|
HC CATH SWANZ GANZ TL
|
Facility
|
OP
|
$580.00
|
|
| Hospital Charge Code |
901607753
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Adventist Health Commercial |
$116.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$352.23
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$319.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$435.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$280.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$337.39
|
| Rate for Payer: Blue Shield of California Commercial |
$367.72
|
| Rate for Payer: Blue Shield of California EPN |
$231.42
|
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Cigna of CA HMO |
$371.20
|
| Rate for Payer: Cigna of CA PPO |
$429.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$493.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$493.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$493.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$406.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: EPIC Health Plan Senior |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$368.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$210.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$342.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$406.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
| Rate for Payer: Riverside University Health System MISP |
$232.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$348.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$348.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$290.00
|
| Rate for Payer: United Healthcare All Other HMO |
$290.00
|
| Rate for Payer: United Healthcare HMO Rider |
$290.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$290.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$493.00
|
| Rate for Payer: Vantage Medical Group Senior |
$493.00
|
|
|
HC CATH SWANZ GANZ TL
|
Facility
|
IP
|
$580.00
|
|
| Hospital Charge Code |
901607753
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Adventist Health Commercial |
$116.00
|
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$406.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: EPIC Health Plan Senior |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$368.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$342.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
IP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Cash Price |
$122.85
|
| Rate for Payer: Central Health Plan Commercial |
$218.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$191.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$245.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$173.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$161.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$54.60
|
| Rate for Payer: Multiplan Commercial |
$204.75
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
OP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$165.79
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$150.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$204.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$132.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$158.80
|
| Rate for Payer: Blue Shield of California Commercial |
$173.08
|
| Rate for Payer: Blue Shield of California EPN |
$108.93
|
| Rate for Payer: Cash Price |
$122.85
|
| Rate for Payer: Central Health Plan Commercial |
$218.40
|
| Rate for Payer: Cigna of CA HMO |
$174.72
|
| Rate for Payer: Cigna of CA PPO |
$202.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$232.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$232.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$232.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$191.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$245.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$173.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$99.10
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$161.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$54.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$191.10
|
| Rate for Payer: Multiplan Commercial |
$204.75
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
| Rate for Payer: Riverside University Health System MISP |
$109.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$163.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$163.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$136.50
|
| Rate for Payer: United Healthcare All Other HMO |
$136.50
|
| Rate for Payer: United Healthcare HMO Rider |
$136.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$136.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$232.05
|
| Rate for Payer: Vantage Medical Group Senior |
$232.05
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
IP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$601.54 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Blue Shield of California Commercial |
$536.04
|
| Rate for Payer: Blue Shield of California EPN |
$336.86
|
| Rate for Payer: Cash Price |
$300.77
|
| Rate for Payer: Central Health Plan Commercial |
$534.70
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$467.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$601.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$424.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$394.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$133.68
|
| Rate for Payer: Multiplan Commercial |
$501.29
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
OP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$601.54 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$367.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$501.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$305.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$366.54
