|
HC ELECTROMYOGRAPHY NEEDL/ONE FIB
|
Facility
|
OP
|
$853.00
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
900600244
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$125.99 |
| Max. Negotiated Rate |
$1,297.00 |
| Rate for Payer: Adventist Health Commercial |
$170.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$277.71
|
| Rate for Payer: Aetna of CA HMO/PPO |
$227.02
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$416.56
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$305.48
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$277.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$178.72
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$496.19
|
| Rate for Payer: Blue Shield of California Commercial |
$537.39
|
| Rate for Payer: Blue Shield of California EPN |
$338.64
|
| Rate for Payer: Cash Price |
$383.85
|
| Rate for Payer: Cash Price |
$383.85
|
| Rate for Payer: Cash Price |
$383.85
|
| Rate for Payer: Central Health Plan Commercial |
$682.40
|
| Rate for Payer: Cigna of CA HMO |
$545.92
|
| Rate for Payer: Cigna of CA PPO |
$631.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$416.56
|
| Rate for Payer: Dignity Health Medi-Cal |
$305.48
|
| Rate for Payer: Dignity Health Medicare Advantage |
$277.71
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$597.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$458.22
|
| Rate for Payer: EPIC Health Plan Senior |
$305.48
|
| Rate for Payer: Galaxy Health WC |
$725.05
|
| Rate for Payer: Global Benefits Group Commercial |
$511.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$767.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$455.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$125.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$277.71
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$541.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$139.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$388.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$170.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$372.13
|
| Rate for Payer: Multiplan Commercial |
$639.75
|
| Rate for Payer: Networks By Design Commercial |
$554.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$277.71
|
| Rate for Payer: Prime Health Services Commercial |
$725.05
|
| Rate for Payer: Prime Health Services Medicare |
$294.37
|
| Rate for Payer: Riverside University Health System MISP |
$305.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$511.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$511.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,297.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,024.00
|
| Rate for Payer: United Healthcare HMO Rider |
$776.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$711.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$277.71
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$416.56
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$305.48
|
| Rate for Payer: Vantage Medical Group Senior |
$277.71
|
|
|
HC ELECTROMYOGRAPHY NEEDL/ONE FIB
|
Facility
|
IP
|
$853.00
|
|
|
Service Code
|
CPT 95872
|
| Hospital Charge Code |
900600244
|
|
Hospital Revenue Code
|
922
|
| Min. Negotiated Rate |
$170.60 |
| Max. Negotiated Rate |
$767.70 |
| Rate for Payer: Adventist Health Commercial |
$170.60
|
| Rate for Payer: Cash Price |
$383.85
|
| Rate for Payer: Central Health Plan Commercial |
$682.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$597.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$341.20
|
| Rate for Payer: EPIC Health Plan Senior |
$341.20
|
| Rate for Payer: Galaxy Health WC |
$725.05
|
| Rate for Payer: Global Benefits Group Commercial |
$511.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$767.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$541.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$503.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$170.60
|
| Rate for Payer: Multiplan Commercial |
$639.75
|
| Rate for Payer: Networks By Design Commercial |
$554.45
|
| Rate for Payer: Prime Health Services Commercial |
$725.05
|
|
|
HC ELECTRONIC ELBO SIMULTANEOUS
|
Facility
|
IP
|
$40,000.00
|
|
|
Service Code
|
CPT L7181
|
| Hospital Charge Code |
915357181
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$8,000.00 |
| Max. Negotiated Rate |
$36,000.00 |
| Rate for Payer: Adventist Health Commercial |
$8,000.00
|
| Rate for Payer: Blue Shield of California Commercial |
$32,080.00
|
| Rate for Payer: Blue Shield of California EPN |
$20,160.00
|
| Rate for Payer: Cash Price |
$18,000.00
|
| Rate for Payer: Central Health Plan Commercial |
$32,000.00
|
| Rate for Payer: Cigna of CA HMO |
$28,000.00
|
| Rate for Payer: Cigna of CA PPO |
$28,000.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$28,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,000.00
|
| Rate for Payer: EPIC Health Plan Senior |
$16,000.00
|
| Rate for Payer: Galaxy Health WC |
$34,000.00
|
| Rate for Payer: Global Benefits Group Commercial |
$24,000.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$36,000.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25,400.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23,600.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,000.00
|
| Rate for Payer: Multiplan Commercial |
$30,000.00
|
| Rate for Payer: Networks By Design Commercial |
$26,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$34,000.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$15,012.00
|
| Rate for Payer: United Healthcare All Other HMO |
$14,612.00
|
| Rate for Payer: United Healthcare HMO Rider |
$14,296.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,100.00
|
|
|
HC ELECTRONIC ELBO SIMULTANEOUS
|
Facility
|
IP
|
$40,000.00
|
|
|
Service Code
|
CPT L7181
|
| Hospital Charge Code |
905357181
