|
HC CATH PICC PWR 5.5FR 45CM DL
|
Facility
|
IP
|
$1,717.18
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698202
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$343.44 |
| Max. Negotiated Rate |
$1,545.46 |
| Rate for Payer: Blue Shield of California EPN |
$916.97
|
| Rate for Payer: Cash Price |
$772.73
|
| Rate for Payer: Central Health Plan Commercial |
$1,373.74
|
| Rate for Payer: Cigna of CA HMO |
$1,202.03
|
| Rate for Payer: Cigna of CA PPO |
$1,202.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$686.87
|
| Rate for Payer: EPIC Health Plan Transplant |
$686.87
|
| Rate for Payer: Galaxy Health WC |
$1,459.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,030.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,545.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,145.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$654.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$343.44
|
| Rate for Payer: Multiplan Commercial |
$1,287.88
|
| Rate for Payer: Prime Health Services Commercial |
$1,459.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$648.41
|
| Rate for Payer: United Healthcare All Other HMO |
$633.30
|
| Rate for Payer: United Healthcare HMO Rider |
$619.56
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$566.67
|
|
|
HC CATH PICC PWR 5.5FR 50CM DL
|
Facility
|
OP
|
$1,459.17
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698154
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.83 |
| Max. Negotiated Rate |
$1,313.25 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,240.29
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$802.54
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$802.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$666.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$812.76
|
| Rate for Payer: Blue Distinction Transplant |
$875.50
|
| Rate for Payer: Blue Shield of California Commercial |
$1,094.38
|
| Rate for Payer: Blue Shield of California EPN |
$793.79
|
| Rate for Payer: Cash Price |
$656.63
|
| Rate for Payer: Central Health Plan Commercial |
$1,167.34
|
| Rate for Payer: Cigna of CA HMO |
$1,021.42
|
| Rate for Payer: Cigna of CA PPO |
$1,021.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,240.29
|
| Rate for Payer: Dignity Health Media |
$1,240.29
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,240.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.67
|
| Rate for Payer: EPIC Health Plan Transplant |
$583.67
|
| Rate for Payer: Galaxy Health WC |
$1,240.29
|
| Rate for Payer: Global Benefits Group Commercial |
$875.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,313.25
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,094.38
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$510.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$555.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$291.83
|
| Rate for Payer: Multiplan Commercial |
$1,094.38
|
| Rate for Payer: Networks By Design Commercial |
$729.58
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.29
|
| Rate for Payer: Riverside University Health System MISP |
$583.67
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$875.50
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$875.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$729.58
|
| Rate for Payer: United Healthcare All Other HMO |
$729.58
|
| Rate for Payer: United Healthcare HMO Rider |
$729.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$729.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,240.29
|
| Rate for Payer: Vantage Medical Group Senior |
$1,240.29
|
|
|
HC CATH PICC PWR 5.5FR 50CM DL
|
Facility
|
IP
|
$1,459.17
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698154
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.83 |
| Max. Negotiated Rate |
$1,313.25 |
| Rate for Payer: Blue Shield of California EPN |
$779.20
|
| Rate for Payer: Cash Price |
$656.63
|
| Rate for Payer: Central Health Plan Commercial |
$1,167.34
|
| Rate for Payer: Cigna of CA HMO |
$1,021.42
|
| Rate for Payer: Cigna of CA PPO |
$1,021.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.67
|
| Rate for Payer: EPIC Health Plan Transplant |
$583.67
|
| Rate for Payer: Galaxy Health WC |
$1,240.29
|
| Rate for Payer: Global Benefits Group Commercial |
$875.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,313.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$555.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$291.83
|
| Rate for Payer: Multiplan Commercial |
$1,094.38
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.29
|
| Rate for Payer: United Healthcare All Other Commercial |
$550.98
|
| Rate for Payer: United Healthcare All Other HMO |
$538.14
|
| Rate for Payer: United Healthcare HMO Rider |
$526.47
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$481.53
|
|
|
HC CATH PICC PWR 5.5FR 55CM DL
|
Facility
|
OP
|
$1,454.47
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$290.89 |
| Max. Negotiated Rate |
$1,309.02 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,236.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$799.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$799.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$664.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$810.14
|
| Rate for Payer: Blue Distinction Transplant |
$872.68
|
| Rate for Payer: Blue Shield of California Commercial |
$1,090.85
|
| Rate for Payer: Blue Shield of California EPN |
$791.23
|
| Rate for Payer: Cash Price |
$654.51
|
| Rate for Payer: Central Health Plan Commercial |
