|
HC CATH TERUMO HEARTRAIL III
|
Facility
|
OP
|
$580.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812420
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Adventist Health Commercial |
$116.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$352.23
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$319.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$435.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$280.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$340.63
|
| Rate for Payer: Blue Shield of California Commercial |
$354.38
|
| Rate for Payer: Blue Shield of California EPN |
$231.42
|
| Rate for Payer: Cash Price |
$319.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Cigna of CA HMO |
$371.20
|
| Rate for Payer: Cigna of CA PPO |
$429.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$493.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$493.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$493.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: EPIC Health Plan Senior |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: InnovAge PACE Commercial |
$290.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$386.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$220.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$359.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$406.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$406.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
| Rate for Payer: Riverside University Health System MISP |
$232.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$348.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$348.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$290.00
|
| Rate for Payer: United Healthcare All Other HMO |
$290.00
|
| Rate for Payer: United Healthcare HMO Rider |
$290.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$290.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$493.00
|
| Rate for Payer: Vantage Medical Group Senior |
$493.00
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
IP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Cash Price |
$150.15
|
| Rate for Payer: Central Health Plan Commercial |
$218.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$245.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$182.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$104.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$168.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$54.60
|
| Rate for Payer: Multiplan Commercial |
$204.75
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
|
|
HC CATH TERUMO OPTITORQUE
|
Facility
|
OP
|
$273.00
|
|
| Hospital Charge Code |
906812393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Adventist Health Commercial |
$54.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$165.79
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$150.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$204.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$132.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$160.33
|
| Rate for Payer: Blue Shield of California Commercial |
$166.80
|
| Rate for Payer: Blue Shield of California EPN |
$108.93
|
| Rate for Payer: Cash Price |
$150.15
|
| Rate for Payer: Central Health Plan Commercial |
$218.40
|
| Rate for Payer: Cigna of CA HMO |
$174.72
|
| Rate for Payer: Cigna of CA PPO |
$202.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$232.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$232.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$232.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$109.20
|
| Rate for Payer: EPIC Health Plan Senior |
$109.20
|
| Rate for Payer: Galaxy Health WC |
$232.05
|
| Rate for Payer: Global Benefits Group Commercial |
$163.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$245.70
|
| Rate for Payer: InnovAge PACE Commercial |
$136.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$182.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$104.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$168.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$54.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$191.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$191.10
|
| Rate for Payer: Multiplan Commercial |
$204.75
|
| Rate for Payer: Networks By Design Commercial |
$177.45
|
| Rate for Payer: Prime Health Services Commercial |
$232.05
|
| Rate for Payer: Riverside University Health System MISP |
$109.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$163.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$163.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$136.50
|
| Rate for Payer: United Healthcare All Other HMO |
$136.50
|
| Rate for Payer: United Healthcare HMO Rider |
$136.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$136.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$232.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$232.05
|
| Rate for Payer: Vantage Medical Group Senior |
$232.05
|
|
|
HC CATH TERUMO PRIORITYONE
|
Facility
|
IP
|
$1,380.00
|
|
|
Service Code
|
CPT C1757
|
| Hospital Charge Code |
906812558
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$276.00 |
| Max. Negotiated Rate |
$1,242.00 |
| Rate for Payer: Adventist Health Commercial |
$276.00
|
| Rate for Payer: Cash Price |
$759.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,104.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$552.00
|
| Rate for Payer: EPIC Health Plan Senior |
$552.00
|
| Rate for Payer: Galaxy Health WC |
$1,173.00
|
| Rate for Payer: Global Benefits Group Commercial |
$828.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,242.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$920.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$525.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$854.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$276.00
|
| Rate for Payer: Multiplan Commercial |
$1,035.00
|
| Rate for Payer: Networks By Design Commercial |
$897.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,173.00
|
|
|
HC CATH TERUMO PRIORITYONE
|
Facility
|
OP
|
$1,380.00
|
|
|
Service Code
|
CPT C1757
|
| Hospital Charge Code |
906812558
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$276.00 |
| Max. Negotiated Rate |
$1,242.00 |
| Rate for Payer: Adventist Health Commercial |
$276.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$838.07
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$759.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,035.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$668.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$810.47
|
