|
HC DRAIN CHEST ATRIUM
|
Facility
|
IP
|
$287.28
|
|
| Hospital Charge Code |
901600595
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.46 |
| Max. Negotiated Rate |
$258.55 |
| Rate for Payer: Cash Price |
$129.28
|
| Rate for Payer: Central Health Plan Commercial |
$229.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$114.91
|
| Rate for Payer: Galaxy Health WC |
$244.19
|
| Rate for Payer: Global Benefits Group Commercial |
$172.37
|
| Rate for Payer: Health Management Network EPO/PPO |
$258.55
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$191.62
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$109.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$57.46
|
| Rate for Payer: Multiplan Commercial |
$215.46
|
| Rate for Payer: Networks By Design Commercial |
$186.73
|
| Rate for Payer: Prime Health Services Commercial |
$244.19
|
|
|
HC DRAINE SKENES GLAND ABSCESS
|
Facility
|
IP
|
$6,614.00
|
|
|
Service Code
|
CPT 53060
|
| Hospital Charge Code |
950442317
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,322.80 |
| Max. Negotiated Rate |
$5,952.60 |
| Rate for Payer: Cash Price |
$2,976.30
|
| Rate for Payer: Central Health Plan Commercial |
$5,291.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,645.60
|
| Rate for Payer: Galaxy Health WC |
$5,621.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,968.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,952.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,411.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,519.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,322.80
|
| Rate for Payer: Multiplan Commercial |
$4,960.50
|
| Rate for Payer: Networks By Design Commercial |
$4,299.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,621.90
|
|
|
HC DRAINE SKENES GLAND ABSCESS
|
Facility
|
OP
|
$6,614.00
|
|
|
Service Code
|
CPT 53060
|
| Hospital Charge Code |
950442317
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$281.54 |
| Max. Negotiated Rate |
$5,952.60 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,817.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,799.36
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,544.87
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$3,968.40
|
| Rate for Payer: Caremore Medicare Advantage |
$2,544.87
|
| Rate for Payer: Cash Price |
$2,976.30
|
| Rate for Payer: Cash Price |
$2,976.30
|
| Rate for Payer: Cash Price |
$2,976.30
|
| Rate for Payer: Cash Price |
$2,976.30
|
| Rate for Payer: Central Health Plan Commercial |
$5,291.20
|
| Rate for Payer: Cigna of CA PPO |
$4,894.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,817.30
|
| Rate for Payer: Dignity Health Media |
$2,544.87
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,799.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,435.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$2,544.87
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,544.87
|
| Rate for Payer: Galaxy Health WC |
$5,621.90
|
| Rate for Payer: Global Benefits Group Commercial |
$3,968.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,952.60
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$4,960.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,173.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,544.87
|
| Rate for Payer: InnovAge PACE Commercial |
$3,817.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,411.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$281.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,544.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,322.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,410.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,410.13
|
| Rate for Payer: Multiplan Commercial |
$4,960.50
|
| Rate for Payer: Networks By Design Commercial |
$4,299.10
|
| Rate for Payer: Prime Health Services Commercial |
$5,621.90
|
| Rate for Payer: Prime Health Services Medicare |
$2,697.56
|
| Rate for Payer: Riverside University Health System MISP |
$2,799.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,968.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,307.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,307.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,307.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,307.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,817.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,799.36
|
| Rate for Payer: Vantage Medical Group Senior |
$2,544.87
|
|
|
HC DRAIN EXT EAR ABSC SIMPLE
|
Facility
|
OP
|
$1,080.00
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
900501184
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$107.52 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$966.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$879.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$648.00
|
| Rate for Payer: Caremore Medicare Advantage |
$879.07
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Central Health Plan Commercial |
$864.00
|
| Rate for Payer: Cigna of CA PPO |
$799.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Dignity Health Media |
$879.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$966.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,186.74
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$879.07
