|
HC CL TREAT METACARPAL W/MANIPULA
|
Facility
|
OP
|
$2,240.00
|
|
|
Service Code
|
CPT 26700
|
| Hospital Charge Code |
900501340
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$264.56 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$918.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,622.77
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$317.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$485.64
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,792.00
|
| Rate for Payer: Cigna of CA HMO |
$1,433.60
|
| Rate for Payer: Cigna of CA PPO |
$1,657.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$475.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$348.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$317.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,568.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$523.48
|
| Rate for Payer: EPIC Health Plan Senior |
$348.99
|
| Rate for Payer: Galaxy Health WC |
$1,904.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,344.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,016.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$520.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$317.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,422.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$264.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$341.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$448.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$425.13
|
| Rate for Payer: Multiplan Commercial |
$1,680.00
|
| Rate for Payer: Multiplan WC |
$485.64
|
| Rate for Payer: Networks By Design Commercial |
$1,456.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$317.26
|
| Rate for Payer: Preferred Health Network WC |
$495.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,904.00
|
| Rate for Payer: Prime Health Services Medicare |
$336.30
|
| Rate for Payer: Prime Health Services WC |
$480.68
|
| Rate for Payer: Riverside University Health System MISP |
$348.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,344.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,344.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$317.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Vantage Medical Group Senior |
$317.26
|
|
|
HC CL TREAT METACARPAL W/MANIPULA
|
Facility
|
IP
|
$2,240.00
|
|
|
Service Code
|
CPT 26700
|
| Hospital Charge Code |
900501340
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$448.00 |
| Max. Negotiated Rate |
$2,016.00 |
| Rate for Payer: Adventist Health Commercial |
$448.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,792.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,568.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$896.00
|
| Rate for Payer: EPIC Health Plan Senior |
$896.00
|
| Rate for Payer: Galaxy Health WC |
$1,904.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,344.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,016.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,422.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,321.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$448.00
|
| Rate for Payer: Multiplan Commercial |
$1,680.00
|
| Rate for Payer: Networks By Design Commercial |
$1,456.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,904.00
|
|
|
HC CL TREAT META FX SNGL W/MAN
|
Facility
|
IP
|
$3,297.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
900501076
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$659.40 |
| Max. Negotiated Rate |
$2,967.30 |
| Rate for Payer: Adventist Health Commercial |
$659.40
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,637.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,307.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,318.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,318.80
|
| Rate for Payer: Galaxy Health WC |
$2,802.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,978.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,967.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,093.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,945.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$659.40
|
| Rate for Payer: Multiplan Commercial |
$2,472.75
|
| Rate for Payer: Networks By Design Commercial |
$2,143.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,802.45
|
|
|
HC CL TREAT META FX SNGL W/MAN
|
Facility
|
OP
|
$3,297.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
900501076
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$317.26 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$1,351.77
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,632.59
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$317.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$485.64
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,637.60
|
| Rate for Payer: Cigna of CA HMO |
$2,110.08
|
| Rate for Payer: Cigna of CA PPO |
$2,439.78
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$475.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$348.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$317.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,307.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$523.48
|
| Rate for Payer: EPIC Health Plan Senior |
$348.99
|
| Rate for Payer: Galaxy Health WC |
$2,802.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,978.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,967.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$520.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$317.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,093.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$348.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$341.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$659.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$425.13
