|
HC CATH SUCTION 6FR
|
Facility
OP
|
$4.02
|
|
| Hospital Charge Code |
901698255
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$3.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2.44
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.42
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.38
|
| Rate for Payer: BCBS Transplant Transplant |
$2.41
|
| Rate for Payer: Blue Shield of California Commercial |
$2.53
|
| Rate for Payer: Blue Shield of California EPN |
$1.97
|
| Rate for Payer: Cash Price |
$1.81
|
| Rate for Payer: Central Health Plan Commercial |
$3.22
|
| Rate for Payer: Cigna of CA HMO |
$2.57
|
| Rate for Payer: Cigna of CA PPO |
$2.97
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.61
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.61
|
| Rate for Payer: Galaxy Health WC |
$3.42
|
| Rate for Payer: Global Benefits Group Commercial |
$2.41
|
| Rate for Payer: Health Management Network EPO/PPO |
$3.62
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.02
|
| Rate for Payer: IEHP medi-cal |
$1.41
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$3.02
|
| Rate for Payer: Networks By Design Commercial |
$2.61
|
| Rate for Payer: Prime Health Services Commercial |
$3.42
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2.41
|
| Rate for Payer: Riverside University Health MISP |
$1.61
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.41
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.01
|
| Rate for Payer: United Healthcare All Other HMO |
$2.01
|
| Rate for Payer: United Healthcare HMO Rider |
$2.01
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3.42
|
| Rate for Payer: Vantage Medical Group Senior |
$3.42
|
|
|
HC CATH SUCTION 6FR 14"
|
Facility
OP
|
$4.67
|
|
| Hospital Charge Code |
901602135
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2.84
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.97
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.57
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.76
|
| Rate for Payer: BCBS Transplant Transplant |
$2.80
|
| Rate for Payer: Blue Shield of California Commercial |
$2.94
|
| Rate for Payer: Blue Shield of California EPN |
$2.28
|
| Rate for Payer: Cash Price |
$2.10
|
| Rate for Payer: Central Health Plan Commercial |
$3.74
|
| Rate for Payer: Cigna of CA HMO |
$2.99
|
| Rate for Payer: Cigna of CA PPO |
$3.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.87
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.87
|
| Rate for Payer: Galaxy Health WC |
$3.97
|
| Rate for Payer: Global Benefits Group Commercial |
$2.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.50
|
| Rate for Payer: IEHP medi-cal |
$1.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.93
|
| Rate for Payer: Multiplan Commercial |
$3.50
|
| Rate for Payer: Networks By Design Commercial |
$3.04
|
| Rate for Payer: Prime Health Services Commercial |
$3.97
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2.80
|
| Rate for Payer: Riverside University Health MISP |
$1.87
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.34
|
| Rate for Payer: United Healthcare All Other HMO |
$2.34
|
| Rate for Payer: United Healthcare HMO Rider |
$2.34
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3.97
|
| Rate for Payer: Vantage Medical Group Senior |
$3.97
|
|
|
HC CATH SUCTION 6FR 14"
|
Facility
IP
|
$4.67
|
|
| Hospital Charge Code |
901602135
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: Cash Price |
$2.10
|
| Rate for Payer: Central Health Plan Commercial |
$3.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.87
|
| Rate for Payer: Galaxy Health WC |
$3.97
|
| Rate for Payer: Global Benefits Group Commercial |
$2.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.93
|
| Rate for Payer: Multiplan Commercial |
$3.50
|
| Rate for Payer: Networks By Design Commercial |
$3.04
|
| Rate for Payer: Prime Health Services Commercial |
$3.97
|
|
|
HC CATH SUCTION 8FR
|
Facility
OP
|
$4.02
|
|
| Hospital Charge Code |
901698256
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$3.62 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2.44
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.42
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1.95
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.38
|
| Rate for Payer: BCBS Transplant Transplant |
$2.41
|
| Rate for Payer: Blue Shield of California Commercial |
$2.53
|
| Rate for Payer: Blue Shield of California EPN |
$1.97
|
| Rate for Payer: Cash Price |
$1.81
|
| Rate for Payer: Central Health Plan Commercial |
$3.22
|
| Rate for Payer: Cigna of CA HMO |
$2.57
|
| Rate for Payer: Cigna of CA PPO |
$2.97
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.61
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.61
|
| Rate for Payer: Galaxy Health WC |
$3.42
|
