|
HC CATH FOLEY SLCN 16FR 30ML LF
|
Facility
|
IP
|
$30.50
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607392
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.10 |
| Max. Negotiated Rate |
$27.45 |
| Rate for Payer: Adventist Health Commercial |
$6.10
|
| Rate for Payer: Cash Price |
$16.78
|
| Rate for Payer: Central Health Plan Commercial |
$24.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.20
|
| Rate for Payer: EPIC Health Plan Senior |
$12.20
|
| Rate for Payer: Galaxy Health WC |
$25.93
|
| Rate for Payer: Global Benefits Group Commercial |
$18.30
|
| Rate for Payer: Health Management Network EPO/PPO |
$27.45
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.34
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.10
|
| Rate for Payer: Multiplan Commercial |
$22.88
|
| Rate for Payer: Networks By Design Commercial |
$19.82
|
| Rate for Payer: Prime Health Services Commercial |
$25.93
|
|
|
HC CATH FOLEY SLCN 16FR 30ML LF
|
Facility
|
OP
|
$30.50
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607392
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.10 |
| Max. Negotiated Rate |
$27.45 |
| Rate for Payer: Adventist Health Commercial |
$6.10
|
| Rate for Payer: Aetna of CA HMO/PPO |
$18.52
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$25.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16.77
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.91
|
| Rate for Payer: Blue Shield of California Commercial |
$18.64
|
| Rate for Payer: Blue Shield of California EPN |
$12.17
|
| Rate for Payer: Cash Price |
$16.78
|
| Rate for Payer: Central Health Plan Commercial |
$24.40
|
| Rate for Payer: Cigna of CA HMO |
$19.52
|
| Rate for Payer: Cigna of CA PPO |
$22.57
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$25.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$25.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$25.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.20
|
| Rate for Payer: EPIC Health Plan Senior |
$12.20
|
| Rate for Payer: Galaxy Health WC |
$25.93
|
| Rate for Payer: Global Benefits Group Commercial |
$18.30
|
| Rate for Payer: Health Management Network EPO/PPO |
$27.45
|
| Rate for Payer: InnovAge PACE Commercial |
$15.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.34
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21.35
|
| Rate for Payer: Multiplan Commercial |
$22.88
|
| Rate for Payer: Networks By Design Commercial |
$19.82
|
| Rate for Payer: Prime Health Services Commercial |
$25.93
|
| Rate for Payer: Riverside University Health System MISP |
$12.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18.30
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$18.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.25
|
| Rate for Payer: United Healthcare All Other HMO |
$15.25
|
| Rate for Payer: United Healthcare HMO Rider |
$15.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$25.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25.93
|
| Rate for Payer: Vantage Medical Group Senior |
$25.93
|
|
|
HC CATH FOLEY SLCN 16FR 3WY 5CC
|
Facility
|
OP
|
$70.36
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901605366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.07 |
| Max. Negotiated Rate |
$63.32 |
| Rate for Payer: Adventist Health Commercial |
$14.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$42.73
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$59.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$38.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$52.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$34.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$41.32
|
| Rate for Payer: Blue Shield of California Commercial |
$42.99
|
| Rate for Payer: Blue Shield of California EPN |
$28.07
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Central Health Plan Commercial |
$56.29
|
| Rate for Payer: Cigna of CA HMO |
$45.03
|
| Rate for Payer: Cigna of CA PPO |
$52.07
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$59.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$59.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$59.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.14
|
| Rate for Payer: EPIC Health Plan Senior |
$28.14
|
| Rate for Payer: Galaxy Health WC |
$59.81
|
| Rate for Payer: Global Benefits Group Commercial |
$42.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$63.32
|
| Rate for Payer: InnovAge PACE Commercial |
$35.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$46.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$26.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$49.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$49.25
|
| Rate for Payer: Multiplan Commercial |
$52.77
|
| Rate for Payer: Networks By Design Commercial |
$45.73
|