$1,163.58
|
| Rate for Payer: Cigna of CA HMO |
$1,018.13
|
| Rate for Payer: Cigna of CA PPO |
$1,018.13
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,236.30
|
| Rate for Payer: Dignity Health Media |
$1,236.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,236.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$581.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$581.79
|
| Rate for Payer: Galaxy Health WC |
$1,236.30
|
| Rate for Payer: Global Benefits Group Commercial |
$872.68
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,309.02
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,090.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$509.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$970.13
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$554.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$290.89
|
| Rate for Payer: Multiplan Commercial |
$1,090.85
|
| Rate for Payer: Networks By Design Commercial |
$727.24
|
| Rate for Payer: Prime Health Services Commercial |
$1,236.30
|
| Rate for Payer: Riverside University Health System MISP |
$581.79
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$872.68
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$872.68
|
| Rate for Payer: United Healthcare All Other Commercial |
$727.24
|
| Rate for Payer: United Healthcare All Other HMO |
$727.24
|
| Rate for Payer: United Healthcare HMO Rider |
$727.24
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$727.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,236.30
|
| Rate for Payer: Vantage Medical Group Senior |
$1,236.30
|
|
|
HC CATH PICC PWR 5.5FR 55CM DL
|
Facility
|
IP
|
$1,454.47
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$290.89 |
| Max. Negotiated Rate |
$1,309.02 |
| Rate for Payer: Blue Shield of California EPN |
$776.69
|
| Rate for Payer: Cash Price |
$654.51
|
| Rate for Payer: Central Health Plan Commercial |
$1,163.58
|
| Rate for Payer: Cigna of CA HMO |
$1,018.13
|
| Rate for Payer: Cigna of CA PPO |
$1,018.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$581.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$581.79
|
| Rate for Payer: Galaxy Health WC |
$1,236.30
|
| Rate for Payer: Global Benefits Group Commercial |
$872.68
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,309.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$970.13
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$554.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$290.89
|
| Rate for Payer: Multiplan Commercial |
$1,090.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,236.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$549.21
|
| Rate for Payer: United Healthcare All Other HMO |
$536.41
|
| Rate for Payer: United Healthcare HMO Rider |
$524.77
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$479.98
|
|
|
HC CATH PICC PWR 5.5FR DL 40CM
|
Facility
|
OP
|
$1,400.29
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607740
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$280.06 |
| Max. Negotiated Rate |
$1,260.26 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,190.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$770.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$770.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$639.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$779.96
|
| Rate for Payer: Blue Distinction Transplant |
$840.17
|
| Rate for Payer: Blue Shield of California Commercial |
$1,050.22
|
| Rate for Payer: Blue Shield of California EPN |
$761.76
|
| Rate for Payer: Cash Price |
$630.13
|
| Rate for Payer: Central Health Plan Commercial |
$1,120.23
|
| Rate for Payer: Cigna of CA HMO |
$980.20
|
| Rate for Payer: Cigna of CA PPO |
$980.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,190.25
|
| Rate for Payer: Dignity Health Media |
$1,190.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,190.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$560.12
|
| Rate for Payer: EPIC Health Plan Transplant |
$560.12
|
| Rate for Payer: Galaxy Health WC |
$1,190.25
|
| Rate for Payer: Global Benefits Group Commercial |
$840.17
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,260.26
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,050.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$490.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$933.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$533.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$280.06
|
| Rate for Payer: Multiplan Commercial |
$1,050.22
|
| Rate for Payer: Networks By Design Commercial |
$700.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,190.25
|
| Rate for Payer: Riverside University Health System MISP |
$560.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$840.17
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$840.17
|
| Rate for Payer: United Healthcare All Other Commercial |
$700.14
|
| Rate for Payer: United Healthcare All Other HMO |
$700.14
|
| Rate for Payer: United Healthcare HMO Rider |
$700.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$700.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,190.25
|
| Rate for Payer: Vantage Medical Group Senior |
$1,190.25
|
|
|
HC CATH PICC PWR 5.5FR DL 40CM
|
Facility
|
IP
|
$1,400.29
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607740
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$280.06 |
| Max. Negotiated Rate |
$1,260.26 |
| Rate for Payer: Blue Shield of California EPN |
$747.75
|
| Rate for Payer: Cash Price |
$630.13
|
| Rate for Payer: Central Health Plan Commercial |
