|
HC ICD INSERT/REPL + DUAL LEADS
|
Facility
|
OP
|
$78,687.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906811378
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,539.42 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$15,737.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$40,371.32
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40,371.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$64,907.85
|
| Rate for Payer: Blue Shield of California Commercial |
$13,231.02
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Central Health Plan Commercial |
$62,949.60
|
| Rate for Payer: Cigna of CA HMO |
$50,359.68
|
| Rate for Payer: Cigna of CA PPO |
$58,228.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$44,408.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$40,371.32
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$55,080.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,612.68
|
| Rate for Payer: EPIC Health Plan Senior |
$44,408.45
|
| Rate for Payer: Galaxy Health WC |
$66,883.95
|
| Rate for Payer: Global Benefits Group Commercial |
$47,212.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,818.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$66,208.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,539.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$49,966.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,700.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$56,519.85
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,737.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$54,097.57
|
| Rate for Payer: Multiplan Commercial |
$59,015.25
|
| Rate for Payer: Multiplan WC |
$64,907.85
|
| Rate for Payer: Networks By Design Commercial |
$51,146.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Preferred Health Network WC |
$66,232.50
|
| Rate for Payer: Prime Health Services Commercial |
$66,883.95
|
| Rate for Payer: Prime Health Services Medicare |
$42,793.60
|
| Rate for Payer: Prime Health Services WC |
$64,245.53
|
| Rate for Payer: Riverside University Health System MISP |
$44,408.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$47,212.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$39,343.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$40,371.32
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Vantage Medical Group Senior |
$40,371.32
|
|
|
HC ICD INSERT/REPOS SINGLE/DBL +LEAD
|
Facility
|
IP
|
$78,687.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906811377
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$15,737.40 |
| Max. Negotiated Rate |
$70,818.30 |
| Rate for Payer: Adventist Health Commercial |
$15,737.40
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Central Health Plan Commercial |
$62,949.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$55,080.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,474.80
|
| Rate for Payer: EPIC Health Plan Senior |
$31,474.80
|
| Rate for Payer: Galaxy Health WC |
$66,883.95
|
| Rate for Payer: Global Benefits Group Commercial |
$47,212.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,818.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$49,966.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$46,425.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,737.40
|
| Rate for Payer: Multiplan Commercial |
$59,015.25
|
| Rate for Payer: Networks By Design Commercial |
$51,146.55
|
| Rate for Payer: Prime Health Services Commercial |
$66,883.95
|
|
|
HC ICD INSERT/REPOS SINGLE/DBL +LEAD
|
Facility
|
OP
|
$78,687.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906811377
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,539.42 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$15,737.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$40,371.32
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40,371.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$64,907.85
|
| Rate for Payer: Blue Shield of California Commercial |
$13,231.02
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Cash Price |
$35,409.15
|
| Rate for Payer: Central Health Plan Commercial |
$62,949.60
|
| Rate for Payer: Cigna of CA HMO |
$50,359.68
|
| Rate for Payer: Cigna of CA PPO |
$58,228.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$44,408.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$40,371.32
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$55,080.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,612.68
|
| Rate for Payer: EPIC Health Plan Senior |
$44,408.45
|
| Rate for Payer: Galaxy Health WC |
$66,883.95
|
| Rate for Payer: Global Benefits Group Commercial |
$47,212.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,818.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$66,208.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,539.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$49,966.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,700.52
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$56,519.85
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,737.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$54,097.57
|
| Rate for Payer: Multiplan Commercial |
$59,015.25
|
| Rate for Payer: Multiplan WC |
$64,907.85
|
| Rate for Payer: Networks By Design Commercial |
$51,146.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Preferred Health Network WC |
$66,232.50
|
| Rate for Payer: Prime Health Services Commercial |
$66,883.95
|
| Rate for Payer: Prime Health Services Medicare |
$42,793.60
|
| Rate for Payer: Prime Health Services WC |
$64,245.53
|
| Rate for Payer: Riverside University Health System MISP |
$44,408.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$47,212.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$39,343.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$40,371.32
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Vantage Medical Group Senior |
$40,371.32
|
|
|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
IP
|
$68,291.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906811375
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,658.20 |
| Max. Negotiated Rate |
$61,461.90 |
| Rate for Payer: Adventist Health Commercial |
$13,658.20
|
| Rate for Payer: Cash Price |
$30,730.95
|
| Rate for Payer: Central Health Plan Commercial |
$54,632.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$47,803.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,316.40
|
| Rate for Payer: EPIC Health Plan Senior |
$27,316.40
|
| Rate for Payer: Galaxy Health WC |
$58,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$40,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,461.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$43,364.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,291.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,658.20
|
| Rate for Payer: Multiplan Commercial |
$51,218.25
|
| Rate for Payer: Networks By Design Commercial |
$44,389.15
|
| Rate for Payer: Prime Health Services Commercial |
$58,047.35
|
|
|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
OP
|
$68,291.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906811375
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$660.20 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$13,658.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,608.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,608.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8,405.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$13,231.02
