: Galaxy Health WC |
$1,062.19
|
| Rate for Payer: Global Benefits Group Commercial |
$749.78
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,124.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$793.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$737.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$249.93
|
| Rate for Payer: Multiplan Commercial |
$937.23
|
| Rate for Payer: Networks By Design Commercial |
$812.27
|
| Rate for Payer: Prime Health Services Commercial |
$1,062.19
|
|
|
HC CATH PICC POWER TLS 5FR SL
|
Facility
|
IP
|
$1,655.54
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695121
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$331.11 |
| Max. Negotiated Rate |
$1,489.99 |
| Rate for Payer: Adventist Health Commercial |
$331.11
|
| Rate for Payer: Blue Shield of California Commercial |
$1,327.74
|
| Rate for Payer: Blue Shield of California EPN |
$834.39
|
| Rate for Payer: Cash Price |
$744.99
|
| Rate for Payer: Central Health Plan Commercial |
$1,324.43
|
| Rate for Payer: Cigna of CA HMO |
$1,158.88
|
| Rate for Payer: Cigna of CA PPO |
$1,158.88
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,158.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$662.22
|
| Rate for Payer: EPIC Health Plan Senior |
$662.22
|
| Rate for Payer: Galaxy Health WC |
$1,407.21
|
| Rate for Payer: Global Benefits Group Commercial |
$993.32
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,489.99
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,051.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$976.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$331.11
|
| Rate for Payer: Multiplan Commercial |
$1,241.65
|
| Rate for Payer: Networks By Design Commercial |
$827.77
|
| Rate for Payer: Prime Health Services Commercial |
$1,407.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$621.32
|
| Rate for Payer: United Healthcare All Other HMO |
$604.77
|
| Rate for Payer: United Healthcare HMO Rider |
$591.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$542.19
|
|
|
HC CATH PICC POWER TLS 5FR SL
|
Facility
|
OP
|
$1,655.54
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695121
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$331.11 |
| Max. Negotiated Rate |
$1,489.99 |
| Rate for Payer: Adventist Health Commercial |
$331.11
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,407.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$910.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,241.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$755.92
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$907.90
|
| Rate for Payer: Blue Shield of California Commercial |
$1,327.74
|
| Rate for Payer: Blue Shield of California EPN |
$834.39
|
| Rate for Payer: Cash Price |
$744.99
|
| Rate for Payer: Central Health Plan Commercial |
$1,324.43
|
| Rate for Payer: Cigna of CA HMO |
$1,158.88
|
| Rate for Payer: Cigna of CA PPO |
$1,158.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,407.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,407.21
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,407.21
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,158.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$662.22
|
| Rate for Payer: EPIC Health Plan Senior |
$662.22
|
| Rate for Payer: Galaxy Health WC |
$1,407.21
|
| Rate for Payer: Global Benefits Group Commercial |
$993.32
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,489.99
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,051.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$600.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$976.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$331.11
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,158.88
|
| Rate for Payer: Multiplan Commercial |
$1,241.65
|
| Rate for Payer: Networks By Design Commercial |
$827.77
|
| Rate for Payer: Prime Health Services Commercial |
$1,407.21
|
| Rate for Payer: Riverside University Health System MISP |
$662.22
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$993.32
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$993.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$621.32
|
| Rate for Payer: United Healthcare All Other HMO |
$604.77
|
| Rate for Payer: United Healthcare HMO Rider |
$591.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$542.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,407.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,407.21
|
| Rate for Payer: Vantage Medical Group Senior |
$1,407.21
|
|
|
HC CATH PICC PROVENA 3FR SL MAX
|
Facility
|
IP
|
$916.55
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607856
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$183.31 |
| Max. Negotiated Rate |
$824.89 |
| Rate for Payer: Adventist Health Commercial |
$183.31
|
| Rate for Payer: Blue Shield of California Commercial |
$735.07
|
| Rate for Payer: Blue Shield of California EPN |
$461.94
|
| Rate for Payer: Cash Price |
$412.45
|
| Rate for Payer: Central Health Plan Commercial |
$733.24
|
| Rate for Payer: Cigna of CA HMO |
$641.59
|
| Rate for Payer: Cigna of CA PPO |
$641.59
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$641.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$366.62
|
| Rate for Payer: EPIC Health Plan Senior |
$366.62
|
| Rate for Payer: Galaxy Health WC |
$779.07
|
| Rate for Payer: Global Benefits Group Commercial |
$549.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$824.89