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$8,000.00 |
| Max. Negotiated Rate |
$36,000.00 |
| Rate for Payer: Adventist Health Commercial |
$8,000.00
|
| Rate for Payer: Blue Shield of California Commercial |
$32,080.00
|
| Rate for Payer: Blue Shield of California EPN |
$20,160.00
|
| Rate for Payer: Cash Price |
$18,000.00
|
| Rate for Payer: Central Health Plan Commercial |
$32,000.00
|
| Rate for Payer: Cigna of CA HMO |
$28,000.00
|
| Rate for Payer: Cigna of CA PPO |
$28,000.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$28,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,000.00
|
| Rate for Payer: EPIC Health Plan Senior |
$16,000.00
|
| Rate for Payer: Galaxy Health WC |
$34,000.00
|
| Rate for Payer: Global Benefits Group Commercial |
$24,000.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$36,000.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25,400.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23,600.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,000.00
|
| Rate for Payer: Multiplan Commercial |
$30,000.00
|
| Rate for Payer: Networks By Design Commercial |
$26,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$34,000.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$15,012.00
|
| Rate for Payer: United Healthcare All Other HMO |
$14,612.00
|
| Rate for Payer: United Healthcare HMO Rider |
$14,296.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,100.00
|
|
|
HC ELECTRONIC ELBO SIMULTANEOUS
|
Facility
|
OP
|
$40,000.00
|
|
|
Service Code
|
CPT L7181
|
| Hospital Charge Code |
915357181
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$13,100.00 |
| Max. Negotiated Rate |
$36,000.00 |
| Rate for Payer: Adventist Health Commercial |
$16,400.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$22,000.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$30,000.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,268.00
|
| Rate for Payer: Blue Shield of California Commercial |
$32,080.00
|
| Rate for Payer: Blue Shield of California EPN |
$20,160.00
|
| Rate for Payer: Cash Price |
$18,000.00
|
| Rate for Payer: Central Health Plan Commercial |
$32,000.00
|
| Rate for Payer: Cigna of CA HMO |
$28,000.00
|
| Rate for Payer: Cigna of CA PPO |
$28,000.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$34,000.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$34,000.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$28,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,000.00
|
| Rate for Payer: EPIC Health Plan Senior |
$16,000.00
|
| Rate for Payer: Galaxy Health WC |
$34,000.00
|
| Rate for Payer: Global Benefits Group Commercial |
$24,000.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$36,000.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25,400.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23,600.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,400.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$28,000.00
|
| Rate for Payer: Multiplan Commercial |
$30,000.00
|
| Rate for Payer: Networks By Design Commercial |
$20,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$34,000.00
|
| Rate for Payer: Riverside University Health System MISP |
$16,000.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24,000.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24,000.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$15,012.00
|
| Rate for Payer: United Healthcare All Other HMO |
$14,612.00
|
| Rate for Payer: United Healthcare HMO Rider |
$14,296.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,100.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34,000.00
|
| Rate for Payer: Vantage Medical Group Senior |
$34,000.00
|
|
|
HC ELECTRONIC ELBO SIMULTANEOUS
|
Facility
|
OP
|
$40,000.00
|
|
|
Service Code
|
CPT L7181
|
| Hospital Charge Code |
905357181
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$13,100.00 |
| Max. Negotiated Rate |
$36,000.00 |
| Rate for Payer: Adventist Health Commercial |
$16,400.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$22,000.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$30,000.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23,268.00
|
| Rate for Payer: Blue Shield of California Commercial |
$32,080.00
|
| Rate for Payer: Blue Shield of California EPN |
$20,160.00
|
| Rate for Payer: Cash Price |
$18,000.00
|
| Rate for Payer: Central Health Plan Commercial |
$32,000.00
|
| Rate for Payer: Cigna of CA HMO |
$28,000.00
|
| Rate for Payer: Cigna of CA PPO |
$28,000.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$34,000.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$34,000.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$28,000.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,000.00
|
| Rate for Payer: EPIC Health Plan Senior |
$16,000.00
|
| Rate for Payer: Galaxy Health WC |
$34,000.00
|
| Rate for Payer: Global Benefits Group Commercial |
$24,000.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$36,000.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$25,400.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$23,600.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,400.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$28,000.00
|
| Rate for Payer: Multiplan Commercial |
$30,000.00
|
| Rate for Payer: Networks By Design Commercial |
$20,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$34,000.00
|
| Rate for Payer: Riverside University Health System MISP |
$16,000.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24,000.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24,000.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$15,012.00
|
| Rate for Payer: United Healthcare All Other HMO |
$14,612.00
|
| Rate for Payer: United Healthcare HMO Rider |
