|
HC CATH THORACIC 16FR CHEST TUBE
|
Facility
|
IP
|
$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: 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: 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 Medicare Advantage |
$33.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.27
|
| 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: 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
|
|
|
HC CATH THORACIC 20FR CHEST TUBE
|
Facility
|
IP
|
$53.79
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.76 |
| Max. Negotiated Rate |
$48.41 |
| Rate for Payer: Adventist Health Commercial |
$10.76
|
| Rate for Payer: Blue Shield of California Commercial |
$43.14
|
| Rate for Payer: Blue Shield of California EPN |
$27.11
|
| Rate for Payer: Cash Price |
$24.21
|
| Rate for Payer: Central Health Plan Commercial |
$43.03
|
| Rate for Payer: Cigna of CA HMO |
$37.65
|
| Rate for Payer: Cigna of CA PPO |
$37.65
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.52
|
| Rate for Payer: EPIC Health Plan Senior |
$21.52
|
| Rate for Payer: Galaxy Health WC |
$45.72
|
| Rate for Payer: Global Benefits Group Commercial |
$32.27
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.41
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.76
|
| Rate for Payer: Multiplan Commercial |
$40.34
|
| Rate for Payer: Networks By Design Commercial |
$26.89
|
| Rate for Payer: Prime Health Services Commercial |
$45.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.19
|
| Rate for Payer: United Healthcare All Other HMO |
$19.65
|
| Rate for Payer: United Healthcare HMO Rider |
$19.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.62
|
|
|
HC CATH THORACIC 20FR CHEST TUBE
|
Facility
|
OP
|
$53.79
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601398
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.76 |
| Max. Negotiated Rate |
$48.41 |
| Rate for Payer: Adventist Health Commercial |
$10.76
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.50
|
| Rate for Payer: Blue Shield of California Commercial |
$43.14
|
| Rate for Payer: Blue Shield of California EPN |
$27.11
|
| Rate for Payer: Cash Price |
$24.21
|
| Rate for Payer: Central Health Plan Commercial |
$43.03
|
| Rate for Payer: Cigna of CA HMO |
$37.65
|
| Rate for Payer: Cigna of CA PPO |
$37.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$37.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.52
|
| Rate for Payer: EPIC Health Plan Senior |
$21.52
|
| Rate for Payer: Galaxy Health WC |
$45.72
|
| Rate for Payer: Global Benefits Group Commercial |
$32.27
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.41
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$31.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$37.65
|
| Rate for Payer: Multiplan Commercial |
$40.34
|
| Rate for Payer: Networks By Design Commercial |
$26.89
|
| Rate for Payer: Prime Health Services Commercial |
$45.72
|
| Rate for Payer: Riverside University Health System MISP |
$21.52
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.27
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.27
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.19
|
| Rate for Payer: United Healthcare All Other HMO |
$19.65
|
| Rate for Payer: United Healthcare HMO Rider |
$19.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.72
|
| Rate for Payer: Vantage Medical Group Senior |
$45.72
|
|
|
HC CATH THORACIC 24FR CHEST TUBE
|
Facility
|
IP
|
$55.84
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.17 |
| Max. Negotiated Rate |
$50.26 |
| Rate for Payer: Adventist Health Commercial |
$11.17
|
| Rate for Payer: Blue Shield of California Commercial |
$44.78
|
| Rate for Payer: Blue Shield of California EPN |
$28.14
|
| Rate for Payer: Cash Price |
$25.13
|
| Rate for Payer: Central Health Plan Commercial |
$44.67
|
| Rate for Payer: Cigna of CA HMO |
$39.09
|
| Rate for Payer: Cigna of CA PPO |
$39.09
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22.34
|
| Rate for Payer: Galaxy Health WC |
$47.46
|
| Rate for Payer: Global Benefits Group Commercial |
$33.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.17
|
| Rate for Payer: Multiplan Commercial |
$41.88
|
| Rate for Payer: Networks By Design Commercial |
$27.92
|
| Rate for Payer: Prime Health Services Commercial |
$47.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.96
|
| Rate for Payer: United Healthcare All Other HMO |
$20.40
|
| Rate for Payer: United Healthcare HMO Rider |
$19.96
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.29