| Rate for Payer: Global Benefits Group Commercial |
$2.41
|
| Rate for Payer: Health Management Network EPO/PPO |
$3.62
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.02
|
| Rate for Payer: IEHP medi-cal |
$1.41
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$3.02
|
| Rate for Payer: Networks By Design Commercial |
$2.61
|
| Rate for Payer: Prime Health Services Commercial |
$3.42
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2.41
|
| Rate for Payer: Riverside University Health MISP |
$1.61
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.41
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.01
|
| Rate for Payer: United Healthcare All Other HMO |
$2.01
|
| Rate for Payer: United Healthcare HMO Rider |
$2.01
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3.42
|
| Rate for Payer: Vantage Medical Group Senior |
$3.42
|
|
|
HC CATH SUCTION 8FR
|
Facility
IP
|
$4.02
|
|
| Hospital Charge Code |
901698256
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$3.62 |
| Rate for Payer: Cash Price |
$1.81
|
| Rate for Payer: Central Health Plan Commercial |
$3.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.61
|
| Rate for Payer: Galaxy Health WC |
$3.42
|
| Rate for Payer: Global Benefits Group Commercial |
$2.41
|
| Rate for Payer: Health Management Network EPO/PPO |
$3.62
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$3.02
|
| Rate for Payer: Networks By Design Commercial |
$2.61
|
| Rate for Payer: Prime Health Services Commercial |
$3.42
|
|
|
HC CATH SUCTION 8FR 14"
|
Facility
OP
|
$4.67
|
|
| Hospital Charge Code |
901602136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2.84
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3.97
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2.57
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2.57
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2.26
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2.76
|
| Rate for Payer: BCBS Transplant Transplant |
$2.80
|
| Rate for Payer: Blue Shield of California Commercial |
$2.94
|
| Rate for Payer: Blue Shield of California EPN |
$2.28
|
| Rate for Payer: Cash Price |
$2.10
|
| Rate for Payer: Central Health Plan Commercial |
$3.74
|
| Rate for Payer: Cigna of CA HMO |
$2.99
|
| Rate for Payer: Cigna of CA PPO |
$3.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3.97
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.87
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.87
|
| Rate for Payer: Galaxy Health WC |
$3.97
|
| Rate for Payer: Global Benefits Group Commercial |
$2.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3.50
|
| Rate for Payer: IEHP medi-cal |
$1.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.93
|
| Rate for Payer: Multiplan Commercial |
$3.50
|
| Rate for Payer: Networks By Design Commercial |
$3.04
|
| Rate for Payer: Prime Health Services Commercial |
$3.97
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2.80
|
| Rate for Payer: Riverside University Health MISP |
$1.87
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.34
|
| Rate for Payer: United Healthcare All Other HMO |
$2.34
|
| Rate for Payer: United Healthcare HMO Rider |
$2.34
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3.97
|
| Rate for Payer: Vantage Medical Group Senior |
$3.97
|
|
|
HC CATH SUCTION 8FR 14"
|
Facility
IP
|
$4.67
|
|
| Hospital Charge Code |
901602136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: Cash Price |
$2.10
|
| Rate for Payer: Central Health Plan Commercial |
$3.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.87
|
| Rate for Payer: Galaxy Health WC |
$3.97
|
| Rate for Payer: Global Benefits Group Commercial |
$2.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.93
|
| Rate for Payer: Multiplan Commercial |
$3.50
|
| Rate for Payer: Networks By Design Commercial |
$3.04
|
| Rate for Payer: Prime Health Services Commercial |
$3.97
|
|
|
HC CATH SUCTION 8FR SAFE-T-VAC
|
Facility
IP
|
$2.62
|
|
| Hospital Charge Code |
901698443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.36 |
| Rate for Payer: Cash Price |
$1.18
|
| Rate for Payer: Central Health Plan Commercial |
$2.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.05
|
| Rate for Payer: Galaxy Health WC |
$2.23
|
| Rate for Payer: Global Benefits Group Commercial |
$1.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.36
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.52
|
| Rate for Payer: Multiplan Commercial |
$1.96
|
| Rate for Payer: Networks By Design Commercial |
$1.70
|
| Rate for Payer: Prime Health Services Commercial |
$2.23
|
|
|
HC CATH SUCTION 8FR SAFE-T-VAC
|
Facility
OP
|
$2.62
|
|
| Hospital Charge Code |
901698443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.36 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.59
