|
HC COLONOSCOPY DX W WO COLLECT
|
Facility
|
IP
|
$7,191.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
906745378
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,438.20 |
| Max. Negotiated Rate |
$6,471.90 |
| Rate for Payer: Cash Price |
$3,235.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,752.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,876.40
|
| Rate for Payer: Galaxy Health WC |
$6,112.35
|
| Rate for Payer: Global Benefits Group Commercial |
$4,314.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,471.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,796.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,739.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,438.20
|
| Rate for Payer: Multiplan Commercial |
$5,393.25
|
| Rate for Payer: Networks By Design Commercial |
$4,674.15
|
| Rate for Payer: Prime Health Services Commercial |
$6,112.35
|
|
|
HC COLONOSCOPY STOMA W BX
|
Facility
|
IP
|
$5,972.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
906744389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,194.40 |
| Max. Negotiated Rate |
$5,374.80 |
| Rate for Payer: Cash Price |
$2,687.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,777.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,388.80
|
| Rate for Payer: Galaxy Health WC |
$5,076.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,583.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,374.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,983.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,275.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,194.40
|
| Rate for Payer: Multiplan Commercial |
$4,479.00
|
| Rate for Payer: Networks By Design Commercial |
$3,881.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,076.20
|
|
|
HC COLONOSCOPY STOMA W BX
|
Facility
|
OP
|
$3,793.00
|
|
|
Service Code
|
CPT 44389
|
| Hospital Charge Code |
906744389
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$343.79 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,275.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Central Health Plan Commercial |
$3,034.40
|
| Rate for Payer: Cigna of CA PPO |
$2,806.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,224.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,275.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,413.70
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,844.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,529.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$343.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$758.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$2,844.75
|
| Rate for Payer: Networks By Design Commercial |
$2,465.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,224.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,275.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY STOMA W RMVL
|
Facility
|
IP
|
$5,972.00
|
|
|
Service Code
|
CPT 44392
|
| Hospital Charge Code |
906744392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,194.40 |
| Max. Negotiated Rate |
$5,374.80 |
| Rate for Payer: Cash Price |
$2,687.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,777.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,388.80
|
| Rate for Payer: Galaxy Health WC |
$5,076.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,583.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,374.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,983.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,275.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,194.40
|
| Rate for Payer: Multiplan Commercial |
$4,479.00
|
| Rate for Payer: Networks By Design Commercial |
$3,881.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,076.20
|
|
|
HC COLONOSCOPY STOMA W RMVL
|
Facility
|
OP
|
$3,793.00
|
|
|
Service Code
|
CPT 44392
|
| Hospital Charge Code |
906744392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$454.14 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,275.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Cash Price |
$1,706.85
|
| Rate for Payer: Central Health Plan Commercial |
$3,034.40
|
| Rate for Payer: Cigna of CA PPO |
$2,806.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,224.05
|
| Rate for Payer: Global Benefits Group Commercial |
$2,275.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,413.70
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,844.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,529.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$454.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$758.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$2,844.75
|
| Rate for Payer: Networks By Design Commercial |
$2,465.45
|
| Rate for Payer: Prime Health Services Commercial |
$3,224.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,275.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
IP
|
$8,179.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,635.80 |
| Max. Negotiated Rate |
$7,361.10 |
| Rate for Payer: Cash Price |
$3,680.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,543.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,271.60
|
| Rate for Payer: Galaxy Health WC |
$6,952.15
|
| Rate for Payer: Global Benefits Group Commercial |
$4,907.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,361.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,455.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,116.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,635.80
|
| Rate for Payer: Multiplan Commercial |
$6,134.25
|
| Rate for Payer: Networks By Design Commercial |
$5,316.35
|
| Rate for Payer: Prime Health Services Commercial |
$6,952.15
|
|
|
HC COLONOSCOPY STOMA W STNT PLCMT
|
Facility
|
OP
|
$5,193.00
|
|
|
Service Code
|
CPT 44402
|
| Hospital Charge Code |
906744402
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,038.60 |
| Max. Negotiated Rate |
$11,749.37 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,120.83
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,832.91
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,120.83
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$3,115.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,120.83
|
| Rate for Payer: Cash Price |
$2,336.85
|
| Rate for Payer: Cash Price |
$2,336.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,154.40
|
| Rate for Payer: Cigna of CA PPO |
$3,842.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Dignity Health Media |
$7,120.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,832.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,613.12
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,120.83
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,120.83
|
| Rate for Payer: Galaxy Health WC |
$4,414.05
|
| Rate for Payer: Global Benefits Group Commercial |
$3,115.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,673.70
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,894.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,678.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$11,749.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,120.83