|
|
|
HC CATH THORACIC 24FR CHEST TUBE
|
Facility
|
OP
|
$55.84
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601399
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.17 |
| Max. Negotiated Rate |
$50.26 |
| Rate for Payer: Adventist Health Commercial |
$11.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.46
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.71
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$41.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.62
|
| Rate for Payer: Blue Shield of California Commercial |
$44.78
|
| Rate for Payer: Blue Shield of California EPN |
$28.14
|
| Rate for Payer: Cash Price |
$25.13
|
| Rate for Payer: Central Health Plan Commercial |
$44.67
|
| Rate for Payer: Cigna of CA HMO |
$39.09
|
| Rate for Payer: Cigna of CA PPO |
$39.09
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$47.46
|
| Rate for Payer: Dignity Health Medi-Cal |
$47.46
|
| Rate for Payer: Dignity Health Medicare Advantage |
$47.46
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$39.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22.34
|
| Rate for Payer: Galaxy Health WC |
$47.46
|
| Rate for Payer: Global Benefits Group Commercial |
$33.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$39.09
|
| Rate for Payer: Multiplan Commercial |
$41.88
|
| Rate for Payer: Networks By Design Commercial |
$27.92
|
| Rate for Payer: Prime Health Services Commercial |
$47.46
|
| Rate for Payer: Riverside University Health System MISP |
$22.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.50
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.96
|
| Rate for Payer: United Healthcare All Other HMO |
$20.40
|
| Rate for Payer: United Healthcare HMO Rider |
$19.96
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.29
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$47.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$47.46
|
| Rate for Payer: Vantage Medical Group Senior |
$47.46
|
|
|
HC CATH THORACIC 28FR CHEST TUBE
|
Facility
|
OP
|
$55.10
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601400
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.02 |
| Max. Negotiated Rate |
$49.59 |
| Rate for Payer: Adventist Health Commercial |
$11.02
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$46.84
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.30
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$41.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.22
|
| Rate for Payer: Blue Shield of California Commercial |
$44.19
|
| Rate for Payer: Blue Shield of California EPN |
$27.77
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Central Health Plan Commercial |
$44.08
|
| Rate for Payer: Cigna of CA HMO |
$38.57
|
| Rate for Payer: Cigna of CA PPO |
$38.57
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$46.84
|
| Rate for Payer: Dignity Health Medi-Cal |
$46.84
|
| Rate for Payer: Dignity Health Medicare Advantage |
$46.84
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.04
|
| Rate for Payer: EPIC Health Plan Senior |
$22.04
|
| Rate for Payer: Galaxy Health WC |
$46.84
|
| Rate for Payer: Global Benefits Group Commercial |
$33.06
|
| Rate for Payer: Health Management Network EPO/PPO |
$49.59
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38.57
|
| Rate for Payer: Multiplan Commercial |
$41.33
|
| Rate for Payer: Networks By Design Commercial |
$27.55
|
| Rate for Payer: Prime Health Services Commercial |
$46.84
|
| Rate for Payer: Riverside University Health System MISP |
$22.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.06
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.06
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.68
|
| Rate for Payer: United Healthcare All Other HMO |
$20.13
|
| Rate for Payer: United Healthcare HMO Rider |
$19.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$46.84
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$46.84
|
| Rate for Payer: Vantage Medical Group Senior |
$46.84
|
|
|
HC CATH THORACIC 28FR CHEST TUBE
|
Facility
|
IP
|
$55.10
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601400
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.02 |
| Max. Negotiated Rate |
$49.59 |
| Rate for Payer: Adventist Health Commercial |
$11.02
|
| Rate for Payer: Blue Shield of California Commercial |
$44.19
|
| Rate for Payer: Blue Shield of California EPN |
$27.77
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Central Health Plan Commercial |
$44.08
|