| Rate for Payer: Prime Health Services Commercial |
$59.81
|
| Rate for Payer: Riverside University Health System MISP |
$28.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$42.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$42.22
|
| Rate for Payer: United Healthcare All Other Commercial |
$35.18
|
| Rate for Payer: United Healthcare All Other HMO |
$35.18
|
| Rate for Payer: United Healthcare HMO Rider |
$35.18
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$35.18
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$59.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$59.81
|
| Rate for Payer: Vantage Medical Group Senior |
$59.81
|
|
|
HC CATH FOLEY SLCN 16FR 3WY 5CC
|
Facility
|
IP
|
$70.36
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901605366
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.07 |
| Max. Negotiated Rate |
$63.32 |
| Rate for Payer: Adventist Health Commercial |
$14.07
|
| Rate for Payer: Cash Price |
$38.70
|
| Rate for Payer: Central Health Plan Commercial |
$56.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.14
|
| Rate for Payer: EPIC Health Plan Senior |
$28.14
|
| Rate for Payer: Galaxy Health WC |
$59.81
|
| Rate for Payer: Global Benefits Group Commercial |
$42.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$63.32
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$46.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$26.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$43.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14.07
|
| Rate for Payer: Multiplan Commercial |
$52.77
|
| Rate for Payer: Networks By Design Commercial |
$45.73
|
| Rate for Payer: Prime Health Services Commercial |
$59.81
|
|
|
HC CATH FOLEY SLCN 16FR 3WY 5ML
|
Facility
|
OP
|
$111.64
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.33 |
| Max. Negotiated Rate |
$100.48 |
| Rate for Payer: Adventist Health Commercial |
$22.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$67.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$94.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$61.40
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$83.73
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$54.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$65.57
|
| Rate for Payer: Blue Shield of California Commercial |
$68.21
|
| Rate for Payer: Blue Shield of California EPN |
$44.54
|
| Rate for Payer: Cash Price |
$61.40
|
| Rate for Payer: Central Health Plan Commercial |
$89.31
|
| Rate for Payer: Cigna of CA HMO |
$71.45
|
| Rate for Payer: Cigna of CA PPO |
$82.61
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$94.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$94.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$94.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$44.66
|
| Rate for Payer: EPIC Health Plan Senior |
$44.66
|
| Rate for Payer: Galaxy Health WC |
$94.89
|
| Rate for Payer: Global Benefits Group Commercial |
$66.98
|
| Rate for Payer: Health Management Network EPO/PPO |
$100.48
|
| Rate for Payer: InnovAge PACE Commercial |
$55.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$74.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$42.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$78.15
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$78.15
|
| Rate for Payer: Multiplan Commercial |
$83.73
|
| Rate for Payer: Networks By Design Commercial |
$72.57
|
| Rate for Payer: Prime Health Services Commercial |
$94.89
|
| Rate for Payer: Riverside University Health System MISP |
$44.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$66.98
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$66.98
|
| Rate for Payer: United Healthcare All Other Commercial |
$55.82
|
| Rate for Payer: United Healthcare All Other HMO |
$55.82
|
| Rate for Payer: United Healthcare HMO Rider |
$55.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$55.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$94.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$94.89
|
| Rate for Payer: Vantage Medical Group Senior |
$94.89
|
|
|
HC CATH FOLEY SLCN 16FR 3WY 5ML
|
Facility
|
IP
|
$111.64
|
|
|
Service Code
|
CPT A4346
|
| Hospital Charge Code |
901698402
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.33 |
| Max. Negotiated Rate |
$100.48 |
| Rate for Payer: Adventist Health Commercial |
$22.33
|
| Rate for Payer: Cash Price |
$61.40
|
| Rate for Payer: Central Health Plan Commercial |
$89.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$44.66
|
| Rate for Payer: EPIC Health Plan Senior |
$44.66
|
| Rate for Payer: Galaxy Health WC |
$94.89
|
| Rate for Payer: Global Benefits Group Commercial |
$66.98
|
| Rate for Payer: Health Management Network EPO/PPO |