|
| Rate for Payer: EPIC Health Plan Transplant |
$879.07
|
| Rate for Payer: Galaxy Health WC |
$918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$972.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$810.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,441.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$879.07
|
| Rate for Payer: InnovAge PACE Commercial |
$1,318.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$720.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$107.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$879.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$216.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,177.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,177.95
|
| Rate for Payer: Multiplan Commercial |
$810.00
|
| Rate for Payer: Networks By Design Commercial |
$702.00
|
| Rate for Payer: Prime Health Services Commercial |
$918.00
|
| Rate for Payer: Prime Health Services Medicare |
$931.81
|
| Rate for Payer: Riverside University Health System MISP |
$966.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$648.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$540.00
|
| Rate for Payer: United Healthcare All Other HMO |
$540.00
|
| Rate for Payer: United Healthcare HMO Rider |
$540.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$540.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$966.98
|
| Rate for Payer: Vantage Medical Group Senior |
$879.07
|
|
|
HC DRAIN EXT EAR ABSC SIMPLE
|
Facility
|
IP
|
$1,080.00
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
900501184
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$216.00 |
| Max. Negotiated Rate |
$972.00 |
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Central Health Plan Commercial |
$864.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$432.00
|
| Rate for Payer: Galaxy Health WC |
$918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$972.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$720.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$411.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$216.00
|
| Rate for Payer: Multiplan Commercial |
$810.00
|
| Rate for Payer: Networks By Design Commercial |
$702.00
|
| Rate for Payer: Prime Health Services Commercial |
$918.00
|
|
|
HC DRAIN EXT EAR ABSC SIMPLE
|
Facility
|
OP
|
$1,080.00
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
900501184
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$107.52 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$879.07
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$966.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$879.07
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$648.00
|
| Rate for Payer: Blue Shield of California Commercial |
$679.32
|
| Rate for Payer: Blue Shield of California EPN |
$528.12
|
| Rate for Payer: Caremore Medicare Advantage |
$879.07
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Central Health Plan Commercial |
$864.00
|
| Rate for Payer: Cigna of CA HMO |
$691.20
|
| Rate for Payer: Cigna of CA PPO |
$799.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Dignity Health Media |
$879.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$966.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,186.74
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$879.07
|
| Rate for Payer: EPIC Health Plan Transplant |
$879.07
|
| Rate for Payer: Galaxy Health WC |
$918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$972.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$810.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,441.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,450.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$879.07
|
| Rate for Payer: InnovAge PACE Commercial |
$1,318.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$720.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$107.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$879.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$216.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,177.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,177.95
|
| Rate for Payer: Multiplan Commercial |
$810.00
|
| Rate for Payer: Networks By Design Commercial |
$702.00
|
| Rate for Payer: Prime Health Services Commercial |
$918.00
|
| Rate for Payer: Prime Health Services Medicare |
$931.81
|
| Rate for Payer: Riverside University Health System MISP |
$966.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$648.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$648.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$540.00
|
| Rate for Payer: United Healthcare All Other HMO |
$540.00
|
| Rate for Payer: United Healthcare HMO Rider |
$540.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$540.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,318.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$966.98
|
| Rate for Payer: Vantage Medical Group Senior |
$879.07
|
|
|
HC DRAIN EXT EAR ABSC SIMPLE
|
Facility
|
IP
|
$1,080.00
|
|
|
Service Code
|
CPT 69000
|
| Hospital Charge Code |
900501184
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$216.00 |
| Max. Negotiated Rate |
$972.00 |
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Central Health Plan Commercial |