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2.23
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1.55
|
| Rate for Payer: BCBS Transplant Transplant |
$1.57
|
| Rate for Payer: Blue Shield of California Commercial |
$1.65
|
| Rate for Payer: Blue Shield of California EPN |
$1.28
|
| Rate for Payer: Cash Price |
$1.18
|
| Rate for Payer: Central Health Plan Commercial |
$2.10
|
| Rate for Payer: Cigna of CA HMO |
$1.68
|
| Rate for Payer: Cigna of CA PPO |
$1.94
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.05
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.05
|
| Rate for Payer: Galaxy Health WC |
$2.23
|
| Rate for Payer: Global Benefits Group Commercial |
$1.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.36
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1.96
|
| Rate for Payer: IEHP medi-cal |
$0.92
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.52
|
| Rate for Payer: Multiplan Commercial |
$1.96
|
| Rate for Payer: Networks By Design Commercial |
$1.70
|
| Rate for Payer: Prime Health Services Commercial |
$2.23
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1.57
|
| Rate for Payer: Riverside University Health MISP |
$1.05
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.57
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.57
|
| Rate for Payer: United Healthcare All Other Commercial |
$1.31
|
| Rate for Payer: United Healthcare All Other HMO |
$1.31
|
| Rate for Payer: United Healthcare HMO Rider |
$1.31
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1.31
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2.23
|
| Rate for Payer: Vantage Medical Group Senior |
$2.23
|
|
|
HC CATH SUCTION KIT 5FR 21IN
|
Facility
IP
|
$49.28
|
|
| Hospital Charge Code |
901698546
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.86 |
| Max. Negotiated Rate |
$44.35 |
| Rate for Payer: Cash Price |
$22.18
|
| Rate for Payer: Central Health Plan Commercial |
$39.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.71
|
| Rate for Payer: Galaxy Health WC |
$41.89
|
| Rate for Payer: Global Benefits Group Commercial |
$29.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$44.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$32.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.86
|
| Rate for Payer: Multiplan Commercial |
$36.96
|
| Rate for Payer: Networks By Design Commercial |
$32.03
|
| Rate for Payer: Prime Health Services Commercial |
$41.89
|
|
|
HC CATH SUCTION KIT 5FR 21IN
|
Facility
OP
|
$49.28
|
|
| Hospital Charge Code |
901698546
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.86 |
| Max. Negotiated Rate |
$44.35 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29.93
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$41.89
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$27.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$27.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.11
|
| Rate for Payer: BCBS Transplant Transplant |
$29.57
|
| Rate for Payer: Blue Shield of California Commercial |
$31.00
|
| Rate for Payer: Blue Shield of California EPN |
$24.10
|
| Rate for Payer: Cash Price |
$22.18
|
| Rate for Payer: Central Health Plan Commercial |
$39.42
|
| Rate for Payer: Cigna of CA HMO |
$31.54
|
| Rate for Payer: Cigna of CA PPO |
$36.47
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$41.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.71
|
| Rate for Payer: EPIC Health Plan Transplant |
$19.71
|
| Rate for Payer: Galaxy Health WC |
$41.89
|
| Rate for Payer: Global Benefits Group Commercial |
$29.57
|
| Rate for Payer: Health Management Network EPO/PPO |
$44.35
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$36.96
|
| Rate for Payer: IEHP medi-cal |
$17.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$32.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.86
|
| Rate for Payer: Multiplan Commercial |
$36.96
|
| Rate for Payer: Networks By Design Commercial |
$32.03
|
| Rate for Payer: Prime Health Services Commercial |
$41.89
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$29.57
|
| Rate for Payer: Riverside University Health MISP |
$19.71
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$29.57
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$29.57
|
| Rate for Payer: United Healthcare All Other Commercial |
$24.64
|
| Rate for Payer: United Healthcare All Other HMO |
$24.64
|
| Rate for Payer: United Healthcare HMO Rider |
$24.64
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$41.89
|
| Rate for Payer: Vantage Medical Group Senior |
$41.89
|
|
|
HC CATH SUCTION ORAL 8FR
|
Facility
OP
|
$2.71
|
|
| Hospital Charge Code |
901604576
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$2.44 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1.65
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2.30