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$30,730.95
|
| Rate for Payer: Cash Price |
$30,730.95
|
| Rate for Payer: Cash Price |
$30,730.95
|
| Rate for Payer: Central Health Plan Commercial |
$54,632.80
|
| Rate for Payer: Cigna of CA HMO |
$43,706.24
|
| Rate for Payer: Cigna of CA PPO |
$50,535.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,469.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,608.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$47,803.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,204.78
|
| Rate for Payer: EPIC Health Plan Senior |
$31,469.86
|
| Rate for Payer: Galaxy Health WC |
$58,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$40,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,461.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,918.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$660.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$43,364.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$729.30
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,052.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,658.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38,336.01
|
| Rate for Payer: Multiplan Commercial |
$51,218.25
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$44,389.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$58,047.35
|
| Rate for Payer: Prime Health Services Medicare |
$30,325.50
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,469.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$40,974.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$34,145.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,608.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Vantage Medical Group Senior |
$28,608.96
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
OP
|
$4,810.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906811373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$187.62 |
| Max. Negotiated Rate |
$46,216.00 |
| Rate for Payer: Adventist Health Commercial |
$962.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,806.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,209.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,286.98
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,806.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,367.67
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,164.50
|
| Rate for Payer: Cash Price |
$2,164.50
|
| Rate for Payer: Cash Price |
$2,164.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,848.00
|
| Rate for Payer: Cigna of CA HMO |
$3,078.40
|
| Rate for Payer: Cigna of CA PPO |
$3,559.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,209.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,286.98
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,806.35
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,367.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,930.48
|
| Rate for Payer: EPIC Health Plan Senior |
$5,286.98
|
| Rate for Payer: Galaxy Health WC |
$4,088.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,886.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,329.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,882.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$187.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,806.35
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,054.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$207.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,728.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$962.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,440.51
|
| Rate for Payer: Multiplan Commercial |
$3,607.50
|
| Rate for Payer: Multiplan WC |
$7,367.67
|
| Rate for Payer: Networks By Design Commercial |
$3,126.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,806.35
|
| Rate for Payer: Preferred Health Network WC |
$7,518.03
|
| Rate for Payer: Prime Health Services Commercial |
$4,088.50
|
| Rate for Payer: Prime Health Services Medicare |
$5,094.73
|
| Rate for Payer: Prime Health Services WC |
$7,292.49
|
| Rate for Payer: Riverside University Health System MISP |
$5,286.98
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,886.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,405.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,806.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,209.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,286.98
|
| Rate for Payer: Vantage Medical Group Senior |
$4,806.35
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
IP
|
$4,810.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906811373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$962.00 |
| Max. Negotiated Rate |
$4,329.00 |
| Rate for Payer: Adventist Health Commercial |
$962.00
|
| Rate for Payer: Cash Price |
$2,164.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,848.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,367.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,924.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,924.00
|
| Rate for Payer: Galaxy Health WC |
$4,088.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,886.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,329.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,054.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,837.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$962.00
|
| Rate for Payer: Multiplan Commercial |
$3,607.50
|
| Rate for Payer: Networks By Design Commercial |
$3,126.50
|
| Rate for Payer: Prime Health Services Commercial |
$4,088.50
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
IP
|
$4,496.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906811383
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$899.20 |
| Max. Negotiated Rate |
$4,046.40 |
| Rate for Payer: Adventist Health Commercial |
$899.20
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Central Health Plan Commercial |
$3,596.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,147.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,798.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,798.40
|
| Rate for Payer: Galaxy Health WC |
$3,821.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,697.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,046.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,854.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,652.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$899.20
|
| Rate for Payer: Multiplan Commercial |
$3,372.00
|
| Rate for Payer: Networks By Design Commercial |
$2,922.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,821.60
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
OP
|
$4,496.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906811383
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$11,687.00 |
| Rate for Payer: Adventist Health Commercial |
$899.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,955.20
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,472.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,372.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8,405.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11,687.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Cash Price |
$2,023.20
|
| Rate for Payer: Central Health Plan Commercial |
$3,596.80
|
| Rate for Payer: Cigna of CA HMO |
$2,877.44
|
| Rate for Payer: Cigna of CA PPO |