$864.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$432.00
|
| Rate for Payer: Galaxy Health WC |
$918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$972.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$720.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$411.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$216.00
|
| Rate for Payer: Multiplan Commercial |
$810.00
|
| Rate for Payer: Networks By Design Commercial |
$702.00
|
| Rate for Payer: Prime Health Services Commercial |
$918.00
|
|
|
HC DRAIN EXTERNAL PEDS BAXTER
|
Facility
|
OP
|
$1,153.17
|
|
| Hospital Charge Code |
901603691
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$230.63 |
| Max. Negotiated Rate |
$1,037.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$700.32
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$980.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$634.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$634.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$558.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$681.29
|
| Rate for Payer: Blue Distinction Transplant |
$691.90
|
| Rate for Payer: Blue Shield of California Commercial |
$725.34
|
| Rate for Payer: Blue Shield of California EPN |
$563.90
|
| Rate for Payer: Cash Price |
$518.93
|
| Rate for Payer: Central Health Plan Commercial |
$922.54
|
| Rate for Payer: Cigna of CA HMO |
$738.03
|
| Rate for Payer: Cigna of CA PPO |
$853.35
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$980.19
|
| Rate for Payer: Dignity Health Media |
$980.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$980.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$461.27
|
| Rate for Payer: EPIC Health Plan Transplant |
$461.27
|
| Rate for Payer: Galaxy Health WC |
$980.19
|
| Rate for Payer: Global Benefits Group Commercial |
$691.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,037.85
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$864.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$403.61
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$769.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$439.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$230.63
|
| Rate for Payer: Multiplan Commercial |
$864.88
|
| Rate for Payer: Networks By Design Commercial |
$749.56
|
| Rate for Payer: Prime Health Services Commercial |
$980.19
|
| Rate for Payer: Riverside University Health System MISP |
$461.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$691.90
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$691.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$576.58
|
| Rate for Payer: United Healthcare All Other HMO |
$576.58
|
| Rate for Payer: United Healthcare HMO Rider |
$576.58
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$576.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$980.19
|
| Rate for Payer: Vantage Medical Group Senior |
$980.19
|
|
|
HC DRAIN EXTERNAL PEDS BAXTER
|
Facility
|
IP
|
$1,153.17
|
|
| Hospital Charge Code |
901603691
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$230.63 |
| Max. Negotiated Rate |
$1,037.85 |
| Rate for Payer: Cash Price |
$518.93
|
| Rate for Payer: Central Health Plan Commercial |
$922.54
|
| Rate for Payer: EPIC Health Plan Commercial |
$461.27
|
| Rate for Payer: Galaxy Health WC |
$980.19
|
| Rate for Payer: Global Benefits Group Commercial |
$691.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,037.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$769.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$439.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$230.63
|
| Rate for Payer: Multiplan Commercial |
$864.88
|
| Rate for Payer: Networks By Design Commercial |
$749.56
|
| Rate for Payer: Prime Health Services Commercial |
$980.19
|
|
|
HC DRAIN FINGER ABSCESS COMPL
|
Facility
|
IP
|
$4,306.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
900501073
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$861.20 |
| Max. Negotiated Rate |
$3,875.40 |
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,722.40
|
| Rate for Payer: Galaxy Health WC |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,640.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| Rate for Payer: Multiplan Commercial |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
|
|
HC DRAIN FINGER ABSCESS COMPL
|
Facility
|
IP
|
$4,306.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
900501073
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$861.20 |
| Max. Negotiated Rate |
$3,875.40 |
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,722.40
|
| Rate for Payer: Galaxy Health WC |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,640.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| Rate for Payer: Multiplan Commercial |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
|
|
HC DRAIN FINGER ABSCESS COMPL
|
Facility
|
OP
|
$4,306.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
900501073
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$269.52 |
| Max. Negotiated Rate |
$3,875.40 |
| Rate for Payer: Adventist Health Medi-Cal |
$2,025.69
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,038.54
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,228.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,025.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$2,583.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,708.47
