|
HC EPS VENT &/OR ATRIAL MAPPING
|
Facility
|
IP
|
$6,234.00
|
|
|
Service Code
|
CPT 93609
|
| Hospital Charge Code |
906811323
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,246.80 |
| Max. Negotiated Rate |
$5,610.60 |
| Rate for Payer: Adventist Health Commercial |
$1,246.80
|
| Rate for Payer: Cash Price |
$2,805.30
|
| Rate for Payer: Central Health Plan Commercial |
$4,987.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,363.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,493.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,493.60
|
| Rate for Payer: Galaxy Health WC |
$5,298.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,740.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,610.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,958.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,678.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,246.80
|
| Rate for Payer: Multiplan Commercial |
$4,675.50
|
| Rate for Payer: Networks By Design Commercial |
$4,052.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,298.90
|
|
|
HC EPS VENT &/OR ATRIAL MAPPING
|
Facility
|
OP
|
$6,234.00
|
|
|
Service Code
|
CPT 93609
|
| Hospital Charge Code |
906811323
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$505.61 |
| Max. Negotiated Rate |
$9,138.00 |
| Rate for Payer: Adventist Health Commercial |
$1,246.80
|
| Rate for Payer: Aetna of CA HMO/PPO |
$721.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,298.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,428.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,675.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,138.00
|
| 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 |
$2,805.30
|
| Rate for Payer: Cash Price |
$2,805.30
|
| Rate for Payer: Cash Price |
$2,805.30
|
| Rate for Payer: Cash Price |
$2,805.30
|
| Rate for Payer: Central Health Plan Commercial |
$4,987.20
|
| Rate for Payer: Cigna of CA HMO |
$3,989.76
|
| Rate for Payer: Cigna of CA PPO |
$4,613.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,298.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,298.90
|
| Rate for Payer: Dignity Health Medicare Advantage |
$5,298.90
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,363.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,493.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,493.60
|
| Rate for Payer: Galaxy Health WC |
$5,298.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,740.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,610.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$505.61
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,958.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$558.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,678.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,246.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$4,363.80
|
| Rate for Payer: Multiplan Commercial |
$4,675.50
|
| Rate for Payer: Networks By Design Commercial |
$4,052.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,298.90
|
| Rate for Payer: Riverside University Health System MISP |
$2,493.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,740.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,740.40
|
| 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: Vantage Medical Group Commercial/Exchange |
$5,298.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,298.90
|
| Rate for Payer: Vantage Medical Group Senior |
$5,298.90
|
|
|
HC EPS VENTRICULAR PACING
|
Facility
|
IP
|
$5,985.00
|
|
|
Service Code
|
CPT 93612
|
| Hospital Charge Code |
906811325
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,197.00 |
| Max. Negotiated Rate |
$5,386.50 |
| Rate for Payer: Adventist Health Commercial |
$1,197.00
|
| Rate for Payer: Cash Price |
$2,693.25
|
| Rate for Payer: Central Health Plan Commercial |
$4,788.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,189.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,394.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,394.00
|
| Rate for Payer: Galaxy Health WC |
$5,087.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,591.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,386.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,800.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,531.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,197.00
|
| Rate for Payer: Multiplan Commercial |
$4,488.75
|
| Rate for Payer: Networks By Design Commercial |
$3,890.25
|
| Rate for Payer: Prime Health Services Commercial |
$5,087.25
|
|
|
HC EPS VENTRICULAR PACING
|
Facility
|
OP
|
$5,985.00
|
|
|
Service Code
|
CPT 93612
|
| Hospital Charge Code |
906811325
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$182.11 |
| Max. Negotiated Rate |
$16,552.26 |
| Rate for Payer: Adventist Health Commercial |
$1,197.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$10,031.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$429.07
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,047.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$11,034.84
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$10,031.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| 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 |
$2,693.25
|
| Rate for Payer: Cash Price |
$2,693.25
|
| Rate for Payer: Cash Price |
$2,693.25
|
| Rate for Payer: Cash Price |
$2,693.25
|
| Rate for Payer: Central Health Plan Commercial |
$4,788.00
|
| Rate for Payer: Cigna of CA HMO |
$3,830.40
|
| Rate for Payer: Cigna of CA PPO |
$4,428.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,047.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$11,034.84
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,031.67
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,189.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$16,552.26
|
| Rate for Payer: EPIC Health Plan Senior |
$11,034.84
|
| Rate for Payer: Galaxy Health WC |