$100.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$74.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$42.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$69.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.33
|
| Rate for Payer: Multiplan Commercial |
$83.73
|
| Rate for Payer: Networks By Design Commercial |
$72.57
|
| Rate for Payer: Prime Health Services Commercial |
$94.89
|
|
|
HC CATH FOLEY SLCN 18FR 10ML LF
|
Facility
|
IP
|
$25.75
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.15 |
| Max. Negotiated Rate |
$23.18 |
| Rate for Payer: Adventist Health Commercial |
$5.15
|
| Rate for Payer: Cash Price |
$14.16
|
| Rate for Payer: Central Health Plan Commercial |
$20.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.30
|
| Rate for Payer: EPIC Health Plan Senior |
$10.30
|
| Rate for Payer: Galaxy Health WC |
$21.89
|
| Rate for Payer: Global Benefits Group Commercial |
$15.45
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.15
|
| Rate for Payer: Multiplan Commercial |
$19.31
|
| Rate for Payer: Networks By Design Commercial |
$16.74
|
| Rate for Payer: Prime Health Services Commercial |
$21.89
|
|
|
HC CATH FOLEY SLCN 18FR 10ML LF
|
Facility
|
OP
|
$25.75
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.15 |
| Max. Negotiated Rate |
$23.18 |
| Rate for Payer: Adventist Health Commercial |
$5.15
|
| Rate for Payer: Aetna of CA HMO/PPO |
$15.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$19.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15.12
|
| Rate for Payer: Blue Shield of California Commercial |
$15.73
|
| Rate for Payer: Blue Shield of California EPN |
$10.27
|
| Rate for Payer: Cash Price |
$14.16
|
| Rate for Payer: Central Health Plan Commercial |
$20.60
|
| Rate for Payer: Cigna of CA HMO |
$16.48
|
| Rate for Payer: Cigna of CA PPO |
$19.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$21.89
|
| Rate for Payer: Dignity Health Medicare Advantage |
$21.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.30
|
| Rate for Payer: EPIC Health Plan Senior |
$10.30
|
| Rate for Payer: Galaxy Health WC |
$21.89
|
| Rate for Payer: Global Benefits Group Commercial |
$15.45
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.18
|
| Rate for Payer: InnovAge PACE Commercial |
$12.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.15
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18.02
|
| Rate for Payer: Multiplan Commercial |
$19.31
|
| Rate for Payer: Networks By Design Commercial |
$16.74
|
| Rate for Payer: Prime Health Services Commercial |
$21.89
|
| Rate for Payer: Riverside University Health System MISP |
$10.30
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15.45
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$15.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$12.88
|
| Rate for Payer: United Healthcare All Other HMO |
$12.88
|
| Rate for Payer: United Healthcare HMO Rider |
$12.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12.88
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$21.89
|
| Rate for Payer: Vantage Medical Group Senior |
$21.89
|
|
|
HC CATH FOLEY SLCN 18FR 2WY30CC
|
Facility
|
OP
|
$53.05
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605354
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$47.74 |
| Rate for Payer: Adventist Health Commercial |
$10.61
|
| Rate for Payer: Aetna of CA HMO/PPO |
$32.22
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.09
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$39.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.16
|
| Rate for Payer: Blue Shield of California Commercial |
$32.41
|
| Rate for Payer: Blue Shield of California EPN |
$21.17
|
| Rate for Payer: Cash Price |
$29.18
|
| Rate for Payer: Central Health Plan Commercial |
$42.44
|
| Rate for Payer: Cigna of CA HMO |
$33.95
|
| Rate for Payer: Cigna of CA PPO |
$39.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.09
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.22
|
| Rate for Payer: EPIC Health Plan Senior |
$21.22
|
| Rate for Payer: Galaxy Health WC |
$45.09
|
| Rate for Payer: Global Benefits Group Commercial |
$31.83
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.74
|
| Rate for Payer: InnovAge PACE Commercial |
$26.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.61
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.13
|
| Rate for Payer: Multiplan Commercial |
$39.79
|
| Rate for Payer: Networks By Design Commercial |
$34.48
|
| Rate for Payer: Prime Health Services Commercial |
$45.09
|
| Rate for Payer: Riverside University Health System MISP |
$21.22
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$31.83
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$31.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$26.52
|
| Rate for Payer: United Healthcare All Other HMO |
$26.52
|
| Rate for Payer: United Healthcare HMO Rider |
$26.52
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.52