|
| Rate for Payer: Blue Shield of California EPN |
$2,105.63
|
| Rate for Payer: Caremore Medicare Advantage |
$2,025.69
|
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: Cigna of CA HMO |
$2,755.84
|
| Rate for Payer: Cigna of CA PPO |
$3,186.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,038.54
|
| Rate for Payer: Dignity Health Media |
$2,025.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,228.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,734.68
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$2,025.69
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,025.69
|
| Rate for Payer: Galaxy Health WC |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,229.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,322.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,342.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,025.69
|
| Rate for Payer: InnovAge PACE Commercial |
$3,038.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$269.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,025.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,714.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,714.42
|
| Rate for Payer: Multiplan Commercial |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
| Rate for Payer: Prime Health Services Medicare |
$2,147.23
|
| Rate for Payer: Riverside University Health System MISP |
$2,228.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,583.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,583.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,153.00
|
| Rate for Payer: United Healthcare All Other HMO |
$2,153.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,153.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,153.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,038.54
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,228.26
|
| Rate for Payer: Vantage Medical Group Senior |
$2,025.69
|
|
|
HC DRAIN FINGER ABSCESS COMPL
|
Facility
|
OP
|
$4,306.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
900501073
|
|
Hospital Revenue Code
|
490
|
| Min. Negotiated Rate |
$269.52 |
| Max. Negotiated Rate |
$7,027.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$2,025.69
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,038.54
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,228.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,025.69
|
| 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 |
$2,583.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,708.47
|
| Rate for Payer: Blue Shield of California EPN |
$2,105.63
|
| Rate for Payer: Caremore Medicare Advantage |
$2,025.69
|
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Cash Price |
$1,937.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,444.80
|
| Rate for Payer: Cigna of CA PPO |
$3,186.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,038.54
|
| Rate for Payer: Dignity Health Media |
$2,025.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,228.26
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,734.68
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$2,025.69
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,025.69
|
| Rate for Payer: Galaxy Health WC |
$3,660.10
|
| Rate for Payer: Global Benefits Group Commercial |
$2,583.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,875.40
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$3,229.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,322.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,342.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,025.69
|
| Rate for Payer: InnovAge PACE Commercial |
$3,038.54
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,872.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$269.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,025.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$861.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,714.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,714.42
|
| Rate for Payer: Multiplan Commercial |
$3,229.50
|
| Rate for Payer: Networks By Design Commercial |
$2,798.90
|
| Rate for Payer: Prime Health Services Commercial |
$3,660.10
|
| Rate for Payer: Prime Health Services Medicare |
$2,147.23
|
| Rate for Payer: Riverside University Health System MISP |
$2,228.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,583.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,583.60
|
| 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 |
$3,038.54
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,228.26
|
| Rate for Payer: Vantage Medical Group Senior |
$2,025.69
|
|
|
HC DRAIN FINGER ABSCESS, SIMPLE
|
Facility
|
OP
|
$1,006.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
900501461
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$198.78 |
| Max. Negotiated Rate |
$2,356.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$250.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$700.14
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$603.60
|
| Rate for Payer: Blue Shield of California Commercial |
$632.77
|
| Rate for Payer: Blue Shield of California EPN |
$491.93