| Rate for Payer: Blue Shield of California Commercial |
$843.18
|
| Rate for Payer: Blue Shield of California EPN |
$550.62
|
| Rate for Payer: Cash Price |
$759.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,104.00
|
| Rate for Payer: Cigna of CA HMO |
$883.20
|
| Rate for Payer: Cigna of CA PPO |
$1,021.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,173.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,173.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$552.00
|
| Rate for Payer: EPIC Health Plan Senior |
$552.00
|
| Rate for Payer: Galaxy Health WC |
$1,173.00
|
| Rate for Payer: Global Benefits Group Commercial |
$828.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,242.00
|
| Rate for Payer: InnovAge PACE Commercial |
$690.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$920.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$525.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$854.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$276.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$966.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$966.00
|
| Rate for Payer: Multiplan Commercial |
$1,035.00
|
| Rate for Payer: Networks By Design Commercial |
$897.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,173.00
|
| Rate for Payer: Riverside University Health System MISP |
$552.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$828.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$828.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$690.00
|
| Rate for Payer: United Healthcare All Other HMO |
$690.00
|
| Rate for Payer: United Healthcare HMO Rider |
$690.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$690.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,173.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,173.00
|
|
|
HC CATH TERUMO PROGREAT
|
Facility
|
IP
|
$1,380.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$276.00 |
| Max. Negotiated Rate |
$1,242.00 |
| Rate for Payer: Adventist Health Commercial |
$276.00
|
| Rate for Payer: Cash Price |
$759.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,104.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$552.00
|
| Rate for Payer: EPIC Health Plan Senior |
$552.00
|
| Rate for Payer: Galaxy Health WC |
$1,173.00
|
| Rate for Payer: Global Benefits Group Commercial |
$828.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,242.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$920.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$525.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$854.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$276.00
|
| Rate for Payer: Multiplan Commercial |
$1,035.00
|
| Rate for Payer: Networks By Design Commercial |
$897.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,173.00
|
|
|
HC CATH TERUMO PROGREAT
|
Facility
|
OP
|
$1,380.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
906812610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$276.00 |
| Max. Negotiated Rate |
$1,242.00 |
| Rate for Payer: Adventist Health Commercial |
$276.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$838.07
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$759.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,035.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$668.20
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$810.47
|
| Rate for Payer: Blue Shield of California Commercial |
$843.18
|
| Rate for Payer: Blue Shield of California EPN |
$550.62
|
| Rate for Payer: Cash Price |
$759.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,104.00
|
| Rate for Payer: Cigna of CA HMO |
$883.20
|
| Rate for Payer: Cigna of CA PPO |
$1,021.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,173.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,173.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$552.00
|
| Rate for Payer: EPIC Health Plan Senior |
$552.00
|
| Rate for Payer: Galaxy Health WC |
$1,173.00
|
| Rate for Payer: Global Benefits Group Commercial |
$828.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,242.00
|
| Rate for Payer: InnovAge PACE Commercial |
$690.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$920.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$525.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$854.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$276.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$966.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$966.00
|
| Rate for Payer: Multiplan Commercial |
$1,035.00
|
| Rate for Payer: Networks By Design Commercial |
$897.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,173.00
|
| Rate for Payer: Riverside University Health System MISP |
$552.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$828.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$828.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$690.00
|
| Rate for Payer: United Healthcare All Other HMO |
$690.00
|
| Rate for Payer: United Healthcare HMO Rider |
$690.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$690.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,173.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,173.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,173.00
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
IP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$601.54 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Blue Shield of California Commercial |
$516.66
|
| Rate for Payer: Blue Shield of California EPN |
$336.86
|
| Rate for Payer: Cash Price |
$367.61
|
| Rate for Payer: Central Health Plan Commercial |
$534.70
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$601.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$445.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$254.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$413.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$133.68
|
| Rate for Payer: Multiplan Commercial |
$501.29
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
|
|
HC CATH THAL-QUICK 12FR CHEST
|
Facility
|
OP
|
$668.38
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$601.54 |
| Rate for Payer: Adventist Health Commercial |
$133.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$367.61
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$501.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$305.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$370.08
|
| Rate for Payer: Blue Shield of California Commercial |
$516.66
|
| Rate for Payer: Blue Shield of California EPN |
$336.86
|
| Rate for Payer: Cash Price |
$367.61
|
| Rate for Payer: Central Health Plan Commercial |