$1,120.23
|
| Rate for Payer: Cigna of CA HMO |
$980.20
|
| Rate for Payer: Cigna of CA PPO |
$980.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$560.12
|
| Rate for Payer: EPIC Health Plan Transplant |
$560.12
|
| Rate for Payer: Galaxy Health WC |
$1,190.25
|
| Rate for Payer: Global Benefits Group Commercial |
$840.17
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,260.26
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$933.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$533.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$280.06
|
| Rate for Payer: Multiplan Commercial |
$1,050.22
|
| Rate for Payer: Prime Health Services Commercial |
$1,190.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$528.75
|
| Rate for Payer: United Healthcare All Other HMO |
$516.43
|
| Rate for Payer: United Healthcare HMO Rider |
$505.22
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$462.10
|
|
|
HC CATH PICC PWR 5FR DL 40CM VPS
|
Facility
|
IP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607739
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Blue Shield of California EPN |
$660.77
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Transplant |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$825.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$471.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: United Healthcare All Other Commercial |
$467.24
|
| Rate for Payer: United Healthcare All Other HMO |
$456.35
|
| Rate for Payer: United Healthcare HMO Rider |
$446.45
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$408.34
|
|
|
HC CATH PICC PWR 5FR DL 40CM VPS
|
Facility
|
OP
|
$1,237.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607739
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$247.48 |
| Max. Negotiated Rate |
$1,113.66 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$680.57
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$680.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$565.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$689.23
|
| Rate for Payer: Blue Distinction Transplant |
$742.44
|
| Rate for Payer: Blue Shield of California Commercial |
$928.05
|
| Rate for Payer: Blue Shield of California EPN |
$673.15
|
| Rate for Payer: Cash Price |
$556.83
|
| Rate for Payer: Central Health Plan Commercial |
$989.92
|
| Rate for Payer: Cigna of CA HMO |
$866.18
|
| Rate for Payer: Cigna of CA PPO |
$866.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,051.79
|
| Rate for Payer: Dignity Health Media |
$1,051.79
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,051.79
|
| Rate for Payer: EPIC Health Plan Commercial |
$494.96
|
| Rate for Payer: EPIC Health Plan Transplant |
$494.96
|
| Rate for Payer: Galaxy Health WC |
$1,051.79
|
| Rate for Payer: Global Benefits Group Commercial |
$742.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,113.66
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$928.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$433.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$825.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$471.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$247.48
|
| Rate for Payer: Multiplan Commercial |
$928.05
|
| Rate for Payer: Networks By Design Commercial |
$618.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,051.79
|
| Rate for Payer: Riverside University Health System MISP |
$494.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$742.44
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$742.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$618.70
|
| Rate for Payer: United Healthcare All Other HMO |
$618.70
|
| Rate for Payer: United Healthcare HMO Rider |
$618.70
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$618.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,051.79
|
| Rate for Payer: Vantage Medical Group Senior |
$1,051.79
|
|
|
HC CATH PICC PWR 6FR 50CM TL
|
Facility
|
IP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$1,299.96 |
| Rate for Payer: Blue Shield of California EPN |
$771.31
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Central Health Plan Commercial |
$1,155.52
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Transplant |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,299.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$288.88
|
| Rate for Payer: Multiplan Commercial |
$1,083.30
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$545.41
|
| Rate for Payer: United Healthcare All Other HMO |
$532.69
|
| Rate for Payer: United Healthcare HMO Rider |
$521.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$476.65
|
|
|
HC CATH PICC PWR 6FR 50CM TL
|
Facility
|
OP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$1,299.96 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$794.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$794.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$659.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$804.53
|
| Rate for Payer: Blue Distinction Transplant |
$866.64
|
| Rate for Payer: Blue Shield of California Commercial |
$1,083.30
|
| Rate for Payer: Blue Shield of California EPN |
$785.75
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Central Health Plan Commercial |
$1,155.52
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Dignity Health Media |
$1,227.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,227.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Transplant |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,299.96