$5,087.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,591.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,386.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$16,451.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$182.11
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,031.67
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,800.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$201.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14,044.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,197.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$13,442.44
|
| Rate for Payer: Multiplan Commercial |
$4,488.75
|
| Rate for Payer: Networks By Design Commercial |
$3,890.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,031.67
|
| Rate for Payer: Prime Health Services Commercial |
$5,087.25
|
| Rate for Payer: Prime Health Services Medicare |
$10,633.57
|
| Rate for Payer: Riverside University Health System MISP |
$11,034.84
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,591.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,591.00
|
| 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 |
$10,031.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,047.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,034.84
|
| Rate for Payer: Vantage Medical Group Senior |
$10,031.67
|
|
|
HC ERCP BILIARY/SPHINCT
|
Facility
|
OP
|
$1,925.00
|
|
|
Service Code
|
CPT 74328
|
| Hospital Charge Code |
909001862
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$198.02 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$385.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,058.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,443.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$651.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,119.77
|
| 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 |
$866.25
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,540.00
|
| Rate for Payer: Cigna of CA HMO |
$1,232.00
|
| Rate for Payer: Cigna of CA PPO |
$1,424.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,636.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,636.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,347.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$770.00
|
| Rate for Payer: EPIC Health Plan Senior |
$770.00
|
| Rate for Payer: Galaxy Health WC |
$1,636.25
|
| Rate for Payer: Global Benefits Group Commercial |
$1,155.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,732.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$198.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,222.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$218.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,135.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,347.50
|
| Rate for Payer: Multiplan Commercial |
$1,443.75
|
| Rate for Payer: Networks By Design Commercial |
$1,251.25
|
| Rate for Payer: Prime Health Services Commercial |
$1,636.25
|
| Rate for Payer: Riverside University Health System MISP |
$770.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,155.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,155.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$962.50
|
| Rate for Payer: United Healthcare All Other HMO |
$962.50
|
| Rate for Payer: United Healthcare HMO Rider |
$962.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$962.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,636.25
|
| Rate for Payer: Vantage Medical Group Senior |
$1,636.25
|
|
|
HC ERCP BILIARY/SPHINCT
|
Facility
|
IP
|
$1,925.00
|
|
|
Service Code
|
CPT 74328
|
| Hospital Charge Code |
909001862
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$385.00 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Adventist Health Commercial |
$385.00
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,540.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,347.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$770.00
|
| Rate for Payer: EPIC Health Plan Senior |
$770.00
|
| Rate for Payer: Galaxy Health WC |
$1,636.25
|
| Rate for Payer: Global Benefits Group Commercial |
$1,155.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,732.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,222.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,135.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.00
|
| Rate for Payer: Multiplan Commercial |
$1,443.75
|
| Rate for Payer: Networks By Design Commercial |
$1,251.25
|
| Rate for Payer: Prime Health Services Commercial |
$1,636.25
|
|
|
HC ERCP BILIARY/SPHINCT
|
Facility
|
OP
|
$1,925.00
|
|
|
Service Code
|
CPT 74328
|
| Hospital Charge Code |
909001862
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$198.02 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Adventist Health Commercial |
$385.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$523.38
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,058.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,443.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$651.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$906.41
|
| Rate for Payer: Blue Shield of California Commercial |
$1,212.75
|
| Rate for Payer: Blue Shield of California EPN |
$764.23
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,540.00
|
| Rate for Payer: Cigna of CA HMO |
$1,232.00
|
| Rate for Payer: Cigna of CA PPO |
$1,424.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,636.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,636.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,347.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$770.00
|
| Rate for Payer: EPIC Health Plan Senior |
$770.00
|
| Rate for Payer: Galaxy Health WC |
$1,636.25
|
| Rate for Payer: Global Benefits Group Commercial |
