|
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
|
|
|
HC COLONOSCOPY W ENDOS US EXAM
|
Facility
|
OP
|
$3,533.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$292.00 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| 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 |
$1,943.15
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: Cigna of CA HMO |
$2,261.12
|
| Rate for Payer: Cigna of CA PPO |
$2,614.42
|
| 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 |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$292.00
|
| 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 |
$2,356.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$322.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| 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 |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
| 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 |
$2,119.80
|
| 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 ENDOS US EXAM
|
Facility
|
IP
|
$3,533.00
|
|
|
Service Code
|
CPT 45391
|
| Hospital Charge Code |
906745391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$706.60 |
| Max. Negotiated Rate |
$3,179.70 |
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,413.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,413.20
|
| Rate for Payer: Galaxy Health WC |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,356.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,346.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,186.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| Rate for Payer: Multiplan Commercial |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
IP
|
$3,533.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$706.60 |
| Max. Negotiated Rate |
$3,179.70 |
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,413.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,413.20
|
| Rate for Payer: Galaxy Health WC |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,356.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,346.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,186.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| Rate for Payer: Multiplan Commercial |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
|
|
HC COLONOSCOPY W FB REMOVAL
|
Facility
|
OP
|
$3,533.00
|
|
|
Service Code
|
CPT 45379
|
| Hospital Charge Code |
906745379
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$632.03 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$706.60
|
| 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 |
$1,943.15
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Cash Price |
$1,943.15
|
| Rate for Payer: Central Health Plan Commercial |
$2,826.40
|
| Rate for Payer: Cigna of CA HMO |
$2,261.12
|
| Rate for Payer: Cigna of CA PPO |
$2,614.42
|
| 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 |
$3,003.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,119.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,179.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$632.03
|
| 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 |
$2,356.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$698.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$706.60
|
| 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 |
$2,649.75
|
| Rate for Payer: Networks By Design Commercial |
$2,296.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$3,003.05
|
| 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 |
$2,119.80
|
| 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 POLYPECTOMY
|
Facility
|
IP
|
$2,581.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
906745384
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$516.20 |
| Max. Negotiated Rate |
$2,322.90 |
| Rate for Payer: Adventist Health Commercial |
$516.20
|
| Rate for Payer: Cash Price |
$1,419.55
|
| Rate for Payer: Central Health Plan Commercial |
$2,064.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,032.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,032.40
|
| Rate for Payer: Galaxy Health WC |
$2,193.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,548.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,322.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,721.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$983.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,597.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$516.20
|
| Rate for Payer: Multiplan Commercial |
$1,935.75
|
| Rate for Payer: Networks By Design Commercial |
$1,677.65
|
| Rate for Payer: Prime Health Services Commercial |
$2,193.85
|
|
|
HC COLONOSCOPY W POLYPECTOMY
|
Facility
|
OP
|
$2,581.00
|
|
|
Service Code
|
CPT 45384
|
| Hospital Charge Code |
906745384
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$516.20 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$516.20
|
| 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 |
$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 |
$1,419.55
|
| Rate for Payer: Cash Price |
$1,419.55
|
| Rate for Payer: Cash Price |
$1,419.55
|
| Rate for Payer: Central Health Plan Commercial |
$2,064.80
|
| Rate for Payer: Cigna of CA HMO |
$1,651.84
|
| Rate for Payer: Cigna of CA PPO |
$1,909.94
|
| 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 |
$2,193.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,548.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,322.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$644.85
|
| 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 |
$1,721.53
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$712.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$516.20
|
| 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 |
$1,935.75
|
| Rate for Payer: Networks By Design Commercial |
$1,677.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,193.85
|
| 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 |
$1,548.60
|
| 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 RESECTION
|
Facility
|
OP
|
$2,394.00
|
|
|
Service Code
|
CPT 44403
|
| Hospital Charge Code |
906744403
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$478.80 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$478.80
|
| 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 |
$1,316.70
|
| Rate for Payer: Cash Price |
$1,316.70
|
| Rate for Payer: Cash Price |