|
| Rate for Payer: Blue Shield of California Commercial |
$536.04
|
| Rate for Payer: Blue Shield of California EPN |
$336.86
|
| Rate for Payer: Cash Price |
$300.77
|
| Rate for Payer: Central Health Plan Commercial |
$534.70
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$568.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$568.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$568.12
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$467.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$601.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$424.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$242.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$394.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$133.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$467.87
|
| Rate for Payer: Multiplan Commercial |
$501.29
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: Riverside University Health System MISP |
$267.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$401.03
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$401.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$568.12
|
| Rate for Payer: Vantage Medical Group Senior |
$568.12
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
IP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$613.96 |
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Blue Shield of California Commercial |
$547.11
|
| Rate for Payer: Blue Shield of California EPN |
$343.82
|
| Rate for Payer: Cash Price |
$306.98
|
| Rate for Payer: Central Health Plan Commercial |
$545.74
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$477.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$613.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$433.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$402.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$136.44
|
| Rate for Payer: Multiplan Commercial |
$511.63
|
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
OP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$613.96 |
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$375.20
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$511.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$311.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$374.11
|
| Rate for Payer: Blue Shield of California Commercial |
$547.11
|
| Rate for Payer: Blue Shield of California EPN |
$343.82
|
| Rate for Payer: Cash Price |
$306.98
|
| Rate for Payer: Central Health Plan Commercial |
$545.74
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$579.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$579.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$579.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$477.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$613.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$433.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$247.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$402.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$136.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$477.53
|
| Rate for Payer: Multiplan Commercial |
$511.63
|
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: Riverside University Health System MISP |
$272.87
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$409.31
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$409.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$579.85
|
| Rate for Payer: Vantage Medical Group Senior |
$579.85
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
OP
|
$745.89
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.18 |
| Max. Negotiated Rate |
$671.30 |
| Rate for Payer: Adventist Health Commercial |
$149.18
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$634.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$410.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$559.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$340.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$409.05
|
| Rate for Payer: Blue Shield of California Commercial |
$598.20
|
| Rate for Payer: Blue Shield of California EPN |
$375.93
|
| Rate for Payer: Cash Price |
$335.65
|
| Rate for Payer: Central Health Plan Commercial |
$596.71
|
| Rate for Payer: Cigna of CA HMO |
$522.12
|
| Rate for Payer: Cigna of CA PPO |
$522.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$634.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$634.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$634.01
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$522.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$298.36
|
| Rate for Payer: EPIC Health Plan Senior |
$298.36
|
| Rate for Payer: Galaxy Health WC |
$634.01
|
| Rate for Payer: Global Benefits Group Commercial |
$447.53
|
| Rate for Payer: Health Management Network EPO/PPO |
$671.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$473.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$270.76
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$440.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$149.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$522.12
|
| Rate for Payer: Multiplan Commercial |
$559.42
|
| Rate for Payer: Networks By Design Commercial |
$372.94
|
| Rate for Payer: Prime Health Services Commercial |
$634.01
|
| Rate for Payer: Riverside University Health System MISP |
$298.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$447.53
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$447.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$279.93
|
| Rate for Payer: United Healthcare All Other HMO |
$272.47
|
| Rate for Payer: United Healthcare HMO Rider |
$266.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$634.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$634.01