$3,327.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,821.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,821.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,147.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,798.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,798.40
|
| Rate for Payer: Galaxy Health WC |
$3,821.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,697.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,046.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$831.47
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,854.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$918.48
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,652.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$899.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,147.20
|
| Rate for Payer: Multiplan Commercial |
$3,372.00
|
| Rate for Payer: Networks By Design Commercial |
$2,922.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,821.60
|
| Rate for Payer: Riverside University Health System MISP |
$1,798.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,697.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,697.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,821.60
|
| Rate for Payer: Vantage Medical Group Senior |
$3,821.60
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
IP
|
$3,582.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906811336
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$716.40 |
| Max. Negotiated Rate |
$3,223.80 |
| Rate for Payer: Adventist Health Commercial |
$716.40
|
| Rate for Payer: Cash Price |
$1,611.90
|
| Rate for Payer: Central Health Plan Commercial |
$2,865.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,507.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,432.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,432.80
|
| Rate for Payer: Galaxy Health WC |
$3,044.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,149.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,223.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,274.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,113.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$716.40
|
| Rate for Payer: Multiplan Commercial |
$2,686.50
|
| Rate for Payer: Networks By Design Commercial |
$2,328.30
|
| Rate for Payer: Prime Health Services Commercial |
$3,044.70
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
OP
|
$3,582.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906811336
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$126.80 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$716.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,653.72
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,919.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,653.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,703.23
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$1,611.90
|
| Rate for Payer: Cash Price |
$1,611.90
|
| Rate for Payer: Cash Price |
$1,611.90
|
| Rate for Payer: Central Health Plan Commercial |
$2,865.60
|
| Rate for Payer: Cigna of CA HMO |
$2,292.48
|
| Rate for Payer: Cigna of CA PPO |
$2,650.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,919.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,653.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,507.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,378.64
|
| Rate for Payer: EPIC Health Plan Senior |
$2,919.09
|
| Rate for Payer: Galaxy Health WC |
$3,044.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,149.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,223.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,352.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$126.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,653.72
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,274.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$140.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,715.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$716.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,555.98
|
| Rate for Payer: Multiplan Commercial |
$2,686.50
|
| Rate for Payer: Multiplan WC |
$3,703.23
|
| Rate for Payer: Networks By Design Commercial |
$2,328.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,653.72
|
| Rate for Payer: Preferred Health Network WC |
$3,778.81
|
| Rate for Payer: Prime Health Services Commercial |
$3,044.70
|
| Rate for Payer: Prime Health Services Medicare |
$2,812.94
|
| Rate for Payer: Prime Health Services WC |
$3,665.45
|
| Rate for Payer: Riverside University Health System MISP |
$2,919.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,149.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,791.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,653.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,919.09
|
| Rate for Payer: Vantage Medical Group Senior |
$2,653.72
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
IP
|
$57,613.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906811423
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,522.60 |
| Max. Negotiated Rate |
$51,851.70 |
| Rate for Payer: Adventist Health Commercial |
$11,522.60
|
| Rate for Payer: Cash Price |
$25,925.85
|
| Rate for Payer: Central Health Plan Commercial |
$46,090.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40,329.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,045.20
|
| Rate for Payer: EPIC Health Plan Senior |
$23,045.20
|
| Rate for Payer: Galaxy Health WC |
$48,971.05
|
| Rate for Payer: Global Benefits Group Commercial |
$34,567.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$51,851.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36,584.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33,991.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,522.60
|
| Rate for Payer: Multiplan Commercial |
$43,209.75
|
| Rate for Payer: Networks By Design Commercial |
$37,448.45
|
| Rate for Payer: Prime Health Services Commercial |
$48,971.05
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
OP
|
$57,613.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906811423
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$539.19 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$11,522.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,608.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,608.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$25,925.85
|
| Rate for Payer: Cash Price |
$25,925.85
|
| Rate for Payer: Cash Price |
$25,925.85
|
| Rate for Payer: Central Health Plan Commercial |
$46,090.40
|
| Rate for Payer: Cigna of CA HMO |
$36,872.32
|
| Rate for Payer: Cigna of CA PPO |
$42,633.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,469.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,608.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$40,329.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,204.78
|
| Rate for Payer: EPIC Health Plan Senior |
$31,469.86
|
| Rate for Payer: Galaxy Health WC |
$48,971.05
|
| Rate for Payer: Global Benefits Group Commercial |
$34,567.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$51,851.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,918.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$539.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$36,584.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$595.61
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,052.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,522.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38,336.01
|
| Rate for Payer: Multiplan Commercial |
$43,209.75