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.09
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.09
|
| Rate for Payer: Vantage Medical Group Senior |
$45.09
|
|
|
HC CATH FOLEY SLCN 18FR 2WY30CC
|
Facility
|
IP
|
$53.05
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605354
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.61 |
| Max. Negotiated Rate |
$47.74 |
| Rate for Payer: Adventist Health Commercial |
$10.61
|
| Rate for Payer: Cash Price |
$29.18
|
| Rate for Payer: Central Health Plan Commercial |
$42.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.22
|
| Rate for Payer: EPIC Health Plan Senior |
$21.22
|
| Rate for Payer: Galaxy Health WC |
$45.09
|
| Rate for Payer: Global Benefits Group Commercial |
$31.83
|
| Rate for Payer: Health Management Network EPO/PPO |
$47.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$32.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.61
|
| Rate for Payer: Multiplan Commercial |
$39.79
|
| Rate for Payer: Networks By Design Commercial |
$34.48
|
| Rate for Payer: Prime Health Services Commercial |
$45.09
|
|
|
HC CATH FOLEY SLCN 20FR 10ML LF
|
Facility
|
OP
|
$25.58
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607389
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.12 |
| Max. Negotiated Rate |
$23.02 |
| Rate for Payer: Adventist Health Commercial |
$5.12
|
| Rate for Payer: Aetna of CA HMO/PPO |
$15.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14.07
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$19.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15.02
|
| Rate for Payer: Blue Shield of California Commercial |
$15.63
|
| Rate for Payer: Blue Shield of California EPN |
$10.21
|
| Rate for Payer: Cash Price |
$14.07
|
| Rate for Payer: Central Health Plan Commercial |
$20.46
|
| Rate for Payer: Cigna of CA HMO |
$16.37
|
| Rate for Payer: Cigna of CA PPO |
$18.93
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$21.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$21.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.23
|
| Rate for Payer: EPIC Health Plan Senior |
$10.23
|
| Rate for Payer: Galaxy Health WC |
$21.74
|
| Rate for Payer: Global Benefits Group Commercial |
$15.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.02
|
| Rate for Payer: InnovAge PACE Commercial |
$12.79
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17.91
|
| Rate for Payer: Multiplan Commercial |
$19.18
|
| Rate for Payer: Networks By Design Commercial |
$16.63
|
| Rate for Payer: Prime Health Services Commercial |
$21.74
|
| Rate for Payer: Riverside University Health System MISP |
$10.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15.35
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$15.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$12.79
|
| Rate for Payer: United Healthcare All Other HMO |
$12.79
|
| Rate for Payer: United Healthcare HMO Rider |
$12.79
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12.79
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$21.74
|
| Rate for Payer: Vantage Medical Group Senior |
$21.74
|
|
|
HC CATH FOLEY SLCN 20FR 10ML LF
|
Facility
|
IP
|
$25.58
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607389
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.12 |
| Max. Negotiated Rate |
$23.02 |
| Rate for Payer: Adventist Health Commercial |
$5.12
|
| Rate for Payer: Cash Price |
$14.07
|
| Rate for Payer: Central Health Plan Commercial |
$20.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.23
|
| Rate for Payer: EPIC Health Plan Senior |
$10.23
|
| Rate for Payer: Galaxy Health WC |
$21.74
|
| Rate for Payer: Global Benefits Group Commercial |
$15.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.12
|
| Rate for Payer: Multiplan Commercial |
$19.18
|
| Rate for Payer: Networks By Design Commercial |
$16.63
|
| Rate for Payer: Prime Health Services Commercial |
$21.74
|
|
|
HC CATH FOLEY SLCN 20FR 30ML LF
|
Facility
|
IP
|
$30.34
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.07 |
| Max. Negotiated Rate |
$27.31 |
| Rate for Payer: Adventist Health Commercial |
$6.07
|
| Rate for Payer: Cash Price |
$16.69
|
| Rate for Payer: Central Health Plan Commercial |
$24.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.14
|
| Rate for Payer: EPIC Health Plan Senior |
$12.14
|
| Rate for Payer: Galaxy Health WC |
$25.79
|
| Rate for Payer: Global Benefits Group Commercial |
$18.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$27.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.24
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.07
|
| Rate for Payer: Multiplan Commercial |
$22.75
|
| Rate for Payer: Networks By Design Commercial |
$19.72
|
| Rate for Payer: Prime Health Services Commercial |
$25.79
|
|
|
HC CATH FOLEY SLCN 20FR 30ML LF
|
