|
HC COLONOSCOPY STOMA W RMVL
|
Facility
|
OP
|
$3,224.00
|
|
|
Service Code
|
CPT 44392
|
| Hospital Charge Code |
906744392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$411.11 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$644.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,773.20
|
| Rate for Payer: Cash Price |
$1,773.20
|
| Rate for Payer: Cash Price |
$1,773.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,579.20
|
| Rate for Payer: Cigna of CA HMO |
$2,063.36
|
| Rate for Payer: Cigna of CA PPO |
$2,385.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$2,740.40
|
| Rate for Payer: Global Benefits Group Commercial |
$1,934.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,901.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$411.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,150.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$454.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$644.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$2,418.00
|
| Rate for Payer: Networks By Design Commercial |
$2,095.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,740.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,934.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC COLONOSCOPY STOMA W RMVL
|
Facility
|
IP
|
$3,224.00
|
|
|
Service Code
|
CPT 44392
|
| Hospital Charge Code |
906744392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$644.80 |
| Max. Negotiated Rate |
$2,901.60 |
| Rate for Payer: Adventist Health Commercial |
$644.80
|
| Rate for Payer: Cash Price |
$1,773.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,579.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,289.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,289.60
|
| Rate for Payer: Galaxy Health WC |
$2,740.40
|
| Rate for Payer: Global Benefits Group Commercial |
$1,934.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,901.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,150.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,228.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,995.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$644.80
|
| Rate for Payer: Multiplan Commercial |
$2,418.00
|
| Rate for Payer: Networks By Design Commercial |
$2,095.60
|
| Rate for Payer: Prime Health Services Commercial |
$2,740.40
|
|
|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
IP
|
$4,414.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$882.80 |
| Max. Negotiated Rate |
$3,972.60 |
| Rate for Payer: Adventist Health Commercial |
$882.80
|
| Rate for Payer: Cash Price |
$2,427.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,531.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,765.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,765.60
|
| Rate for Payer: Galaxy Health WC |
$3,751.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,648.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,972.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,944.14
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,681.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,732.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$882.80
|
| Rate for Payer: Multiplan Commercial |
$3,310.50
|
| Rate for Payer: Networks By Design Commercial |
$2,869.10
|
| Rate for Payer: Prime Health Services Commercial |
$3,751.90
|
|
|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
OP
|
$4,414.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$882.80 |
| Max. Negotiated Rate |
$12,404.37 |
| Rate for Payer: Adventist Health Commercial |
$882.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,563.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,320.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,563.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$2,427.70
|
| Rate for Payer: Cash Price |
$2,427.70
|
| Rate for Payer: Cash Price |
$2,427.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,531.20
|
| Rate for Payer: Cigna of CA HMO |
$2,824.96
|
| Rate for Payer: Cigna of CA PPO |
$3,266.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,320.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,563.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,210.91
|
| Rate for Payer: EPIC Health Plan Senior |
$7,563.64
|
| Rate for Payer: Galaxy Health WC |
$3,751.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,648.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,972.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,404.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,563.64
|
| Rate for Payer: InnovAge PACE Commercial |
$11,345.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,944.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,563.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$882.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,135.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,135.28
|
| Rate for Payer: Multiplan Commercial |
$3,310.50
|
| Rate for Payer: Networks By Design Commercial |
$2,869.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,563.64
|
| Rate for Payer: Prime Health Services Commercial |
$3,751.90
|
| Rate for Payer: Prime Health Services Medicare |
$8,017.46
|
| Rate for Payer: Riverside University Health System MISP |
$8,320.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,648.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,076.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$7,563.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,320.00
|
| Rate for Payer: Vantage Medical Group Senior |
$7,563.64
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
OP
|
$2,934.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$275.35 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$586.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,158.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,158.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,613.70
|
| Rate for Payer: Cash Price |
$1,613.70
|
| Rate for Payer: Cash Price |
$1,613.70
|
| Rate for Payer: Central Health Plan Commercial |
$2,347.20
|
| Rate for Payer: Cigna of CA HMO |
$1,877.76
|
| Rate for Payer: Cigna of CA PPO |
$2,171.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,274.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,158.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,563.87
|
| Rate for Payer: EPIC Health Plan Senior |
$1,158.42
|
| Rate for Payer: Galaxy Health WC |
$2,493.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,760.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,640.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$275.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,158.42
|
| Rate for Payer: InnovAge PACE Commercial |
$1,737.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,956.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$304.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$586.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,552.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,552.28
|
| Rate for Payer: Multiplan Commercial |
$2,200.50
|
| Rate for Payer: Networks By Design Commercial |
$1,907.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$2,493.90
|
| Rate for Payer: Prime Health Services Medicare |
$1,227.93
|
| Rate for Payer: Riverside University Health System MISP |
$1,274.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,760.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,390.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,158.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Vantage Medical Group Senior |
$1,158.42
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