$1,155.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,732.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$198.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,222.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$218.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,135.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,347.50
|
| Rate for Payer: Multiplan Commercial |
$1,443.75
|
| Rate for Payer: Networks By Design Commercial |
$1,251.25
|
| Rate for Payer: Prime Health Services Commercial |
$1,636.25
|
| Rate for Payer: Riverside University Health System MISP |
$770.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,155.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,155.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$962.50
|
| Rate for Payer: United Healthcare All Other HMO |
$962.50
|
| Rate for Payer: United Healthcare HMO Rider |
$962.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$962.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,636.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,636.25
|
| Rate for Payer: Vantage Medical Group Senior |
$1,636.25
|
|
|
HC ERCP BILIARY/SPHINCT
|
Facility
|
IP
|
$1,925.00
|
|
|
Service Code
|
CPT 74328
|
| Hospital Charge Code |
909001862
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$385.00 |
| Max. Negotiated Rate |
$1,732.50 |
| Rate for Payer: Adventist Health Commercial |
$385.00
|
| Rate for Payer: Cash Price |
$866.25
|
| Rate for Payer: Central Health Plan Commercial |
$1,540.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,347.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$770.00
|
| Rate for Payer: EPIC Health Plan Senior |
$770.00
|
| Rate for Payer: Galaxy Health WC |
$1,636.25
|
| Rate for Payer: Global Benefits Group Commercial |
$1,155.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,732.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,222.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,135.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.00
|
| Rate for Payer: Multiplan Commercial |
$1,443.75
|
| Rate for Payer: Networks By Design Commercial |
$1,251.25
|
| Rate for Payer: Prime Health Services Commercial |
$1,636.25
|
|
|
HC ERCP COMBINED SPHINCT
|
Facility
|
IP
|
$2,291.00
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
909001863
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$458.20 |
| Max. Negotiated Rate |
$2,061.90 |
| Rate for Payer: Adventist Health Commercial |
$458.20
|
| Rate for Payer: Cash Price |
$1,030.95
|
| Rate for Payer: Central Health Plan Commercial |
$1,832.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,603.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$916.40
|
| Rate for Payer: EPIC Health Plan Senior |
$916.40
|
| Rate for Payer: Galaxy Health WC |
$1,947.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,374.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,061.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,454.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,351.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$458.20
|
| Rate for Payer: Multiplan Commercial |
$1,718.25
|
| Rate for Payer: Networks By Design Commercial |
$1,489.15
|
| Rate for Payer: Prime Health Services Commercial |
$1,947.35
|
|
|
HC ERCP COMBINED SPHINCT
|
Facility
|
OP
|
$2,291.00
|
|
|
Service Code
|
CPT 74330
|
| Hospital Charge Code |
909001863
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$198.02 |
| Max. Negotiated Rate |
$2,061.90 |
| Rate for Payer: Adventist Health Commercial |
$458.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$779.66
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,947.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,260.05
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,718.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$651.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$906.41
|
| Rate for Payer: Blue Shield of California Commercial |
$1,443.33
|
| Rate for Payer: Blue Shield of California EPN |
$909.53
|
| Rate for Payer: Cash Price |
$1,030.95
|
| Rate for Payer: Cash Price |
$1,030.95
|
| Rate for Payer: Central Health Plan Commercial |
$1,832.80
|
| Rate for Payer: Cigna of CA HMO |
$1,466.24
|
| Rate for Payer: Cigna of CA PPO |
$1,695.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,947.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,947.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,947.35
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,603.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$916.40
|
| Rate for Payer: EPIC Health Plan Senior |
$916.40
|
| Rate for Payer: Galaxy Health WC |
$1,947.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,374.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,061.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$198.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,454.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$218.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,351.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$458.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,603.70
|
| Rate for Payer: Multiplan Commercial |
$1,718.25
|
| Rate for Payer: Networks By Design Commercial |
$1,489.15
|
| Rate for Payer: Prime Health Services Commercial |
$1,947.35
|
| Rate for Payer: Riverside University Health System MISP |
$916.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,374.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,374.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,145.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,145.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,145.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,145.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,947.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,947.35
|
| Rate for Payer: Vantage Medical Group Senior |
$1,947.35
|
|
|
HC ERCP DIAG W/ OR W/O COLLECT SP
|
Facility
|
OP
|
$6,978.00
|
|
|
Service Code
|
CPT 43260
|
| Hospital Charge Code |
906743260
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$531.50 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,395.60
