|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
IP
|
$6,952.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,390.40 |
| Max. Negotiated Rate |
$6,256.80 |
| Rate for Payer: Adventist Health Commercial |
$1,390.40
|
| Rate for Payer: Cash Price |
$3,128.40
|
| Rate for Payer: Central Health Plan Commercial |
$5,561.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,866.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,780.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,780.80
|
| Rate for Payer: Galaxy Health WC |
$5,909.20
|
| Rate for Payer: Global Benefits Group Commercial |
$4,171.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,256.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,414.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,101.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,390.40
|
| Rate for Payer: Multiplan Commercial |
$5,214.00
|
| Rate for Payer: Networks By Design Commercial |
$4,518.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,909.20
|
|
|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
OP
|
$6,952.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,390.40 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,390.40
|
| Rate for Payer: Adventist Health Commercial |
$882.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$3,128.40
|
| Rate for Payer: Cash Price |
$1,986.30
|
| Rate for Payer: Cash Price |
$1,986.30
|
| Rate for Payer: Cash Price |
$1,986.30
|
| Rate for Payer: Cash Price |
$3,128.40
|
| Rate for Payer: Cash Price |
$3,128.40
|
| Rate for Payer: Central Health Plan Commercial |
$3,531.20
|
| Rate for Payer: Central Health Plan Commercial |
$5,561.60
|
| Rate for Payer: Cigna of CA HMO |
$4,449.28
|
| Rate for Payer: Cigna of CA HMO |
$2,824.96
|
| Rate for Payer: Cigna of CA PPO |
$5,144.48
|
| Rate for Payer: Cigna of CA PPO |
$3,266.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,866.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,089.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: Galaxy Health WC |
$5,909.20
|
| Rate for Payer: Galaxy Health WC |
$3,751.90
|
| Rate for Payer: Global Benefits Group Commercial |
$4,171.20
|
| Rate for Payer: Global Benefits Group Commercial |
$2,648.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,972.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,256.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,414.52
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,802.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$882.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,390.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Multiplan Commercial |
$3,310.50
|
| Rate for Payer: Multiplan Commercial |
$5,214.00
|
| Rate for Payer: Networks By Design Commercial |
$4,518.80
|
| Rate for Payer: Networks By Design Commercial |
$2,869.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Prime Health Services Commercial |
$5,909.20
|
| Rate for Payer: Prime Health Services Commercial |
$3,751.90
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,648.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,171.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,476.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,207.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
OP
|
$4,804.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$275.35 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$960.80
|
| Rate for Payer: Adventist Health Commercial |
$586.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,196.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,196.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,315.69
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,315.69
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,196.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,196.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$2,161.80
|
| Rate for Payer: Cash Price |
$2,161.80
|
| Rate for Payer: Cash Price |
$1,320.30
|
| Rate for Payer: Cash Price |
$2,161.80
|
| Rate for Payer: Cash Price |
$1,320.30
|
| Rate for Payer: Cash Price |
$1,320.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,347.20
|
| Rate for Payer: Central Health Plan Commercial |
$3,843.20
|
| Rate for Payer: Cigna of CA HMO |
$1,877.76
|
| Rate for Payer: Cigna of CA HMO |
$3,074.56
|
| Rate for Payer: Cigna of CA PPO |
$3,554.96
|
| Rate for Payer: Cigna of CA PPO |
$2,171.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,315.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,315.69
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,196.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,196.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,053.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,362.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,973.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,973.53
|
| Rate for Payer: EPIC Health Plan Senior |
$1,315.69
|
| Rate for Payer: EPIC Health Plan Senior |
$1,315.69
|
| Rate for Payer: Galaxy Health WC |
$4,083.40
|
| Rate for Payer: Galaxy Health WC |
$2,493.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,760.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,882.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,640.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,323.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,961.57
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,961.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$275.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$275.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,196.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,196.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,863.09
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,050.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$304.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$304.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,674.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,674.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$960.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$586.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,602.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,602.75
|
| Rate for Payer: Multiplan Commercial |
$3,603.00
|
| Rate for Payer: Multiplan Commercial |
$2,200.50
|
| Rate for Payer: Networks By Design Commercial |
$3,122.60
|
| Rate for Payer: Networks By Design Commercial |
$1,907.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,196.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,196.08
|
| Rate for Payer: Prime Health Services Commercial |
$2,493.90
|