$1,316.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,915.20
|
| Rate for Payer: Cigna of CA HMO |
$1,532.16
|
| Rate for Payer: Cigna of CA PPO |
$1,771.56
|
| 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 |
$2,034.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,436.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,154.60
|
| 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 |
$1,596.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$478.80
|
| 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 |
$1,795.50
|
| Rate for Payer: Networks By Design Commercial |
$1,556.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,034.90
|
| 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 |
$1,436.40
|
| 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 RESECTION
|
Facility
|
IP
|
$2,394.00
|
|
|
Service Code
|
CPT 44403
|
| Hospital Charge Code |
906744403
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$478.80 |
| Max. Negotiated Rate |
$2,154.60 |
| Rate for Payer: Adventist Health Commercial |
$478.80
|
| Rate for Payer: Cash Price |
$1,316.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,915.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$957.60
|
| Rate for Payer: EPIC Health Plan Senior |
$957.60
|
| Rate for Payer: Galaxy Health WC |
$2,034.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,436.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,154.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,596.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$912.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,481.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$478.80
|
| Rate for Payer: Multiplan Commercial |
$1,795.50
|
| Rate for Payer: Networks By Design Commercial |
$1,556.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,034.90
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
IP
|
$4,293.00
|
|
|
Service Code
|
CPT 45387
|
| Hospital Charge Code |
906745387
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$858.60 |
| Max. Negotiated Rate |
$3,863.70 |
| Rate for Payer: Adventist Health Commercial |
$858.60
|
| Rate for Payer: Cash Price |
$2,361.15
|
| Rate for Payer: Central Health Plan Commercial |
$3,434.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,717.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,717.20
|
| Rate for Payer: Galaxy Health WC |
$3,649.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,575.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,863.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,863.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,635.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,657.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$858.60
|
| Rate for Payer: Multiplan Commercial |
$3,219.75
|
| Rate for Payer: Networks By Design Commercial |
$2,790.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,649.05
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
IP
|
$4,401.00
|
|
|
Service Code
|
CPT 44397
|
| Hospital Charge Code |
906744397
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$880.20 |
| Max. Negotiated Rate |
$3,960.90 |
| Rate for Payer: Adventist Health Commercial |
$880.20
|
| Rate for Payer: Cash Price |
$2,420.55
|
| Rate for Payer: Central Health Plan Commercial |
$3,520.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,760.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,760.40
|
| Rate for Payer: Galaxy Health WC |
$3,740.85
|
| Rate for Payer: Global Benefits Group Commercial |
$2,640.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,960.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,935.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,676.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,724.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$880.20
|
| Rate for Payer: Multiplan Commercial |
$3,300.75
|
| Rate for Payer: Networks By Design Commercial |
$2,860.65
|
| Rate for Payer: Prime Health Services Commercial |
$3,740.85
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$4,293.00
|
|
|
Service Code
|
CPT 45387
|
| Hospital Charge Code |
906745387
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$858.60 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$858.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,649.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,361.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,219.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2,078.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,521.28
|
| 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 |
$2,361.15
|
| Rate for Payer: Cash Price |
$2,361.15
|
| Rate for Payer: Central Health Plan Commercial |
$3,434.40
|
| Rate for Payer: Cigna of CA HMO |
$2,747.52
|
| Rate for Payer: Cigna of CA PPO |
$3,176.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,649.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,649.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,649.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,717.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,717.20
|
| Rate for Payer: Galaxy Health WC |
$3,649.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,575.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,863.70
|
| Rate for Payer: InnovAge PACE Commercial |
$2,146.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,863.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,635.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,657.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$858.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,005.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,005.10
|
| Rate for Payer: Multiplan Commercial |
$3,219.75
|
| Rate for Payer: Networks By Design Commercial |
$2,790.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,649.05
|
| Rate for Payer: Riverside University Health System MISP |
$1,717.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,575.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,575.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,146.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,146.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,146.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,146.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,649.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,649.05