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1.49
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1.60
|
| Rate for Payer: BCBS Transplant Transplant |
$1.63
|
| Rate for Payer: Blue Shield of California Commercial |
$1.70
|
| Rate for Payer: Blue Shield of California EPN |
$1.33
|
| Rate for Payer: Cash Price |
$1.22
|
| Rate for Payer: Central Health Plan Commercial |
$2.17
|
| Rate for Payer: Cigna of CA HMO |
$1.73
|
| Rate for Payer: Cigna of CA PPO |
$2.01
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.08
|
| Rate for Payer: EPIC Health Plan Transplant |
$1.08
|
| Rate for Payer: Galaxy Health WC |
$2.30
|
| Rate for Payer: Global Benefits Group Commercial |
$1.63
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.44
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2.03
|
| Rate for Payer: IEHP medi-cal |
$0.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.54
|
| Rate for Payer: Multiplan Commercial |
$2.03
|
| Rate for Payer: Networks By Design Commercial |
$1.76
|
| Rate for Payer: Prime Health Services Commercial |
$2.30
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1.63
|
| Rate for Payer: Riverside University Health MISP |
$1.08
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1.63
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1.63
|
| Rate for Payer: United Healthcare All Other Commercial |
$1.36
|
| Rate for Payer: United Healthcare All Other HMO |
$1.36
|
| Rate for Payer: United Healthcare HMO Rider |
$1.36
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1.36
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2.30
|
| Rate for Payer: Vantage Medical Group Senior |
$2.30
|
|
|
HC CATH SUCTION ORAL 8FR
|
Facility
IP
|
$2.71
|
|
| Hospital Charge Code |
901604576
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$0.54 |
| Max. Negotiated Rate |
$2.44 |
| Rate for Payer: Cash Price |
$1.22
|
| Rate for Payer: Central Health Plan Commercial |
$2.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$1.08
|
| Rate for Payer: Galaxy Health WC |
$2.30
|
| Rate for Payer: Global Benefits Group Commercial |
$1.63
|
| Rate for Payer: Health Management Network EPO/PPO |
$2.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.54
|
| Rate for Payer: Multiplan Commercial |
$2.03
|
| Rate for Payer: Networks By Design Commercial |
$1.76
|
| Rate for Payer: Prime Health Services Commercial |
$2.30
|
|
|
HC CATH SUCTION RED POLY 10FR
|
Facility
OP
|
$7.22
|
|
| Hospital Charge Code |
901698415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$4.38
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6.14
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3.97
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4.27
|
| Rate for Payer: BCBS Transplant Transplant |
$4.33
|
| Rate for Payer: Blue Shield of California Commercial |
$4.54
|
| Rate for Payer: Blue Shield of California EPN |
$3.53
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Central Health Plan Commercial |
$5.78
|
| Rate for Payer: Cigna of CA HMO |
$4.62
|
| Rate for Payer: Cigna of CA PPO |
$5.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.89
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.89
|
| Rate for Payer: Galaxy Health WC |
$6.14
|
| Rate for Payer: Global Benefits Group Commercial |
$4.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5.42
|
| Rate for Payer: IEHP medi-cal |
$2.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.44
|
| Rate for Payer: Multiplan Commercial |
$5.42
|
| Rate for Payer: Networks By Design Commercial |
$4.69
|
| Rate for Payer: Prime Health Services Commercial |
$6.14
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$4.33
|
| Rate for Payer: Riverside University Health MISP |
$2.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$3.61
|
| Rate for Payer: United Healthcare All Other HMO |
$3.61
|
| Rate for Payer: United Healthcare HMO Rider |
$3.61
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.14
|
| Rate for Payer: Vantage Medical Group Senior |
$6.14
|
|
|
HC CATH SUCTION RED POLY 10FR
|
Facility
IP
|
$7.22
|
|
| Hospital Charge Code |
901698415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Central Health Plan Commercial |
$5.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.89
|
| Rate for Payer: Galaxy Health WC |
$6.14
|
| Rate for Payer: Global Benefits Group Commercial |
$4.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.44
|
| Rate for Payer: Multiplan Commercial |
$5.42
|
| Rate for Payer: Networks By Design Commercial |
$4.69
|
| Rate for Payer: Prime Health Services Commercial |
$6.14
|
|
|
HC CATH SUCTION RED POLY 14FR
|
Facility
OP
|
$7.22
|
|
| Hospital Charge Code |
901698416
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$4.38
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6.14
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3.97