| Rate for Payer: Prime Health Services Commercial |
$4,083.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,267.84
|
| Rate for Payer: Prime Health Services Medicare |
$1,267.84
|
| Rate for Payer: Riverside University Health System MISP |
$1,315.69
|
| Rate for Payer: Riverside University Health System MISP |
$1,315.69
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,760.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,882.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,435.30
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,435.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,402.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,467.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,196.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,196.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,794.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,315.69
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,315.69
|
| Rate for Payer: Vantage Medical Group Senior |
$1,196.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,196.08
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
IP
|
$4,804.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$960.80 |
| Max. Negotiated Rate |
$4,323.60 |
| Rate for Payer: Adventist Health Commercial |
$960.80
|
| Rate for Payer: Cash Price |
$2,161.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,843.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,362.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,921.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,921.60
|
| Rate for Payer: Galaxy Health WC |
$4,083.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,882.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,323.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,050.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,834.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$960.80
|
| Rate for Payer: Multiplan Commercial |
$3,603.00
|
| Rate for Payer: Networks By Design Commercial |
$3,122.60
|
| Rate for Payer: Prime Health Services Commercial |
$4,083.40
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
IP
|
$3,832.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$766.40 |
| Max. Negotiated Rate |
$3,448.80 |
| Rate for Payer: Adventist Health Commercial |
$766.40
|
| Rate for Payer: Cash Price |
$1,724.40
|
| Rate for Payer: Central Health Plan Commercial |
$3,065.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,682.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,532.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,532.80
|
| Rate for Payer: Galaxy Health WC |
$3,257.20
|
| Rate for Payer: Global Benefits Group Commercial |
$2,299.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,448.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,433.32
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,260.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$766.40
|
| Rate for Payer: Multiplan Commercial |
$2,874.00
|
| Rate for Payer: Networks By Design Commercial |
$2,490.80
|
| Rate for Payer: Prime Health Services Commercial |
$3,257.20
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
OP
|
$3,832.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$766.40 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$766.40
|
| Rate for Payer: Adventist Health Commercial |
$389.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,724.40
|
| Rate for Payer: Cash Price |
$875.70
|
| Rate for Payer: Cash Price |
$875.70
|
| Rate for Payer: Cash Price |
$875.70
|
| Rate for Payer: Cash Price |
$1,724.40
|
| Rate for Payer: Cash Price |
$1,724.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,556.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,065.60
|
| Rate for Payer: Cigna of CA HMO |
$2,452.48
|
| Rate for Payer: Cigna of CA HMO |
$1,245.44
|
| Rate for Payer: Cigna of CA PPO |
$2,835.68
|
| Rate for Payer: Cigna of CA PPO |
$1,440.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,682.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,362.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$3,257.20
|
| Rate for Payer: Galaxy Health WC |
$1,654.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,299.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,167.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,751.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,448.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,433.32
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,235.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$389.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$766.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$1,459.50
|
| Rate for Payer: Multiplan Commercial |
$2,874.00
|
| Rate for Payer: Networks By Design Commercial |
$2,490.80
|
| Rate for Payer: Networks By Design Commercial |
$1,264.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,257.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,654.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,167.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,299.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,916.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$973.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
OP
|
$5,143.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,028.60 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,028.60
|
| Rate for Payer: Adventist Health Commercial |
$653.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$2,314.35
|
| Rate for Payer: Cash Price |
$1,469.70
|
| Rate for Payer: Cash Price |
$1,469.70
|
| Rate for Payer: Cash Price |
$1,469.70
|
| Rate for Payer: Cash Price |
$2,314.35
|
| Rate for Payer: Cash Price |
$2,314.35
|
| Rate for Payer: Central Health Plan Commercial |
$2,612.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,114.40
|
| Rate for Payer: Cigna of CA HMO |
$3,291.52
|
| Rate for Payer: Cigna of CA HMO |
$2,090.24
|
| Rate for Payer: Cigna of CA PPO |
$3,805.82
|
| Rate for Payer: Cigna of CA PPO |
$2,416.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,600.10
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,286.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$4,371.55
|
| Rate for Payer: Galaxy Health WC |
$2,776.10
|
| Rate for Payer: Global Benefits Group Commercial |
$3,085.80
|
| Rate for Payer: Global Benefits Group Commercial |
$1,959.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,939.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,628.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,265.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,073.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$653.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,028.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$2,449.50