| Rate for Payer: Cigna of CA HMO |
$38.57
|
| Rate for Payer: Cigna of CA PPO |
$38.57
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.04
|
| Rate for Payer: EPIC Health Plan Senior |
$22.04
|
| Rate for Payer: Galaxy Health WC |
$46.84
|
| Rate for Payer: Global Benefits Group Commercial |
$33.06
|
| Rate for Payer: Health Management Network EPO/PPO |
$49.59
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Multiplan Commercial |
$41.33
|
| Rate for Payer: Networks By Design Commercial |
$27.55
|
| Rate for Payer: Prime Health Services Commercial |
$46.84
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.68
|
| Rate for Payer: United Healthcare All Other HMO |
$20.13
|
| Rate for Payer: United Healthcare HMO Rider |
$19.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.05
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
IP
|
$54.28
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601401
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.86 |
| Max. Negotiated Rate |
$48.85 |
| Rate for Payer: Adventist Health Commercial |
$10.86
|
| Rate for Payer: Blue Shield of California Commercial |
$43.53
|
| Rate for Payer: Blue Shield of California EPN |
$27.36
|
| Rate for Payer: Cash Price |
$24.43
|
| Rate for Payer: Central Health Plan Commercial |
$43.42
|
| Rate for Payer: Cigna of CA HMO |
$38.00
|
| Rate for Payer: Cigna of CA PPO |
$38.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.71
|
| Rate for Payer: EPIC Health Plan Senior |
$21.71
|
| Rate for Payer: Galaxy Health WC |
$46.14
|
| Rate for Payer: Global Benefits Group Commercial |
$32.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.86
|
| Rate for Payer: Multiplan Commercial |
$40.71
|
| Rate for Payer: Networks By Design Commercial |
$27.14
|
| Rate for Payer: Prime Health Services Commercial |
$46.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.37
|
| Rate for Payer: United Healthcare All Other HMO |
$19.83
|
| Rate for Payer: United Healthcare HMO Rider |
$19.40
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.78
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
OP
|
$80.44
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698883
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$72.40 |
| Rate for Payer: Adventist Health Commercial |
$16.09
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$68.37
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$60.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44.11
|
| Rate for Payer: Blue Shield of California Commercial |
$64.51
|
| Rate for Payer: Blue Shield of California EPN |
$40.54
|
| Rate for Payer: Cash Price |
$36.20
|
| Rate for Payer: Central Health Plan Commercial |
$64.35
|
| Rate for Payer: Cigna of CA HMO |
$56.31
|
| Rate for Payer: Cigna of CA PPO |
$56.31
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$68.37
|
| Rate for Payer: Dignity Health Medi-Cal |
$68.37
|
| Rate for Payer: Dignity Health Medicare Advantage |
$68.37
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.18
|
| Rate for Payer: EPIC Health Plan Senior |
$32.18
|
| Rate for Payer: Galaxy Health WC |
$68.37
|
| Rate for Payer: Global Benefits Group Commercial |
$48.26
|
| Rate for Payer: Health Management Network EPO/PPO |
$72.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.20
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$47.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.09
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$56.31
|
| Rate for Payer: Multiplan Commercial |
$60.33
|
| Rate for Payer: Networks By Design Commercial |
$40.22
|
| Rate for Payer: Prime Health Services Commercial |
$68.37
|
| Rate for Payer: Riverside University Health System MISP |
$32.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48.26
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$48.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.19
|
| Rate for Payer: United Healthcare All Other HMO |
$29.38
|
| Rate for Payer: United Healthcare HMO Rider |
$28.75
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.34
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$68.37
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$68.37
|
| Rate for Payer: Vantage Medical Group Senior |
$68.37
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
OP
|
$54.28
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601401
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.86 |
| Max. Negotiated Rate |
$48.85 |
| Rate for Payer: Adventist Health Commercial |
$10.86