Facility
|
OP
|
$30.34
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607391
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.07 |
| Max. Negotiated Rate |
$27.31 |
| Rate for Payer: Adventist Health Commercial |
$6.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$18.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$25.79
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16.69
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.82
|
| Rate for Payer: Blue Shield of California Commercial |
$18.54
|
| Rate for Payer: Blue Shield of California EPN |
$12.11
|
| Rate for Payer: Cash Price |
$16.69
|
| Rate for Payer: Central Health Plan Commercial |
$24.27
|
| Rate for Payer: Cigna of CA HMO |
$19.42
|
| Rate for Payer: Cigna of CA PPO |
$22.45
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$25.79
|
| Rate for Payer: Dignity Health Medi-Cal |
$25.79
|
| Rate for Payer: Dignity Health Medicare Advantage |
$25.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.14
|
| Rate for Payer: EPIC Health Plan Senior |
$12.14
|
| Rate for Payer: Galaxy Health WC |
$25.79
|
| Rate for Payer: Global Benefits Group Commercial |
$18.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$27.31
|
| Rate for Payer: InnovAge PACE Commercial |
$15.17
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.24
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.07
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21.24
|
| Rate for Payer: Multiplan Commercial |
$22.75
|
| Rate for Payer: Networks By Design Commercial |
$19.72
|
| Rate for Payer: Prime Health Services Commercial |
$25.79
|
| Rate for Payer: Riverside University Health System MISP |
$12.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$18.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.17
|
| Rate for Payer: United Healthcare All Other HMO |
$15.17
|
| Rate for Payer: United Healthcare HMO Rider |
$15.17
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$25.79
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25.79
|
| Rate for Payer: Vantage Medical Group Senior |
$25.79
|
|
|
HC CATH FOLEY SLCN 22FR 10ML LF
|
Facility
|
IP
|
$25.58
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607388
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.12 |
| Max. Negotiated Rate |
$23.02 |
| Rate for Payer: Adventist Health Commercial |
$5.12
|
| Rate for Payer: Cash Price |
$14.07
|
| Rate for Payer: Central Health Plan Commercial |
$20.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.23
|
| Rate for Payer: EPIC Health Plan Senior |
$10.23
|
| Rate for Payer: Galaxy Health WC |
$21.74
|
| Rate for Payer: Global Benefits Group Commercial |
$15.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.12
|
| Rate for Payer: Multiplan Commercial |
$19.18
|
| Rate for Payer: Networks By Design Commercial |
$16.63
|
| Rate for Payer: Prime Health Services Commercial |
$21.74
|
|
|
HC CATH FOLEY SLCN 22FR 10ML LF
|
Facility
|
OP
|
$25.58
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607388
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.12 |
| Max. Negotiated Rate |
$23.02 |
| Rate for Payer: Adventist Health Commercial |
$5.12
|
| Rate for Payer: Aetna of CA HMO/PPO |
$15.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14.07
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$19.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$12.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15.02
|
| Rate for Payer: Blue Shield of California Commercial |
$15.63
|
| Rate for Payer: Blue Shield of California EPN |
$10.21
|
| Rate for Payer: Cash Price |
$14.07
|
| Rate for Payer: Central Health Plan Commercial |
$20.46
|
| Rate for Payer: Cigna of CA HMO |
$16.37
|
| Rate for Payer: Cigna of CA PPO |
$18.93
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$21.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$21.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.23
|
| Rate for Payer: EPIC Health Plan Senior |
$10.23
|
| Rate for Payer: Galaxy Health WC |
$21.74
|
| Rate for Payer: Global Benefits Group Commercial |
$15.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$23.02
|
| Rate for Payer: InnovAge PACE Commercial |
$12.79
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17.91
|
| Rate for Payer: Multiplan Commercial |
$19.18
|
| Rate for Payer: Networks By Design Commercial |
$16.63
|
| Rate for Payer: Prime Health Services Commercial |
$21.74
|
| Rate for Payer: Riverside University Health System MISP |
$10.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15.35
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$15.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$12.79
|
| Rate for Payer: United Healthcare All Other HMO |
$12.79
|
| Rate for Payer: United Healthcare HMO Rider |
$12.79
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12.79