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$582.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$540.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$183.31
|
| Rate for Payer: Multiplan Commercial |
$687.41
|
| Rate for Payer: Networks By Design Commercial |
$458.27
|
| Rate for Payer: Prime Health Services Commercial |
$779.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$343.98
|
| Rate for Payer: United Healthcare All Other HMO |
$334.82
|
| Rate for Payer: United Healthcare HMO Rider |
$327.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.17
|
|
|
HC CATH PICC PROVENA 3FR SL MAX
|
Facility
|
OP
|
$916.55
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607856
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$183.31 |
| Max. Negotiated Rate |
$824.89 |
| Rate for Payer: Adventist Health Commercial |
$183.31
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$779.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$504.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$687.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$418.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$502.64
|
| Rate for Payer: Blue Shield of California Commercial |
$735.07
|
| Rate for Payer: Blue Shield of California EPN |
$461.94
|
| Rate for Payer: Cash Price |
$412.45
|
| Rate for Payer: Central Health Plan Commercial |
$733.24
|
| Rate for Payer: Cigna of CA HMO |
$641.59
|
| Rate for Payer: Cigna of CA PPO |
$641.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$779.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$779.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$779.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$641.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$366.62
|
| Rate for Payer: EPIC Health Plan Senior |
$366.62
|
| Rate for Payer: Galaxy Health WC |
$779.07
|
| Rate for Payer: Global Benefits Group Commercial |
$549.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$824.89
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$582.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$332.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$540.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$183.31
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$641.59
|
| Rate for Payer: Multiplan Commercial |
$687.41
|
| Rate for Payer: Networks By Design Commercial |
$458.27
|
| Rate for Payer: Prime Health Services Commercial |
$779.07
|
| Rate for Payer: Riverside University Health System MISP |
$366.62
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$549.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$549.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$343.98
|
| Rate for Payer: United Healthcare All Other HMO |
$334.82
|
| Rate for Payer: United Healthcare HMO Rider |
$327.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$300.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$779.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$779.07
|
| Rate for Payer: Vantage Medical Group Senior |
$779.07
|
|
|
HC CATH PICC PROVENA 4FR DL MAX
|
Facility
|
IP
|
$940.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607857
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.14 |
| Max. Negotiated Rate |
$846.63 |
| Rate for Payer: Adventist Health Commercial |
$188.14
|
| Rate for Payer: Blue Shield of California Commercial |
$754.44
|
| Rate for Payer: Blue Shield of California EPN |
$474.11
|
| Rate for Payer: Cash Price |
$423.32
|
| Rate for Payer: Central Health Plan Commercial |
$752.56
|
| Rate for Payer: Cigna of CA HMO |
$658.49
|
| Rate for Payer: Cigna of CA PPO |
$658.49
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$658.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$376.28
|
| Rate for Payer: EPIC Health Plan Senior |
$376.28
|
| Rate for Payer: Galaxy Health WC |
$799.60
|
| Rate for Payer: Global Benefits Group Commercial |
$564.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$846.63
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$597.34
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$555.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$188.14
|
| Rate for Payer: Multiplan Commercial |
$705.52
|
| Rate for Payer: Networks By Design Commercial |
$470.35
|
| Rate for Payer: Prime Health Services Commercial |
$799.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$353.04
|
| Rate for Payer: United Healthcare All Other HMO |
$343.64
|
| Rate for Payer: United Healthcare HMO Rider |
$336.21
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$308.08
|
|
|
HC CATH PICC PROVENA 4FR DL MAX
|
Facility
|
OP
|
$940.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607857
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.14 |
| Max. Negotiated Rate |
$846.63 |
| Rate for Payer: Adventist Health Commercial |
$188.14
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$799.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$517.38
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$705.52
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$429.52
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$515.88
|
| Rate for Payer: Blue Shield of California Commercial |
$754.44
|
| Rate for Payer: Blue Shield of California EPN |
$474.11
|
| Rate for Payer: Cash Price |
$423.32
|
| Rate for Payer: Central Health Plan Commercial |
$752.56
|
| Rate for Payer: Cigna of CA HMO |
$658.49
|
| Rate for Payer: Cigna of CA PPO |
$658.49