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$46.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.85
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.77
|
| Rate for Payer: Blue Shield of California Commercial |
$43.53
|
| Rate for Payer: Blue Shield of California EPN |
$27.36
|
| Rate for Payer: Cash Price |
$24.43
|
| Rate for Payer: Central Health Plan Commercial |
$43.42
|
| Rate for Payer: Cigna of CA HMO |
$38.00
|
| Rate for Payer: Cigna of CA PPO |
$38.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$46.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$46.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$46.14
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.71
|
| Rate for Payer: EPIC Health Plan Senior |
$21.71
|
| Rate for Payer: Galaxy Health WC |
$46.14
|
| Rate for Payer: Global Benefits Group Commercial |
$32.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$34.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$19.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.86
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38.00
|
| Rate for Payer: Multiplan Commercial |
$40.71
|
| Rate for Payer: Networks By Design Commercial |
$27.14
|
| Rate for Payer: Prime Health Services Commercial |
$46.14
|
| Rate for Payer: Riverside University Health System MISP |
$21.71
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.57
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.57
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.37
|
| Rate for Payer: United Healthcare All Other HMO |
$19.83
|
| Rate for Payer: United Healthcare HMO Rider |
$19.40
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$46.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$46.14
|
| Rate for Payer: Vantage Medical Group Senior |
$46.14
|
|
|
HC CATH THORACIC 32FR CHEST TUBE
|
Facility
|
IP
|
$80.44
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698883
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$72.40 |
| Rate for Payer: Adventist Health Commercial |
$16.09
|
| Rate for Payer: Blue Shield of California Commercial |
$64.51
|
| Rate for Payer: Blue Shield of California EPN |
$40.54
|
| Rate for Payer: Cash Price |
$36.20
|
| Rate for Payer: Central Health Plan Commercial |
$64.35
|
| Rate for Payer: Cigna of CA HMO |
$56.31
|
| Rate for Payer: Cigna of CA PPO |
$56.31
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56.31
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.18
|
| Rate for Payer: EPIC Health Plan Senior |
$32.18
|
| Rate for Payer: Galaxy Health WC |
$68.37
|
| Rate for Payer: Global Benefits Group Commercial |
$48.26
|
| Rate for Payer: Health Management Network EPO/PPO |
$72.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$47.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.09
|
| Rate for Payer: Multiplan Commercial |
$60.33
|
| Rate for Payer: Networks By Design Commercial |
$40.22
|
| Rate for Payer: Prime Health Services Commercial |
$68.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.19
|
| Rate for Payer: United Healthcare All Other HMO |
$29.38
|
| Rate for Payer: United Healthcare HMO Rider |
$28.75
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.34
|
|
|
HC CATH THORACIC 36FR CHEST TUBE
|
Facility
|
OP
|
$55.60
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601402
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.12 |
| Max. Negotiated Rate |
$50.04 |
| Rate for Payer: Adventist Health Commercial |
$11.12
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.26
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.58
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$41.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.39
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.49
|
| Rate for Payer: Blue Shield of California Commercial |
$44.59
|
| Rate for Payer: Blue Shield of California EPN |
$28.02
|
| Rate for Payer: Cash Price |
$25.02
|
| Rate for Payer: Central Health Plan Commercial |
$44.48
|
| Rate for Payer: Cigna of CA HMO |
$38.92
|
| Rate for Payer: Cigna of CA PPO |
$38.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$47.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$47.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$47.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.24
|
| Rate for Payer: EPIC Health Plan Senior |
$22.24
|
| Rate for Payer: Galaxy Health WC |
$47.26
|
| Rate for Payer: Global Benefits Group Commercial |
$33.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$20.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38.92