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$21.74
|
| Rate for Payer: Vantage Medical Group Senior |
$21.74
|
|
|
HC CATH FOLEY SLCN 22FR 2WY 30C
|
Facility
|
OP
|
$31.65
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605356
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.33 |
| Max. Negotiated Rate |
$28.48 |
| Rate for Payer: Adventist Health Commercial |
$6.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$19.22
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$26.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$17.41
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$23.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18.59
|
| Rate for Payer: Blue Shield of California Commercial |
$19.34
|
| Rate for Payer: Blue Shield of California EPN |
$12.63
|
| Rate for Payer: Cash Price |
$17.41
|
| Rate for Payer: Central Health Plan Commercial |
$25.32
|
| Rate for Payer: Cigna of CA HMO |
$20.26
|
| Rate for Payer: Cigna of CA PPO |
$23.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$26.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$26.90
|
| Rate for Payer: Dignity Health Medicare Advantage |
$26.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.66
|
| Rate for Payer: EPIC Health Plan Senior |
$12.66
|
| Rate for Payer: Galaxy Health WC |
$26.90
|
| Rate for Payer: Global Benefits Group Commercial |
$18.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$28.48
|
| Rate for Payer: InnovAge PACE Commercial |
$15.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.33
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22.16
|
| Rate for Payer: Multiplan Commercial |
$23.74
|
| Rate for Payer: Networks By Design Commercial |
$20.57
|
| Rate for Payer: Prime Health Services Commercial |
$26.90
|
| Rate for Payer: Riverside University Health System MISP |
$12.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18.99
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$18.99
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.82
|
| Rate for Payer: United Healthcare All Other HMO |
$15.82
|
| Rate for Payer: United Healthcare HMO Rider |
$15.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$26.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26.90
|
| Rate for Payer: Vantage Medical Group Senior |
$26.90
|
|
|
HC CATH FOLEY SLCN 22FR 2WY 30C
|
Facility
|
IP
|
$31.65
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605356
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.33 |
| Max. Negotiated Rate |
$28.48 |
| Rate for Payer: Adventist Health Commercial |
$6.33
|
| Rate for Payer: Cash Price |
$17.41
|
| Rate for Payer: Central Health Plan Commercial |
$25.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.66
|
| Rate for Payer: EPIC Health Plan Senior |
$12.66
|
| Rate for Payer: Galaxy Health WC |
$26.90
|
| Rate for Payer: Global Benefits Group Commercial |
$18.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$28.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.33
|
| Rate for Payer: Multiplan Commercial |
$23.74
|
| Rate for Payer: Networks By Design Commercial |
$20.57
|
| Rate for Payer: Prime Health Services Commercial |
$26.90
|
|
|
HC CATH FOLEY SLCN 24FR 2WY 5CC
|
Facility
|
IP
|
$39.77
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.95 |
| Max. Negotiated Rate |
$35.79 |
| Rate for Payer: Adventist Health Commercial |
$7.95
|
| Rate for Payer: Cash Price |
$21.87
|
| Rate for Payer: Central Health Plan Commercial |
$31.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.91
|
| Rate for Payer: EPIC Health Plan Senior |
$15.91
|
| Rate for Payer: Galaxy Health WC |
$33.80
|
| Rate for Payer: Global Benefits Group Commercial |
$23.86
|
| Rate for Payer: Health Management Network EPO/PPO |
$35.79
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$26.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.95
|
| Rate for Payer: Multiplan Commercial |
$29.83
|
| Rate for Payer: Networks By Design Commercial |
$25.85
|
| Rate for Payer: Prime Health Services Commercial |
$33.80
|
|
|
HC CATH FOLEY SLCN 24FR 2WY 5CC
|
Facility
|
OP
|
$39.77
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.95 |
| Max. Negotiated Rate |
$35.79 |
| Rate for Payer: Adventist Health Commercial |
$7.95
|
| Rate for Payer: Aetna of CA HMO/PPO |
$24.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$33.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$21.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$29.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23.36
|
| Rate for Payer: Blue Shield of California Commercial |
$24.30
|
| Rate for Payer: Blue Shield of California EPN |
$15.87
|
| Rate for Payer: Cash Price |
$21.87
|
| Rate for Payer: Central Health Plan Commercial |
$31.82
|
| Rate for Payer: Cigna of CA HMO |
$25.45
|
| Rate for Payer: Cigna of CA PPO |
