|
HC CATH URETHRAL REDRUBBER 8FR
|
Facility
|
OP
|
$5.58
|
|
| Hospital Charge Code |
901607556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$5.02 |
| Rate for Payer: Adventist Health Commercial |
$1.12
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3.39
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3.07
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3.25
|
| Rate for Payer: Blue Shield of California Commercial |
$3.54
|
| Rate for Payer: Blue Shield of California EPN |
$2.23
|
| Rate for Payer: Cash Price |
$2.51
|
| Rate for Payer: Central Health Plan Commercial |
$4.46
|
| Rate for Payer: Cigna of CA HMO |
$3.57
|
| Rate for Payer: Cigna of CA PPO |
$4.13
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4.74
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.23
|
| Rate for Payer: EPIC Health Plan Senior |
$2.23
|
| Rate for Payer: Galaxy Health WC |
$4.74
|
| Rate for Payer: Global Benefits Group Commercial |
$3.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$5.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.12
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3.91
|
| Rate for Payer: Multiplan Commercial |
$4.18
|
| Rate for Payer: Networks By Design Commercial |
$3.63
|
| Rate for Payer: Prime Health Services Commercial |
$4.74
|
| Rate for Payer: Riverside University Health System MISP |
$2.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3.35
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.79
|
| Rate for Payer: United Healthcare All Other HMO |
$2.79
|
| Rate for Payer: United Healthcare HMO Rider |
$2.79
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.79
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.74
|
| Rate for Payer: Vantage Medical Group Senior |
$4.74
|
|
|
HC CATH URETHRAL REDRUBBER 8FR
|
Facility
|
IP
|
$3.85
|
|
| Hospital Charge Code |
901698974
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.77 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Adventist Health Commercial |
$0.77
|
| Rate for Payer: Cash Price |
$1.73
|
| Rate for Payer: Central Health Plan Commercial |
$3.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.54
|
| Rate for Payer: EPIC Health Plan Senior |
$1.54
|
| Rate for Payer: Galaxy Health WC |
$3.27
|
| Rate for Payer: Global Benefits Group Commercial |
$2.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$3.46
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.77
|
| Rate for Payer: Multiplan Commercial |
$2.89
|
| Rate for Payer: Networks By Design Commercial |
$2.50
|
| Rate for Payer: Prime Health Services Commercial |
$3.27
|
|
|
HC CATH URETHRAL REDRUBBER 8FR
|
Facility
|
IP
|
$5.58
|
|
| Hospital Charge Code |
901607556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$5.02 |
| Rate for Payer: Adventist Health Commercial |
$1.12
|
| Rate for Payer: Cash Price |
$2.51
|
| Rate for Payer: Central Health Plan Commercial |
$4.46
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.23
|
| Rate for Payer: EPIC Health Plan Senior |
$2.23
|
| Rate for Payer: Galaxy Health WC |
$4.74
|
| Rate for Payer: Global Benefits Group Commercial |
$3.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$5.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.12
|
| Rate for Payer: Multiplan Commercial |
$4.18
|
| Rate for Payer: Networks By Design Commercial |
$3.63
|
| Rate for Payer: Prime Health Services Commercial |
$4.74
|
|
|
HC CATH URETHRAL TRAY 14FR
|
Facility
|
OP
|
$19.35
|
|
| Hospital Charge Code |
901698668
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.87 |
| Max. Negotiated Rate |
$17.41 |
| Rate for Payer: Adventist Health Commercial |
$3.87
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.75
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$16.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.64
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.51
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.26
|
| Rate for Payer: Blue Shield of California Commercial |
$12.27
|
| Rate for Payer: Blue Shield of California EPN |
$7.72
|
| Rate for Payer: Cash Price |
$8.71
|
| Rate for Payer: Central Health Plan Commercial |
$15.48
|
| Rate for Payer: Cigna of CA HMO |
$12.38
|
| Rate for Payer: Cigna of CA PPO |
$14.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$16.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$16.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$16.45
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.74
|
| Rate for Payer: EPIC Health Plan Senior |
$7.74
|
| Rate for Payer: Galaxy Health WC |
$16.45
|
| Rate for Payer: Global Benefits Group Commercial |
$11.61
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.41