|
| Rate for Payer: Multiplan Commercial |
$3,857.25
|
| Rate for Payer: Networks By Design Commercial |
$3,342.95
|
| Rate for Payer: Networks By Design Commercial |
$2,122.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$4,371.55
|
| Rate for Payer: Prime Health Services Commercial |
$2,776.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,959.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,085.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,571.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,633.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
IP
|
$5,143.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,028.60 |
| Max. Negotiated Rate |
$4,628.70 |
| Rate for Payer: Adventist Health Commercial |
$1,028.60
|
| Rate for Payer: Cash Price |
$2,314.35
|
| Rate for Payer: Central Health Plan Commercial |
$4,114.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,600.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,057.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,057.20
|
| Rate for Payer: Galaxy Health WC |
$4,371.55
|
| Rate for Payer: Global Benefits Group Commercial |
$3,085.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,628.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,265.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,034.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,028.60
|
| Rate for Payer: Multiplan Commercial |
$3,857.25
|
| Rate for Payer: Networks By Design Commercial |
$3,342.95
|
| Rate for Payer: Prime Health Services Commercial |
$4,371.55
|
|
|
HC COLONOSCOPY W BAND LIGATION
|
Facility
|
IP
|
$2,174.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
906745398
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$434.80 |
| Max. Negotiated Rate |
$1,956.60 |
| Rate for Payer: Adventist Health Commercial |
$434.80
|
| Rate for Payer: Cash Price |
$978.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,739.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,521.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$869.60
|
| Rate for Payer: EPIC Health Plan Senior |
$869.60
|
| Rate for Payer: Galaxy Health WC |
$1,847.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,304.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,956.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,380.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,282.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$434.80
|
| Rate for Payer: Multiplan Commercial |
$1,630.50
|
| Rate for Payer: Networks By Design Commercial |
$1,413.10
|
| Rate for Payer: Prime Health Services Commercial |
$1,847.90
|
|
|
HC COLONOSCOPY W BAND LIGATION
|
Facility
|
OP
|
$2,174.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
906745398
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$434.80 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$434.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$978.30
|
| Rate for Payer: Cash Price |
$978.30
|
| Rate for Payer: Cash Price |
$978.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,739.20
|
| Rate for Payer: Cigna of CA HMO |
$1,391.36
|
| Rate for Payer: Cigna of CA PPO |
$1,608.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,521.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$1,847.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,304.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,956.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,380.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$434.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$1,630.50
|
| Rate for Payer: Networks By Design Commercial |
$1,413.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$1,847.90
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,304.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,087.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W BX
|
Facility
|
IP
|
$6,112.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,222.40 |
| Max. Negotiated Rate |
$5,500.80 |
| Rate for Payer: Adventist Health Commercial |
$1,222.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,278.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,444.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,444.80
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,881.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,606.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
|
|
HC COLONOSCOPY W BX
|
Facility
|
OP
|
$6,112.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$568.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,222.40
|
| Rate for Payer: Adventist Health Commercial |
$776.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$1,746.90
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$1,746.90
|
| Rate for Payer: Cash Price |
$1,746.90
|
| Rate for Payer: Central Health Plan Commercial |
$3,105.60
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: Cigna of CA HMO |
$2,484.48
|
| Rate for Payer: Cigna of CA HMO |
$3,911.68
|
| Rate for Payer: Cigna of CA PPO |
$4,522.88
|
| Rate for Payer: Cigna of CA PPO |
$2,872.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,717.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,278.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Galaxy Health WC |
$3,299.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,329.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,493.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$568.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$568.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,465.07
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,881.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$627.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$627.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$776.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Multiplan Commercial |
$2,911.50
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Networks By Design Commercial |
$2,523.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,299.70
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,329.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,667.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,056.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,941.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
IP
|
$6,053.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,210.60 |
| Max. Negotiated Rate |
$5,447.70 |
| Rate for Payer: Adventist Health Commercial |
$1,210.60
|
| Rate for Payer: Cash Price |