|
| Rate for Payer: Adventist Health Commercial |
$746.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,140.10
|
| Rate for Payer: Cash Price |
$3,140.10
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Cash Price |
$3,140.10
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Central Health Plan Commercial |
$2,984.80
|
| Rate for Payer: Central Health Plan Commercial |
$5,582.40
|
| Rate for Payer: Cigna of CA HMO |
$2,387.84
|
| Rate for Payer: Cigna of CA HMO |
$4,465.92
|
| Rate for Payer: Cigna of CA PPO |
$5,163.72
|
| Rate for Payer: Cigna of CA PPO |
$2,760.94
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,611.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,884.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: Galaxy Health WC |
$5,931.30
|
| Rate for Payer: Galaxy Health WC |
$3,171.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,238.60
|
| Rate for Payer: Global Benefits Group Commercial |
$4,186.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,357.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,280.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$531.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$531.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,369.18
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,431.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$587.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$587.12
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,395.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$746.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Multiplan Commercial |
$5,233.50
|
| Rate for Payer: Multiplan Commercial |
$2,798.25
|
| Rate for Payer: Networks By Design Commercial |
$4,535.70
|
| Rate for Payer: Networks By Design Commercial |
$2,425.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Prime Health Services Commercial |
$3,171.35
|
| Rate for Payer: Prime Health Services Commercial |
$5,931.30
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,238.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,186.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,489.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,865.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
|
|
HC ERCP DIAG W/ OR W/O COLLECT SP
|
Facility
|
IP
|
$6,978.00
|
|
|
Service Code
|
CPT 43260
|
| Hospital Charge Code |
906743260
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,395.60 |
| Max. Negotiated Rate |
$6,280.20 |
| Rate for Payer: Adventist Health Commercial |
$1,395.60
|
| Rate for Payer: Cash Price |
$3,140.10
|
| Rate for Payer: Central Health Plan Commercial |
$5,582.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,884.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,791.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,791.20
|
| Rate for Payer: Galaxy Health WC |
$5,931.30
|
| Rate for Payer: Global Benefits Group Commercial |
$4,186.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,280.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,431.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,117.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,395.60
|
| Rate for Payer: Multiplan Commercial |
$5,233.50
|
| Rate for Payer: Networks By Design Commercial |
$4,535.70
|
| Rate for Payer: Prime Health Services Commercial |
$5,931.30
|
|
|
HC ERCP DUCT STENT PLACEMENT
|
Facility
|
OP
|
$8,357.00
|
|
|
Service Code
|
CPT 43274
|
| Hospital Charge Code |
900100019
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$713.35 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,671.40
|
| Rate for Payer: Adventist Health Commercial |
$1,116.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,760.65
|
| Rate for Payer: Cash Price |
$3,760.65
|
| Rate for Payer: Cash Price |
$2,512.80
|
| Rate for Payer: Cash Price |
$3,760.65
|
| Rate for Payer: Cash Price |
$2,512.80
|
| Rate for Payer: Cash Price |
$2,512.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,467.20
|
| Rate for Payer: Central Health Plan Commercial |
$6,685.60
|
| Rate for Payer: Cigna of CA HMO |
$3,573.76
|
| Rate for Payer: Cigna of CA HMO |
$5,348.48
|
| Rate for Payer: Cigna of CA PPO |
$6,184.18
|
| Rate for Payer: Cigna of CA PPO |
$4,132.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,908.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,849.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: Galaxy Health WC |
$7,103.45
|
| Rate for Payer: Galaxy Health WC |
$4,746.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,350.40
|
| Rate for Payer: Global Benefits Group Commercial |
$5,014.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,025.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,521.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$713.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$713.35
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,545.84
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,306.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$788.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$788.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,671.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,116.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Multiplan Commercial |
$6,267.75
|
| Rate for Payer: Multiplan Commercial |
$4,188.00
|
| Rate for Payer: Networks By Design Commercial |
$5,432.05
|
| Rate for Payer: Networks By Design Commercial |
$3,629.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Prime Health Services Commercial |
$4,746.40
|
| Rate for Payer: Prime Health Services Commercial |
$7,103.45
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,350.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,014.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,178.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,792.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