|
| Rate for Payer: Vantage Medical Group Senior |
$634.01
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
IP
|
$745.89
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.18 |
| Max. Negotiated Rate |
$671.30 |
| Rate for Payer: Adventist Health Commercial |
$149.18
|
| Rate for Payer: Blue Shield of California Commercial |
$598.20
|
| Rate for Payer: Blue Shield of California EPN |
$375.93
|
| Rate for Payer: Cash Price |
$335.65
|
| Rate for Payer: Central Health Plan Commercial |
$596.71
|
| Rate for Payer: Cigna of CA HMO |
$522.12
|
| Rate for Payer: Cigna of CA PPO |
$522.12
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$522.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$298.36
|
| Rate for Payer: EPIC Health Plan Senior |
$298.36
|
| Rate for Payer: Galaxy Health WC |
$634.01
|
| Rate for Payer: Global Benefits Group Commercial |
$447.53
|
| Rate for Payer: Health Management Network EPO/PPO |
$671.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$473.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$440.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$149.18
|
| Rate for Payer: Multiplan Commercial |
$559.42
|
| Rate for Payer: Networks By Design Commercial |
$372.94
|
| Rate for Payer: Prime Health Services Commercial |
$634.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$279.93
|
| Rate for Payer: United Healthcare All Other HMO |
$272.47
|
| Rate for Payer: United Healthcare HMO Rider |
$266.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.28
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
OP
|
$412.90
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.58 |
| Max. Negotiated Rate |
$1,019.88 |
| Rate for Payer: Adventist Health Commercial |
$82.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$350.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$227.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$309.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$199.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$240.18
|
| Rate for Payer: Blue Shield of California Commercial |
$261.78
|
| Rate for Payer: Blue Shield of California EPN |
$164.75
|
| Rate for Payer: Cash Price |
$185.80
|
| Rate for Payer: Cash Price |
$185.80
|
| Rate for Payer: Central Health Plan Commercial |
$330.32
|
| Rate for Payer: Cigna of CA HMO |
$264.26
|
| Rate for Payer: Cigna of CA PPO |
$305.55
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$350.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$350.96
|
| Rate for Payer: Dignity Health Medicare Advantage |
$350.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$289.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$165.16
|
| Rate for Payer: EPIC Health Plan Senior |
$165.16
|
| Rate for Payer: Galaxy Health WC |
$350.96
|
| Rate for Payer: Global Benefits Group Commercial |
$247.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$371.61
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$262.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$149.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$243.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$82.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$289.03
|
| Rate for Payer: Multiplan Commercial |
$309.68
|
| Rate for Payer: Networks By Design Commercial |
$268.38
|
| Rate for Payer: Prime Health Services Commercial |
$350.96
|
| Rate for Payer: Riverside University Health System MISP |
$165.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$247.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$247.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$206.45
|
| Rate for Payer: United Healthcare All Other HMO |
$206.45
|
| Rate for Payer: United Healthcare HMO Rider |
$206.45
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.45
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$350.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$350.96
|
| Rate for Payer: Vantage Medical Group Senior |
$350.96
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
IP
|
$412.90
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.58 |
| Max. Negotiated Rate |
$371.61 |
| Rate for Payer: Adventist Health Commercial |
$82.58
|
| Rate for Payer: Cash Price |
$185.80
|
| Rate for Payer: Central Health Plan Commercial |
$330.32
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$289.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$165.16
|
| Rate for Payer: EPIC Health Plan Senior |
$165.16
|
| Rate for Payer: Galaxy Health WC |
$350.96
|
| Rate for Payer: Global Benefits Group Commercial |
$247.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$371.61
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$262.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$243.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$82.58
|
| Rate for Payer: Multiplan Commercial |
$309.68
|
| Rate for Payer: Networks By Design Commercial |
$268.38
|
| Rate for Payer: Prime Health Services Commercial |
$350.96
|
|
|
HC CATH THORACENTESIS 10FR PVC
|
Facility
|
IP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698948
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$123.73 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Blue Shield of California Commercial |
$110.26
|
| Rate for Payer: Blue Shield of California EPN |
$69.29
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Central Health Plan Commercial |
$109.98
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.73
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.50
|
| Rate for Payer: Multiplan Commercial |
$103.11
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
|
|
HC CATH THORACENTESIS 10FR PVC
|
Facility
|
OP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698948