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4.27
|
| Rate for Payer: BCBS Transplant Transplant |
$4.33
|
| Rate for Payer: Blue Shield of California Commercial |
$4.54
|
| Rate for Payer: Blue Shield of California EPN |
$3.53
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Central Health Plan Commercial |
$5.78
|
| Rate for Payer: Cigna of CA HMO |
$4.62
|
| Rate for Payer: Cigna of CA PPO |
$5.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.89
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.89
|
| Rate for Payer: Galaxy Health WC |
$6.14
|
| Rate for Payer: Global Benefits Group Commercial |
$4.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5.42
|
| Rate for Payer: IEHP medi-cal |
$2.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.44
|
| Rate for Payer: Multiplan Commercial |
$5.42
|
| Rate for Payer: Networks By Design Commercial |
$4.69
|
| Rate for Payer: Prime Health Services Commercial |
$6.14
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$4.33
|
| Rate for Payer: Riverside University Health MISP |
$2.89
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$3.61
|
| Rate for Payer: United Healthcare All Other HMO |
$3.61
|
| Rate for Payer: United Healthcare HMO Rider |
$3.61
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.14
|
| Rate for Payer: Vantage Medical Group Senior |
$6.14
|
|
|
HC CATH SUCTION RED POLY 14FR
|
Facility
IP
|
$7.22
|
|
| Hospital Charge Code |
901698416
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Central Health Plan Commercial |
$5.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.89
|
| Rate for Payer: Galaxy Health WC |
$6.14
|
| Rate for Payer: Global Benefits Group Commercial |
$4.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$6.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.44
|
| Rate for Payer: Multiplan Commercial |
$5.42
|
| Rate for Payer: Networks By Design Commercial |
$4.69
|
| Rate for Payer: Prime Health Services Commercial |
$6.14
|
|
|
HC CATH SUCTION REPLOGLE 10FR
|
Facility
IP
|
$60.52
|
|
| Hospital Charge Code |
901698411
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.10 |
| Max. Negotiated Rate |
$54.47 |
| Rate for Payer: Cash Price |
$27.23
|
| Rate for Payer: Central Health Plan Commercial |
$48.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$24.21
|
| Rate for Payer: Galaxy Health WC |
$51.44
|
| Rate for Payer: Global Benefits Group Commercial |
$36.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$54.47
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$40.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.10
|
| Rate for Payer: Multiplan Commercial |
$45.39
|
| Rate for Payer: Networks By Design Commercial |
$39.34
|
| Rate for Payer: Prime Health Services Commercial |
$51.44
|
|
|
HC CATH SUCTION REPLOGLE 10FR
|
Facility
OP
|
$60.52
|
|
| Hospital Charge Code |
901698411
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.10 |
| Max. Negotiated Rate |
$54.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$36.75
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$51.44
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$33.29
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$33.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$29.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$35.76
|
| Rate for Payer: BCBS Transplant Transplant |
$36.31
|
| Rate for Payer: Blue Shield of California Commercial |
$38.07
|
| Rate for Payer: Blue Shield of California EPN |
$29.59
|
| Rate for Payer: Cash Price |
$27.23
|
| Rate for Payer: Central Health Plan Commercial |
$48.42
|
| Rate for Payer: Cigna of CA HMO |
$38.73
|
| Rate for Payer: Cigna of CA PPO |
$44.78
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$51.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$24.21
|
| Rate for Payer: EPIC Health Plan Transplant |
$24.21
|
| Rate for Payer: Galaxy Health WC |
$51.44
|
| Rate for Payer: Global Benefits Group Commercial |
$36.31
|
| Rate for Payer: Health Management Network EPO/PPO |
$54.47
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$45.39
|
| Rate for Payer: IEHP medi-cal |
$21.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$40.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12.10
|
| Rate for Payer: Multiplan Commercial |
$45.39
|
| Rate for Payer: Networks By Design Commercial |
$39.34
|
| Rate for Payer: Prime Health Services Commercial |
$51.44
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$36.31
|
| Rate for Payer: Riverside University Health MISP |
$24.21
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$36.31
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$36.31
|
| Rate for Payer: United Healthcare All Other Commercial |
$30.26
|
| Rate for Payer: United Healthcare All Other HMO |
$30.26
|