|
| Rate for Payer: Multiplan Commercial |
$41.70
|
| Rate for Payer: Networks By Design Commercial |
$27.80
|
| Rate for Payer: Prime Health Services Commercial |
$47.26
|
| Rate for Payer: Riverside University Health System MISP |
$22.24
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$33.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$33.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.87
|
| Rate for Payer: United Healthcare All Other HMO |
$20.31
|
| Rate for Payer: United Healthcare HMO Rider |
$19.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$47.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$47.26
|
| Rate for Payer: Vantage Medical Group Senior |
$47.26
|
|
|
HC CATH THORACIC 36FR CHEST TUBE
|
Facility
|
IP
|
$55.60
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601402
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.12 |
| Max. Negotiated Rate |
$50.04 |
| Rate for Payer: Adventist Health Commercial |
$11.12
|
| Rate for Payer: Blue Shield of California Commercial |
$44.59
|
| Rate for Payer: Blue Shield of California EPN |
$28.02
|
| Rate for Payer: Cash Price |
$25.02
|
| Rate for Payer: Central Health Plan Commercial |
$44.48
|
| Rate for Payer: Cigna of CA HMO |
$38.92
|
| Rate for Payer: Cigna of CA PPO |
$38.92
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$38.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$22.24
|
| Rate for Payer: EPIC Health Plan Senior |
$22.24
|
| Rate for Payer: Galaxy Health WC |
$47.26
|
| Rate for Payer: Global Benefits Group Commercial |
$33.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$50.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$35.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$32.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.12
|
| Rate for Payer: Multiplan Commercial |
$41.70
|
| Rate for Payer: Networks By Design Commercial |
$27.80
|
| Rate for Payer: Prime Health Services Commercial |
$47.26
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.87
|
| Rate for Payer: United Healthcare All Other HMO |
$20.31
|
| Rate for Payer: United Healthcare HMO Rider |
$19.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$18.21
|
|
|
HC CATH THORACIC 40FR CHEST TUBE
|
Facility
|
OP
|
$51.25
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.25 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Adventist Health Commercial |
$10.25
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$43.56
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$28.19
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$38.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23.40
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28.11
|
| Rate for Payer: Blue Shield of California Commercial |
$41.10
|
| Rate for Payer: Blue Shield of California EPN |
$25.83
|
| Rate for Payer: Cash Price |
$23.06
|
| Rate for Payer: Central Health Plan Commercial |
$41.00
|
| Rate for Payer: Cigna of CA HMO |
$35.88
|
| Rate for Payer: Cigna of CA PPO |
$35.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$43.56
|
| Rate for Payer: Dignity Health Medi-Cal |
$43.56
|
| Rate for Payer: Dignity Health Medicare Advantage |
$43.56
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.50
|
| Rate for Payer: EPIC Health Plan Senior |
$20.50
|
| Rate for Payer: Galaxy Health WC |
$43.56
|
| Rate for Payer: Global Benefits Group Commercial |
$30.75
|
| Rate for Payer: Health Management Network EPO/PPO |
$46.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$18.60
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$35.88
|
| Rate for Payer: Multiplan Commercial |
$38.44
|
| Rate for Payer: Networks By Design Commercial |
$25.62
|
| Rate for Payer: Prime Health Services Commercial |
$43.56
|
| Rate for Payer: Riverside University Health System MISP |
$20.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.75
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$30.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.23
|
| Rate for Payer: United Healthcare All Other HMO |
$18.72
|
| Rate for Payer: United Healthcare HMO Rider |
$18.32
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$43.56
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$43.56
|
| Rate for Payer: Vantage Medical Group Senior |
$43.56
|
|
|
HC CATH THORACIC 40FR CHEST TUBE
|
Facility
|
IP
|
$51.25
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601403