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$123.73 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$75.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$103.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$62.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$75.39
|
| Rate for Payer: Blue Shield of California Commercial |
$110.26
|
| Rate for Payer: Blue Shield of California EPN |
$69.29
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Central Health Plan Commercial |
$109.98
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$116.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$116.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$116.86
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.73
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$96.24
|
| Rate for Payer: Multiplan Commercial |
$103.11
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: Riverside University Health System MISP |
$54.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$82.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$82.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$116.86
|
| Rate for Payer: Vantage Medical Group Senior |
$116.86
|
|
|
HC CATH THORACENTESIS 20FR PVC
|
Facility
|
OP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$123.73 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$75.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$103.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$62.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$75.39
|
| Rate for Payer: Blue Shield of California Commercial |
$110.26
|
| Rate for Payer: Blue Shield of California EPN |
$69.29
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Central Health Plan Commercial |
$109.98
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$116.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$116.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$116.86
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.73
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$96.24
|
| Rate for Payer: Multiplan Commercial |
$103.11
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: Riverside University Health System MISP |
$54.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$82.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$82.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$116.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$116.86
|
| Rate for Payer: Vantage Medical Group Senior |
$116.86
|
|
|
HC CATH THORACENTESIS 20FR PVC
|
Facility
|
IP
|
$137.48
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.50 |
| Max. Negotiated Rate |
$123.73 |
| Rate for Payer: Adventist Health Commercial |
$27.50
|
| Rate for Payer: Blue Shield of California Commercial |
$110.26
|
| Rate for Payer: Blue Shield of California EPN |
$69.29
|
| Rate for Payer: Cash Price |
$61.87
|
| Rate for Payer: Central Health Plan Commercial |
$109.98
|
| Rate for Payer: Cigna of CA HMO |
$96.24
|
| Rate for Payer: Cigna of CA PPO |
$96.24
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.99
|
| Rate for Payer: EPIC Health Plan Senior |
$54.99
|
| Rate for Payer: Galaxy Health WC |
$116.86
|
| Rate for Payer: Global Benefits Group Commercial |
$82.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.73
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.50
|
| Rate for Payer: Multiplan Commercial |
$103.11
|
| Rate for Payer: Networks By Design Commercial |
$68.74
|
| Rate for Payer: Prime Health Services Commercial |
$116.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$51.60
|
| Rate for Payer: United Healthcare All Other HMO |
$50.22
|
| Rate for Payer: United Healthcare HMO Rider |
$49.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$45.02
|
|
|
HC CATH THORACENTESIS 28FR PVC
|
Facility
|
IP
|
$147.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.43 |
| Max. Negotiated Rate |
$132.43 |
| Rate for Payer: Adventist Health Commercial |
$29.43
|
| Rate for Payer: Blue Shield of California Commercial |
$118.01
|
| Rate for Payer: Blue Shield of California EPN |
$74.16
|
| Rate for Payer: Cash Price |
$66.21
|
| Rate for Payer: Central Health Plan Commercial |
$117.71
|
| Rate for Payer: Cigna of CA HMO |
$103.00
|
| Rate for Payer: Cigna of CA PPO |
$103.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$103.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$58.86
|
| Rate for Payer: EPIC Health Plan Senior |
$58.86
|
| Rate for Payer: Galaxy Health WC |
$125.07
|
| Rate for Payer: Global Benefits Group Commercial |
$88.28
|
| Rate for Payer: Health Management Network EPO/PPO |
$132.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$93.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$86.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$29.43
|
| Rate for Payer: Multiplan Commercial |
$110.36
|
| Rate for Payer: Networks By Design Commercial |
$73.57
|
| Rate for Payer: Prime Health Services Commercial |
$125.07
|
| Rate for Payer: United Healthcare All Other Commercial |
$55.22
|
| Rate for Payer: United Healthcare All Other HMO |
$53.75
|
| Rate for Payer: United Healthcare HMO Rider |
$52.59
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$48.19
|
|
|
HC CATH THORACENTESIS 28FR PVC
|
Facility
|
OP
|
$147.14
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698950
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.43 |
| Max. Negotiated Rate |
$132.43 |
| Rate for Payer: Adventist Health Commercial |
$29.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$125.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$80.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$110.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$67.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80.69
|