|
| Rate for Payer: Vantage Medical Group Senior |
$3,649.05
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$4,401.00
|
|
|
Service Code
|
CPT 44397
|
| Hospital Charge Code |
906744397
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$880.20 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$880.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,740.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,420.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,300.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2,130.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,584.71
|
| 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 |
$2,420.55
|
| Rate for Payer: Cash Price |
$2,420.55
|
| Rate for Payer: Central Health Plan Commercial |
$3,520.80
|
| Rate for Payer: Cigna of CA HMO |
$2,816.64
|
| Rate for Payer: Cigna of CA PPO |
$3,256.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,740.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,740.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,740.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,760.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,760.40
|
| Rate for Payer: Galaxy Health WC |
$3,740.85
|
| Rate for Payer: Global Benefits Group Commercial |
$2,640.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,960.90
|
| Rate for Payer: InnovAge PACE Commercial |
$2,200.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,935.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,676.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,724.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$880.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,080.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,080.70
|
| Rate for Payer: Multiplan Commercial |
$3,300.75
|
| Rate for Payer: Networks By Design Commercial |
$2,860.65
|
| Rate for Payer: Prime Health Services Commercial |
$3,740.85
|
| Rate for Payer: Riverside University Health System MISP |
$1,760.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,640.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,640.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,200.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,200.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,200.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,200.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,740.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,740.85
|
| Rate for Payer: Vantage Medical Group Senior |
$3,740.85
|
|
|
HC COLONOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$4,306.00
|
|
|
Service Code
|
CPT 45389
|
| Hospital Charge Code |
906745389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$861.20 |
| Max. Negotiated Rate |
$12,404.37 |
| Rate for Payer: Adventist Health Commercial |
$861.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,563.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| 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 |
$2,368.30
|
| Rate for Payer: Cash Price |
$2,368.30
|
| Rate for Payer: Cash Price |
$2,368.30
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: Cigna of CA HMO |
$2,755.84
|
| Rate for Payer: Cigna of CA PPO |
$3,186.44
|
| 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 |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| 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 |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,563.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| 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 |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,563.64
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
| 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 |
$2,583.60
|
| 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 W STENT PLCMNT
|
Facility
|
IP
|
$4,306.00
|
|
|
Service Code
|
CPT 45389
|
| Hospital Charge Code |
906745389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$861.20 |
| Max. Negotiated Rate |
$3,875.40 |
| Rate for Payer: Adventist Health Commercial |
$861.20
|
| Rate for Payer: Cash Price |
$2,368.30
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,722.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,722.40
|
| Rate for Payer: Galaxy Health WC |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,640.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,665.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| Rate for Payer: Multiplan Commercial |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
|
|
HC COLONOSCOPY W SUBMUCOSAL INJ
|
Facility
|
OP
|
$3,882.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
906745381
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$710.15 |
| 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 |
$710.15
|
| 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 |
$784.47
|
| 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 SUBMUCOSAL INJ
|
Facility
|
IP
|
$3,882.00
|
|
|
Service Code
|
CPT 45381
|
| Hospital Charge Code |
906745381
|
|
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/TUMOR SNARE RMVL
|
Facility
|
IP
|
$3,882.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
906745385
|
|
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/TUMOR SNARE RMVL
|
Facility
|
OP
|
$3,882.00
|
|
|
Service Code
|
CPT 45385
|
| Hospital Charge Code |
906745385
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$688.38 |
| 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 |
$688.38
|
| 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 |
$760.42
|
| 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 COLONSCOPY STOMA W RMVL
|
Facility
|
OP
|
$3,224.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
906744394
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$534.06 |
| 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 |
$534.06
|
| 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 |
$589.95
|
| 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 COLONSCOPY STOMA W RMVL
|
Facility
|
IP
|
$3,224.00
|
|
|
Service Code
|
CPT 44394
|
| Hospital Charge Code |
906744394
|
|
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 COLON VIA STOMA W FB REMOVAL
|
Facility
|
IP
|
$1,889.00
|
|
|
Service Code
|
CPT 44390
|
| Hospital Charge Code |
906744390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$377.80 |