$534.70
|
| Rate for Payer: Cigna of CA HMO |
$467.87
|
| Rate for Payer: Cigna of CA PPO |
$467.87
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$568.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$568.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$568.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$267.35
|
| Rate for Payer: EPIC Health Plan Senior |
$267.35
|
| Rate for Payer: Galaxy Health WC |
$568.12
|
| Rate for Payer: Global Benefits Group Commercial |
$401.03
|
| Rate for Payer: Health Management Network EPO/PPO |
$601.54
|
| Rate for Payer: InnovAge PACE Commercial |
$334.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$445.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$254.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$413.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$133.68
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$467.87
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$467.87
|
| Rate for Payer: Multiplan Commercial |
$501.29
|
| Rate for Payer: Networks By Design Commercial |
$334.19
|
| Rate for Payer: Prime Health Services Commercial |
$568.12
|
| Rate for Payer: Riverside University Health System MISP |
$267.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$401.03
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$401.03
|
| Rate for Payer: United Healthcare All Other Commercial |
$250.84
|
| Rate for Payer: United Healthcare All Other HMO |
$244.16
|
| Rate for Payer: United Healthcare HMO Rider |
$238.88
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$218.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$568.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$568.12
|
| Rate for Payer: Vantage Medical Group Senior |
$568.12
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
OP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$613.96 |
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$375.20
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$511.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$311.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$377.72
|
| Rate for Payer: Blue Shield of California Commercial |
$527.33
|
| Rate for Payer: Blue Shield of California EPN |
$343.82
|
| Rate for Payer: Cash Price |
$375.20
|
| Rate for Payer: Central Health Plan Commercial |
$545.74
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$579.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$579.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$579.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$613.96
|
| Rate for Payer: InnovAge PACE Commercial |
$341.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$455.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$259.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$422.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$136.44
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$477.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$477.53
|
| Rate for Payer: Multiplan Commercial |
$511.63
|
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: Riverside University Health System MISP |
$272.87
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$409.31
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$409.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$579.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$579.85
|
| Rate for Payer: Vantage Medical Group Senior |
$579.85
|
|
|
HC CATH THAL-QUICK 16FR CHEST
|
Facility
|
IP
|
$682.18
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$136.44 |
| Max. Negotiated Rate |
$613.96 |
| Rate for Payer: Adventist Health Commercial |
$136.44
|
| Rate for Payer: Blue Shield of California Commercial |
$527.33
|
| Rate for Payer: Blue Shield of California EPN |
$343.82
|
| Rate for Payer: Cash Price |
$375.20
|
| Rate for Payer: Central Health Plan Commercial |
$545.74
|
| Rate for Payer: Cigna of CA HMO |
$477.53
|
| Rate for Payer: Cigna of CA PPO |
$477.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$272.87
|
| Rate for Payer: EPIC Health Plan Senior |
$272.87
|
| Rate for Payer: Galaxy Health WC |
$579.85
|
| Rate for Payer: Global Benefits Group Commercial |
$409.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$613.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$455.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$259.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$422.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$136.44
|
| Rate for Payer: Multiplan Commercial |
$511.63
|
| Rate for Payer: Networks By Design Commercial |
$341.09
|
| Rate for Payer: Prime Health Services Commercial |
$579.85
|
| Rate for Payer: United Healthcare All Other Commercial |
$256.02
|
| Rate for Payer: United Healthcare All Other HMO |
$249.20
|
| Rate for Payer: United Healthcare HMO Rider |
$243.81
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$223.41
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
OP
|
$745.89
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.18 |
| Max. Negotiated Rate |
$671.30 |
| Rate for Payer: Adventist Health Commercial |
$149.18
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$634.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$410.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$559.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$340.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$413.00
|
| Rate for Payer: Blue Shield of California Commercial |
$576.57
|
| Rate for Payer: Blue Shield of California EPN |
$375.93
|
| Rate for Payer: Cash Price |
$410.24
|
| Rate for Payer: Central Health Plan Commercial |
$596.71
|
| Rate for Payer: Cigna of CA HMO |
$522.12
|
| Rate for Payer: Cigna of CA PPO |
$522.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$634.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$634.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$634.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$298.36
|
| Rate for Payer: EPIC Health Plan Senior |
$298.36
|
| Rate for Payer: Galaxy Health WC |
$634.01
|
| Rate for Payer: Global Benefits Group Commercial |
$447.53
|
| Rate for Payer: Health Management Network EPO/PPO |
$671.30
|
| Rate for Payer: InnovAge PACE Commercial |
$372.94
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$497.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$284.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$461.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$149.18
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$522.12
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$522.12
|
| Rate for Payer: Multiplan Commercial |