$14,296.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$13,100.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,000.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34,000.00
|
| Rate for Payer: Vantage Medical Group Senior |
$34,000.00
|
|
|
HC ELECTRON MICROSCOPY COMPLEX
|
Facility
|
OP
|
$1,095.00
|
|
|
Service Code
|
CPT 88348
|
| Hospital Charge Code |
903800039
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$219.00 |
| Max. Negotiated Rate |
$3,860.46 |
| Rate for Payer: Adventist Health Commercial |
$219.00
|
| Rate for Payer: Adventist Health Commercial |
$766.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,036.24
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,036.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,860.46
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,860.46
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,139.86
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,139.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,036.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,036.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$241.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$241.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$336.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$336.09
|
| Rate for Payer: Blue Shield of California Commercial |
$2,414.79
|
| Rate for Payer: Blue Shield of California Commercial |
$689.85
|
| Rate for Payer: Blue Shield of California EPN |
$1,521.70
|
| Rate for Payer: Blue Shield of California EPN |
$434.71
|
| Rate for Payer: Cash Price |
$1,724.85
|
| Rate for Payer: Cash Price |
$1,724.85
|
| Rate for Payer: Cash Price |
$492.75
|
| Rate for Payer: Cash Price |
$492.75
|
| Rate for Payer: Central Health Plan Commercial |
$876.00
|
| Rate for Payer: Central Health Plan Commercial |
$3,066.40
|
| Rate for Payer: Cigna of CA HMO |
$2,453.12
|
| Rate for Payer: Cigna of CA HMO |
$700.80
|
| Rate for Payer: Cigna of CA PPO |
$2,836.42
|
| Rate for Payer: Cigna of CA PPO |
$810.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,139.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,139.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,036.24
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,036.24
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$766.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,683.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,709.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,709.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,139.86
|
| Rate for Payer: EPIC Health Plan Senior |
$1,139.86
|
| Rate for Payer: Galaxy Health WC |
$3,258.05
|
| Rate for Payer: Galaxy Health WC |
$930.75
|
| Rate for Payer: Global Benefits Group Commercial |
$2,299.80
|
| Rate for Payer: Global Benefits Group Commercial |
$657.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,449.70
|
| Rate for Payer: Health Management Network EPO/PPO |
$985.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,699.43
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,699.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$408.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$408.86
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,036.24
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,036.24
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$695.33
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,433.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$451.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$451.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,450.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,450.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$219.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$766.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,388.56
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,388.56
|
| Rate for Payer: Multiplan Commercial |
$2,874.75
|
| Rate for Payer: Multiplan Commercial |
$821.25
|
| Rate for Payer: Networks By Design Commercial |
$711.75
|
| Rate for Payer: Networks By Design Commercial |
$2,491.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,036.24
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,036.24
|
| Rate for Payer: Prime Health Services Commercial |
$3,258.05
|
| Rate for Payer: Prime Health Services Commercial |
$930.75
|
| Rate for Payer: Prime Health Services Medicare |
$1,098.41
|
| Rate for Payer: Prime Health Services Medicare |
$1,098.41
|
| Rate for Payer: Riverside University Health System MISP |
$1,139.86
|
| Rate for Payer: Riverside University Health System MISP |
$1,139.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$657.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,299.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,299.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$657.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$542.12
|
| Rate for Payer: United Healthcare All Other Commercial |
$542.12
|
| Rate for Payer: United Healthcare All Other HMO |
$542.12
|
| Rate for Payer: United Healthcare All Other HMO |
$542.12
|
| Rate for Payer: United Healthcare HMO Rider |
$542.12
|
| Rate for Payer: United Healthcare HMO Rider |
$542.12
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$542.12
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$542.12
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,036.24
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,036.24
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,554.36
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,139.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,139.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,036.24
|
| Rate for Payer: Vantage Medical Group Senior |
$1,036.24
|
|
|
HC ELECTRON MICROSCOPY COMPLEX
|
Facility
|
IP
|
$3,833.00
|
|
|
Service Code
|