|
| Rate for Payer: Multiplan Commercial |
$2,472.75
|
| Rate for Payer: Multiplan WC |
$485.64
|
| Rate for Payer: Networks By Design Commercial |
$2,143.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$317.26
|
| Rate for Payer: Preferred Health Network WC |
$495.55
|
| Rate for Payer: Prime Health Services Commercial |
$2,802.45
|
| Rate for Payer: Prime Health Services Medicare |
$336.30
|
| Rate for Payer: Prime Health Services WC |
$480.68
|
| Rate for Payer: Riverside University Health System MISP |
$348.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,978.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,978.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$317.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Vantage Medical Group Senior |
$317.26
|
|
|
HC CL TREAT META FX SNGL W/MAN
|
Facility
|
OP
|
$3,297.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
900501076
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$317.26 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$659.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$317.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$485.64
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,637.60
|
| Rate for Payer: Cigna of CA HMO |
$2,110.08
|
| Rate for Payer: Cigna of CA PPO |
$2,439.78
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$475.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$348.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$317.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,307.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$523.48
|
| Rate for Payer: EPIC Health Plan Senior |
$348.99
|
| Rate for Payer: Galaxy Health WC |
$2,802.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,978.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,967.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$520.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$317.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,093.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$348.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$341.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$659.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$425.13
|
| Rate for Payer: Multiplan Commercial |
$2,472.75
|
| Rate for Payer: Multiplan WC |
$485.64
|
| Rate for Payer: Networks By Design Commercial |
$2,143.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$317.26
|
| Rate for Payer: Preferred Health Network WC |
$495.55
|
| Rate for Payer: Prime Health Services Commercial |
$2,802.45
|
| Rate for Payer: Prime Health Services Medicare |
$336.30
|
| Rate for Payer: Prime Health Services WC |
$480.68
|
| Rate for Payer: Riverside University Health System MISP |
$348.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,978.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,648.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,648.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,648.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,648.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$317.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Vantage Medical Group Senior |
$317.26
|
|
|
HC CL TREAT META FX SNGL W/MAN
|
Facility
|
IP
|
$3,297.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
900501076
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$659.40 |
| Max. Negotiated Rate |
$2,967.30 |
| Rate for Payer: Adventist Health Commercial |
$659.40
|
| Rate for Payer: Cash Price |
$1,483.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,637.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,307.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,318.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,318.80
|
| Rate for Payer: Galaxy Health WC |
$2,802.45
|
| Rate for Payer: Global Benefits Group Commercial |
$1,978.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,967.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,093.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,945.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$659.40
|
| Rate for Payer: Multiplan Commercial |
$2,472.75
|
| Rate for Payer: Networks By Design Commercial |
$2,143.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,802.45
|
|
|
HC CL TREAT META FX W/EXT FIX EA
|
Facility
|
IP
|
$8,352.00
|
|
|
Service Code
|
CPT 26607
|
| Hospital Charge Code |
900501717
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,670.40 |
| Max. Negotiated Rate |
$7,516.80 |
| Rate for Payer: Adventist Health Commercial |
$1,670.40
|
| Rate for Payer: Cash Price |
$3,758.40
|
| Rate for Payer: Central Health Plan Commercial |
$6,681.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,846.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,340.80
|
| Rate for Payer: EPIC Health Plan Senior |
$3,340.80
|
| Rate for Payer: Galaxy Health WC |
$7,099.20
|
| Rate for Payer: Global Benefits Group Commercial |
$5,011.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,516.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,303.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,927.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,670.40
|
| Rate for Payer: Multiplan Commercial |
$6,264.00
|
| Rate for Payer: Networks By Design Commercial |
$5,428.80
|
| Rate for Payer: Prime Health Services Commercial |
$7,099.20
|
|
|