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,083.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$505.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$288.88
|
| Rate for Payer: Multiplan Commercial |
$1,083.30
|
| Rate for Payer: Networks By Design Commercial |
$722.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: Riverside University Health System MISP |
$577.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$866.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$866.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$722.20
|
| Rate for Payer: United Healthcare All Other HMO |
$722.20
|
| Rate for Payer: United Healthcare HMO Rider |
$722.20
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$722.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,227.74
|
| Rate for Payer: Vantage Medical Group Senior |
$1,227.74
|
|
|
HC CATH PICC PWR 6FR TL 40CM CG
|
Facility
|
OP
|
$1,482.26
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$296.45 |
| Max. Negotiated Rate |
$1,334.03 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,259.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$815.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$815.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$676.80
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$825.62
|
| Rate for Payer: Blue Distinction Transplant |
$889.36
|
| Rate for Payer: Blue Shield of California Commercial |
$1,111.70
|
| Rate for Payer: Blue Shield of California EPN |
$806.35
|
| Rate for Payer: Cash Price |
$667.02
|
| Rate for Payer: Central Health Plan Commercial |
$1,185.81
|
| Rate for Payer: Cigna of CA HMO |
$1,037.58
|
| Rate for Payer: Cigna of CA PPO |
$1,037.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,259.92
|
| Rate for Payer: Dignity Health Media |
$1,259.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,259.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$592.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$592.90
|
| Rate for Payer: Galaxy Health WC |
$1,259.92
|
| Rate for Payer: Global Benefits Group Commercial |
$889.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,334.03
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,111.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$518.79
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$988.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$296.45
|
| Rate for Payer: Multiplan Commercial |
$1,111.70
|
| Rate for Payer: Networks By Design Commercial |
$741.13
|
| Rate for Payer: Prime Health Services Commercial |
$1,259.92
|
| Rate for Payer: Riverside University Health System MISP |
$592.90
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$889.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$889.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$741.13
|
| Rate for Payer: United Healthcare All Other HMO |
$741.13
|
| Rate for Payer: United Healthcare HMO Rider |
$741.13
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$741.13
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,259.92
|
| Rate for Payer: Vantage Medical Group Senior |
$1,259.92
|
|
|
HC CATH PICC PWR 6FR TL 40CM CG
|
Facility
|
IP
|
$1,482.26
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607742
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$296.45 |
| Max. Negotiated Rate |
$1,334.03 |
| Rate for Payer: Blue Shield of California EPN |
$791.53
|
| Rate for Payer: Cash Price |
$667.02
|
| Rate for Payer: Central Health Plan Commercial |
$1,185.81
|
| Rate for Payer: Cigna of CA HMO |
$1,037.58
|
| Rate for Payer: Cigna of CA PPO |
$1,037.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$592.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$592.90
|
| Rate for Payer: Galaxy Health WC |
$1,259.92
|
| Rate for Payer: Global Benefits Group Commercial |
$889.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,334.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$988.67
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$296.45
|
| Rate for Payer: Multiplan Commercial |
$1,111.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,259.92
|
| Rate for Payer: United Healthcare All Other Commercial |
$559.70
|
| Rate for Payer: United Healthcare All Other HMO |
$546.66
|
| Rate for Payer: United Healthcare HMO Rider |
$534.80
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$489.15
|
|
|
HC CATH PICC PWR 6FR TL 40CM VPS
|
Facility
|
OP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$1,155.06 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$705.87
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$705.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$586.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$714.85
|
| Rate for Payer: Blue Distinction Transplant |
$770.04
|
| Rate for Payer: Blue Shield of California Commercial |
$962.55
|
| Rate for Payer: Blue Shield of California EPN |
$698.17
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Central Health Plan Commercial |
$1,026.72
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,090.89
|
| Rate for Payer: Dignity Health Media |
$1,090.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,090.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,155.06
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$962.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$449.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$856.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$488.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$256.68
|
| Rate for Payer: Multiplan Commercial |
$962.55
|