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$7.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.87
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$13.54
|
| Rate for Payer: Multiplan Commercial |
$14.51
|
| Rate for Payer: Networks By Design Commercial |
$12.58
|
| Rate for Payer: Prime Health Services Commercial |
$16.45
|
| Rate for Payer: Riverside University Health System MISP |
$7.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.61
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.61
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.68
|
| Rate for Payer: United Healthcare All Other HMO |
$9.68
|
| Rate for Payer: United Healthcare HMO Rider |
$9.68
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$16.45
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.45
|
| Rate for Payer: Vantage Medical Group Senior |
$16.45
|
|
|
HC CATH URETHRAL TRAY 14FR
|
Facility
|
IP
|
$19.35
|
|
| Hospital Charge Code |
901698668
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.87 |
| Max. Negotiated Rate |
$17.41 |
| Rate for Payer: Adventist Health Commercial |
$3.87
|
| Rate for Payer: Cash Price |
$8.71
|
| Rate for Payer: Central Health Plan Commercial |
$15.48
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.74
|
| Rate for Payer: EPIC Health Plan Senior |
$7.74
|
| Rate for Payer: Galaxy Health WC |
$16.45
|
| Rate for Payer: Global Benefits Group Commercial |
$11.61
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.41
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.87
|
| Rate for Payer: Multiplan Commercial |
$14.51
|
| Rate for Payer: Networks By Design Commercial |
$12.58
|
| Rate for Payer: Prime Health Services Commercial |
$16.45
|
|
|
HC CATH URINARY 12FRX16" ADV+
|
Facility
|
OP
|
$18.37
|
|
| Hospital Charge Code |
901602925
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.16
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.69
|
| Rate for Payer: Blue Shield of California Commercial |
$11.65
|
| Rate for Payer: Blue Shield of California EPN |
$7.33
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Cigna of CA HMO |
$11.76
|
| Rate for Payer: Cigna of CA PPO |
$13.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.61
|
| Rate for Payer: Dignity Health Medicare Advantage |
$15.61
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.67
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.86
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
| Rate for Payer: Riverside University Health System MISP |
$7.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.02
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.19
|
| Rate for Payer: United Healthcare All Other HMO |
$9.19
|
| Rate for Payer: United Healthcare HMO Rider |
$9.19
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.61
|
| Rate for Payer: Vantage Medical Group Senior |
$15.61
|
|
|
HC CATH URINARY 12FRX16" ADV+
|
Facility
|
IP
|
$18.37
|
|
| Hospital Charge Code |
901602925
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
|
|
HC CATH URINARY DRAIN SET 8FR
|
Facility
|
IP
|
$208.53
|
|
| Hospital Charge Code |
901698692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.71 |
| Max. Negotiated Rate |
$187.68 |
| Rate for Payer: Adventist Health Commercial |
$41.71
|
| Rate for Payer: Cash Price |
$93.84
|
| Rate for Payer: Central Health Plan Commercial |
$166.82
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$145.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$83.41
|
| Rate for Payer: EPIC Health Plan Senior |
$83.41
|
| Rate for Payer: Galaxy Health WC |
$177.25
|
| Rate for Payer: Global Benefits Group Commercial |
$125.12
|
| Rate for Payer: Health Management Network EPO/PPO |
$187.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$132.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$123.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$41.71
|
| Rate for Payer: Multiplan Commercial |
$156.40
|
| Rate for Payer: Networks By Design Commercial |
$135.54
|
| Rate for Payer: Prime Health Services Commercial |
$177.25
|
|
|
HC CATH URINARY DRAIN SET 8FR
|
Facility
|
OP
|
$208.53
|
|
| Hospital Charge Code |
901698692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.71 |
| Max. Negotiated Rate |
$187.68 |
| Rate for Payer: Adventist Health Commercial |
$41.71
|
| Rate for Payer: Aetna of CA HMO/PPO |
$126.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$177.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$114.69
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$156.40
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$100.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$121.30
|
| Rate for Payer: Blue Shield of California Commercial |
$132.21