HC CL TREAT META FX W/EXT FIX EA
|
Facility
|
OP
|
$8,352.00
|
|
|
Service Code
|
CPT 26607
|
| Hospital Charge Code |
900501717
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$7,516.80 |
| Rate for Payer: Adventist Health Commercial |
$1,670.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,629.17
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,208.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,568.63
|
| Rate for Payer: Cash Price |
$3,758.40
|
| Rate for Payer: Cash Price |
$3,758.40
|
| Rate for Payer: Cash Price |
$3,758.40
|
| Rate for Payer: Cash Price |
$3,758.40
|
| Rate for Payer: Central Health Plan Commercial |
$6,681.60
|
| Rate for Payer: Cigna of CA HMO |
$5,345.28
|
| Rate for Payer: Cigna of CA PPO |
$6,180.48
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,629.17
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,208.34
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,846.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,943.76
|
| Rate for Payer: EPIC Health Plan Senior |
$4,629.17
|
| Rate for Payer: Galaxy Health WC |
$7,099.20
|
| Rate for Payer: Global Benefits Group Commercial |
$5,011.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,516.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,901.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,208.34
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,303.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$772.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,523.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,670.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,639.18
|
| Rate for Payer: Multiplan Commercial |
$6,264.00
|
| Rate for Payer: Multiplan WC |
$6,568.63
|
| Rate for Payer: Networks By Design Commercial |
$5,428.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,208.34
|
| Rate for Payer: Preferred Health Network WC |
$6,702.68
|
| Rate for Payer: Prime Health Services Commercial |
$7,099.20
|
| Rate for Payer: Prime Health Services Medicare |
$4,460.84
|
| Rate for Payer: Prime Health Services WC |
$6,501.60
|
| Rate for Payer: Riverside University Health System MISP |
$4,629.17
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,011.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,176.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,176.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,176.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,176.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,208.34
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,629.17
|
| Rate for Payer: Vantage Medical Group Senior |
$4,208.34
|
|
|
HC CL TREAT MOUTH ROOF FX
|
Facility
|
IP
|
$9,353.00
|
|
|
Service Code
|
CPT 21421
|
| Hospital Charge Code |
900501741
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,870.60 |
| Max. Negotiated Rate |
$8,417.70 |
| Rate for Payer: Adventist Health Commercial |
$1,870.60
|
| Rate for Payer: Cash Price |
$4,208.85
|
| Rate for Payer: Central Health Plan Commercial |
$7,482.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,547.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,741.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,741.20
|
| Rate for Payer: Galaxy Health WC |
$7,950.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,611.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,417.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,939.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,518.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,870.60
|
| Rate for Payer: Multiplan Commercial |
$7,014.75
|
| Rate for Payer: Networks By Design Commercial |
$6,079.45
|
| Rate for Payer: Prime Health Services Commercial |
$7,950.05
|
|
|
HC CL TREAT MOUTH ROOF FX
|
Facility
|
OP
|
$9,353.00
|
|
|
Service Code
|
CPT 21421
|
| Hospital Charge Code |
900501741
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$8,924.00 |
| Rate for Payer: Adventist Health Commercial |
$1,870.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,264.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,924.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,565.51
|
| Rate for Payer: Cash Price |
$4,208.85
|
| Rate for Payer: Cash Price |
$4,208.85
|
| Rate for Payer: Cash Price |
$4,208.85
|
| Rate for Payer: Cash Price |
$4,208.85
|
| Rate for Payer: Central Health Plan Commercial |
$7,482.40
|
| Rate for Payer: Cigna of CA HMO |
$5,985.92
|
| Rate for Payer: Cigna of CA PPO |
$6,921.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,690.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,264.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,547.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,035.98
|
| Rate for Payer: EPIC Health Plan Senior |
$4,690.65
|
| Rate for Payer: Galaxy Health WC |
$7,950.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,611.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,417.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,993.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,939.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$560.94
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,584.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,870.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,714.07
|
| Rate for Payer: Multiplan Commercial |
$7,014.75
|
| Rate for Payer: Multiplan WC |
$6,565.51
|
| Rate for Payer: Networks By Design Commercial |
$6,079.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Preferred Health Network WC |
$6,699.50
|
| Rate for Payer: Prime Health Services Commercial |
$7,950.05
|