|
| Rate for Payer: InnovAge PACE Commercial |
$10,681.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,463.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,120.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,038.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,541.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,541.91
|
| Rate for Payer: Multiplan Commercial |
$3,894.75
|
| Rate for Payer: Networks By Design Commercial |
$3,375.45
|
| Rate for Payer: Prime Health Services Commercial |
$4,414.05
|
| Rate for Payer: Prime Health Services Medicare |
$7,548.08
|
| Rate for Payer: Riverside University Health System MISP |
$7,832.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,115.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8,545.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,681.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,832.91
|
| Rate for Payer: Vantage Medical Group Senior |
$7,120.83
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
IP
|
$5,652.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,130.40 |
| Max. Negotiated Rate |
$5,086.80 |
| Rate for Payer: Cash Price |
$2,543.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,521.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,260.80
|
| Rate for Payer: Galaxy Health WC |
$4,804.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,391.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,086.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,769.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,153.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,130.40
|
| Rate for Payer: Multiplan Commercial |
$4,239.00
|
| Rate for Payer: Networks By Design Commercial |
$3,673.80
|
| Rate for Payer: Prime Health Services Commercial |
$4,804.20
|
|
|
HC COLONOSCOPY STOMA W WO COLLECT
|
Facility
|
OP
|
$3,452.00
|
|
|
Service Code
|
CPT 44388
|
| Hospital Charge Code |
906744388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$304.17 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,141.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,071.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,141.93
|
| Rate for Payer: Cash Price |
$1,553.40
|
| Rate for Payer: Cash Price |
$1,553.40
|
| Rate for Payer: Central Health Plan Commercial |
$2,761.60
|
| Rate for Payer: Cigna of CA PPO |
$2,554.48
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Dignity Health Media |
$1,141.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,256.12
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$2,934.20
|
| Rate for Payer: Global Benefits Group Commercial |
$2,071.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,106.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,589.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,872.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,884.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,141.93
|
| Rate for Payer: InnovAge PACE Commercial |
$1,712.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,302.48
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$304.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$690.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,530.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$2,589.00
|
| Rate for Payer: Networks By Design Commercial |
$2,243.80
|
| Rate for Payer: Prime Health Services Commercial |
$2,934.20
|
| Rate for Payer: Prime Health Services Medicare |
$1,210.45
|
| Rate for Payer: Riverside University Health System MISP |
$1,256.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,071.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,370.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
IP
|
$4,508.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$901.60 |
| Max. Negotiated Rate |
$4,057.20 |
| Rate for Payer: Cash Price |
$2,028.60
|
| Rate for Payer: Central Health Plan Commercial |
$3,606.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,803.20
|
| Rate for Payer: Galaxy Health WC |
$3,831.80
|
| Rate for Payer: Global Benefits Group Commercial |
$2,704.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,057.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,006.84
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,717.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$901.60
|
| Rate for Payer: Multiplan Commercial |
$3,381.00
|
| Rate for Payer: Networks By Design Commercial |
$2,930.20
|
| Rate for Payer: Prime Health Services Commercial |
$3,831.80
|
|
|
HC COLONOSCOPY W ABLATION
|
Facility
|
OP
|
$2,289.00
|
|
|
Service Code
|
CPT 44401
|
| Hospital Charge Code |
906744401
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$457.80 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,373.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,030.05
|
| Rate for Payer: Cash Price |
$1,030.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,831.20
|
| Rate for Payer: Cigna of CA PPO |
$1,693.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,945.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,373.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,060.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,716.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,526.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$457.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,716.75
|
| Rate for Payer: Networks By Design Commercial |
$1,487.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,945.65
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,373.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
IP
|
$6,051.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,210.20 |
| Max. Negotiated Rate |
$5,445.90 |
| Rate for Payer: Cash Price |
$2,722.95
|
| Rate for Payer: Central Health Plan Commercial |
$4,840.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,420.40
|
| Rate for Payer: Galaxy Health WC |
$5,143.35
|
| Rate for Payer: Global Benefits Group Commercial |
$3,630.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,445.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,036.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,305.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,210.20
|
| Rate for Payer: Multiplan Commercial |
$4,538.25
|
| Rate for Payer: Networks By Design Commercial |
$3,933.15
|
| Rate for Payer: Prime Health Services Commercial |
$5,143.35
|
|
|
HC COLONOSCOPY W ABLATION TUMOR
|
Facility
|
OP
|
$3,842.00
|
|
|
Service Code
|
CPT 45388
|
| Hospital Charge Code |
906745388
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$768.40 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,305.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,728.90
|
| Rate for Payer: Cash Price |
$1,728.90
|
| Rate for Payer: Central Health Plan Commercial |
$3,073.60
|
| Rate for Payer: Cigna of CA PPO |