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.25 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Adventist Health Commercial |
$10.25
|
| Rate for Payer: Blue Shield of California Commercial |
$41.10
|
| Rate for Payer: Blue Shield of California EPN |
$25.83
|
| Rate for Payer: Cash Price |
$23.06
|
| Rate for Payer: Central Health Plan Commercial |
$41.00
|
| Rate for Payer: Cigna of CA HMO |
$35.88
|
| Rate for Payer: Cigna of CA PPO |
$35.88
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.88
|
| Rate for Payer: EPIC Health Plan Commercial |
$20.50
|
| Rate for Payer: EPIC Health Plan Senior |
$20.50
|
| Rate for Payer: Galaxy Health WC |
$43.56
|
| Rate for Payer: Global Benefits Group Commercial |
$30.75
|
| Rate for Payer: Health Management Network EPO/PPO |
$46.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$30.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.25
|
| Rate for Payer: Multiplan Commercial |
$38.44
|
| Rate for Payer: Networks By Design Commercial |
$25.62
|
| Rate for Payer: Prime Health Services Commercial |
$43.56
|
| Rate for Payer: United Healthcare All Other Commercial |
$19.23
|
| Rate for Payer: United Healthcare All Other HMO |
$18.72
|
| Rate for Payer: United Healthcare HMO Rider |
$18.32
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.78
|
|
|
HC CATH THORACIC ARGYLE 28FR
|
Facility
|
OP
|
$82.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698954
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$74.14 |
| Rate for Payer: Adventist Health Commercial |
$16.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$70.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37.61
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$45.18
|
| Rate for Payer: Blue Shield of California Commercial |
$66.07
|
| Rate for Payer: Blue Shield of California EPN |
$41.52
|
| Rate for Payer: Cash Price |
$37.07
|
| Rate for Payer: Central Health Plan Commercial |
$65.90
|
| Rate for Payer: Cigna of CA HMO |
$57.67
|
| Rate for Payer: Cigna of CA PPO |
$57.67
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$70.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$70.02
|
| Rate for Payer: Dignity Health Medicare Advantage |
$70.02
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.95
|
| Rate for Payer: EPIC Health Plan Senior |
$32.95
|
| Rate for Payer: Galaxy Health WC |
$70.02
|
| Rate for Payer: Global Benefits Group Commercial |
$49.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$74.14
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$57.67
|
| Rate for Payer: Multiplan Commercial |
$61.78
|
| Rate for Payer: Networks By Design Commercial |
$41.19
|
| Rate for Payer: Prime Health Services Commercial |
$70.02
|
| Rate for Payer: Riverside University Health System MISP |
$32.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.43
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.92
|
| Rate for Payer: United Healthcare All Other HMO |
$30.09
|
| Rate for Payer: United Healthcare HMO Rider |
$29.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.98
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$70.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$70.02
|
| Rate for Payer: Vantage Medical Group Senior |
$70.02
|
|
|
HC CATH THORACIC ARGYLE 28FR
|
Facility
|
IP
|
$82.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698954
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$74.14 |
| Rate for Payer: Adventist Health Commercial |
$16.48
|
| Rate for Payer: Blue Shield of California Commercial |
$66.07
|
| Rate for Payer: Blue Shield of California EPN |
$41.52
|
| Rate for Payer: Cash Price |
$37.07
|
| Rate for Payer: Central Health Plan Commercial |
$65.90
|
| Rate for Payer: Cigna of CA HMO |
$57.67
|
| Rate for Payer: Cigna of CA PPO |
$57.67
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.95
|
| Rate for Payer: EPIC Health Plan Senior |
$32.95
|
| Rate for Payer: Galaxy Health WC |
$70.02
|
| Rate for Payer: Global Benefits Group Commercial |
$49.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$74.14
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.48
|
| Rate for Payer: Multiplan Commercial |
$61.78
|
| Rate for Payer: Networks By Design Commercial |
$41.19
|
| Rate for Payer: Prime Health Services Commercial |
$70.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.92
|
| Rate for Payer: United Healthcare All Other HMO |
$30.09
|
| Rate for Payer: United Healthcare HMO Rider |
$29.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.98
|
|
|
HC CATH THORACIC ARGYLE 32FR