| Rate for Payer: Blue Shield of California Commercial |
$118.01
|
| Rate for Payer: Blue Shield of California EPN |
$74.16
|
| Rate for Payer: Cash Price |
$66.21
|
| Rate for Payer: Central Health Plan Commercial |
$117.71
|
| Rate for Payer: Cigna of CA HMO |
$103.00
|
| Rate for Payer: Cigna of CA PPO |
$103.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$125.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$125.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$125.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$103.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$58.86
|
| Rate for Payer: EPIC Health Plan Senior |
$58.86
|
| Rate for Payer: Galaxy Health WC |
$125.07
|
| Rate for Payer: Global Benefits Group Commercial |
$88.28
|
| Rate for Payer: Health Management Network EPO/PPO |
$132.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$93.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$53.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$86.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$29.43
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$103.00
|
| Rate for Payer: Multiplan Commercial |
$110.36
|
| Rate for Payer: Networks By Design Commercial |
$73.57
|
| Rate for Payer: Prime Health Services Commercial |
$125.07
|
| Rate for Payer: Riverside University Health System MISP |
$58.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$88.28
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$88.28
|
| Rate for Payer: United Healthcare All Other Commercial |
$55.22
|
| Rate for Payer: United Healthcare All Other HMO |
$53.75
|
| Rate for Payer: United Healthcare HMO Rider |
$52.59
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$48.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$125.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$125.07
|
| Rate for Payer: Vantage Medical Group Senior |
$125.07
|
|
|
HC CATH THORACENTESIS 32FR PVC
|
Facility
|
OP
|
$129.88
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698951
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$25.98 |
| Max. Negotiated Rate |
$116.89 |
| Rate for Payer: Adventist Health Commercial |
$25.98
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$110.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$71.43
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$97.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$59.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$71.23
|
| Rate for Payer: Blue Shield of California Commercial |
$104.16
|
| Rate for Payer: Blue Shield of California EPN |
$65.46
|
| Rate for Payer: Cash Price |
$58.45
|
| Rate for Payer: Central Health Plan Commercial |
$103.90
|
| Rate for Payer: Cigna of CA HMO |
$90.92
|
| Rate for Payer: Cigna of CA PPO |
$90.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$110.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$110.40
|
| Rate for Payer: Dignity Health Medicare Advantage |
$110.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51.95
|
| Rate for Payer: EPIC Health Plan Senior |
$51.95
|
| Rate for Payer: Galaxy Health WC |
$110.40
|
| Rate for Payer: Global Benefits Group Commercial |
$77.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$116.89
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$82.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$47.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$76.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$25.98
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$90.92
|
| Rate for Payer: Multiplan Commercial |
$97.41
|
| Rate for Payer: Networks By Design Commercial |
$64.94
|
| Rate for Payer: Prime Health Services Commercial |
$110.40
|
| Rate for Payer: Riverside University Health System MISP |
$51.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$77.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$77.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$48.74
|
| Rate for Payer: United Healthcare All Other HMO |
$47.45
|
| Rate for Payer: United Healthcare HMO Rider |
$46.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$42.54
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$110.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$110.40
|
| Rate for Payer: Vantage Medical Group Senior |
$110.40
|
|
|
HC CATH THORACENTESIS 32FR PVC
|
Facility
|
IP
|
$129.88
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698951
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$25.98 |
| Max. Negotiated Rate |
$116.89 |
| Rate for Payer: Adventist Health Commercial |
$25.98
|
| Rate for Payer: Blue Shield of California Commercial |
$104.16
|
| Rate for Payer: Blue Shield of California EPN |
$65.46
|
| Rate for Payer: Cash Price |
$58.45
|
| Rate for Payer: Central Health Plan Commercial |
$103.90
|
| Rate for Payer: Cigna of CA HMO |
$90.92
|
| Rate for Payer: Cigna of CA PPO |
$90.92
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$90.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$51.95
|
| Rate for Payer: EPIC Health Plan Senior |
$51.95
|
| Rate for Payer: Galaxy Health WC |
$110.40
|
| Rate for Payer: Global Benefits Group Commercial |
$77.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$116.89
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$82.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$76.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$25.98
|
| Rate for Payer: Multiplan Commercial |
$97.41
|
| Rate for Payer: Networks By Design Commercial |
$64.94
|
| Rate for Payer: Prime Health Services Commercial |
$110.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$48.74
|
| Rate for Payer: United Healthcare All Other HMO |
$47.45
|
| Rate for Payer: United Healthcare HMO Rider |
$46.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$42.54
|
|