| Rate for Payer: Prime Health Services Medicare |
$4,520.08
|
| Rate for Payer: Prime Health Services WC |
$6,498.52
|
| Rate for Payer: Riverside University Health System MISP |
$4,690.65
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,611.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,676.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,676.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,676.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,676.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,264.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Vantage Medical Group Senior |
$4,264.23
|
|
|
HC CL TREAT NASAL SEPTAL FX
|
Facility
|
OP
|
$7,319.00
|
|
|
Service Code
|
CPT 21337
|
| Hospital Charge Code |
900501499
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$248.29 |
| Max. Negotiated Rate |
$7,035.98 |
| Rate for Payer: Adventist Health Commercial |
$1,463.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,264.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,565.51
|
| Rate for Payer: Cash Price |
$3,293.55
|
| Rate for Payer: Cash Price |
$3,293.55
|
| Rate for Payer: Cash Price |
$3,293.55
|
| Rate for Payer: Cash Price |
$3,293.55
|
| Rate for Payer: Central Health Plan Commercial |
$5,855.20
|
| Rate for Payer: Cigna of CA HMO |
$4,684.16
|
| Rate for Payer: Cigna of CA PPO |
$5,416.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,690.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,264.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,123.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,035.98
|
| Rate for Payer: EPIC Health Plan Senior |
$4,690.65
|
| Rate for Payer: Galaxy Health WC |
$6,221.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,391.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,587.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,993.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,647.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$248.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,584.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,463.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,714.07
|
| Rate for Payer: Multiplan Commercial |
$5,489.25
|
| Rate for Payer: Multiplan WC |
$6,565.51
|
| Rate for Payer: Networks By Design Commercial |
$4,757.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Preferred Health Network WC |
$6,699.50
|
| Rate for Payer: Prime Health Services Commercial |
$6,221.15
|
| Rate for Payer: Prime Health Services Medicare |
$4,520.08
|
| Rate for Payer: Prime Health Services WC |
$6,498.52
|
| Rate for Payer: Riverside University Health System MISP |
$4,690.65
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,391.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,659.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,659.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,659.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,659.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,264.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Vantage Medical Group Senior |
$4,264.23
|
|
|
HC CL TREAT NASAL SEPTAL FX
|
Facility
|
IP
|
$7,319.00
|
|
|
Service Code
|
CPT 21337
|
| Hospital Charge Code |
900501499
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,463.80 |
| Max. Negotiated Rate |
$6,587.10 |
| Rate for Payer: Adventist Health Commercial |
$1,463.80
|
| Rate for Payer: Cash Price |
$3,293.55
|
| Rate for Payer: Central Health Plan Commercial |
$5,855.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,123.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,927.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,927.60
|
| Rate for Payer: Galaxy Health WC |
$6,221.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,391.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,587.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,647.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,318.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,463.80
|
| Rate for Payer: Multiplan Commercial |
$5,489.25
|
| Rate for Payer: Networks By Design Commercial |
$4,757.35
|
| Rate for Payer: Prime Health Services Commercial |
$6,221.15
|
|
|
HC CL TREAT OF ACROMICLAV W/MANIP
|
Facility
|
OP
|
$6,461.00
|
|
|
Service Code
|
CPT 23545
|
| Hospital Charge Code |
900501358
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$250.40 |
| Max. Negotiated Rate |
$5,814.90 |
| Rate for Payer: Adventist Health Commercial |
$1,292.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$317.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$485.64
|
| Rate for Payer: Cash Price |
$2,907.45
|
| Rate for Payer: Cash Price |
$2,907.45
|
| Rate for Payer: Cash Price |
$2,907.45
|
| Rate for Payer: Cash Price |
$2,907.45
|
| Rate for Payer: Central Health Plan Commercial |
$5,168.80
|
| Rate for Payer: Cigna of CA HMO |
$4,135.04
|
| Rate for Payer: Cigna of CA PPO |
$4,781.14
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$475.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$348.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$317.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,522.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$523.48
|
| Rate for Payer: EPIC Health Plan Senior |
$348.99
|
| Rate for Payer: Galaxy Health WC |
$5,491.85
|
| Rate for Payer: Global Benefits Group Commercial |
$3,876.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,814.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$520.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$317.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,102.73