IP
|
$2,934.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$586.80 |
| Max. Negotiated Rate |
$2,640.60 |
| Rate for Payer: Adventist Health Commercial |
$586.80
|
| Rate for Payer: Cash Price |
$1,613.70
|
| Rate for Payer: Central Health Plan Commercial |
$2,347.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,173.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,173.60
|
| Rate for Payer: Galaxy Health WC |
$2,493.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,760.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,640.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,956.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,117.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,816.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$586.80
|
| Rate for Payer: Multiplan Commercial |
$2,200.50
|
| Rate for Payer: Networks By Design Commercial |
$1,907.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,493.90
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
IP
|
$1,946.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$389.20 |
| Max. Negotiated Rate |
$1,751.40 |
| Rate for Payer: Adventist Health Commercial |
$389.20
|
| Rate for Payer: Cash Price |
$1,070.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,556.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$778.40
|
| Rate for Payer: EPIC Health Plan Senior |
$778.40
|
| Rate for Payer: Galaxy Health WC |
$1,654.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,167.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,751.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,297.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$741.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,204.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$389.20
|
| Rate for Payer: Multiplan Commercial |
$1,459.50
|
| Rate for Payer: Networks By Design Commercial |
$1,264.90
|
| Rate for Payer: Prime Health Services Commercial |
$1,654.10
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
OP
|
$1,940.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
906744393
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$388.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$388.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,649.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,067.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,455.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$939.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,139.36
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$1,067.00
|
| Rate for Payer: Cash Price |
$1,067.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,552.00
|
| Rate for Payer: Cigna of CA HMO |
$1,241.60
|
| Rate for Payer: Cigna of CA PPO |
$1,435.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,649.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,649.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,649.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$776.00
|
| Rate for Payer: EPIC Health Plan Senior |
$776.00
|
| Rate for Payer: Galaxy Health WC |
$1,649.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,164.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,746.00
|
| Rate for Payer: InnovAge PACE Commercial |
$970.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,293.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$739.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,200.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$388.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,358.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,358.00
|
| Rate for Payer: Multiplan Commercial |
$1,455.00
|
| Rate for Payer: Networks By Design Commercial |
$1,261.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,649.00
|
| Rate for Payer: Riverside University Health System MISP |
$776.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,164.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,164.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$970.00
|
| Rate for Payer: United Healthcare All Other HMO |
$970.00
|
| Rate for Payer: United Healthcare HMO Rider |
$970.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$970.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,649.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,649.00
|
| Rate for Payer: Vantage Medical Group Senior |
$1,649.00
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
OP
|
$1,946.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$389.20 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$389.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,070.30
|
| Rate for Payer: Cash Price |
$1,070.30
|
| Rate for Payer: Cash Price |
$1,070.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,556.80
|
| Rate for Payer: Cigna of CA HMO |
$1,245.44
|
| Rate for Payer: Cigna of CA PPO |
$1,440.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$1,654.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,167.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,751.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,297.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$389.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,459.50
|
| Rate for Payer: Networks By Design Commercial |
$1,264.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,654.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,167.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
IP
|
$1,940.00
|
|
|
Service Code
|
CPT 44393
|
| Hospital Charge Code |
906744393
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$388.00 |
| Max. Negotiated Rate |
$1,746.00 |
| Rate for Payer: Adventist Health Commercial |
$388.00
|
| Rate for Payer: Cash Price |
$1,067.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,552.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$776.00
|
| Rate for Payer: EPIC Health Plan Senior |
$776.00
|
| Rate for Payer: Galaxy Health WC |
$1,649.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,164.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,746.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,293.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$739.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,200.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$388.00
|
| Rate for Payer: Multiplan Commercial |
$1,455.00
|
| Rate for Payer: Networks By Design Commercial |
$1,261.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,649.00
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
IP
|
$3,256.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
906745383
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$651.20 |
| Max. Negotiated Rate |
$2,930.40 |
| Rate for Payer: Adventist Health Commercial |
$651.20
|
| Rate for Payer: Cash Price |
$1,790.80
|
| Rate for Payer: Central Health Plan Commercial |
$2,604.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,302.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,302.40
|
| Rate for Payer: Galaxy Health WC |
$2,767.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,953.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,930.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,171.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,240.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,015.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$651.20
|
| Rate for Payer: Multiplan Commercial |
$2,442.00
|
| Rate for Payer: Networks By Design Commercial |
$2,116.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,767.60
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
OP
|