| Rate for Payer: Networks By Design Commercial |
$641.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: Riverside University Health System MISP |
$513.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$770.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$770.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$641.70
|
| Rate for Payer: United Healthcare All Other HMO |
$641.70
|
| Rate for Payer: United Healthcare HMO Rider |
$641.70
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$641.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,090.89
|
| Rate for Payer: Vantage Medical Group Senior |
$1,090.89
|
|
|
HC CATH PICC PWR 6FR TL 40CM VPS
|
Facility
|
IP
|
$1,283.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607741
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.68 |
| Max. Negotiated Rate |
$1,155.06 |
| Rate for Payer: Blue Shield of California EPN |
$685.34
|
| Rate for Payer: Cash Price |
$577.53
|
| Rate for Payer: Central Health Plan Commercial |
$1,026.72
|
| Rate for Payer: Cigna of CA HMO |
$898.38
|
| Rate for Payer: Cigna of CA PPO |
$898.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$513.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$513.36
|
| Rate for Payer: Galaxy Health WC |
$1,090.89
|
| Rate for Payer: Global Benefits Group Commercial |
$770.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,155.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$856.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$488.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$256.68
|
| Rate for Payer: Multiplan Commercial |
$962.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,090.89
|
| Rate for Payer: United Healthcare All Other Commercial |
$484.61
|
| Rate for Payer: United Healthcare All Other HMO |
$473.32
|
| Rate for Payer: United Healthcare HMO Rider |
$463.05
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$423.52
|
|
|
HC CATH PICC PWR 6FR TL 55CM VPS
|
Facility
|
IP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607858
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$1,299.96 |
| Rate for Payer: Blue Shield of California EPN |
$771.31
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Central Health Plan Commercial |
$1,155.52
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Transplant |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,299.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$288.88
|
| Rate for Payer: Multiplan Commercial |
$1,083.30
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$545.41
|
| Rate for Payer: United Healthcare All Other HMO |
$532.69
|
| Rate for Payer: United Healthcare HMO Rider |
$521.14
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$476.65
|
|
|
HC CATH PICC PWR 6FR TL 55CM VPS
|
Facility
|
OP
|
$1,444.40
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901607858
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.88 |
| Max. Negotiated Rate |
$1,299.96 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$794.42
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$794.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$659.51
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$804.53
|
| Rate for Payer: Blue Distinction Transplant |
$866.64
|
| Rate for Payer: Blue Shield of California Commercial |
$1,083.30
|
| Rate for Payer: Blue Shield of California EPN |
$785.75
|
| Rate for Payer: Cash Price |
$649.98
|
| Rate for Payer: Central Health Plan Commercial |
$1,155.52
|
| Rate for Payer: Cigna of CA HMO |
$1,011.08
|
| Rate for Payer: Cigna of CA PPO |
$1,011.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,227.74
|
| Rate for Payer: Dignity Health Media |
$1,227.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,227.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$577.76
|
| Rate for Payer: EPIC Health Plan Transplant |
$577.76
|
| Rate for Payer: Galaxy Health WC |
$1,227.74
|
| Rate for Payer: Global Benefits Group Commercial |
$866.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,299.96
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,083.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$505.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$963.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$550.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$288.88
|
| Rate for Payer: Multiplan Commercial |
$1,083.30
|
| Rate for Payer: Networks By Design Commercial |
$722.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,227.74
|
| Rate for Payer: Riverside University Health System MISP |
$577.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$866.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$866.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$722.20
|
| Rate for Payer: United Healthcare All Other HMO |
$722.20
|
| Rate for Payer: United Healthcare HMO Rider |
$722.20
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$722.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,227.74
|
| Rate for Payer: Vantage Medical Group Senior |
$1,227.74
|
|
|
HC CATH PICC SILICONE 1.9FR
|
Facility
|
IP
|
$350.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698327
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Blue Shield of California EPN |
$186.90
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: Cigna of CA HMO |
$245.00
|
| Rate for Payer: Cigna of CA PPO |
$245.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$140.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$140.00
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$133.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$132.16