| Max. Negotiated Rate |
$1,700.10 |
| Rate for Payer: Adventist Health Commercial |
$377.80
|
| Rate for Payer: Cash Price |
$1,038.95
|
| Rate for Payer: Central Health Plan Commercial |
$1,511.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$755.60
|
| Rate for Payer: EPIC Health Plan Senior |
$755.60
|
| Rate for Payer: Galaxy Health WC |
$1,605.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,133.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,700.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,259.96
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$719.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,169.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$377.80
|
| Rate for Payer: Multiplan Commercial |
$1,416.75
|
| Rate for Payer: Networks By Design Commercial |
$1,227.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,605.65
|
|
|
HC COLON VIA STOMA W FB REMOVAL
|
Facility
|
OP
|
$1,889.00
|
|
|
Service Code
|
CPT 44390
|
| Hospital Charge Code |
906744390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$302.26 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$377.80
|
| 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 |
$1,038.95
|
| Rate for Payer: Cash Price |
$1,038.95
|
| Rate for Payer: Cash Price |
$1,038.95
|
| Rate for Payer: Central Health Plan Commercial |
$1,511.20
|
| Rate for Payer: Cigna of CA HMO |
$1,208.96
|
| Rate for Payer: Cigna of CA PPO |
$1,397.86
|
| 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 |
$1,605.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,133.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,700.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$302.26
|
| 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 |
$1,259.96
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$333.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$377.80
|
| 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 |
$1,416.75
|
| Rate for Payer: Networks By Design Commercial |
$1,227.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$1,605.65
|
| 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 |
$1,133.40
|
| 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 COLON W SNGL CONTRAST ENEMA
|
Facility
|
IP
|
$1,436.00
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
909001806
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$287.20 |
| Max. Negotiated Rate |
$1,292.40 |
| Rate for Payer: Adventist Health Commercial |
$287.20
|
| Rate for Payer: Cash Price |
$789.80
|
| Rate for Payer: Central Health Plan Commercial |
$1,148.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$574.40
|
| Rate for Payer: EPIC Health Plan Senior |
$574.40
|
| Rate for Payer: Galaxy Health WC |
$1,220.60
|
| Rate for Payer: Global Benefits Group Commercial |
$861.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,292.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$957.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$547.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$888.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$287.20
|
| Rate for Payer: Multiplan Commercial |
$1,077.00
|
| Rate for Payer: Networks By Design Commercial |
$933.40
|
| Rate for Payer: Prime Health Services Commercial |
$1,220.60
|
|
|
HC COLON W SNGL CONTRAST ENEMA
|
Facility
|
OP
|
$1,436.00
|
|
|
Service Code
|
CPT 74270
|
| Hospital Charge Code |
909001806
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$69.99 |
| Max. Negotiated Rate |
$1,292.40 |
| Rate for Payer: Adventist Health Commercial |
$287.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$226.19
|
| Rate for Payer: Aetna of CA HMO/PPO |
$872.08
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$339.29
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$248.81
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$226.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$344.85
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$69.99
|
| Rate for Payer: Blue Shield of California Commercial |
$871.65
|
| Rate for Payer: Blue Shield of California EPN |
$570.09
|
| Rate for Payer: Cash Price |
$789.80
|
| Rate for Payer: Cash Price |
$789.80
|
| Rate for Payer: Central Health Plan Commercial |
$1,148.80
|
| Rate for Payer: Cigna of CA HMO |
$919.04
|
| Rate for Payer: Cigna of CA PPO |
$1,062.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$339.29
|
| Rate for Payer: Dignity Health Medi-Cal |
$248.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$226.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$305.36
|
| Rate for Payer: EPIC Health Plan Senior |
$226.19
|
| Rate for Payer: Galaxy Health WC |
$1,220.60
|
| Rate for Payer: Global Benefits Group Commercial |
$861.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,292.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$370.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$89.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$226.19
|
| Rate for Payer: InnovAge PACE Commercial |
$339.29
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$957.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$98.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$226.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$287.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$303.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$303.09
|
| Rate for Payer: Multiplan Commercial |
$1,077.00
|
| Rate for Payer: Networks By Design Commercial |
$933.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$226.19
|
| Rate for Payer: Prime Health Services Commercial |
$1,220.60
|
| Rate for Payer: Prime Health Services Medicare |
$239.76
|
| Rate for Payer: Riverside University Health System MISP |
$248.81
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$861.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$861.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$219.73
|
| Rate for Payer: United Healthcare All Other HMO |
$219.73
|
| Rate for Payer: United Healthcare HMO Rider |
$219.73
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$219.73
|
| Rate for Payer: Upland Medical Group Pediatric |
$226.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$339.29
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$248.81
|
| Rate for Payer: Vantage Medical Group Senior |
$226.19
|
|