$3,266.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$653.20 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$653.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,796.30
|
| Rate for Payer: Cash Price |
$1,796.30
|
| Rate for Payer: Cash Price |
$1,796.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,612.80
|
| Rate for Payer: Cigna of CA HMO |
$2,090.24
|
| Rate for Payer: Cigna of CA PPO |
$2,416.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$2,776.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,959.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,939.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,178.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$653.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$2,449.50
|
| Rate for Payer: Networks By Design Commercial |
$2,122.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,776.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,959.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
IP
|
$3,266.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$653.20 |
| Max. Negotiated Rate |
$2,939.40 |
| Rate for Payer: Adventist Health Commercial |
$653.20
|
| Rate for Payer: Cash Price |
$1,796.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,612.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,306.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,306.40
|
| Rate for Payer: Galaxy Health WC |
$2,776.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,959.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,939.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,178.42
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,244.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,021.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$653.20
|
| Rate for Payer: Multiplan Commercial |
$2,449.50
|
| Rate for Payer: Networks By Design Commercial |
$2,122.90
|
| Rate for Payer: Prime Health Services Commercial |
$2,776.10
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
OP
|
$3,256.00
|
|
|
Service Code
|
CPT 45383
|
| Hospital Charge Code |
906745383
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$651.20 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$651.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,767.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,790.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,442.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,576.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,912.25
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$1,790.80
|
| Rate for Payer: Cash Price |
$1,790.80
|
| Rate for Payer: Central Health Plan Commercial |
$2,604.80
|
| Rate for Payer: Cigna of CA HMO |
$2,083.84
|
| Rate for Payer: Cigna of CA PPO |
$2,409.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,767.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,767.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,767.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,302.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,302.40
|
| Rate for Payer: Galaxy Health WC |
$2,767.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,953.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,930.40
|
| Rate for Payer: InnovAge PACE Commercial |
$1,628.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,171.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,240.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,015.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$651.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,279.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,279.20
|
| Rate for Payer: Multiplan Commercial |
$2,442.00
|
| Rate for Payer: Networks By Design Commercial |
$2,116.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,767.60
|
| Rate for Payer: Riverside University Health System MISP |
$1,302.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,953.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,953.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,628.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,628.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,628.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,628.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,767.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,767.60
|
| Rate for Payer: Vantage Medical Group Senior |
$2,767.60
|
|
|
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 |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$434.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,195.70
|
| Rate for Payer: Cash Price |
$1,195.70
|
| Rate for Payer: Cash Price |
$1,195.70
|
| 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 |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| 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 |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,450.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$434.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| 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 |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,847.90
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,304.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
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 |
$1,195.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,739.20
|
| 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 Permanente of CA Commercial/Self Funded |
$1,450.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$828.29
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,345.71
|
| 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 BX
|
Facility
|
IP
|
$3,882.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$776.40 |
| Max. Negotiated Rate |
$3,493.80 |
| Rate for Payer: Adventist Health Commercial |
$776.40
|
| Rate for Payer: Cash Price |
$2,135.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,105.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,552.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,552.80
|
| Rate for Payer: Galaxy Health WC |
$3,299.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,329.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,493.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,589.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,479.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,402.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$776.40
|
| Rate for Payer: Multiplan Commercial |
$2,911.50
|
| Rate for Payer: Networks By Design Commercial |
$2,523.30
|
| Rate for Payer: Prime Health Services Commercial |
$3,299.70
|
|
|
HC COLONOSCOPY W BX
|
Facility
|
OP
|
$3,882.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$568.00 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$776.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,135.10
|
| Rate for Payer: Cash Price |
$2,135.10
|
| Rate for Payer: Cash Price |
$2,135.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,105.60
|
| Rate for Payer: Cigna of CA HMO |
$2,484.48
|
| Rate for Payer: Cigna of CA PPO |
$2,872.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$3,299.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,329.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,493.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$568.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,589.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$627.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$776.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$2,911.50
|
| Rate for Payer: Networks By Design Commercial |
$2,523.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$3,299.70