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$250.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$341.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,292.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$425.13
|
| Rate for Payer: Multiplan Commercial |
$4,845.75
|
| Rate for Payer: Multiplan WC |
$485.64
|
| Rate for Payer: Networks By Design Commercial |
$4,199.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$317.26
|
| Rate for Payer: Preferred Health Network WC |
$495.55
|
| Rate for Payer: Prime Health Services Commercial |
$5,491.85
|
| Rate for Payer: Prime Health Services Medicare |
$336.30
|
| Rate for Payer: Prime Health Services WC |
$480.68
|
| Rate for Payer: Riverside University Health System MISP |
$348.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,876.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,230.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,230.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,230.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,230.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$317.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Vantage Medical Group Senior |
$317.26
|
|
|
HC CL TREAT OF ACROMICLAV W/MANIP
|
Facility
|
IP
|
$6,461.00
|
|
|
Service Code
|
CPT 23545
|
| Hospital Charge Code |
900501358
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,292.20 |
| Max. Negotiated Rate |
$5,814.90 |
| Rate for Payer: Adventist Health Commercial |
$1,292.20
|
| Rate for Payer: Cash Price |
$2,907.45
|
| Rate for Payer: Central Health Plan Commercial |
$5,168.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,522.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,584.40
|
| Rate for Payer: EPIC Health Plan Senior |
$2,584.40
|
| Rate for Payer: Galaxy Health WC |
$5,491.85
|
| Rate for Payer: Global Benefits Group Commercial |
$3,876.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,814.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,102.73
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,811.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,292.20
|
| Rate for Payer: Multiplan Commercial |
$4,845.75
|
| Rate for Payer: Networks By Design Commercial |
$4,199.65
|
| Rate for Payer: Prime Health Services Commercial |
$5,491.85
|
|
|
HC CL TREAT OF CARPOMETACARPAL
|
Facility
|
OP
|
$2,888.00
|
|
|
Service Code
|
CPT 26645
|
| Hospital Charge Code |
900501286
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$577.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$1,299.60
|
| Rate for Payer: Cash Price |
$1,299.60
|
| Rate for Payer: Cash Price |
$1,299.60
|
| Rate for Payer: Cash Price |
$1,299.60
|
| Rate for Payer: Central Health Plan Commercial |
$2,310.40
|
| Rate for Payer: Cigna of CA HMO |
$1,848.32
|
| Rate for Payer: Cigna of CA PPO |
$2,137.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,021.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$2,454.80
|
| Rate for Payer: Global Benefits Group Commercial |
$1,732.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,599.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,833.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$577.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$2,166.00
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$1,877.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$2,454.80
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,732.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,444.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,444.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,444.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC CL TREAT OF CARPOMETACARPAL
|
Facility
|
IP
|
$2,888.00
|
|
|
Service Code
|
CPT 26645
|
| Hospital Charge Code |
900501286
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$577.60 |
| Max. Negotiated Rate |
$2,599.20 |
| Rate for Payer: Adventist Health Commercial |
$577.60
|
| Rate for Payer: Cash Price |
$1,299.60
|
| Rate for Payer: Central Health Plan Commercial |
$2,310.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,021.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,155.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,155.20
|
| Rate for Payer: Galaxy Health WC |
$2,454.80
|
| Rate for Payer: Global Benefits Group Commercial |
$1,732.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,599.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,833.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,703.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$577.60
|
| Rate for Payer: Multiplan Commercial |
$2,166.00
|
| Rate for Payer: Networks By Design Commercial |
$1,877.20
|
| Rate for Payer: Prime Health Services Commercial |
$2,454.80
|
|
|
HC CL TREAT OF CLAV FRAC W/MANIPU
|
Facility
|
IP
|
$8,791.00
|
|
|
Service Code
|
CPT 23505
|
| Hospital Charge Code |
900501357
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,758.20 |
| Max. Negotiated Rate |
$7,911.90 |
| Rate for Payer: Adventist Health Commercial |
$1,758.20
|
| Rate for Payer: Cash Price |
$3,955.95
|
| Rate for Payer: Central Health Plan Commercial |
$7,032.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,153.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,516.40
|
| Rate for Payer: EPIC Health Plan Senior |
$3,516.40
|
| Rate for Payer: Galaxy Health WC |
$7,472.35
|
| Rate for Payer: Global Benefits Group Commercial |
$5,274.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,911.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,582.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,186.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,758.20