$2,723.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,842.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,237.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,421.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,421.20
|
| Rate for Payer: Galaxy Health WC |
$5,145.05
|
| Rate for Payer: Global Benefits Group Commercial |
$3,631.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,447.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,843.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,571.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,210.60
|
| Rate for Payer: Multiplan Commercial |
$4,539.75
|
| Rate for Payer: Networks By Design Commercial |
$3,934.45
|
| Rate for Payer: Prime Health Services Commercial |
$5,145.05
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
OP
|
$6,053.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$714.64 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,210.60
|
| Rate for Payer: Adventist Health Commercial |
$768.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,723.85
|
| Rate for Payer: Cash Price |
$2,723.85
|
| Rate for Payer: Cash Price |
$1,729.80
|
| Rate for Payer: Cash Price |
$2,723.85
|
| Rate for Payer: Cash Price |
$1,729.80
|
| Rate for Payer: Cash Price |
$1,729.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,075.20
|
| Rate for Payer: Central Health Plan Commercial |
$4,842.40
|
| Rate for Payer: Cigna of CA HMO |
$2,460.16
|
| Rate for Payer: Cigna of CA HMO |
$3,873.92
|
| Rate for Payer: Cigna of CA PPO |
$4,479.22
|
| Rate for Payer: Cigna of CA PPO |
$2,844.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,690.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,237.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$5,145.05
|
| Rate for Payer: Galaxy Health WC |
$3,267.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,306.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,631.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,459.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,447.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$714.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$714.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,440.94
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,843.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$789.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$789.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,210.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$768.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$4,539.75
|
| Rate for Payer: Multiplan Commercial |
$2,883.00
|
| Rate for Payer: Networks By Design Commercial |
$3,934.45
|
| Rate for Payer: Networks By Design Commercial |
$2,498.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,267.40
|
| Rate for Payer: Prime Health Services Commercial |
$5,145.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,306.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,631.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,026.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,922.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
OP
|
$2,661.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$398.30 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$532.20
|
| Rate for Payer: Adventist Health Commercial |
$338.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,197.45
|
| Rate for Payer: Cash Price |
$1,197.45
|
| Rate for Payer: Cash Price |
$760.50
|
| Rate for Payer: Cash Price |
$1,197.45
|
| Rate for Payer: Cash Price |
$760.50
|
| Rate for Payer: Cash Price |
$760.50
|
| Rate for Payer: Central Health Plan Commercial |
$1,352.00
|
| Rate for Payer: Central Health Plan Commercial |
$2,128.80
|
| Rate for Payer: Cigna of CA HMO |
$1,081.60
|
| Rate for Payer: Cigna of CA HMO |
$1,703.04
|
| Rate for Payer: Cigna of CA PPO |
$1,969.14
|
| Rate for Payer: Cigna of CA PPO |
$1,250.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,183.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,862.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$2,261.85
|
| Rate for Payer: Galaxy Health WC |
$1,436.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,014.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,596.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,521.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,394.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$398.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$398.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,073.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,689.73
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$439.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$439.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$532.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$338.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$1,995.75
|
| Rate for Payer: Multiplan Commercial |
$1,267.50
|
| Rate for Payer: Networks By Design Commercial |
$1,729.65
|
| Rate for Payer: Networks By Design Commercial |
$1,098.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$1,436.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,261.85
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,014.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,596.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,330.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$845.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
IP
|
$2,661.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$532.20 |
| Max. Negotiated Rate |
$2,394.90 |
| Rate for Payer: Adventist Health Commercial |
$532.20
|
| Rate for Payer: Cash Price |
$1,197.45
|
| Rate for Payer: Central Health Plan Commercial |
$2,128.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,862.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,064.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,064.40
|
| Rate for Payer: Galaxy Health WC |
$2,261.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,596.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,394.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,689.73
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,569.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$532.20
|
| Rate for Payer: Multiplan Commercial |
$1,995.75
|
| Rate for Payer: Networks By Design Commercial |
$1,729.65
|
| Rate for Payer: Prime Health Services Commercial |
$2,261.85
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
OP
|
$2,332.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$466.40 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$466.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,569.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,354.94