$2,843.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,265.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,305.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,457.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,881.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,562.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$768.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$2,881.50
|
| Rate for Payer: Networks By Design Commercial |
$2,497.30
|
| Rate for Payer: Prime Health Services Commercial |
$3,265.70
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,305.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W BAND LIGATION
|
Facility
|
OP
|
$2,558.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
906745398
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$511.60 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,534.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,151.10
|
| Rate for Payer: Cash Price |
$1,151.10
|
| Rate for Payer: Central Health Plan Commercial |
$2,046.40
|
| Rate for Payer: Cigna of CA PPO |
$1,892.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$2,174.30
|
| Rate for Payer: Global Benefits Group Commercial |
$1,534.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,302.20
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,918.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,706.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$511.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,918.50
|
| Rate for Payer: Networks By Design Commercial |
$1,662.70
|
| Rate for Payer: Prime Health Services Commercial |
$2,174.30
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,534.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W BAND LIGATION
|
Facility
|
IP
|
$2,558.00
|
|
|
Service Code
|
CPT 45398
|
| Hospital Charge Code |
906745398
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$511.60 |
| Max. Negotiated Rate |
$2,302.20 |
| Rate for Payer: Cash Price |
$1,151.10
|
| Rate for Payer: Central Health Plan Commercial |
$2,046.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,023.20
|
| Rate for Payer: Galaxy Health WC |
$2,174.30
|
| Rate for Payer: Global Benefits Group Commercial |
$1,534.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,302.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,706.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$974.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$511.60
|
| Rate for Payer: Multiplan Commercial |
$1,918.50
|
| Rate for Payer: Networks By Design Commercial |
$1,662.70
|
| Rate for Payer: Prime Health Services Commercial |
$2,174.30
|
|
|
HC COLONOSCOPY W BX
|
Facility
|
OP
|
$4,567.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$627.44 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,740.20
|
| Rate for Payer: Blue Shield of California Commercial |
$4,121.55
|
| Rate for Payer: Blue Shield of California EPN |
$2,960.28
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Cash Price |
$2,055.15
|
| Rate for Payer: Central Health Plan Commercial |
$3,653.60
|
| Rate for Payer: Cigna of CA PPO |
$3,379.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,881.95
|
| Rate for Payer: Global Benefits Group Commercial |
$2,740.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,110.30
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,425.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,046.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$627.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$913.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,425.25
|
| Rate for Payer: Networks By Design Commercial |
$2,968.55
|
| Rate for Payer: Prime Health Services Commercial |
$3,881.95
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,740.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W BX
|
Facility
|
IP
|
$7,191.00
|
|
|
Service Code
|
CPT 45380
|
| Hospital Charge Code |
906745380
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,438.20 |
| Max. Negotiated Rate |
$6,471.90 |
| Rate for Payer: Cash Price |
$3,235.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,752.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,876.40
|
| Rate for Payer: Galaxy Health WC |
$6,112.35
|
| Rate for Payer: Global Benefits Group Commercial |
$4,314.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,471.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,796.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,739.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,438.20
|
| Rate for Payer: Multiplan Commercial |
$5,393.25
|
| Rate for Payer: Networks By Design Commercial |
$4,674.15
|
| Rate for Payer: Prime Health Services Commercial |
$6,112.35
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
IP
|
$7,121.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,424.20 |
| Max. Negotiated Rate |
$6,408.90 |
| Rate for Payer: Cash Price |
$3,204.45
|
| Rate for Payer: Central Health Plan Commercial |
$5,696.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,848.40
|
| Rate for Payer: Galaxy Health WC |
$6,052.85
|
| Rate for Payer: Global Benefits Group Commercial |
$4,272.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,408.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,749.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,713.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,424.20
|
| Rate for Payer: Multiplan Commercial |
$5,340.75
|
| Rate for Payer: Networks By Design Commercial |
$4,628.65
|
| Rate for Payer: Prime Health Services Commercial |
$6,052.85
|
|
|
HC COLONOSCOPY W CNTRL BLEEDING
|
Facility
|
OP
|
$4,522.00
|
|
|
Service Code
|
CPT 45382
|
| Hospital Charge Code |
906745382
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$789.43 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,713.20
|
| Rate for Payer: Blue Shield of California Commercial |
$4,121.55
|
| Rate for Payer: Blue Shield of California EPN |
$2,960.28
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$2,034.90
|
| Rate for Payer: Cash Price |
$2,034.90
|
| Rate for Payer: Central Health Plan Commercial |
$3,617.60
|
| Rate for Payer: Cigna of CA PPO |
$3,346.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,843.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,713.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,069.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,391.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,016.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$789.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$904.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,391.50
|
| Rate for Payer: Networks By Design Commercial |
$2,939.30
|
| Rate for Payer: Prime Health Services Commercial |
$3,843.70
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,713.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
OP
|
$1,988.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$397.60 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,192.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$894.60
|
| Rate for Payer: Cash Price |
$894.60
|
| Rate for Payer: Central Health Plan Commercial |