|
Facility
|
OP
|
$82.00
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698953
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$37.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44.97
|
| Rate for Payer: Blue Shield of California Commercial |
$65.76
|
| Rate for Payer: Blue Shield of California EPN |
$41.33
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Cigna of CA HMO |
$57.40
|
| Rate for Payer: Cigna of CA PPO |
$57.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$69.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$69.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$57.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$41.00
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: Riverside University Health System MISP |
$32.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.77
|
| Rate for Payer: United Healthcare All Other HMO |
$29.95
|
| Rate for Payer: United Healthcare HMO Rider |
$29.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.86
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$69.70
|
| Rate for Payer: Vantage Medical Group Senior |
$69.70
|
|
|
HC CATH THORACIC ARGYLE 32FR
|
Facility
|
IP
|
$82.00
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698953
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Blue Shield of California Commercial |
$65.76
|
| Rate for Payer: Blue Shield of California EPN |
$41.33
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Cigna of CA HMO |
$57.40
|
| Rate for Payer: Cigna of CA PPO |
$57.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$41.00
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.77
|
| Rate for Payer: United Healthcare All Other HMO |
$29.95
|
| Rate for Payer: United Healthcare HMO Rider |
$29.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$26.86
|
|
|
HC CATH THORACIC STRGHT 28FRX20IN
|
Facility
|
IP
|
$58.22
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.64 |
| Max. Negotiated Rate |
$52.40 |
| Rate for Payer: Adventist Health Commercial |
$11.64
|
| Rate for Payer: Blue Shield of California Commercial |
$46.69
|
| Rate for Payer: Blue Shield of California EPN |
$29.34
|
| Rate for Payer: Cash Price |
$26.20
|
| Rate for Payer: Central Health Plan Commercial |
$46.58
|
| Rate for Payer: Cigna of CA HMO |
$40.75
|
| Rate for Payer: Cigna of CA PPO |
$40.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.29
|
| Rate for Payer: EPIC Health Plan Senior |
$23.29
|
| Rate for Payer: Galaxy Health WC |
$49.49
|
| Rate for Payer: Global Benefits Group Commercial |
$34.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$52.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.64
|
| Rate for Payer: Multiplan Commercial |
$43.66
|
| Rate for Payer: Networks By Design Commercial |
$29.11
|
| Rate for Payer: Prime Health Services Commercial |
$49.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.85
|
| Rate for Payer: United Healthcare All Other HMO |
$21.27
|
| Rate for Payer: United Healthcare HMO Rider |
$20.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.07
|
|
|
HC CATH THORACIC STRGHT 28FRX20IN
|
Facility
|
OP
|
$58.22
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.64 |
| Max. Negotiated Rate |
$52.40 |
| Rate for Payer: Adventist Health Commercial |
$11.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$49.49
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$43.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.93
|
| Rate for Payer: Blue Shield of California Commercial |
$46.69
|
| Rate for Payer: Blue Shield of California EPN |
$29.34
|
| Rate for Payer: Cash Price |
$26.20
|
| Rate for Payer: Central Health Plan Commercial |
$46.58
|
| Rate for Payer: Cigna of CA HMO |
$40.75
|
| Rate for Payer: Cigna of CA PPO |
$40.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$49.49
|
| Rate for Payer: Dignity Health Medi-Cal |
$49.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$49.49
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.29
|
| Rate for Payer: EPIC Health Plan Senior |
$23.29
|
| Rate for Payer: Galaxy Health WC |
$49.49
|
| Rate for Payer: Global Benefits Group Commercial |
$34.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$52.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$21.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.64
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$40.75
|
| Rate for Payer: Multiplan Commercial |
$43.66
|
| Rate for Payer: Networks By Design Commercial |
$29.11
|
| Rate for Payer: Prime Health Services Commercial |