|
| Rate for Payer: Blue Shield of California EPN |
$83.20
|
| Rate for Payer: Cash Price |
$93.84
|
| Rate for Payer: Central Health Plan Commercial |
$166.82
|
| Rate for Payer: Cigna of CA HMO |
$133.46
|
| Rate for Payer: Cigna of CA PPO |
$154.31
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$177.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$177.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$177.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$145.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$83.41
|
| Rate for Payer: EPIC Health Plan Senior |
$83.41
|
| Rate for Payer: Galaxy Health WC |
$177.25
|
| Rate for Payer: Global Benefits Group Commercial |
$125.12
|
| Rate for Payer: Health Management Network EPO/PPO |
$187.68
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$132.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$75.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$123.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$41.71
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$145.97
|
| Rate for Payer: Multiplan Commercial |
$156.40
|
| Rate for Payer: Networks By Design Commercial |
$135.54
|
| Rate for Payer: Prime Health Services Commercial |
$177.25
|
| Rate for Payer: Riverside University Health System MISP |
$83.41
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$125.12
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$125.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$104.27
|
| Rate for Payer: United Healthcare All Other HMO |
$104.27
|
| Rate for Payer: United Healthcare HMO Rider |
$104.27
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$104.27
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$177.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$177.25
|
| Rate for Payer: Vantage Medical Group Senior |
$177.25
|
|
|
HC CATH URINARY PEDS 6FR STRGHT
|
Facility
|
OP
|
$75.85
|
|
| Hospital Charge Code |
901603249
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.17 |
| Max. Negotiated Rate |
$68.27 |
| Rate for Payer: Adventist Health Commercial |
$15.17
|
| Rate for Payer: Aetna of CA HMO/PPO |
$46.06
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$64.47
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$41.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$56.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$36.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44.12
|
| Rate for Payer: Blue Shield of California Commercial |
$48.09
|
| Rate for Payer: Blue Shield of California EPN |
$30.26
|
| Rate for Payer: Cash Price |
$34.13
|
| Rate for Payer: Central Health Plan Commercial |
$60.68
|
| Rate for Payer: Cigna of CA HMO |
$48.54
|
| Rate for Payer: Cigna of CA PPO |
$56.13
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$64.47
|
| Rate for Payer: Dignity Health Medi-Cal |
$64.47
|
| Rate for Payer: Dignity Health Medicare Advantage |
$64.47
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$53.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$30.34
|
| Rate for Payer: EPIC Health Plan Senior |
$30.34
|
| Rate for Payer: Galaxy Health WC |
$64.47
|
| Rate for Payer: Global Benefits Group Commercial |
$45.51
|
| Rate for Payer: Health Management Network EPO/PPO |
$68.27
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$48.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$27.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$44.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$53.09
|
| Rate for Payer: Multiplan Commercial |
$56.89
|
| Rate for Payer: Networks By Design Commercial |
$49.30
|
| Rate for Payer: Prime Health Services Commercial |
$64.47
|
| Rate for Payer: Riverside University Health System MISP |
$30.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$45.51
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$45.51
|
| Rate for Payer: United Healthcare All Other Commercial |
$37.92
|
| Rate for Payer: United Healthcare All Other HMO |
$37.92
|
| Rate for Payer: United Healthcare HMO Rider |
$37.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$37.92
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$64.47
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$64.47
|
| Rate for Payer: Vantage Medical Group Senior |
$64.47
|
|
|
HC CATH URINARY PEDS 6FR STRGHT
|
Facility
|
IP
|
$75.85
|
|
| Hospital Charge Code |
901603249
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.17 |
| Max. Negotiated Rate |
$68.27 |
| Rate for Payer: Adventist Health Commercial |
$15.17
|
| Rate for Payer: Cash Price |
$34.13
|
| Rate for Payer: Central Health Plan Commercial |
$60.68
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$53.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$30.34