|
| Rate for Payer: Multiplan Commercial |
$6,593.25
|
| Rate for Payer: Networks By Design Commercial |
$5,714.15
|
| Rate for Payer: Prime Health Services Commercial |
$7,472.35
|
|
|
HC CL TREAT OF CLAV FRAC W/MANIPU
|
Facility
|
OP
|
$8,791.00
|
|
|
Service Code
|
CPT 23505
|
| Hospital Charge Code |
900501357
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$287.19 |
| Max. Negotiated Rate |
$7,911.90 |
| Rate for Payer: Adventist Health Commercial |
$1,758.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$3,955.95
|
| Rate for Payer: Cash Price |
$3,955.95
|
| Rate for Payer: Cash Price |
$3,955.95
|
| Rate for Payer: Cash Price |
$3,955.95
|
| Rate for Payer: Central Health Plan Commercial |
$7,032.80
|
| Rate for Payer: Cigna of CA HMO |
$5,626.24
|
| Rate for Payer: Cigna of CA PPO |
$6,505.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,153.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$7,472.35
|
| Rate for Payer: Global Benefits Group Commercial |
$5,274.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,911.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,582.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$287.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,758.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$6,593.25
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$5,714.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$7,472.35
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,274.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,395.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,395.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,395.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,395.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC CL TREAT OF CLAV FRAC W/O MANI
|
Facility
|
IP
|
$2,354.00
|
|
|
Service Code
|
CPT 23500
|
| Hospital Charge Code |
900501058
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$470.80 |
| Max. Negotiated Rate |
$2,118.60 |
| Rate for Payer: Adventist Health Commercial |
$470.80
|
| Rate for Payer: Cash Price |
$1,059.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,883.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,647.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$941.60
|
| Rate for Payer: EPIC Health Plan Senior |
$941.60
|
| Rate for Payer: Galaxy Health WC |
$2,000.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,412.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,118.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,494.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,388.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$470.80
|
| Rate for Payer: Multiplan Commercial |
$1,765.50
|
| Rate for Payer: Networks By Design Commercial |
$1,530.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,000.90
|
|
|
HC CL TREAT OF CLAV FRAC W/O MANI
|
Facility
|
OP
|
$2,354.00
|
|
|
Service Code
|
CPT 23500
|
| Hospital Charge Code |
900501058
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$317.26 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$470.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$317.26
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$485.64
|
| Rate for Payer: Cash Price |
$1,059.30
|
| Rate for Payer: Cash Price |
$1,059.30
|
| Rate for Payer: Cash Price |
$1,059.30
|
| Rate for Payer: Cash Price |
$1,059.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,883.20
|
| Rate for Payer: Cigna of CA HMO |
$1,506.56
|
| Rate for Payer: Cigna of CA PPO |
$1,741.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$475.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$348.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$317.26
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,647.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$523.48
|
| Rate for Payer: EPIC Health Plan Senior |
$348.99
|
| Rate for Payer: Galaxy Health WC |
$2,000.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,412.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,118.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$520.31
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$317.26
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,494.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$341.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$470.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$425.13
|
| Rate for Payer: Multiplan Commercial |
$1,765.50
|
| Rate for Payer: Multiplan WC |
$485.64
|
| Rate for Payer: Networks By Design Commercial |
$1,530.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$317.26
|
| Rate for Payer: Preferred Health Network WC |
$495.55
|
| Rate for Payer: Prime Health Services Commercial |
$2,000.90
|
| Rate for Payer: Prime Health Services Medicare |
$336.30
|
| Rate for Payer: Prime Health Services WC |
$480.68
|
| Rate for Payer: Riverside University Health System MISP |
$348.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,412.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,177.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,177.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,177.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,177.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$317.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$475.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$348.99
|
| Rate for Payer: Vantage Medical Group Senior |
$317.26
|
|
|
HC CL TREAT OF DIS RAD FRAC W/MAN
|
Facility
|
OP
|
$5,710.00
|
|
|
Service Code