|
|
HC ERCP DUCT STENT PLACEMENT
|
Facility
|
IP
|
$8,357.00
|
|
|
Service Code
|
CPT 43274
|
| Hospital Charge Code |
900100019
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,671.40 |
| Max. Negotiated Rate |
$7,521.30 |
| Rate for Payer: Adventist Health Commercial |
$1,671.40
|
| Rate for Payer: Cash Price |
$3,760.65
|
| Rate for Payer: Central Health Plan Commercial |
$6,685.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,849.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,342.80
|
| Rate for Payer: EPIC Health Plan Senior |
$3,342.80
|
| Rate for Payer: Galaxy Health WC |
$7,103.45
|
| Rate for Payer: Global Benefits Group Commercial |
$5,014.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,521.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,306.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,930.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,671.40
|
| Rate for Payer: Multiplan Commercial |
$6,267.75
|
| Rate for Payer: Networks By Design Commercial |
$5,432.05
|
| Rate for Payer: Prime Health Services Commercial |
$7,103.45
|
|
|
HC ERCP EA DUCT/AMPULLA DILATATION
|
Facility
|
OP
|
$6,862.00
|
|
|
Service Code
|
CPT 43277
|
| Hospital Charge Code |
900100020
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$591.70 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,372.40
|
| Rate for Payer: Adventist Health Commercial |
$2,053.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,087.90
|
| Rate for Payer: Cash Price |
$3,087.90
|
| Rate for Payer: Cash Price |
$4,620.15
|
| Rate for Payer: Cash Price |
$3,087.90
|
| Rate for Payer: Cash Price |
$4,620.15
|
| Rate for Payer: Cash Price |
$4,620.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,213.60
|
| Rate for Payer: Central Health Plan Commercial |
$5,489.60
|
| Rate for Payer: Cigna of CA HMO |
$6,570.88
|
| Rate for Payer: Cigna of CA HMO |
$4,391.68
|
| Rate for Payer: Cigna of CA PPO |
$5,077.88
|
| Rate for Payer: Cigna of CA PPO |
$7,597.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,186.90
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,803.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: Galaxy Health WC |
$5,832.70
|
| Rate for Payer: Galaxy Health WC |
$8,726.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,160.20
|
| Rate for Payer: Global Benefits Group Commercial |
$4,117.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,240.30
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,175.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$591.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$591.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,519.55
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,357.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$653.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$653.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,372.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,053.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Multiplan Commercial |
$5,146.50
|
| Rate for Payer: Multiplan Commercial |
$7,700.25
|
| Rate for Payer: Networks By Design Commercial |
$4,460.30
|
| Rate for Payer: Networks By Design Commercial |
$6,673.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Prime Health Services Commercial |
$8,726.95
|
| Rate for Payer: Prime Health Services Commercial |
$5,832.70
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,160.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,117.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,431.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,133.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
|
|
HC ERCP EA DUCT/AMPULLA DILATATION
|
Facility
|
IP
|
$10,267.00
|
|
|
Service Code
|
CPT 43277
|
| Hospital Charge Code |
900100020
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$2,053.40 |
| Max. Negotiated Rate |
$9,240.30 |
| Rate for Payer: Adventist Health Commercial |
$2,053.40
|
| Rate for Payer: Cash Price |
$4,620.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,213.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,186.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,106.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,106.80
|
| Rate for Payer: Galaxy Health WC |
$8,726.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,160.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,240.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,519.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,057.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,053.40
|
| Rate for Payer: Multiplan Commercial |
$7,700.25
|
| Rate for Payer: Networks By Design Commercial |
$6,673.55
|
| Rate for Payer: Prime Health Services Commercial |
$8,726.95
|
|
|
HC ERCP LESION ABLAT W DILATION
|
Facility
|
IP
|
$5,455.00
|
|
|
Service Code
|
CPT 43278
|
| Hospital Charge Code |
906743278
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,091.00 |
| Max. Negotiated Rate |
$4,909.50 |
| Rate for Payer: Adventist Health Commercial |
$1,091.00
|
| Rate for Payer: Cash Price |
$2,454.75
|
| Rate for Payer: Central Health Plan Commercial |
$4,364.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,818.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,182.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,182.00
|
| Rate for Payer: Galaxy Health WC |
$4,636.75
|
| Rate for Payer: Global Benefits Group Commercial |
$3,273.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,909.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,463.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,218.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,091.00
|
| Rate for Payer: Multiplan Commercial |
$4,091.25
|
| Rate for Payer: Networks By Design Commercial |
$3,545.75
|
| Rate for Payer: Prime Health Services Commercial |
$4,636.75
|
|
|
HC ERCP LESION ABLAT W DILATION
|
Facility
|
OP
|
$5,455.00
|
|
|
Service Code
|
CPT 43278
|
| Hospital Charge Code |