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$799.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$799.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$799.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$658.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$376.28
|
| Rate for Payer: EPIC Health Plan Senior |
$376.28
|
| Rate for Payer: Galaxy Health WC |
$799.60
|
| Rate for Payer: Global Benefits Group Commercial |
$564.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$846.63
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$597.34
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$341.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$555.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$188.14
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$658.49
|
| Rate for Payer: Multiplan Commercial |
$705.52
|
| Rate for Payer: Networks By Design Commercial |
$470.35
|
| Rate for Payer: Prime Health Services Commercial |
$799.60
|
| Rate for Payer: Riverside University Health System MISP |
$376.28
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$564.42
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$564.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$353.04
|
| Rate for Payer: United Healthcare All Other HMO |
$343.64
|
| Rate for Payer: United Healthcare HMO Rider |
$336.21
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$308.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$799.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$799.60
|
| Rate for Payer: Vantage Medical Group Senior |
$799.60
|
|
|
HC CATH PICC PWR 4.5FR 45CM SL
|
Facility
|
IP
|
$1,521.08
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$304.22 |
| Max. Negotiated Rate |
$1,368.97 |
| Rate for Payer: Adventist Health Commercial |
$304.22
|
| Rate for Payer: Blue Shield of California Commercial |
$1,219.91
|
| Rate for Payer: Blue Shield of California EPN |
$766.62
|
| Rate for Payer: Cash Price |
$684.49
|
| Rate for Payer: Central Health Plan Commercial |
$1,216.86
|
| Rate for Payer: Cigna of CA HMO |
$1,064.76
|
| Rate for Payer: Cigna of CA PPO |
$1,064.76
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,064.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$608.43
|
| Rate for Payer: EPIC Health Plan Senior |
$608.43
|
| Rate for Payer: Galaxy Health WC |
$1,292.92
|
| Rate for Payer: Global Benefits Group Commercial |
$912.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,368.97
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$965.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$897.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$304.22
|
| Rate for Payer: Multiplan Commercial |
$1,140.81
|
| Rate for Payer: Networks By Design Commercial |
$760.54
|
| Rate for Payer: Prime Health Services Commercial |
$1,292.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$570.86
|
| Rate for Payer: United Healthcare All Other HMO |
$555.65
|
| Rate for Payer: United Healthcare HMO Rider |
$543.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$498.15
|
|
|
HC CATH PICC PWR 4.5FR 45CM SL
|
Facility
|
OP
|
$1,521.08
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$304.22 |
| Max. Negotiated Rate |
$1,368.97 |
| Rate for Payer: Adventist Health Commercial |
$304.22
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,292.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$836.59
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,140.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$694.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$834.16
|
| Rate for Payer: Blue Shield of California Commercial |
$1,219.91
|
| Rate for Payer: Blue Shield of California EPN |
$766.62
|
| Rate for Payer: Cash Price |
$684.49
|
| Rate for Payer: Central Health Plan Commercial |
$1,216.86
|
| Rate for Payer: Cigna of CA HMO |
$1,064.76
|
| Rate for Payer: Cigna of CA PPO |
$1,064.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,292.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,292.92
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,292.92
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,064.76
|
| Rate for Payer: EPIC Health Plan Commercial |
$608.43
|
| Rate for Payer: EPIC Health Plan Senior |
$608.43
|
| Rate for Payer: Galaxy Health WC |
$1,292.92
|
| Rate for Payer: Global Benefits Group Commercial |
$912.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,368.97
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$965.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$552.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$897.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$304.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,064.76
|
| Rate for Payer: Multiplan Commercial |
$1,140.81
|
| Rate for Payer: Networks By Design Commercial |
$760.54
|
| Rate for Payer: Prime Health Services Commercial |
$1,292.92
|
| Rate for Payer: Riverside University Health System MISP |
$608.43
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$912.65
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$912.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$570.86
|
| Rate for Payer: United Healthcare All Other HMO |
$555.65
|
| Rate for Payer: United Healthcare HMO Rider |
$543.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$498.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,292.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,292.92
|
| Rate for Payer: Vantage Medical Group Senior |
$1,292.92
|
|