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,329.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
OP
|
$3,844.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$714.64 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$768.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,114.20
|
| Rate for Payer: Cash Price |
$2,114.20
|
| Rate for Payer: Cash Price |
$2,114.20
|
| Rate for Payer: Central Health Plan Commercial |
$3,075.20
|
| Rate for Payer: Cigna of CA HMO |
$2,460.16
|
| Rate for Payer: Cigna of CA PPO |
$2,844.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$3,267.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,306.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,459.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$714.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,563.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$789.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$768.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$2,883.00
|
| Rate for Payer: Networks By Design Commercial |
$2,498.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$3,267.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,306.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
IP
|
$3,844.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$768.80 |
| Max. Negotiated Rate |
$3,459.60 |
| Rate for Payer: Adventist Health Commercial |
$768.80
|
| Rate for Payer: Cash Price |
$2,114.20
|
| Rate for Payer: Central Health Plan Commercial |
$3,075.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,537.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,537.60
|
| Rate for Payer: Galaxy Health WC |
$3,267.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,306.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,459.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,563.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,464.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,379.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$768.80
|
| Rate for Payer: Multiplan Commercial |
$2,883.00
|
| Rate for Payer: Networks By Design Commercial |
$2,498.60
|
| Rate for Payer: Prime Health Services Commercial |
$3,267.40
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
IP
|
$1,690.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$1,521.00 |
| Rate for Payer: Adventist Health Commercial |
$338.00
|
| Rate for Payer: Cash Price |
$929.50
|
| Rate for Payer: Central Health Plan Commercial |
$1,352.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$676.00
|
| Rate for Payer: EPIC Health Plan Senior |
$676.00
|
| Rate for Payer: Galaxy Health WC |
$1,436.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,014.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,521.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,127.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$643.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,046.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$338.00
|
| Rate for Payer: Multiplan Commercial |
$1,267.50
|
| Rate for Payer: Networks By Design Commercial |
$1,098.50
|
| Rate for Payer: Prime Health Services Commercial |
$1,436.50
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
OP
|
$1,690.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$338.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$929.50
|
| Rate for Payer: Cash Price |
$929.50
|
| Rate for Payer: Cash Price |
$929.50
|
| Rate for Payer: Central Health Plan Commercial |
$1,352.00
|
| Rate for Payer: Cigna of CA HMO |
$1,081.60
|
| Rate for Payer: Cigna of CA PPO |
$1,250.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$1,436.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,014.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,521.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$398.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,127.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$439.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$338.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,267.50
|
| Rate for Payer: Networks By Design Commercial |
$1,098.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,436.50
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,014.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
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 |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$466.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,484.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,226.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,832.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,484.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,282.60
|
| Rate for Payer: Cash Price |
$1,282.60
|
| Rate for Payer: Cash Price |
$1,282.60
|
| 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 |
$5,226.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,832.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,484.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,704.05
|
| Rate for Payer: EPIC Health Plan Senior |
$3,484.48
|
| 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 |
$5,714.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,484.48
|
| Rate for Payer: InnovAge PACE Commercial |
$5,226.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,555.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,484.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$466.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,669.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,669.20
|
| 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 |
$3,484.48
|
| Rate for Payer: Prime Health Services Commercial |
$1,982.20
|
| Rate for Payer: Prime Health Services Medicare |
$3,693.55
|
| Rate for Payer: Riverside University Health System MISP |
$3,832.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,399.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,181.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| 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 |
$3,484.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,226.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,832.93
|
| Rate for Payer: Vantage Medical Group Senior |
$3,484.48
|
|
|
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 |
$1,282.60
|
| Rate for Payer: Central Health Plan Commercial |
$1,865.60
|
| 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 Permanente of CA Commercial/Self Funded |
$1,555.44
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$888.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,443.51
|
| 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
|
$3,522.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$704.40 |
| Max. Negotiated Rate |
$3,169.80 |
| Rate for Payer: Adventist Health Commercial |
$704.40
|
| Rate for Payer: Cash Price |
$1,937.10
|
| Rate for Payer: Central Health Plan Commercial |
$2,817.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,408.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,408.80
|
| Rate for Payer: Galaxy Health WC |
$2,993.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,113.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,169.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,349.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,341.88
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,180.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$704.40
|
| Rate for Payer: Multiplan Commercial |
$2,641.50
|
| Rate for Payer: Networks By Design Commercial |
$2,289.30
|
| Rate for Payer: Prime Health Services Commercial |
$2,993.70
|
|