|
| Rate for Payer: United Healthcare All Other HMO |
$129.08
|
| Rate for Payer: United Healthcare HMO Rider |
$126.28
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$115.50
|
|
|
HC CATH PICC SILICONE 1.9FR
|
Facility
|
OP
|
$350.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698327
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$297.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$192.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$192.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$159.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$194.95
|
| Rate for Payer: Blue Distinction Transplant |
$210.00
|
| Rate for Payer: Blue Shield of California Commercial |
$262.50
|
| Rate for Payer: Blue Shield of California EPN |
$190.40
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: Cigna of CA HMO |
$245.00
|
| Rate for Payer: Cigna of CA PPO |
$245.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$297.50
|
| Rate for Payer: Dignity Health Media |
$297.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$297.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$140.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$140.00
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$262.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$122.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$133.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Networks By Design Commercial |
$175.00
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
| Rate for Payer: Riverside University Health System MISP |
$140.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$210.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$175.00
|
| Rate for Payer: United Healthcare All Other HMO |
$175.00
|
| Rate for Payer: United Healthcare HMO Rider |
$175.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$175.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$297.50
|
| Rate for Payer: Vantage Medical Group Senior |
$297.50
|
|
|
HC CATH PICC TLS 5FR POWER MAX
|
Facility
|
OP
|
$1,012.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$202.40 |
| Max. Negotiated Rate |
$1,019.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$860.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$556.60
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$556.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$490.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$597.89
|
| Rate for Payer: Blue Distinction Transplant |
$607.20
|
| Rate for Payer: Blue Shield of California Commercial |
$636.55
|
| Rate for Payer: Blue Shield of California EPN |
$494.87
|
| Rate for Payer: Cash Price |
$455.40
|
| Rate for Payer: Cash Price |
$455.40
|
| Rate for Payer: Central Health Plan Commercial |
$809.60
|
| Rate for Payer: Cigna of CA HMO |
$647.68
|
| Rate for Payer: Cigna of CA PPO |
$748.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$860.20
|
| Rate for Payer: Dignity Health Media |
$860.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$860.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$404.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$404.80
|
| Rate for Payer: Galaxy Health WC |
$860.20
|
| Rate for Payer: Global Benefits Group Commercial |
$607.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$910.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$759.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$354.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$675.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$385.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$202.40
|
| Rate for Payer: Multiplan Commercial |
$759.00
|
| Rate for Payer: Networks By Design Commercial |
$657.80
|
| Rate for Payer: Prime Health Services Commercial |
$860.20
|
| Rate for Payer: Riverside University Health System MISP |
$404.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$607.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$607.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$506.00
|
| Rate for Payer: United Healthcare All Other HMO |
$506.00
|
| Rate for Payer: United Healthcare HMO Rider |
$506.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$506.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$860.20
|
| Rate for Payer: Vantage Medical Group Senior |
$860.20
|
|
|
HC CATH PICC TLS 5FR POWER MAX
|
Facility
|
IP
|
$1,012.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901695699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$202.40 |
| Max. Negotiated Rate |
$910.80 |
| Rate for Payer: Cash Price |
$455.40
|
| Rate for Payer: Central Health Plan Commercial |
$809.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$404.80
|
| Rate for Payer: Galaxy Health WC |
$860.20
|
| Rate for Payer: Global Benefits Group Commercial |
$607.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$910.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$675.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$385.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$202.40
|
| Rate for Payer: Multiplan Commercial |
$759.00
|
| Rate for Payer: Networks By Design Commercial |
$657.80
|
| Rate for Payer: Prime Health Services Commercial |
$860.20
|
|
|
HC CATH PICC TLS DL 2.6FR X 20CM
|
Facility
|
IP
|
$656.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698237
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.34 |
| Max. Negotiated Rate |
$591.03 |
| Rate for Payer: Cash Price |
$295.52
|
| Rate for Payer: Central Health Plan Commercial |