$29.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$33.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$33.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$33.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.91
|
| Rate for Payer: EPIC Health Plan Senior |
$15.91
|
| Rate for Payer: Galaxy Health WC |
$33.80
|
| Rate for Payer: Global Benefits Group Commercial |
$23.86
|
| Rate for Payer: Health Management Network EPO/PPO |
$35.79
|
| Rate for Payer: InnovAge PACE Commercial |
$19.89
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$26.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$15.15
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.95
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27.84
|
| Rate for Payer: Multiplan Commercial |
$29.83
|
| Rate for Payer: Networks By Design Commercial |
$25.85
|
| Rate for Payer: Prime Health Services Commercial |
$33.80
|
| Rate for Payer: Riverside University Health System MISP |
$15.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23.86
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$23.86
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.89
|
| Rate for Payer: United Healthcare All Other HMO |
$19.89
|
| Rate for Payer: United Healthcare HMO Rider |
$19.89
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$33.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$33.80
|
| Rate for Payer: Vantage Medical Group Senior |
$33.80
|
|
|
HC CATH FOLEY SLCN 24FR 30ML LF
|
Facility
|
IP
|
$32.23
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607390
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.45 |
| Max. Negotiated Rate |
$29.01 |
| Rate for Payer: Adventist Health Commercial |
$6.45
|
| Rate for Payer: Cash Price |
$17.73
|
| Rate for Payer: Central Health Plan Commercial |
$25.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.89
|
| Rate for Payer: EPIC Health Plan Senior |
$12.89
|
| Rate for Payer: Galaxy Health WC |
$27.40
|
| Rate for Payer: Global Benefits Group Commercial |
$19.34
|
| Rate for Payer: Health Management Network EPO/PPO |
$29.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.45
|
| Rate for Payer: Multiplan Commercial |
$24.17
|
| Rate for Payer: Networks By Design Commercial |
$20.95
|
| Rate for Payer: Prime Health Services Commercial |
$27.40
|
|
|
HC CATH FOLEY SLCN 24FR 30ML LF
|
Facility
|
OP
|
$32.23
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901607390
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.45 |
| Max. Negotiated Rate |
$29.01 |
| Rate for Payer: Adventist Health Commercial |
$6.45
|
| Rate for Payer: Aetna of CA HMO/PPO |
$19.57
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$27.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$17.73
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18.93
|
| Rate for Payer: Blue Shield of California Commercial |
$19.69
|
| Rate for Payer: Blue Shield of California EPN |
$12.86
|
| Rate for Payer: Cash Price |
$17.73
|
| Rate for Payer: Central Health Plan Commercial |
$25.78
|
| Rate for Payer: Cigna of CA HMO |
$20.63
|
| Rate for Payer: Cigna of CA PPO |
$23.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$27.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$27.40
|
| Rate for Payer: Dignity Health Medicare Advantage |
$27.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.89
|
| Rate for Payer: EPIC Health Plan Senior |
$12.89
|
| Rate for Payer: Galaxy Health WC |
$27.40
|
| Rate for Payer: Global Benefits Group Commercial |
$19.34
|
| Rate for Payer: Health Management Network EPO/PPO |
$29.01
|
| Rate for Payer: InnovAge PACE Commercial |
$16.11
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$12.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.45
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22.56
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22.56
|
| Rate for Payer: Multiplan Commercial |
$24.17
|
| Rate for Payer: Networks By Design Commercial |
$20.95
|
| Rate for Payer: Prime Health Services Commercial |
$27.40
|
| Rate for Payer: Riverside University Health System MISP |
$12.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$19.34
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$19.34
|
| Rate for Payer: United Healthcare All Other Commercial |
$16.11
|
| Rate for Payer: United Healthcare All Other HMO |
$16.11
|
| Rate for Payer: United Healthcare HMO Rider |
$16.11
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.11
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$27.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$27.40
|
| Rate for Payer: Vantage Medical Group Senior |
$27.40
|
|
|
HC CATH FOLEY SLCN 26FR 2WY 5CC
|
Facility
|
IP
|
$57.65
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$51.88 |
| Rate for Payer: Adventist Health Commercial |
$11.53
|