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Central Health Plan Commercial |
$804.80
|
| Rate for Payer: Cigna of CA HMO |
$643.84
|
| Rate for Payer: Cigna of CA PPO |
$744.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$855.10
|
| Rate for Payer: Global Benefits Group Commercial |
$603.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$905.40
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$754.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$412.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$671.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$198.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$201.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$754.50
|
| Rate for Payer: Networks By Design Commercial |
$653.90
|
| Rate for Payer: Prime Health Services Commercial |
$855.10
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$603.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$603.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$503.00
|
| Rate for Payer: United Healthcare All Other HMO |
$503.00
|
| Rate for Payer: United Healthcare HMO Rider |
$503.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$503.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC DRAIN FINGER ABSCESS, SIMPLE
|
Facility
|
IP
|
$1,006.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
900501461
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$201.20 |
| Max. Negotiated Rate |
$905.40 |
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Central Health Plan Commercial |
$804.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$402.40
|
| Rate for Payer: Galaxy Health WC |
$855.10
|
| Rate for Payer: Global Benefits Group Commercial |
$603.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$905.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$671.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$383.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$201.20
|
| Rate for Payer: Multiplan Commercial |
$754.50
|
| Rate for Payer: Networks By Design Commercial |
$653.90
|
| Rate for Payer: Prime Health Services Commercial |
$855.10
|
|
|
HC DRAIN FINGER ABSCESS, SIMPLE
|
Facility
|
OP
|
$1,006.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
900501461
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$198.78 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$603.60
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Central Health Plan Commercial |
$804.80
|
| Rate for Payer: Cigna of CA PPO |
$744.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$855.10
|
| Rate for Payer: Global Benefits Group Commercial |
$603.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$905.40
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$754.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$671.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$198.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$201.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$754.50
|
| Rate for Payer: Networks By Design Commercial |
$653.90
|
| Rate for Payer: Prime Health Services Commercial |
$855.10
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$603.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$503.00
|
| Rate for Payer: United Healthcare All Other HMO |
$503.00
|
| Rate for Payer: United Healthcare HMO Rider |
$503.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$503.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC DRAIN FINGER ABSCESS, SIMPLE
|
Facility
|
IP
|
$1,006.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
900501461
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$201.20 |
| Max. Negotiated Rate |
$905.40 |
| Rate for Payer: Cash Price |
$452.70
|
| Rate for Payer: Central Health Plan Commercial |
$804.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$402.40
|
| Rate for Payer: Galaxy Health WC |
$855.10
|
| Rate for Payer: Global Benefits Group Commercial |
$603.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$905.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$671.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$383.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$201.20
|
| Rate for Payer: Multiplan Commercial |
$754.50
|
| Rate for Payer: Networks By Design Commercial |
$653.90
|
| Rate for Payer: Prime Health Services Commercial |
$855.10
|
|
|
HC DRAIN FLAT 10FR W/TROCAR
|
Facility
|
IP
|
$5.82
|
|
| Hospital Charge Code |
901603860
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$5.24 |
| Rate for Payer: Cash Price |
$2.62
|
| Rate for Payer: Central Health Plan Commercial |
$4.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.33
|
| Rate for Payer: Galaxy Health WC |
$4.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$5.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.16
|
| Rate for Payer: Multiplan Commercial |
$4.36
|
| Rate for Payer: Networks By Design Commercial |
$3.78
|
| Rate for Payer: Prime Health Services Commercial |
$4.95
|
|
|
HC DRAIN FLAT 10FR W/TROCAR
|
Facility
|
OP
|
$5.82
|
|
| Hospital Charge Code |
901603860
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$5.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$3.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3.20
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2.82