|
| Rate for Payer: EPIC Health Plan Senior |
$30.34
|
| Rate for Payer: Galaxy Health WC |
$64.47
|
| Rate for Payer: Global Benefits Group Commercial |
$45.51
|
| Rate for Payer: Health Management Network EPO/PPO |
$68.27
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$48.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$44.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15.17
|
| Rate for Payer: Multiplan Commercial |
$56.89
|
| Rate for Payer: Networks By Design Commercial |
$49.30
|
| Rate for Payer: Prime Health Services Commercial |
$64.47
|
|
|
HC CATH, URINARY SILASTIC 5FR
|
Facility
|
IP
|
$137.71
|
|
| Hospital Charge Code |
901698448
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.54 |
| Max. Negotiated Rate |
$123.94 |
| Rate for Payer: Adventist Health Commercial |
$27.54
|
| Rate for Payer: Cash Price |
$61.97
|
| Rate for Payer: Central Health Plan Commercial |
$110.17
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$55.08
|
| Rate for Payer: EPIC Health Plan Senior |
$55.08
|
| Rate for Payer: Galaxy Health WC |
$117.05
|
| Rate for Payer: Global Benefits Group Commercial |
$82.63
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.94
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.54
|
| Rate for Payer: Multiplan Commercial |
$103.28
|
| Rate for Payer: Networks By Design Commercial |
$89.51
|
| Rate for Payer: Prime Health Services Commercial |
$117.05
|
|
|
HC CATH, URINARY SILASTIC 5FR
|
Facility
|
OP
|
$137.71
|
|
| Hospital Charge Code |
901698448
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.54 |
| Max. Negotiated Rate |
$123.94 |
| Rate for Payer: Adventist Health Commercial |
$27.54
|
| Rate for Payer: Aetna of CA HMO/PPO |
$83.63
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$117.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$75.74
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$103.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$66.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80.11
|
| Rate for Payer: Blue Shield of California Commercial |
$87.31
|
| Rate for Payer: Blue Shield of California EPN |
$54.95
|
| Rate for Payer: Cash Price |
$61.97
|
| Rate for Payer: Central Health Plan Commercial |
$110.17
|
| Rate for Payer: Cigna of CA HMO |
$88.13
|
| Rate for Payer: Cigna of CA PPO |
$101.91
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$117.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$117.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$117.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$96.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$55.08
|
| Rate for Payer: EPIC Health Plan Senior |
$55.08
|
| Rate for Payer: Galaxy Health WC |
$117.05
|
| Rate for Payer: Global Benefits Group Commercial |
$82.63
|
| Rate for Payer: Health Management Network EPO/PPO |
$123.94
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$87.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$81.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$96.40
|
| Rate for Payer: Multiplan Commercial |
$103.28
|
| Rate for Payer: Networks By Design Commercial |
$89.51
|
| Rate for Payer: Prime Health Services Commercial |
$117.05
|
| Rate for Payer: Riverside University Health System MISP |
$55.08
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$82.63
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$82.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$68.86
|
| Rate for Payer: United Healthcare All Other HMO |
$68.86
|
| Rate for Payer: United Healthcare HMO Rider |
$68.86
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$68.86
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$117.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$117.05
|
| Rate for Payer: Vantage Medical Group Senior |
$117.05
|
|
|
HC CATH URINARY SYSTEM 10FR
|
Facility
|
OP
|
$18.37
|
|
| Hospital Charge Code |
901602923
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.16
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.69
|
| Rate for Payer: Blue Shield of California Commercial |
$11.65
|
| Rate for Payer: Blue Shield of California EPN |
$7.33
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Cigna of CA HMO |
$11.76
|
| Rate for Payer: Cigna of CA PPO |
$13.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.61
|
| Rate for Payer: Dignity Health Medicare Advantage |
$15.61
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.67
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.86
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
| Rate for Payer: Riverside University Health System MISP |
$7.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.02