$525.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$262.68
|
| Rate for Payer: Galaxy Health WC |
$558.20
|
| Rate for Payer: Global Benefits Group Commercial |
$394.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$591.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$438.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$250.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$131.34
|
| Rate for Payer: Multiplan Commercial |
$492.52
|
| Rate for Payer: Networks By Design Commercial |
$426.86
|
| Rate for Payer: Prime Health Services Commercial |
$558.20
|
|
|
HC CATH PICC TLS DL 2.6FR X 20CM
|
Facility
|
OP
|
$656.70
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698237
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.34 |
| Max. Negotiated Rate |
$1,019.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$558.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$361.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$361.18
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$317.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$387.98
|
| Rate for Payer: Blue Distinction Transplant |
$394.02
|
| Rate for Payer: Blue Shield of California Commercial |
$413.06
|
| Rate for Payer: Blue Shield of California EPN |
$321.13
|
| Rate for Payer: Cash Price |
$295.52
|
| Rate for Payer: Cash Price |
$295.52
|
| Rate for Payer: Central Health Plan Commercial |
$525.36
|
| Rate for Payer: Cigna of CA HMO |
$420.29
|
| Rate for Payer: Cigna of CA PPO |
$485.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$558.20
|
| Rate for Payer: Dignity Health Media |
$558.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$558.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$262.68
|
| Rate for Payer: EPIC Health Plan Transplant |
$262.68
|
| Rate for Payer: Galaxy Health WC |
$558.20
|
| Rate for Payer: Global Benefits Group Commercial |
$394.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$591.03
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$492.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$229.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$438.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$250.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$131.34
|
| Rate for Payer: Multiplan Commercial |
$492.52
|
| Rate for Payer: Networks By Design Commercial |
$426.86
|
| Rate for Payer: Prime Health Services Commercial |
$558.20
|
| Rate for Payer: Riverside University Health System MISP |
$262.68
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$394.02
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$394.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$328.35
|
| Rate for Payer: United Healthcare All Other HMO |
$328.35
|
| Rate for Payer: United Healthcare HMO Rider |
$328.35
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$328.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$558.20
|
| Rate for Payer: Vantage Medical Group Senior |
$558.20
|
|
|
HC CATH PICC TLS DL 2.6FR X 50CM
|
Facility
|
IP
|
$580.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$522.00 |
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$386.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$220.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
|
|
HC CATH PICC TLS DL 2.6FR X 50CM
|
Facility
|
OP
|
$580.00
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.00 |
| Max. Negotiated Rate |
$1,019.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$493.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$319.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$319.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$280.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$342.66
|
| Rate for Payer: Blue Distinction Transplant |
$348.00
|
| Rate for Payer: Blue Shield of California Commercial |
$364.82
|
| Rate for Payer: Blue Shield of California EPN |
$283.62
|
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Cash Price |
$261.00
|
| Rate for Payer: Central Health Plan Commercial |
$464.00
|
| Rate for Payer: Cigna of CA HMO |
$371.20
|
| Rate for Payer: Cigna of CA PPO |
$429.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$493.00
|
| Rate for Payer: Dignity Health Media |
$493.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$493.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$232.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$232.00
|
| Rate for Payer: Galaxy Health WC |
$493.00
|
| Rate for Payer: Global Benefits Group Commercial |
$348.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$522.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$435.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$203.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$386.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$220.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$116.00
|
| Rate for Payer: Multiplan Commercial |
$435.00
|
| Rate for Payer: Networks By Design Commercial |
$377.00
|
| Rate for Payer: Prime Health Services Commercial |
$493.00
|
| Rate for Payer: Riverside University Health System MISP |
$232.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$348.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$348.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$290.00
|
| Rate for Payer: United Healthcare All Other HMO |
$290.00
|
| Rate for Payer: United Healthcare HMO Rider |
$290.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$290.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$493.00
|
| Rate for Payer: Vantage Medical Group Senior |
$493.00
|
|