906743278
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$673.02 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,091.00
|
| Rate for Payer: Adventist Health Commercial |
$860.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,454.75
|
| Rate for Payer: Cash Price |
$2,454.75
|
| Rate for Payer: Cash Price |
$1,936.35
|
| Rate for Payer: Cash Price |
$2,454.75
|
| Rate for Payer: Cash Price |
$1,936.35
|
| Rate for Payer: Cash Price |
$1,936.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,442.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,364.00
|
| Rate for Payer: Cigna of CA HMO |
$2,753.92
|
| Rate for Payer: Cigna of CA HMO |
$3,491.20
|
| Rate for Payer: Cigna of CA PPO |
$4,036.70
|
| Rate for Payer: Cigna of CA PPO |
$3,184.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,012.10
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,818.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: Galaxy Health WC |
$4,636.75
|
| Rate for Payer: Galaxy Health WC |
$3,657.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,581.80
|
| Rate for Payer: Global Benefits Group Commercial |
$3,273.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,872.70
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,909.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$673.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$673.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,732.41
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,463.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$743.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$743.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,091.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$860.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Multiplan Commercial |
$4,091.25
|
| Rate for Payer: Multiplan Commercial |
$3,227.25
|
| Rate for Payer: Networks By Design Commercial |
$3,545.75
|
| Rate for Payer: Networks By Design Commercial |
$2,796.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Prime Health Services Commercial |
$3,657.55
|
| Rate for Payer: Prime Health Services Commercial |
$4,636.75
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,581.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,273.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,727.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,151.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
|
|
HC ERCP PANCREATIC/SPHINCT
|
Facility
|
OP
|
$1,741.00
|
|
|
Service Code
|
CPT 74329
|
| Hospital Charge Code |
909001830
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$198.02 |
| Max. Negotiated Rate |
$1,566.90 |
| Rate for Payer: Adventist Health Commercial |
$348.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$417.04
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,479.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$957.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,305.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$651.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$906.41
|
| Rate for Payer: Blue Shield of California Commercial |
$1,096.83
|
| Rate for Payer: Blue Shield of California EPN |
$691.18
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Central Health Plan Commercial |
$1,392.80
|
| Rate for Payer: Cigna of CA HMO |
$1,114.24
|
| Rate for Payer: Cigna of CA PPO |
$1,288.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,479.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,479.85
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,479.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,218.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$696.40
|
| Rate for Payer: EPIC Health Plan Senior |
$696.40
|
| Rate for Payer: Galaxy Health WC |
$1,479.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,044.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,566.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$198.02
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,105.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$218.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,027.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$348.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,218.70
|
| Rate for Payer: Multiplan Commercial |
$1,305.75
|
| Rate for Payer: Networks By Design Commercial |
$1,131.65
|
| Rate for Payer: Prime Health Services Commercial |
$1,479.85
|
| Rate for Payer: Riverside University Health System MISP |
$696.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,044.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,044.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$870.50
|
| Rate for Payer: United Healthcare All Other HMO |
$870.50
|
| Rate for Payer: United Healthcare HMO Rider |
$870.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$870.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,479.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,479.85
|
| Rate for Payer: Vantage Medical Group Senior |
$1,479.85
|
|
|
HC ERCP PANCREATIC/SPHINCT
|
Facility
|
IP
|
$1,741.00
|
|
|
Service Code
|
CPT 74329
|
| Hospital Charge Code |
909001830
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$348.20 |
| Max. Negotiated Rate |
$1,566.90 |
| Rate for Payer: Adventist Health Commercial |
$348.20
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Central Health Plan Commercial |
$1,392.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,218.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$696.40
|
| Rate for Payer: EPIC Health Plan Senior |
$696.40
|
| Rate for Payer: Galaxy Health WC |
$1,479.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,044.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,566.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,105.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,027.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$348.20
|
| Rate for Payer: Multiplan Commercial |