CPT 88348
|
| Hospital Charge Code |
903800039
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$766.60 |
| Max. Negotiated Rate |
$3,449.70 |
| Rate for Payer: Adventist Health Commercial |
$766.60
|
| Rate for Payer: Cash Price |
$1,724.85
|
| Rate for Payer: Central Health Plan Commercial |
$3,066.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,683.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,533.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,533.20
|
| Rate for Payer: Galaxy Health WC |
$3,258.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,299.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,449.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,433.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,261.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$766.60
|
| Rate for Payer: Multiplan Commercial |
$2,874.75
|
| Rate for Payer: Networks By Design Commercial |
$2,491.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,258.05
|
|
|
HC ELECTROPHYSIO EVAL
|
Facility
|
OP
|
$6,277.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
906813411
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$1,255.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,722.56
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,565.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,457.69
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Central Health Plan Commercial |
$5,021.60
|
| Rate for Payer: Cigna of CA HMO |
$4,017.28
|
| Rate for Payer: Cigna of CA PPO |
$4,644.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,722.56
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,565.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,393.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,583.83
|
| Rate for Payer: EPIC Health Plan Senior |
$1,722.56
|
| Rate for Payer: Galaxy Health WC |
$5,335.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,766.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,649.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,568.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,565.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,985.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$997.22
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,683.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,255.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,098.39
|
| Rate for Payer: Multiplan Commercial |
$4,707.75
|
| Rate for Payer: Multiplan WC |
$2,457.69
|
| Rate for Payer: Networks By Design Commercial |
$4,080.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,565.96
|
| Rate for Payer: Preferred Health Network WC |
$2,507.85
|
| Rate for Payer: Prime Health Services Commercial |
$5,335.45
|
| Rate for Payer: Prime Health Services Medicare |
$1,659.92
|
| Rate for Payer: Prime Health Services WC |
$2,432.61
|
| Rate for Payer: Riverside University Health System MISP |
$1,722.56
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,766.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,138.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,138.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,138.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,138.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,565.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,722.56
|
| Rate for Payer: Vantage Medical Group Senior |
$1,565.96
|
|
|
HC ELECTROPHYSIO EVAL
|
Facility
|
IP
|
$6,277.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
906813411
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,255.40 |
| Max. Negotiated Rate |
$5,649.30 |
| Rate for Payer: Adventist Health Commercial |
$1,255.40
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Central Health Plan Commercial |
$5,021.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,393.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,510.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,510.80
|
| Rate for Payer: Galaxy Health WC |
$5,335.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,766.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,649.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,985.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,703.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,255.40
|
| Rate for Payer: Multiplan Commercial |
$4,707.75
|
| Rate for Payer: Networks By Design Commercial |
$4,080.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,335.45
|
|
|
HC ELECTROPHYSIO EVAL
|
Facility
|
IP
|
$6,277.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
906813411
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,255.40 |
| Max. Negotiated Rate |
$5,649.30 |
| Rate for Payer: Adventist Health Commercial |
$1,255.40
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Central Health Plan Commercial |
$5,021.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,393.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,510.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,510.80
|
| Rate for Payer: Galaxy Health WC |
$5,335.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,766.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,649.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,985.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,703.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,255.40
|
| Rate for Payer: Multiplan Commercial |
$4,707.75
|
| Rate for Payer: Networks By Design Commercial |
$4,080.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,335.45
|
|
|
HC ELECTROPHYSIO EVAL
|
Facility
|
OP
|
$6,277.00
|
|
|
Service Code
|
CPT 93642
|
| Hospital Charge Code |
906813411
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$8,136.21 |
| Rate for Payer: Adventist Health Commercial |
$1,255.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,565.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,114.67