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,926.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,569.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,865.60
|
| Rate for Payer: Cigna of CA HMO |
$1,492.48
|
| Rate for Payer: Cigna of CA PPO |
$1,725.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,354.94
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,926.96
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,569.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,632.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,890.43
|
| Rate for Payer: EPIC Health Plan Senior |
$3,926.96
|
| Rate for Payer: Galaxy Health WC |
$1,982.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,399.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,098.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,854.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,569.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,480.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,997.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$466.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$4,783.75
|
| Rate for Payer: Multiplan Commercial |
$1,749.00
|
| Rate for Payer: Networks By Design Commercial |
$1,515.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,569.96
|
| Rate for Payer: Prime Health Services Commercial |
$1,982.20
|
| Rate for Payer: Prime Health Services Medicare |
$3,784.16
|
| Rate for Payer: Riverside University Health System MISP |
$3,926.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,399.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,283.95
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,166.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,569.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,354.94
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,926.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,569.96
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
IP
|
$2,332.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$466.40 |
| Max. Negotiated Rate |
$2,098.80 |
| Rate for Payer: Adventist Health Commercial |
$466.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,865.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,632.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$932.80
|
| Rate for Payer: EPIC Health Plan Senior |
$932.80
|
| Rate for Payer: Galaxy Health WC |
$1,982.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,399.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,098.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,480.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,375.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$466.40
|
| Rate for Payer: Multiplan Commercial |
$1,749.00
|
| Rate for Payer: Networks By Design Commercial |
$1,515.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,982.20
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
IP
|
$5,546.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,109.20 |
| Max. Negotiated Rate |
$4,991.40 |
| Rate for Payer: Adventist Health Commercial |
$1,109.20
|
| Rate for Payer: Cash Price |
$2,495.70
|
| Rate for Payer: Central Health Plan Commercial |
$4,436.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,882.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,218.40
|
| Rate for Payer: EPIC Health Plan Senior |
$2,218.40
|
| Rate for Payer: Galaxy Health WC |
$4,714.10
|
| Rate for Payer: Global Benefits Group Commercial |
$3,327.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,991.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,521.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,272.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,109.20
|
| Rate for Payer: Multiplan Commercial |
$4,159.50
|
| Rate for Payer: Networks By Design Commercial |
$3,604.90
|
| Rate for Payer: Prime Health Services Commercial |
$4,714.10
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
OP
|
$5,546.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$369.49 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,109.20
|
| Rate for Payer: Adventist Health Commercial |
$704.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$2,495.70
|
| Rate for Payer: Cash Price |
$2,495.70
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cash Price |
$2,495.70
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Cash Price |
$1,584.90
|
| Rate for Payer: Central Health Plan Commercial |
$2,817.60
|
| Rate for Payer: Central Health Plan Commercial |
$4,436.80
|
| Rate for Payer: Cigna of CA HMO |
$2,254.08
|
| Rate for Payer: Cigna of CA HMO |
$3,549.44
|
| Rate for Payer: Cigna of CA PPO |
$4,104.04
|
| Rate for Payer: Cigna of CA PPO |
$2,606.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,465.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,882.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$4,714.10
|
| Rate for Payer: Galaxy Health WC |
$2,993.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,113.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,327.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,169.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,991.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$369.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$369.49
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,236.47
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,521.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$408.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$408.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,109.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$704.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$4,159.50
|
| Rate for Payer: Multiplan Commercial |
$2,641.50
|
| Rate for Payer: Networks By Design Commercial |
$3,604.90
|
| Rate for Payer: Networks By Design Commercial |
$2,289.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$2,993.70
|
| Rate for Payer: Prime Health Services Commercial |
$4,714.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,113.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,327.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,773.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,761.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W ENDOS US EXAM
|
Facility
|
OP
|
$5,562.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$292.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,112.40
|
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$2,502.90
|
| Rate for Payer: Cash Price |
$2,502.90
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Cash Price |
$2,502.90