$1,305.75
|
| Rate for Payer: Networks By Design Commercial |
$1,131.65
|
| Rate for Payer: Prime Health Services Commercial |
$1,479.85
|
|
|
HC ERCP W/BX SNGL OR MULTI
|
Facility
|
IP
|
$5,582.00
|
|
|
Service Code
|
CPT 43261
|
| Hospital Charge Code |
906743261
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,116.40 |
| Max. Negotiated Rate |
$5,023.80 |
| Rate for Payer: Adventist Health Commercial |
$1,116.40
|
| Rate for Payer: Cash Price |
$2,511.90
|
| Rate for Payer: Central Health Plan Commercial |
$4,465.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,907.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,232.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,232.80
|
| Rate for Payer: Galaxy Health WC |
$4,744.70
|
| Rate for Payer: Global Benefits Group Commercial |
$3,349.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,023.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,544.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,293.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,116.40
|
| Rate for Payer: Multiplan Commercial |
$4,186.50
|
| Rate for Payer: Networks By Design Commercial |
$3,628.30
|
| Rate for Payer: Prime Health Services Commercial |
$4,744.70
|
|
|
HC ERCP W/BX SNGL OR MULTI
|
Facility
|
OP
|
$5,582.00
|
|
|
Service Code
|
CPT 43261
|
| Hospital Charge Code |
906743261
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$586.57 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,116.40
|
| Rate for Payer: Adventist Health Commercial |
$746.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,511.90
|
| Rate for Payer: Cash Price |
$2,511.90
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Cash Price |
$2,511.90
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Cash Price |
$1,678.95
|
| Rate for Payer: Central Health Plan Commercial |
$2,984.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,465.60
|
| Rate for Payer: Cigna of CA HMO |
$2,387.84
|
| Rate for Payer: Cigna of CA HMO |
$3,572.48
|
| Rate for Payer: Cigna of CA PPO |
$4,130.68
|
| Rate for Payer: Cigna of CA PPO |
$2,760.94
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,611.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,907.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: Galaxy Health WC |
$4,744.70
|
| Rate for Payer: Galaxy Health WC |
$3,171.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,238.60
|
| Rate for Payer: Global Benefits Group Commercial |
$3,349.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,357.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,023.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$586.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$586.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,369.18
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,544.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$647.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$647.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,116.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$746.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Multiplan Commercial |
$4,186.50
|
| Rate for Payer: Multiplan Commercial |
$2,798.25
|
| Rate for Payer: Networks By Design Commercial |
$3,628.30
|
| Rate for Payer: Networks By Design Commercial |
$2,425.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Prime Health Services Commercial |
$3,171.35
|
| Rate for Payer: Prime Health Services Commercial |
$4,744.70
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,238.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,349.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,791.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,865.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
|
|
HC ERCP W/ENDO RETRO DESTRUCTION
|
Facility
|
IP
|
$9,579.00
|
|
|
Service Code
|
CPT 43265
|
| Hospital Charge Code |
906743265
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,915.80 |
| Max. Negotiated Rate |
$8,621.10 |
| Rate for Payer: Adventist Health Commercial |
$1,915.80
|
| Rate for Payer: Cash Price |
$4,310.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,663.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,705.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,831.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,831.60
|
| Rate for Payer: Galaxy Health WC |
$8,142.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,747.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,621.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,082.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,651.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,915.80
|
| Rate for Payer: Multiplan Commercial |
$7,184.25
|
| Rate for Payer: Networks By Design Commercial |
$6,226.35
|
| Rate for Payer: Prime Health Services Commercial |
$8,142.15
|
|
|
HC ERCP W/ENDO RETRO DESTRUCTION
|
Facility
|
OP
|
$5,492.00
|
|
|
Service Code
|
CPT 43265
|
| Hospital Charge Code |
906743265
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,098.40 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,098.40
|
| Rate for Payer: Adventist Health Commercial |
$1,915.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,808.19
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,808.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,471.40
|
| Rate for Payer: Cash Price |
$4,310.55
|
| Rate for Payer: Cash Price |
$2,471.40
|
| Rate for Payer: Cash Price |
$2,471.40
|
| Rate for Payer: Cash Price |
$4,310.55
|
| Rate for Payer: Cash Price |
$4,310.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,663.20
|
| Rate for Payer: Central Health Plan Commercial |
$4,393.60
|
| Rate for Payer: Cigna of CA HMO |
$3,514.88
|
| Rate for Payer: Cigna of CA HMO |
$6,130.56
|
| Rate for Payer: Cigna of CA PPO |
$7,088.46
|
| Rate for Payer: Cigna of CA PPO |
$4,064.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,589.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,808.19