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,722.56
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,565.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Cash Price |
$2,824.65
|
| Rate for Payer: Central Health Plan Commercial |
$5,021.60
|
| Rate for Payer: Cigna of CA HMO |
$4,017.28
|
| Rate for Payer: Cigna of CA PPO |
$4,644.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,722.56
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,565.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,393.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,583.83
|
| Rate for Payer: EPIC Health Plan Senior |
$1,722.56
|
| Rate for Payer: Galaxy Health WC |
$5,335.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,766.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,649.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,568.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$902.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,565.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,985.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$997.22
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,192.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,255.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,098.39
|
| Rate for Payer: Multiplan Commercial |
$4,707.75
|
| Rate for Payer: Networks By Design Commercial |
$4,080.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,565.96
|
| Rate for Payer: Prime Health Services Commercial |
$5,335.45
|
| Rate for Payer: Prime Health Services Medicare |
$1,659.92
|
| Rate for Payer: Riverside University Health System MISP |
$1,722.56
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,766.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,766.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,565.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,348.94
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,722.56
|
| Rate for Payer: Vantage Medical Group Senior |
$1,565.96
|
|
|
HC ELECT STIM MANUAL 15 MIN MC
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
901300049
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN MC
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
901300049
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN MCAL
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900400026
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN MCAL
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900400026
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN MCARE COMM
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900407032
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN MCARE COMM
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900407032
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15MIN OT
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
905104122
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15MIN OT
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
905104122
|
|
Hospital Revenue Code
|
430
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN PT
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
905103122
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN PT
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900417032
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN PT
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
900417032
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN PT
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
905103122
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$14.90 |
| Max. Negotiated Rate |
$465.00 |
| Rate for Payer: Adventist Health Commercial |
$80.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.15
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$107.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$147.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Cigna of CA HMO |
$125.44
|
| Rate for Payer: Cigna of CA PPO |
$145.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$166.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$166.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$166.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$14.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$16.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$80.36
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$137.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
| Rate for Payer: Riverside University Health System MISP |
$78.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$117.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$117.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$166.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$166.60
|
| Rate for Payer: Vantage Medical Group Senior |
$166.60
|
|
|
HC ELECT STIM MANUAL 15 MIN ST
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 97032
|
| Hospital Charge Code |
905601303
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$39.20 |
| Max. Negotiated Rate |
$176.40 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$88.20
|
| Rate for Payer: Central Health Plan Commercial |
$156.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$137.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$78.40
|
| Rate for Payer: EPIC Health Plan Senior |
$78.40
|
| Rate for Payer: Galaxy Health WC |
$166.60
|
| Rate for Payer: Global Benefits Group Commercial |
$117.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$176.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$124.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$115.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$39.20
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Networks By Design Commercial |
$127.40
|
| Rate for Payer: Prime Health Services Commercial |
$166.60
|
|