$1,590.40
|
| Rate for Payer: Cigna of CA PPO |
$1,471.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,689.80
|
| Rate for Payer: Global Benefits Group Commercial |
$1,192.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,789.20
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,491.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,326.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$439.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$397.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,491.00
|
| Rate for Payer: Networks By Design Commercial |
$1,292.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,689.80
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,192.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC COLONOSCOPY W/CNTRL BLEEDING
|
Facility
|
IP
|
$3,131.00
|
|
|
Service Code
|
CPT 44391
|
| Hospital Charge Code |
906744391
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$626.20 |
| Max. Negotiated Rate |
$2,817.90 |
| Rate for Payer: Cash Price |
$1,408.95
|
| Rate for Payer: Central Health Plan Commercial |
$2,504.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,252.40
|
| Rate for Payer: Galaxy Health WC |
$2,661.35
|
| Rate for Payer: Global Benefits Group Commercial |
$1,878.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,817.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,088.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,192.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$626.20
|
| Rate for Payer: Multiplan Commercial |
$2,348.25
|
| Rate for Payer: Networks By Design Commercial |
$2,035.15
|
| Rate for Payer: Prime Health Services Commercial |
$2,661.35
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
IP
|
$2,743.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$548.60 |
| Max. Negotiated Rate |
$2,468.70 |
| Rate for Payer: Cash Price |
$1,234.35
|
| Rate for Payer: Central Health Plan Commercial |
$2,194.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,097.20
|
| Rate for Payer: Galaxy Health WC |
$2,331.55
|
| Rate for Payer: Global Benefits Group Commercial |
$1,645.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,468.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,829.58
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,045.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$548.60
|
| Rate for Payer: Multiplan Commercial |
$2,057.25
|
| Rate for Payer: Networks By Design Commercial |
$1,782.95
|
| Rate for Payer: Prime Health Services Commercial |
$2,331.55
|
|
|
HC COLONOSCOPY W ENDO MCSL RESCT
|
Facility
|
OP
|
$2,743.00
|
|
|
Service Code
|
CPT 45390
|
| Hospital Charge Code |
906745390
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$548.60 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$3,508.15
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,508.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,645.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$3,508.15
|
| Rate for Payer: Cash Price |
$1,234.35
|
| Rate for Payer: Cash Price |
$1,234.35
|
| Rate for Payer: Central Health Plan Commercial |
$2,194.40
|
| Rate for Payer: Cigna of CA PPO |
$2,029.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Dignity Health Media |
$3,508.15
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,858.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,736.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$3,508.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,508.15
|
| Rate for Payer: Galaxy Health WC |
$2,331.55
|
| Rate for Payer: Global Benefits Group Commercial |
$1,645.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,468.70
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$2,057.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,753.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$5,788.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,508.15
|
| Rate for Payer: InnovAge PACE Commercial |
$5,262.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,829.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,508.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$548.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,700.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,700.92
|
| Rate for Payer: Multiplan Commercial |
$2,057.25
|
| Rate for Payer: Networks By Design Commercial |
$1,782.95
|
| Rate for Payer: Prime Health Services Commercial |
$2,331.55
|
| Rate for Payer: Prime Health Services Medicare |
$3,718.64
|
| Rate for Payer: Riverside University Health System MISP |
$3,858.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,645.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,209.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,508.15
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
IP
|
$6,525.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,305.00 |
| Max. Negotiated Rate |
$5,872.50 |
| Rate for Payer: Cash Price |
$2,936.25
|
| Rate for Payer: Central Health Plan Commercial |
$5,220.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,610.00
|
| Rate for Payer: Galaxy Health WC |
$5,546.25
|
| Rate for Payer: Global Benefits Group Commercial |
$3,915.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,872.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,352.18
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,486.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,305.00
|
| Rate for Payer: Multiplan Commercial |
$4,893.75
|
| Rate for Payer: Networks By Design Commercial |
$4,241.25
|
| Rate for Payer: Prime Health Services Commercial |
$5,546.25
|
|
|
HC COLONOSCOPY W/ENDOS US
|
Facility
|
OP
|
$4,143.00
|
|
|
Service Code
|
CPT 45392
|
| Hospital Charge Code |
906745392
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$408.48 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,485.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$1,864.35
|
| Rate for Payer: Cash Price |
$1,864.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,314.40
|
| Rate for Payer: Cigna of CA PPO |
$3,065.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Media |
$1,474.42
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$3,521.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,485.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,728.70
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,107.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,432.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,474.42
|
| Rate for Payer: InnovAge PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,763.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$408.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$828.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$3,107.25
|
| Rate for Payer: Networks By Design Commercial |
$2,692.95
|
| Rate for Payer: Prime Health Services Commercial |
$3,521.55
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Riverside University Health System MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,485.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