|
HC CATH THORACENTESIS 40FR PVC
|
Facility
|
OP
|
$57.56
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$51.80 |
| Rate for Payer: Adventist Health Commercial |
$11.51
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$48.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$43.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.57
|
| Rate for Payer: Blue Shield of California Commercial |
$46.16
|
| Rate for Payer: Blue Shield of California EPN |
$29.01
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Central Health Plan Commercial |
$46.05
|
| Rate for Payer: Cigna of CA HMO |
$40.29
|
| Rate for Payer: Cigna of CA PPO |
$40.29
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$48.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$48.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$48.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: EPIC Health Plan Senior |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.51
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$40.29
|
| Rate for Payer: Multiplan Commercial |
$43.17
|
| Rate for Payer: Networks By Design Commercial |
$28.78
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
| Rate for Payer: Riverside University Health System MISP |
$23.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.60
|
| Rate for Payer: United Healthcare All Other HMO |
$21.03
|
| Rate for Payer: United Healthcare HMO Rider |
$20.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.85
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$48.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$48.93
|
| Rate for Payer: Vantage Medical Group Senior |
$48.93
|
|
|
HC CATH THORACENTESIS 40FR PVC
|
Facility
|
IP
|
$57.56
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698952
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$51.80 |
| Rate for Payer: Adventist Health Commercial |
$11.51
|
| Rate for Payer: Blue Shield of California Commercial |
$46.16
|
| Rate for Payer: Blue Shield of California EPN |
$29.01
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Central Health Plan Commercial |
$46.05
|
| Rate for Payer: Cigna of CA HMO |
$40.29
|
| Rate for Payer: Cigna of CA PPO |
$40.29
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: EPIC Health Plan Senior |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.51
|
| Rate for Payer: Multiplan Commercial |
$43.17
|
| Rate for Payer: Networks By Design Commercial |
$28.78
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.60
|
| Rate for Payer: United Healthcare All Other HMO |
$21.03
|
| Rate for Payer: United Healthcare HMO Rider |
$20.57
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.85
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
IP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$48.64 |
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Blue Shield of California Commercial |
$43.34
|
| Rate for Payer: Blue Shield of California EPN |
$27.24
|
| Rate for Payer: Cash Price |
$24.32
|
| Rate for Payer: Central Health Plan Commercial |
$43.23
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.64
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.81
|
| Rate for Payer: Multiplan Commercial |
$40.53
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
OP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$48.64 |
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.64
|
| Rate for Payer: Blue Shield of California Commercial |
$43.34
|
| Rate for Payer: Blue Shield of California EPN |
$27.24
|
| Rate for Payer: Cash Price |
$24.32
|
| Rate for Payer: Central Health Plan Commercial |
$43.23
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.64
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$37.83
|
| Rate for Payer: Multiplan Commercial |
$40.53
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: Riverside University Health System MISP |
$21.62
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.42
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.93
|
| Rate for Payer: Vantage Medical Group Senior |
$45.93
|
|
|
HC CATH THORACIC 16FR CHEST TUBE
|
Facility
|
OP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.27 |
| Max. Negotiated Rate |
$50.70 |
| Rate for Payer: Adventist Health Commercial |
$11.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$42.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.89
|
| Rate for Payer: Blue Shield of California Commercial |
$45.18
|
| Rate for Payer: Blue Shield of California EPN |
$28.39
|
| Rate for Payer: Cash Price |
$25.35
|
| Rate for Payer: Central Health Plan Commercial |
$45.06
|
| Rate for Payer: Cigna of CA HMO |
$39.43
|
| Rate for Payer: Cigna of CA PPO |
$39.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$47.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$47.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$47.88
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.53
|
| Rate for Payer: EPIC Health Plan Senior |
$22.53
|
| Rate for Payer: Galaxy Health WC |
$47.88
|
| Rate for Payer: Global Benefits Group Commercial |
$33.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$39.43
|
| Rate for Payer: Multiplan Commercial |
$42.25
|
| Rate for Payer: Networks By Design Commercial |
$28.16
|
| Rate for Payer: Prime Health Services Commercial |
$47.88
|
| Rate for Payer: Riverside University Health System MISP |
$22.53
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.14
|
| Rate for Payer: United Healthcare All Other HMO |
$20.58
|
| Rate for Payer: United Healthcare HMO Rider |
$20.13
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.45
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$47.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$47.88
|
| Rate for Payer: Vantage Medical Group Senior |
$47.88
|
|