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3.44
|
| Rate for Payer: Blue Distinction Transplant |
$3.49
|
| Rate for Payer: Blue Shield of California Commercial |
$3.66
|
| Rate for Payer: Blue Shield of California EPN |
$2.85
|
| Rate for Payer: Cash Price |
$2.62
|
| Rate for Payer: Central Health Plan Commercial |
$4.66
|
| Rate for Payer: Cigna of CA HMO |
$3.72
|
| Rate for Payer: Cigna of CA PPO |
$4.31
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4.95
|
| Rate for Payer: Dignity Health Media |
$4.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$2.33
|
| Rate for Payer: EPIC Health Plan Transplant |
$2.33
|
| Rate for Payer: Galaxy Health WC |
$4.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3.49
|
| Rate for Payer: Health Management Network EPO/PPO |
$5.24
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$4.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.16
|
| Rate for Payer: Multiplan Commercial |
$4.36
|
| Rate for Payer: Networks By Design Commercial |
$3.78
|
| Rate for Payer: Prime Health Services Commercial |
$4.95
|
| Rate for Payer: Riverside University Health System MISP |
$2.33
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3.49
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3.49
|
| Rate for Payer: United Healthcare All Other Commercial |
$2.91
|
| Rate for Payer: United Healthcare All Other HMO |
$2.91
|
| Rate for Payer: United Healthcare HMO Rider |
$2.91
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2.91
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.95
|
| Rate for Payer: Vantage Medical Group Senior |
$4.95
|
|
|
HC DRAIN HEMOVAC 1/8" CLSD SCTN
|
Facility
|
IP
|
$23.70
|
|
| Hospital Charge Code |
901605639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.74 |
| Max. Negotiated Rate |
$21.33 |
| Rate for Payer: Cash Price |
$10.67
|
| Rate for Payer: Central Health Plan Commercial |
$18.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.48
|
| Rate for Payer: Galaxy Health WC |
$20.14
|
| Rate for Payer: Global Benefits Group Commercial |
$14.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.74
|
| Rate for Payer: Multiplan Commercial |
$17.78
|
| Rate for Payer: Networks By Design Commercial |
$15.40
|
| Rate for Payer: Prime Health Services Commercial |
$20.14
|
|
|
HC DRAIN HEMOVAC 1/8" CLSD SCTN
|
Facility
|
OP
|
$23.70
|
|
| Hospital Charge Code |
901605639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.74 |
| Max. Negotiated Rate |
$21.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14.39
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$20.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$13.04
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14.00
|
| Rate for Payer: Blue Distinction Transplant |
$14.22
|
| Rate for Payer: Blue Shield of California Commercial |
$14.91
|
| Rate for Payer: Blue Shield of California EPN |
$11.59
|
| Rate for Payer: Cash Price |
$10.67
|
| Rate for Payer: Central Health Plan Commercial |
$18.96
|
| Rate for Payer: Cigna of CA HMO |
$15.17
|
| Rate for Payer: Cigna of CA PPO |
$17.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20.14
|
| Rate for Payer: Dignity Health Media |
$20.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$20.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.48
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.48
|
| Rate for Payer: Galaxy Health WC |
$20.14
|
| Rate for Payer: Global Benefits Group Commercial |
$14.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.33
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$17.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$8.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.74
|
| Rate for Payer: Multiplan Commercial |
$17.78
|
| Rate for Payer: Networks By Design Commercial |
$15.40
|
| Rate for Payer: Prime Health Services Commercial |
$20.14
|
| Rate for Payer: Riverside University Health System MISP |
$9.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14.22
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.85
|
| Rate for Payer: United Healthcare All Other HMO |
$11.85
|
| Rate for Payer: United Healthcare HMO Rider |
$11.85
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$20.14
|
| Rate for Payer: Vantage Medical Group Senior |
$20.14
|
|
|
HC DRAIN JP
|
Facility
|
OP
|
$35.09
|
|
| Hospital Charge Code |
909020083
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.02 |
| Max. Negotiated Rate |
$31.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$21.31
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$29.83
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$19.30
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$19.30
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$20.73
|
| Rate for Payer: Blue Distinction Transplant |
$21.05
|
| Rate for Payer: Blue Shield of California Commercial |
$22.07
|
| Rate for Payer: Blue Shield of California EPN |
$17.16
|
| Rate for Payer: Cash Price |
$15.79
|
| Rate for Payer: Central Health Plan Commercial |
$28.07
|
| Rate for Payer: Cigna of CA HMO |
$22.46
|
| Rate for Payer: Cigna of CA PPO |
$25.97
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$29.83
|
| Rate for Payer: Dignity Health Media |
$29.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$29.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$14.04