|
CPT 25605
|
| Hospital Charge Code |
900501071
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$2,341.10
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,272.35
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,568.00
|
| Rate for Payer: Cigna of CA HMO |
$3,654.40
|
| Rate for Payer: Cigna of CA PPO |
$4,225.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,997.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$4,853.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,426.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,139.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,625.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$515.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,142.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$4,282.50
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$3,711.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$4,853.50
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,426.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,426.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC CL TREAT OF DIS RAD FRAC W/MAN
|
Facility
|
IP
|
$5,710.00
|
|
|
Service Code
|
CPT 25605
|
| Hospital Charge Code |
900501071
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,142.00 |
| Max. Negotiated Rate |
$5,139.00 |
| Rate for Payer: Adventist Health Commercial |
$1,142.00
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,568.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,997.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,284.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,284.00
|
| Rate for Payer: Galaxy Health WC |
$4,853.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,426.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,139.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,625.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,368.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,142.00
|
| Rate for Payer: Multiplan Commercial |
$4,282.50
|
| Rate for Payer: Networks By Design Commercial |
$3,711.50
|
| Rate for Payer: Prime Health Services Commercial |
$4,853.50
|
|
|
HC CL TREAT OF DIS RAD FRAC W/MAN
|
Facility
|
OP
|
$5,710.00
|
|
|
Service Code
|
CPT 25605
|
| Hospital Charge Code |
900501071
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$1,142.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,568.00
|
| Rate for Payer: Cigna of CA HMO |
$3,654.40
|
| Rate for Payer: Cigna of CA PPO |
$4,225.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,997.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$4,853.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,426.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,139.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,625.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$515.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,142.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$4,282.50
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$3,711.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$4,853.50
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,426.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,855.00
|
| Rate for Payer: United Healthcare All Other HMO |
$2,855.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,855.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,855.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC CL TREAT OF DIS RAD FRAC W/MAN
|
Facility
|
IP
|
$5,710.00
|
|
|
Service Code
|
CPT 25605
|
| Hospital Charge Code |
900501071
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,142.00 |
| Max. Negotiated Rate |
$5,139.00 |
| Rate for Payer: Adventist Health Commercial |
$1,142.00
|
| Rate for Payer: Cash Price |
$2,569.50
|
| Rate for Payer: Central Health Plan Commercial |
$4,568.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,997.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,284.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,284.00
|
| Rate for Payer: Galaxy Health WC |
$4,853.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,426.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,139.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,625.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,368.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,142.00
|
| Rate for Payer: Multiplan Commercial |
$4,282.50
|
| Rate for Payer: Networks By Design Commercial |
$3,711.50
|
| Rate for Payer: Prime Health Services Commercial |
$4,853.50
|
|
|
HC CL TREAT OF DIS RAD FX W/O MAN
|
Facility
|
IP
|
$2,943.00
|
|
|
Service Code
|
CPT 25600
|
| Hospital Charge Code |
900501070
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$588.60 |
| Max. Negotiated Rate |
$2,648.70 |
| Rate for Payer: Adventist Health Commercial |
$588.60
|
| Rate for Payer: Cash Price |
$1,324.35
|
| Rate for Payer: Central Health Plan Commercial |
$2,354.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,060.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,177.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,177.20
|
| Rate for Payer: Galaxy Health WC |
$2,501.55
|
| Rate for Payer: Global Benefits Group Commercial |
$1,765.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,648.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,868.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,736.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$588.60
|
| Rate for Payer: Multiplan Commercial |
$2,207.25
|
| Rate for Payer: Networks By Design Commercial |
$1,912.95
|
| Rate for Payer: Prime Health Services Commercial |
$2,501.55
|
|