$49.49
|
| Rate for Payer: Riverside University Health System MISP |
$23.29
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.85
|
| Rate for Payer: United Healthcare All Other HMO |
$21.27
|
| Rate for Payer: United Healthcare HMO Rider |
$20.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.07
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$49.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$49.49
|
| Rate for Payer: Vantage Medical Group Senior |
$49.49
|
|
|
HC CATH THORACIC STRGHT 32FRX20IN
|
Facility
|
OP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698181
|
|
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
|
|
|
HC CATH THORACIC STRGHT 32FRX20IN
|
Facility
|
IP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698181
|
|
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: 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: 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 Medicare Advantage |
$33.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.27
|
| 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: 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
|
|
|
HC CATH THORACIC STRGHT 36FRX20IN
|
Facility
|
IP
|
$59.20
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698182
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.84 |
| Max. Negotiated Rate |
$53.28 |
| Rate for Payer: Adventist Health Commercial |
$11.84
|
| Rate for Payer: Blue Shield of California Commercial |
$47.48
|
| Rate for Payer: Blue Shield of California EPN |
$29.84
|
| Rate for Payer: Cash Price |
$26.64
|
| Rate for Payer: Central Health Plan Commercial |
$47.36
|
| Rate for Payer: Cigna of CA HMO |
$41.44
|
| Rate for Payer: Cigna of CA PPO |
$41.44
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.68
|
| Rate for Payer: EPIC Health Plan Senior |
$23.68
|
| Rate for Payer: Galaxy Health WC |
$50.32
|
| Rate for Payer: Global Benefits Group Commercial |
$35.52
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.84
|
| Rate for Payer: Multiplan Commercial |
$44.40
|
| Rate for Payer: Networks By Design Commercial |
$29.60
|
| Rate for Payer: Prime Health Services Commercial |
$50.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.22
|
| Rate for Payer: United Healthcare All Other HMO |
$21.63
|
| Rate for Payer: United Healthcare HMO Rider |
$21.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.39
|
|
|
HC CATH THORACIC STRGHT 36FRX20IN
|
Facility
|
OP
|
$59.20
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901698182
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.84 |
| Max. Negotiated Rate |
$53.28 |
| Rate for Payer: Adventist Health Commercial |
$11.84
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$50.32
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32.56
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$44.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$32.47
|
| Rate for Payer: Blue Shield of California Commercial |
$47.48
|
| Rate for Payer: Blue Shield of California EPN |
$29.84
|
| Rate for Payer: Cash Price |
$26.64
|
| Rate for Payer: Central Health Plan Commercial |
$47.36
|
| Rate for Payer: Cigna of CA HMO |
$41.44
|
| Rate for Payer: Cigna of CA PPO |
$41.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$50.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$50.32
|
| Rate for Payer: Dignity Health Medicare Advantage |
$50.32
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.68
|
| Rate for Payer: EPIC Health Plan Senior |
$23.68
|
| Rate for Payer: Galaxy Health WC |
$50.32
|
| Rate for Payer: Global Benefits Group Commercial |
$35.52
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$21.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$41.44
|
| Rate for Payer: Multiplan Commercial |
$44.40
|
| Rate for Payer: Networks By Design Commercial |
$29.60
|
| Rate for Payer: Prime Health Services Commercial |
$50.32
|
| Rate for Payer: Riverside University Health System MISP |
$23.68
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$35.52
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$35.52
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.22
|
| Rate for Payer: United Healthcare All Other HMO |
$21.63
|
| Rate for Payer: United Healthcare HMO Rider |
$21.16
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.39
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$50.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$50.32
|
| Rate for Payer: Vantage Medical Group Senior |
$50.32
|
|