|
| Rate for Payer: EPIC Health Plan Transplant |
$14.04
|
| Rate for Payer: Galaxy Health WC |
$29.83
|
| Rate for Payer: Global Benefits Group Commercial |
$21.05
|
| Rate for Payer: Health Management Network EPO/PPO |
$31.58
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$26.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$12.28
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$23.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.02
|
| Rate for Payer: Multiplan Commercial |
$26.32
|
| Rate for Payer: Networks By Design Commercial |
$22.81
|
| Rate for Payer: Prime Health Services Commercial |
$29.83
|
| Rate for Payer: Riverside University Health System MISP |
$14.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$21.05
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$21.05
|
| Rate for Payer: United Healthcare All Other Commercial |
$17.54
|
| Rate for Payer: United Healthcare All Other HMO |
$17.54
|
| Rate for Payer: United Healthcare HMO Rider |
$17.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$17.54
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$29.83
|
| Rate for Payer: Vantage Medical Group Senior |
$29.83
|
|
|
HC DRAIN JP
|
Facility
|
IP
|
$35.09
|
|
| Hospital Charge Code |
909020083
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.02 |
| Max. Negotiated Rate |
$31.58 |
| Rate for Payer: Cash Price |
$15.79
|
| Rate for Payer: Central Health Plan Commercial |
$28.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$14.04
|
| Rate for Payer: Galaxy Health WC |
$29.83
|
| Rate for Payer: Global Benefits Group Commercial |
$21.05
|
| Rate for Payer: Health Management Network EPO/PPO |
$31.58
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$23.41
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$13.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.02
|
| Rate for Payer: Multiplan Commercial |
$26.32
|
| Rate for Payer: Networks By Design Commercial |
$22.81
|
| Rate for Payer: Prime Health Services Commercial |
$29.83
|
|
|
HC DRAIN LUMBAR LIMITORR 20ML
|
Facility
|
IP
|
$1,459.90
|
|
| Hospital Charge Code |
901605690
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$291.98 |
| Max. Negotiated Rate |
$1,313.91 |
| Rate for Payer: Cash Price |
$656.96
|
| Rate for Payer: Central Health Plan Commercial |
$1,167.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.96
|
| Rate for Payer: Galaxy Health WC |
$1,240.92
|
| Rate for Payer: Global Benefits Group Commercial |
$875.94
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,313.91
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$556.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$291.98
|
| Rate for Payer: Multiplan Commercial |
$1,094.92
|
| Rate for Payer: Networks By Design Commercial |
$948.94
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.92
|
|
|
HC DRAIN LUMBAR LIMITORR 20ML
|
Facility
|
OP
|
$1,459.90
|
|
| Hospital Charge Code |
901605690
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$291.98 |
| Max. Negotiated Rate |
$1,313.91 |
| Rate for Payer: Aetna of CA HMO/PPO |
$886.60
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,240.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$802.94
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$802.94
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$706.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$862.51
|
| Rate for Payer: Blue Distinction Transplant |
$875.94
|
| Rate for Payer: Blue Shield of California Commercial |
$918.28
|
| Rate for Payer: Blue Shield of California EPN |
$713.89
|
| Rate for Payer: Cash Price |
$656.96
|
| Rate for Payer: Central Health Plan Commercial |
$1,167.92
|
| Rate for Payer: Cigna of CA HMO |
$934.34
|
| Rate for Payer: Cigna of CA PPO |
$1,080.33
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,240.92
|
| Rate for Payer: Dignity Health Media |
$1,240.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,240.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$583.96
|
| Rate for Payer: EPIC Health Plan Transplant |
$583.96
|
| Rate for Payer: Galaxy Health WC |
$1,240.92
|
| Rate for Payer: Global Benefits Group Commercial |
$875.94
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,313.91
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,094.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$510.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$973.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$556.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$291.98
|
| Rate for Payer: Multiplan Commercial |
$1,094.92
|
| Rate for Payer: Networks By Design Commercial |
$948.94
|
| Rate for Payer: Prime Health Services Commercial |
$1,240.92
|
| Rate for Payer: Riverside University Health System MISP |
$583.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$875.94
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$875.94
|
| Rate for Payer: United Healthcare All Other Commercial |
$729.95
|
| Rate for Payer: United Healthcare All Other HMO |
$729.95
|
| Rate for Payer: United Healthcare HMO Rider |
$729.95
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$729.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,240.92
|
| Rate for Payer: Vantage Medical Group Senior |
$1,240.92
|
|