| Rate for Payer: Cash Price |
$31.71
|
| Rate for Payer: Central Health Plan Commercial |
$46.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.06
|
| Rate for Payer: EPIC Health Plan Senior |
$23.06
|
| Rate for Payer: Galaxy Health WC |
$49.00
|
| Rate for Payer: Global Benefits Group Commercial |
$34.59
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.53
|
| Rate for Payer: Multiplan Commercial |
$43.24
|
| Rate for Payer: Networks By Design Commercial |
$37.47
|
| Rate for Payer: Prime Health Services Commercial |
$49.00
|
|
|
HC CATH FOLEY SLCN 26FR 2WY 5CC
|
Facility
|
OP
|
$57.65
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605361
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$51.88 |
| Rate for Payer: Adventist Health Commercial |
$11.53
|
| Rate for Payer: Aetna of CA HMO/PPO |
$35.01
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$49.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31.71
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$43.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$33.86
|
| Rate for Payer: Blue Shield of California Commercial |
$35.22
|
| Rate for Payer: Blue Shield of California EPN |
$23.00
|
| Rate for Payer: Cash Price |
$31.71
|
| Rate for Payer: Central Health Plan Commercial |
$46.12
|
| Rate for Payer: Cigna of CA HMO |
$36.90
|
| Rate for Payer: Cigna of CA PPO |
$42.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$49.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$49.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$49.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.06
|
| Rate for Payer: EPIC Health Plan Senior |
$23.06
|
| Rate for Payer: Galaxy Health WC |
$49.00
|
| Rate for Payer: Global Benefits Group Commercial |
$34.59
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.88
|
| Rate for Payer: InnovAge PACE Commercial |
$28.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.53
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$40.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$40.35
|
| Rate for Payer: Multiplan Commercial |
$43.24
|
| Rate for Payer: Networks By Design Commercial |
$37.47
|
| Rate for Payer: Prime Health Services Commercial |
$49.00
|
| Rate for Payer: Riverside University Health System MISP |
$23.06
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.59
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.82
|
| Rate for Payer: United Healthcare All Other HMO |
$28.82
|
| Rate for Payer: United Healthcare HMO Rider |
$28.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$49.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$49.00
|
| Rate for Payer: Vantage Medical Group Senior |
$49.00
|
|
|
HC CATH FOLEY SLCN 28FR 2WY 30CC
|
Facility
|
OP
|
$30.42
|
|
|
Service Code
|
CPT A4344
|
| Hospital Charge Code |
901605368
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.08 |
| Max. Negotiated Rate |
$27.38 |
| Rate for Payer: Adventist Health Commercial |
$6.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$18.47
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$25.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16.73
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17.87
|
| Rate for Payer: Blue Shield of California Commercial |
$18.59
|
| Rate for Payer: Blue Shield of California EPN |
$12.14
|
| Rate for Payer: Cash Price |
$16.73
|
| Rate for Payer: Central Health Plan Commercial |
$24.34
|
| Rate for Payer: Cigna of CA HMO |
$19.47
|
| Rate for Payer: Cigna of CA PPO |
$22.51
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$25.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$25.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$25.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.17
|
| Rate for Payer: EPIC Health Plan Senior |
$12.17
|
| Rate for Payer: Galaxy Health WC |
$25.86
|
| Rate for Payer: Global Benefits Group Commercial |
$18.25
|
| Rate for Payer: Health Management Network EPO/PPO |
$27.38
|
| Rate for Payer: InnovAge PACE Commercial |
$15.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.08
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21.29
|
| Rate for Payer: Multiplan Commercial |
$22.82
|
| Rate for Payer: Networks By Design Commercial |
$19.77
|
| Rate for Payer: Prime Health Services Commercial |
$25.86
|
| Rate for Payer: Riverside University Health System MISP |
$12.17
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18.25
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$18.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.21
|
| Rate for Payer: United Healthcare All Other HMO |
$15.21
|
| Rate for Payer: United Healthcare HMO Rider |
$15.21
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$25.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25.86
|
| Rate for Payer: Vantage Medical Group Senior |
$25.86
|
|