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,844.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,705.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,883.51
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: EPIC Health Plan Senior |
$8,589.01
|
| Rate for Payer: Galaxy Health WC |
$4,668.20
|
| Rate for Payer: Galaxy Health WC |
$8,142.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,295.20
|
| Rate for Payer: Global Benefits Group Commercial |
$5,747.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,621.10
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,942.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,805.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,487.42
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,082.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$3,477.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,993.60
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,931.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,098.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,915.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,462.97
|
| Rate for Payer: Multiplan Commercial |
$7,184.25
|
| Rate for Payer: Multiplan Commercial |
$4,119.00
|
| Rate for Payer: Networks By Design Commercial |
$3,569.80
|
| Rate for Payer: Networks By Design Commercial |
$6,226.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,808.19
|
| Rate for Payer: Prime Health Services Commercial |
$8,142.15
|
| Rate for Payer: Prime Health Services Commercial |
$4,668.20
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Prime Health Services Medicare |
$8,276.68
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Riverside University Health System MISP |
$8,589.01
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,747.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,295.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,369.83
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,789.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,746.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,712.28
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,589.01
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
| Rate for Payer: Vantage Medical Group Senior |
$7,808.19
|
|
|
HC ERCP W/ENDO RETRO RMVL CALCULU
|
Facility
|
OP
|
$6,778.00
|
|
|
Service Code
|
CPT 43264
|
| Hospital Charge Code |
906743264
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$660.20 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,355.60
|
| Rate for Payer: Adventist Health Commercial |
$2,028.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,958.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,958.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| 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 HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,050.10
|
| Rate for Payer: Cash Price |
$3,050.10
|
| Rate for Payer: Cash Price |
$4,563.90
|
| Rate for Payer: Cash Price |
$3,050.10
|
| Rate for Payer: Cash Price |
$4,563.90
|
| Rate for Payer: Cash Price |
$4,563.90
|
| Rate for Payer: Central Health Plan Commercial |
$8,113.60
|
| Rate for Payer: Central Health Plan Commercial |
$5,422.40
|
| Rate for Payer: Cigna of CA HMO |
$6,490.88
|
| Rate for Payer: Cigna of CA HMO |
$4,337.92
|
| Rate for Payer: Cigna of CA PPO |
$5,015.72
|
| Rate for Payer: Cigna of CA PPO |
$7,505.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,454.66
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,958.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,099.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,744.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,181.99
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: EPIC Health Plan Senior |
$5,454.66
|
| Rate for Payer: Galaxy Health WC |
$5,761.30
|
| Rate for Payer: Galaxy Health WC |
$8,620.70
|
| Rate for Payer: Global Benefits Group Commercial |
$6,085.20
|
| Rate for Payer: Global Benefits Group Commercial |
$4,066.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,127.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,100.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,132.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$660.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$660.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,440.17
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,304.03
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$729.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$729.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,942.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,355.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,028.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,644.77
|
| Rate for Payer: Multiplan Commercial |
$5,083.50
|
| Rate for Payer: Multiplan Commercial |
$7,606.50
|
| Rate for Payer: Networks By Design Commercial |
$4,405.70
|
| Rate for Payer: Networks By Design Commercial |
$6,592.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,958.78
|
| Rate for Payer: Prime Health Services Commercial |
$8,620.70
|
| Rate for Payer: Prime Health Services Commercial |
$5,761.30
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Prime Health Services Medicare |
$5,256.31
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Riverside University Health System MISP |
$5,454.66
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,085.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,066.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,950.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,389.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,071.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,438.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,454.66
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
| Rate for Payer: Vantage Medical Group Senior |
$4,958.78
|
|