| Rate for Payer: United Healthcare HMO Rider |
$30.26
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$51.44
|
| Rate for Payer: Vantage Medical Group Senior |
$51.44
|
|
|
HC CATH SUREFIRE MICROCATH
|
Facility
OP
|
$9,574.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
909001887
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.37 |
| Max. Negotiated Rate |
$8,616.60 |
| Rate for Payer: Aetna of CA HMO/PPO |
$188.37
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$8,137.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5,265.70
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5,265.70
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,371.49
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,332.72
|
| Rate for Payer: BCBS Transplant Transplant |
$5,744.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,180.50
|
| Rate for Payer: Blue Shield of California EPN |
$5,208.26
|
| Rate for Payer: Cash Price |
$4,308.30
|
| Rate for Payer: Cash Price |
$4,308.30
|
| Rate for Payer: Central Health Plan Commercial |
$7,659.20
|
| Rate for Payer: Cigna of CA HMO |
$6,701.80
|
| Rate for Payer: Cigna of CA PPO |
$6,701.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8,137.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,829.60
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,829.60
|
| Rate for Payer: Galaxy Health WC |
$8,137.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,744.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,616.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7,180.50
|
| Rate for Payer: IEHP medi-cal |
$3,350.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,385.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,914.80
|
| Rate for Payer: Multiplan Commercial |
$7,180.50
|
| Rate for Payer: Networks By Design Commercial |
$4,787.00
|
| Rate for Payer: Prime Health Services Commercial |
$8,137.90
|
| Rate for Payer: Riverside University Health MISP |
$3,829.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,744.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,744.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,787.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,787.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,787.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,787.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,137.90
|
| Rate for Payer: Vantage Medical Group Senior |
$8,137.90
|
|
|
HC CATH SUREFIRE MICROCATH
|
Facility
IP
|
$9,574.00
|
|
|
Service Code
|
CPT C1887
|
| Hospital Charge Code |
909001887
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,914.80 |
| Max. Negotiated Rate |
$8,616.60 |
| Rate for Payer: Blue Shield of California EPN |
$5,112.52
|
| Rate for Payer: Cash Price |
$4,308.30
|
| Rate for Payer: Central Health Plan Commercial |
$7,659.20
|
| Rate for Payer: Cigna of CA HMO |
$6,701.80
|
| Rate for Payer: Cigna of CA PPO |
$6,701.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,829.60
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,829.60
|
| Rate for Payer: Galaxy Health WC |
$8,137.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,744.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,616.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,385.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,914.80
|
| Rate for Payer: Multiplan Commercial |
$7,180.50
|
| Rate for Payer: Prime Health Services Commercial |
$8,137.90
|
|
|
HC CATH SWAN CONT.8FR NON HEPARIN
|
Facility
IP
|
$1,858.40
|
|
| Hospital Charge Code |
901607286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$371.68 |
| Max. Negotiated Rate |
$1,672.56 |
| Rate for Payer: Cash Price |
$836.28
|
| Rate for Payer: Central Health Plan Commercial |
$1,486.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$743.36
|
| Rate for Payer: Galaxy Health WC |
$1,579.64
|
| Rate for Payer: Global Benefits Group Commercial |
$1,115.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,672.56
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,239.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$371.68
|
| Rate for Payer: Multiplan Commercial |
$1,393.80
|
| Rate for Payer: Networks By Design Commercial |
$1,207.96
|
| Rate for Payer: Prime Health Services Commercial |
$1,579.64
|
|
|
HC CATH SWAN CONT.8FR NON HEPARIN
|
Facility
OP
|
$1,858.40
|
|
| Hospital Charge Code |
901607286
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$371.68 |
| Max. Negotiated Rate |
$1,672.56 |
| Rate for Payer: Aetna of CA HMO/PPO |
$1,128.61
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,579.64
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,022.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,022.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$899.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,097.94
|