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.19
|
| Rate for Payer: United Healthcare All Other HMO |
$9.19
|
| Rate for Payer: United Healthcare HMO Rider |
$9.19
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.61
|
| Rate for Payer: Vantage Medical Group Senior |
$15.61
|
|
|
HC CATH URINARY SYSTEM 10FR
|
Facility
|
IP
|
$18.37
|
|
| Hospital Charge Code |
901602923
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
|
|
HC CATH URINARY SYSTEM 14FR
|
Facility
|
IP
|
$18.37
|
|
| Hospital Charge Code |
901602924
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
|
|
HC CATH URINARY SYSTEM 14FR
|
Facility
|
OP
|
$18.37
|
|
| Hospital Charge Code |
901602924
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$16.53 |
| Rate for Payer: Adventist Health Commercial |
$3.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.16
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.69
|
| Rate for Payer: Blue Shield of California Commercial |
$11.65
|
| Rate for Payer: Blue Shield of California EPN |
$7.33
|
| Rate for Payer: Cash Price |
$8.27
|
| Rate for Payer: Central Health Plan Commercial |
$14.70
|
| Rate for Payer: Cigna of CA HMO |
$11.76
|
| Rate for Payer: Cigna of CA PPO |
$13.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.61
|
| Rate for Payer: Dignity Health Medicare Advantage |
$15.61
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.35
|
| Rate for Payer: EPIC Health Plan Senior |
$7.35
|
| Rate for Payer: Galaxy Health WC |
$15.61
|
| Rate for Payer: Global Benefits Group Commercial |
$11.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.67
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.86
|
| Rate for Payer: Multiplan Commercial |
$13.78
|
| Rate for Payer: Networks By Design Commercial |
$11.94
|
| Rate for Payer: Prime Health Services Commercial |
$15.61
|
| Rate for Payer: Riverside University Health System MISP |
$7.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.02
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.19
|
| Rate for Payer: United Healthcare All Other HMO |
$9.19
|
| Rate for Payer: United Healthcare HMO Rider |
$9.19
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.61
|
| Rate for Payer: Vantage Medical Group Senior |
$15.61
|
|
|
HC CATH URINARY SYSTEM 8FR
|
Facility
|
IP
|
$17.38
|
|
| Hospital Charge Code |
901602922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.48 |
| Max. Negotiated Rate |
$15.64 |
| Rate for Payer: Adventist Health Commercial |
$3.48
|
| Rate for Payer: Cash Price |
$7.82
|
| Rate for Payer: Central Health Plan Commercial |
$13.90
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.95
|
| Rate for Payer: EPIC Health Plan Senior |
$6.95
|
| Rate for Payer: Galaxy Health WC |
$14.77
|
| Rate for Payer: Global Benefits Group Commercial |
$10.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.64
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.04
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.48
|
| Rate for Payer: Multiplan Commercial |
$13.04
|
| Rate for Payer: Networks By Design Commercial |
$11.30
|
| Rate for Payer: Prime Health Services Commercial |
$14.77
|
|
|
HC CATH URINARY SYSTEM 8FR
|
Facility
|
OP
|
$17.38
|
|
| Hospital Charge Code |
901602922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.48 |
| Max. Negotiated Rate |
$15.64 |
| Rate for Payer: Adventist Health Commercial |
$3.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10.55
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14.77
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9.56
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.11
|
| Rate for Payer: Blue Shield of California Commercial |
$11.02
|
| Rate for Payer: Blue Shield of California EPN |
$6.93
|
| Rate for Payer: Cash Price |
$7.82
|
| Rate for Payer: Central Health Plan Commercial |
$13.90
|
| Rate for Payer: Cigna of CA HMO |
$11.12
|
| Rate for Payer: Cigna of CA PPO |
$12.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14.77
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.77
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.77
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.95
|
| Rate for Payer: EPIC Health Plan Senior |
$6.95
|
| Rate for Payer: Galaxy Health WC |
$14.77
|
| Rate for Payer: Global Benefits Group Commercial |
$10.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.64
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.04
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.48
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.17
|
| Rate for Payer: Multiplan Commercial |
$13.04
|
| Rate for Payer: Networks By Design Commercial |
$11.30
|
| Rate for Payer: Prime Health Services Commercial |
$14.77
|