$559.42
|
| Rate for Payer: Networks By Design Commercial |
$372.94
|
| Rate for Payer: Prime Health Services Commercial |
$634.01
|
| Rate for Payer: Riverside University Health System MISP |
$298.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$447.53
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$447.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$279.93
|
| Rate for Payer: United Healthcare All Other HMO |
$272.47
|
| Rate for Payer: United Healthcare HMO Rider |
$266.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$634.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$634.01
|
| Rate for Payer: Vantage Medical Group Senior |
$634.01
|
|
|
HC CATH THAL-QUICK 18FR CHEST
|
Facility
|
IP
|
$745.89
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901602842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.18 |
| Max. Negotiated Rate |
$671.30 |
| Rate for Payer: Adventist Health Commercial |
$149.18
|
| Rate for Payer: Blue Shield of California Commercial |
$576.57
|
| Rate for Payer: Blue Shield of California EPN |
$375.93
|
| Rate for Payer: Cash Price |
$410.24
|
| Rate for Payer: Central Health Plan Commercial |
$596.71
|
| Rate for Payer: Cigna of CA HMO |
$522.12
|
| Rate for Payer: Cigna of CA PPO |
$522.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$298.36
|
| Rate for Payer: EPIC Health Plan Senior |
$298.36
|
| Rate for Payer: Galaxy Health WC |
$634.01
|
| Rate for Payer: Global Benefits Group Commercial |
$447.53
|
| Rate for Payer: Health Management Network EPO/PPO |
$671.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$497.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$284.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$461.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$149.18
|
| Rate for Payer: Multiplan Commercial |
$559.42
|
| Rate for Payer: Networks By Design Commercial |
$372.94
|
| Rate for Payer: Prime Health Services Commercial |
$634.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$279.93
|
| Rate for Payer: United Healthcare All Other HMO |
$272.47
|
| Rate for Payer: United Healthcare HMO Rider |
$266.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$244.28
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
IP
|
$412.90
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.58 |
| Max. Negotiated Rate |
$371.61 |
| Rate for Payer: Adventist Health Commercial |
$82.58
|
| Rate for Payer: Cash Price |
$227.10
|
| Rate for Payer: Central Health Plan Commercial |
$330.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$165.16
|
| Rate for Payer: EPIC Health Plan Senior |
$165.16
|
| Rate for Payer: Galaxy Health WC |
$350.96
|
| Rate for Payer: Global Benefits Group Commercial |
$247.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$371.61
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$275.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$157.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$255.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$82.58
|
| Rate for Payer: Multiplan Commercial |
$309.68
|
| Rate for Payer: Networks By Design Commercial |
$268.38
|
| Rate for Payer: Prime Health Services Commercial |
$350.96
|
|
|
HC CATH THERMODILUTN 7FR 4 LUMEN
|
Facility
|
OP
|
$412.90
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.58 |
| Max. Negotiated Rate |
$371.61 |
| Rate for Payer: Adventist Health Commercial |
$82.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$250.75
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$350.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$227.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$309.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$199.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$242.50
|
| Rate for Payer: Blue Shield of California Commercial |
$252.28
|
| Rate for Payer: Blue Shield of California EPN |
$164.75
|
| Rate for Payer: Cash Price |
$227.10
|
| Rate for Payer: Central Health Plan Commercial |
$330.32
|
| Rate for Payer: Cigna of CA HMO |
$264.26
|
| Rate for Payer: Cigna of CA PPO |
$305.55
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$350.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$350.96
|
| Rate for Payer: Dignity Health Medicare Advantage |
$350.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$165.16
|
| Rate for Payer: EPIC Health Plan Senior |
$165.16
|
| Rate for Payer: Galaxy Health WC |
$350.96
|
| Rate for Payer: Global Benefits Group Commercial |
$247.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$371.61
|
| Rate for Payer: InnovAge PACE Commercial |
$206.45
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$275.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$157.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$255.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$82.58
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$289.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$289.03
|
| Rate for Payer: Multiplan Commercial |
$309.68
|
| Rate for Payer: Networks By Design Commercial |
$268.38
|
| Rate for Payer: Prime Health Services Commercial |
$350.96
|
| Rate for Payer: Riverside University Health System MISP |
$165.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$247.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$247.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$206.45
|
| Rate for Payer: United Healthcare All Other HMO |
$206.45
|
| Rate for Payer: United Healthcare HMO Rider |
$206.45
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.45
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$350.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$350.96
|
| Rate for Payer: Vantage Medical Group Senior |
$350.96
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
IP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$48.64 |
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Blue Shield of California Commercial |
$41.77
|
| Rate for Payer: Blue Shield of California EPN |
$27.24
|
| Rate for Payer: Cash Price |
$29.72
|
| Rate for Payer: Central Health Plan Commercial |
$43.23
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.64
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.81
|
| Rate for Payer: Multiplan Commercial |
$40.53
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
|
|
HC CATH THORACIC 12FR CHEST TUBE
|
Facility
|
OP
|
$54.04
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901603648
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.81 |
| Max. Negotiated Rate |
$48.64 |
| Rate for Payer: Adventist Health Commercial |
$10.81