| Rate for Payer: BCBS Transplant Transplant |
$1,115.04
|
| Rate for Payer: Blue Shield of California Commercial |
$1,168.93
|
| Rate for Payer: Blue Shield of California EPN |
$908.76
|
| Rate for Payer: Cash Price |
$836.28
|
| Rate for Payer: Central Health Plan Commercial |
$1,486.72
|
| Rate for Payer: Cigna of CA HMO |
$1,189.38
|
| Rate for Payer: Cigna of CA PPO |
$1,375.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,579.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$743.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$743.36
|
| Rate for Payer: Galaxy Health WC |
$1,579.64
|
| Rate for Payer: Global Benefits Group Commercial |
$1,115.04
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,672.56
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,393.80
|
| Rate for Payer: IEHP medi-cal |
$650.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,239.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$371.68
|
| Rate for Payer: Multiplan Commercial |
$1,393.80
|
| Rate for Payer: Networks By Design Commercial |
$1,207.96
|
| Rate for Payer: Prime Health Services Commercial |
$1,579.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,115.04
|
| Rate for Payer: Riverside University Health MISP |
$743.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,115.04
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,115.04
|
| Rate for Payer: United Healthcare All Other Commercial |
$929.20
|
| Rate for Payer: United Healthcare All Other HMO |
$929.20
|
| Rate for Payer: United Healthcare HMO Rider |
$929.20
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$929.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,579.64
|
| Rate for Payer: Vantage Medical Group Senior |
$1,579.64
|
|
|
HC CATH SWAN-GANZ 7.5FR 110CM
|
Facility
OP
|
$1,598.22
|
|
| Hospital Charge Code |
901698772
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$319.64 |
| Max. Negotiated Rate |
$1,438.40 |
| Rate for Payer: Aetna of CA HMO/PPO |
$970.60
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,358.49
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$879.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$879.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$773.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$944.23
|
| Rate for Payer: BCBS Transplant Transplant |
$958.93
|
| Rate for Payer: Blue Shield of California Commercial |
$1,005.28
|
| Rate for Payer: Blue Shield of California EPN |
$781.53
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Central Health Plan Commercial |
$1,278.58
|
| Rate for Payer: Cigna of CA HMO |
$1,022.86
|
| Rate for Payer: Cigna of CA PPO |
$1,182.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,358.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$639.29
|
| Rate for Payer: EPIC Health Plan Transplant |
$639.29
|
| Rate for Payer: Galaxy Health WC |
$1,358.49
|
| Rate for Payer: Global Benefits Group Commercial |
$958.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,438.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,198.66
|
| Rate for Payer: IEHP medi-cal |
$559.38
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,066.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$319.64
|
| Rate for Payer: Multiplan Commercial |
$1,198.66
|
| Rate for Payer: Networks By Design Commercial |
$1,038.84
|
| Rate for Payer: Prime Health Services Commercial |
$1,358.49
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$958.93
|
| Rate for Payer: Riverside University Health MISP |
$639.29
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$958.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$958.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$799.11
|
| Rate for Payer: United Healthcare All Other HMO |
$799.11
|
| Rate for Payer: United Healthcare HMO Rider |
$799.11
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$799.11
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,358.49
|
| Rate for Payer: Vantage Medical Group Senior |
$1,358.49
|
|
|
HC CATH SWAN-GANZ 7.5FR 110CM
|
Facility
IP
|
$1,598.22
|
|
| Hospital Charge Code |
901698772
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$319.64 |
| Max. Negotiated Rate |
$1,438.40 |
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Central Health Plan Commercial |
$1,278.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$639.29
|
| Rate for Payer: Galaxy Health WC |
$1,358.49
|
| Rate for Payer: Global Benefits Group Commercial |
$958.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,438.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,066.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$319.64
|
| Rate for Payer: Multiplan Commercial |
$1,198.66
|
| Rate for Payer: Networks By Design Commercial |
$1,038.84
|
| Rate for Payer: Prime Health Services Commercial |
$1,358.49
|
|