| Rate for Payer: Riverside University Health System MISP |
$6.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.43
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$8.69
|
| Rate for Payer: United Healthcare All Other HMO |
$8.69
|
| Rate for Payer: United Healthcare HMO Rider |
$8.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.69
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14.77
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.77
|
| Rate for Payer: Vantage Medical Group Senior |
$14.77
|
|
|
HC CATH VAPRO PLUS 14FR 16 IN
|
Facility
|
IP
|
$19.52
|
|
| Hospital Charge Code |
901607287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.90 |
| Max. Negotiated Rate |
$17.57 |
| Rate for Payer: Adventist Health Commercial |
$3.90
|
| Rate for Payer: Cash Price |
$8.78
|
| Rate for Payer: Central Health Plan Commercial |
$15.62
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.81
|
| Rate for Payer: EPIC Health Plan Senior |
$7.81
|
| Rate for Payer: Galaxy Health WC |
$16.59
|
| Rate for Payer: Global Benefits Group Commercial |
$11.71
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.57
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.90
|
| Rate for Payer: Multiplan Commercial |
$14.64
|
| Rate for Payer: Networks By Design Commercial |
$12.69
|
| Rate for Payer: Prime Health Services Commercial |
$16.59
|
|
|
HC CATH VAPRO PLUS 14FR 16 IN
|
Facility
|
OP
|
$19.52
|
|
| Hospital Charge Code |
901607287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.90 |
| Max. Negotiated Rate |
$17.57 |
| Rate for Payer: Adventist Health Commercial |
$3.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11.85
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$16.59
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10.74
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.45
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.35
|
| Rate for Payer: Blue Shield of California Commercial |
$12.38
|
| Rate for Payer: Blue Shield of California EPN |
$7.79
|
| Rate for Payer: Cash Price |
$8.78
|
| Rate for Payer: Central Health Plan Commercial |
$15.62
|
| Rate for Payer: Cigna of CA HMO |
$12.49
|
| Rate for Payer: Cigna of CA PPO |
$14.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$16.59
|
| Rate for Payer: Dignity Health Medi-Cal |
$16.59
|
| Rate for Payer: Dignity Health Medicare Advantage |
$16.59
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.81
|
| Rate for Payer: EPIC Health Plan Senior |
$7.81
|
| Rate for Payer: Galaxy Health WC |
$16.59
|
| Rate for Payer: Global Benefits Group Commercial |
$11.71
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.57
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$7.09
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$13.66
|
| Rate for Payer: Multiplan Commercial |
$14.64
|
| Rate for Payer: Networks By Design Commercial |
$12.69
|
| Rate for Payer: Prime Health Services Commercial |
$16.59
|
| Rate for Payer: Riverside University Health System MISP |
$7.81
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.71
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.71
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.76
|
| Rate for Payer: United Healthcare All Other HMO |
$9.76
|
| Rate for Payer: United Healthcare HMO Rider |
$9.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.76
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$16.59
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.59
|
| Rate for Payer: Vantage Medical Group Senior |
$16.59
|
|
|
HC CATH VAPRO PLUS 14FR 16IN
|
Facility
|
OP
|
$17.22
|
|
| Hospital Charge Code |
901698330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$15.50 |
| Rate for Payer: Adventist Health Commercial |
$3.44
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10.46
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$14.64
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9.47
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$12.91
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.34
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10.02
|
| Rate for Payer: Blue Shield of California Commercial |
$10.92
|
| Rate for Payer: Blue Shield of California EPN |
$6.87
|
| Rate for Payer: Cash Price |
$7.75
|
| Rate for Payer: Central Health Plan Commercial |
$13.78
|
| Rate for Payer: Cigna of CA HMO |
$11.02
|
| Rate for Payer: Cigna of CA PPO |
$12.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14.64
|
| Rate for Payer: Dignity Health Medi-Cal |
$14.64
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.64
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.89
|
| Rate for Payer: EPIC Health Plan Senior |
$6.89
|
| Rate for Payer: Galaxy Health WC |