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$29.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$24.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.92
|
| Rate for Payer: Blue Shield of California Commercial |
$41.77
|
| Rate for Payer: Blue Shield of California EPN |
$27.24
|
| Rate for Payer: Cash Price |
$29.72
|
| Rate for Payer: Central Health Plan Commercial |
$43.23
|
| Rate for Payer: Cigna of CA HMO |
$37.83
|
| Rate for Payer: Cigna of CA PPO |
$37.83
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$45.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$45.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$45.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$21.62
|
| Rate for Payer: EPIC Health Plan Senior |
$21.62
|
| Rate for Payer: Galaxy Health WC |
$45.93
|
| Rate for Payer: Global Benefits Group Commercial |
$32.42
|
| Rate for Payer: Health Management Network EPO/PPO |
$48.64
|
| Rate for Payer: InnovAge PACE Commercial |
$27.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.81
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.83
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$37.83
|
| Rate for Payer: Multiplan Commercial |
$40.53
|
| Rate for Payer: Networks By Design Commercial |
$27.02
|
| Rate for Payer: Prime Health Services Commercial |
$45.93
|
| Rate for Payer: Riverside University Health System MISP |
$21.62
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32.42
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$32.42
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.28
|
| Rate for Payer: United Healthcare All Other HMO |
$19.74
|
| Rate for Payer: United Healthcare HMO Rider |
$19.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.70
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$45.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45.93
|
| Rate for Payer: Vantage Medical Group Senior |
$45.93
|
|
|
HC CATH THORACIC 16FR CHEST TUBE
|
Facility
|
OP
|
$56.33
|
|
|
Service Code
|
CPT C1729
|
| Hospital Charge Code |
901601397
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.27 |
| Max. Negotiated Rate |
$50.70 |
| Rate for Payer: Adventist Health Commercial |
$11.27
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$47.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$30.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$42.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$25.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31.19
|
| Rate for Payer: Blue Shield of California Commercial |
$43.54
|
| Rate for Payer: Blue Shield of California EPN |
$28.39
|
| Rate for Payer: Cash Price |
$30.98
|
| 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: 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: InnovAge PACE Commercial |
$28.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$37.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.27
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39.43
|
| Rate for Payer: Molina Healthcare of CA 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 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 |
$43.54
|
| Rate for Payer: Blue Shield of California EPN |
$28.39
|
| Rate for Payer: Cash Price |
$30.98
|
| 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: 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 Permanente of CA Commercial/Self Funded |
$37.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.87
|
| 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
|
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 |
$29.78
|
| Rate for Payer: Blue Shield of California Commercial |
$41.58
|
| Rate for Payer: Blue Shield of California EPN |
$27.11
|
| Rate for Payer: Cash Price |
$29.58
|
| 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: 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: InnovAge PACE Commercial |
$26.89
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$35.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.76
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$37.65
|
| Rate for Payer: Molina Healthcare of CA 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 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 |
$41.58
|
| Rate for Payer: Blue Shield of California EPN |
$27.11
|
| Rate for Payer: Cash Price |
$29.58
|
| 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: 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 Permanente of CA Commercial/Self Funded |
$35.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$33.30
|
| 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 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 |
$30.92
|
| Rate for Payer: Blue Shield of California Commercial |
$43.16
|
| Rate for Payer: Blue Shield of California EPN |
$28.14
|
| Rate for Payer: Cash Price |
$30.71
|
| 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: 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: InnovAge PACE Commercial |
$27.92
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$37.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.17
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39.09
|
| Rate for Payer: Molina Healthcare of CA 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 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 |
$43.16
|
| Rate for Payer: Blue Shield of California EPN |
$28.14
|
| Rate for Payer: Cash Price |
$30.71
|
| 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: 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 Permanente of CA Commercial/Self Funded |
$37.25
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.56
|
| 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 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 |
$30.51
|
| Rate for Payer: Blue Shield of California Commercial |
$42.59
|
| Rate for Payer: Blue Shield of California EPN |
$27.77
|
| Rate for Payer: Cash Price |
$30.31
|
| 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: 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: InnovAge PACE Commercial |
$27.55
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.02
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38.57
|
| Rate for Payer: Molina Healthcare of CA 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 |
$42.59
|
| Rate for Payer: Blue Shield of California EPN |
$27.77
|
| Rate for Payer: Cash Price |
$30.31
|
| 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: 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 Permanente of CA Commercial/Self Funded |
$36.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$20.99
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$34.11
|
| 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
|
|