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,449.60
|
| Rate for Payer: Cigna of CA HMO |
$2,261.12
|
| Rate for Payer: Cigna of CA HMO |
$3,559.68
|
| Rate for Payer: Cigna of CA PPO |
$4,115.88
|
| Rate for Payer: Cigna of CA PPO |
$2,614.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,473.10
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,893.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$4,727.70
|
| Rate for Payer: Galaxy Health WC |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Global Benefits Group Commercial |
$3,337.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,005.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$292.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$292.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,243.45
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,531.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$322.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$322.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,112.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$4,171.50
|
| Rate for Payer: Multiplan Commercial |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$3,615.30
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
| Rate for Payer: Prime Health Services Commercial |
$4,727.70
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,119.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,337.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,781.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,766.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W ENDOS US EXAM
|
Facility
|
IP
|
$5,562.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,112.40 |
| Max. Negotiated Rate |
$5,005.80 |
| Rate for Payer: Adventist Health Commercial |
$1,112.40
|
| Rate for Payer: Cash Price |
$2,502.90
|
| Rate for Payer: Central Health Plan Commercial |
$4,449.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,893.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,224.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,224.80
|
| Rate for Payer: Galaxy Health WC |
$4,727.70
|
| Rate for Payer: Global Benefits Group Commercial |
$3,337.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,005.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,531.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,281.58
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,112.40
|
| Rate for Payer: Multiplan Commercial |
$4,171.50
|
| Rate for Payer: Networks By Design Commercial |
$3,615.30
|
| Rate for Payer: Prime Health Services Commercial |
$4,727.70
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
IP
|
$5,840.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,168.00 |
| Max. Negotiated Rate |
$5,256.00 |
| Rate for Payer: Adventist Health Commercial |
$1,168.00
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Central Health Plan Commercial |
$4,672.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,088.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,336.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,336.00
|
| Rate for Payer: Galaxy Health WC |
$4,964.00
|
| Rate for Payer: Global Benefits Group Commercial |
$3,504.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,256.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,708.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,445.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,168.00
|
| Rate for Payer: Multiplan Commercial |
$4,380.00
|
| Rate for Payer: Networks By Design Commercial |
$3,796.00
|
| Rate for Payer: Prime Health Services Commercial |
$4,964.00
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
OP
|
$5,840.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$632.03 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,168.00
|
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Cash Price |
$2,628.00
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Cash Price |
$1,589.85
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,672.00
|
| Rate for Payer: Cigna of CA HMO |
$2,261.12
|
| Rate for Payer: Cigna of CA HMO |
$3,737.60
|
| Rate for Payer: Cigna of CA PPO |
$4,321.60
|
| Rate for Payer: Cigna of CA PPO |
$2,614.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,473.10
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,088.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$4,964.00
|
| Rate for Payer: Galaxy Health WC |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Global Benefits Group Commercial |
$3,504.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,256.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$632.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$632.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,243.45
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,708.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$698.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$698.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,168.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$4,380.00
|
| Rate for Payer: Multiplan Commercial |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$3,796.00
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
| Rate for Payer: Prime Health Services Commercial |
$4,964.00
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,119.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,504.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,846.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,920.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,766.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC COLONOSCOPY W POLYPECTOMY
|
Facility
|
IP
|
$4,474.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
906745384
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$894.80 |
| Max. Negotiated Rate |
$4,026.60 |
| Rate for Payer: Adventist Health Commercial |
$894.80
|
| Rate for Payer: Cash Price |
$2,013.30
|
| Rate for Payer: Central Health Plan Commercial |
$3,579.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,131.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,789.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,789.60
|
| Rate for Payer: Galaxy Health WC |
$3,802.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,684.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,026.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,840.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,639.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$894.80
|
| Rate for Payer: Multiplan Commercial |
$3,355.50
|
| Rate for Payer: Networks By Design Commercial |
$2,908.10
|
| Rate for Payer: Prime Health Services Commercial |
$3,802.90
|
|