$14.64
|
| Rate for Payer: Global Benefits Group Commercial |
$10.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$6.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12.05
|
| Rate for Payer: Multiplan Commercial |
$12.91
|
| Rate for Payer: Networks By Design Commercial |
$11.19
|
| Rate for Payer: Prime Health Services Commercial |
$14.64
|
| Rate for Payer: Riverside University Health System MISP |
$6.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$8.61
|
| Rate for Payer: United Healthcare All Other HMO |
$8.61
|
| Rate for Payer: United Healthcare HMO Rider |
$8.61
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.61
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$14.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.64
|
| Rate for Payer: Vantage Medical Group Senior |
$14.64
|
|
|
HC CATH VAPRO PLUS 14FR 16IN
|
Facility
|
IP
|
$17.22
|
|
| Hospital Charge Code |
901698330
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$15.50 |
| Rate for Payer: Adventist Health Commercial |
$3.44
|
| Rate for Payer: Cash Price |
$7.75
|
| Rate for Payer: Central Health Plan Commercial |
$13.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.89
|
| Rate for Payer: EPIC Health Plan Senior |
$6.89
|
| Rate for Payer: Galaxy Health WC |
$14.64
|
| Rate for Payer: Global Benefits Group Commercial |
$10.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.44
|
| Rate for Payer: Multiplan Commercial |
$12.91
|
| Rate for Payer: Networks By Design Commercial |
$11.19
|
| Rate for Payer: Prime Health Services Commercial |
$14.64
|
|
|
HC CATH VASC GUIDELINER
|
Facility
|
OP
|
$1,817.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$188.37 |
| Max. Negotiated Rate |
$1,635.30 |
| Rate for Payer: Adventist Health Commercial |
$363.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$188.37
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$999.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,362.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$879.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,056.95
|
| Rate for Payer: Blue Shield of California Commercial |
$1,151.98
|
| Rate for Payer: Blue Shield of California EPN |
$724.98
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Central Health Plan Commercial |
$1,453.60
|
| Rate for Payer: Cigna of CA HMO |
$1,162.88
|
| Rate for Payer: Cigna of CA PPO |
$1,344.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,544.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,544.45
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,271.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$726.80
|
| Rate for Payer: Galaxy Health WC |
$1,544.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,635.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,153.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$659.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,072.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$363.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,271.90
|
| Rate for Payer: Multiplan Commercial |
$1,362.75
|
| Rate for Payer: Networks By Design Commercial |
$1,181.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,544.45
|
| Rate for Payer: Riverside University Health System MISP |
$726.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,090.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,090.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$908.50
|
| Rate for Payer: United Healthcare All Other HMO |
$908.50
|
| Rate for Payer: United Healthcare HMO Rider |
$908.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$908.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,544.45
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,544.45
|
| Rate for Payer: Vantage Medical Group Senior |
$1,544.45
|
|
|
HC CATH VASC GUIDELINER
|
Facility
|
IP
|
$1,817.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$363.40 |
| Max. Negotiated Rate |
$1,635.30 |
| Rate for Payer: Adventist Health Commercial |
$363.40
|
| Rate for Payer: Cash Price |
$817.65
|
| Rate for Payer: Central Health Plan Commercial |
$1,453.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,271.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$726.80
|
| Rate for Payer: Galaxy Health WC |
$1,544.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,635.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,153.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,072.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$363.40
|
| Rate for Payer: Multiplan Commercial |
$1,362.75
|
| Rate for Payer: Networks By Design Commercial |
$1,181.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,544.45
|
|