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$37,448.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$48,971.05
|
| Rate for Payer: Prime Health Services Medicare |
$30,325.50
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,469.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34,567.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$28,806.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,608.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Vantage Medical Group Senior |
$28,608.96
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
OP
|
$76,817.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906811424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$559.03 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$15,363.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$40,371.32
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40,371.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$64,907.85
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$34,567.65
|
| Rate for Payer: Cash Price |
$34,567.65
|
| Rate for Payer: Cash Price |
$34,567.65
|
| Rate for Payer: Central Health Plan Commercial |
$61,453.60
|
| Rate for Payer: Cigna of CA HMO |
$49,162.88
|
| Rate for Payer: Cigna of CA PPO |
$56,844.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$44,408.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$40,371.32
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$53,771.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$66,612.68
|
| Rate for Payer: EPIC Health Plan Senior |
$44,408.45
|
| Rate for Payer: Galaxy Health WC |
$65,294.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$69,135.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$66,208.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$559.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$48,778.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$617.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$56,519.85
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,363.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$54,097.57
|
| Rate for Payer: Multiplan Commercial |
$57,612.75
|
| Rate for Payer: Multiplan WC |
$64,907.85
|
| Rate for Payer: Networks By Design Commercial |
$49,931.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,371.32
|
| Rate for Payer: Preferred Health Network WC |
$66,232.50
|
| Rate for Payer: Prime Health Services Commercial |
$65,294.45
|
| Rate for Payer: Prime Health Services Medicare |
$42,793.60
|
| Rate for Payer: Prime Health Services WC |
$64,245.53
|
| Rate for Payer: Riverside University Health System MISP |
$44,408.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$46,090.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$38,408.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$40,371.32
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$60,556.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44,408.45
|
| Rate for Payer: Vantage Medical Group Senior |
$40,371.32
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
IP
|
$76,817.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906811424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$15,363.40 |
| Max. Negotiated Rate |
$69,135.30 |
| Rate for Payer: Adventist Health Commercial |
$15,363.40
|
| Rate for Payer: Cash Price |
$34,567.65
|
| Rate for Payer: Central Health Plan Commercial |
$61,453.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$53,771.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$30,726.80
|
| Rate for Payer: Galaxy Health WC |
$65,294.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$69,135.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$48,778.79
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$45,322.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,363.40
|
| Rate for Payer: Multiplan Commercial |
$57,612.75
|
| Rate for Payer: Networks By Design Commercial |
$49,931.05
|
| Rate for Payer: Prime Health Services Commercial |
$65,294.45
|
|
|
HC ICD REMV REPL EX SINGLE LEAD
|
Facility
|
OP
|
$80,657.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906811422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$518.68 |
| Max. Negotiated Rate |
$97,437.00 |
| Rate for Payer: Adventist Health Commercial |
$16,131.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,608.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,608.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$46,216.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$36,295.65
|
| Rate for Payer: Cash Price |
$36,295.65
|
| Rate for Payer: Cash Price |
$36,295.65
|
| Rate for Payer: Central Health Plan Commercial |
$64,525.60
|
| Rate for Payer: Cigna of CA HMO |
$51,620.48
|
| Rate for Payer: Cigna of CA PPO |
$59,686.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,469.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,608.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56,459.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,204.78
|
| Rate for Payer: EPIC Health Plan Senior |
$31,469.86
|
| Rate for Payer: Galaxy Health WC |
$68,558.45
|
| Rate for Payer: Global Benefits Group Commercial |
$48,394.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$72,591.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,918.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$518.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51,217.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$572.96
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,052.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,131.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38,336.01
|
| Rate for Payer: Multiplan Commercial |
$60,492.75
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$52,427.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$68,558.45
|
| Rate for Payer: Prime Health Services Medicare |
$30,325.50
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,469.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48,394.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$40,328.50
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,608.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Vantage Medical Group Senior |
$28,608.96
|
|
|
HC ICD REMV REPL EX SINGLE LEAD
|
Facility
|
IP
|
$80,657.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906811422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16,131.40 |
| Max. Negotiated Rate |
$72,591.30 |
| Rate for Payer: Adventist Health Commercial |
$16,131.40
|
| Rate for Payer: Cash Price |
$36,295.65
|
| Rate for Payer: Central Health Plan Commercial |
$64,525.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$56,459.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,262.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32,262.80
|
| Rate for Payer: Galaxy Health WC |
$68,558.45
|
| Rate for Payer: Global Benefits Group Commercial |
$48,394.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$72,591.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$51,217.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$47,587.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,131.40
|
| Rate for Payer: Multiplan Commercial |
$60,492.75
|
| Rate for Payer: Networks By Design Commercial |
$52,427.05
|
| Rate for Payer: Prime Health Services Commercial |
$68,558.45
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
OP
|
$10,757.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906812082
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$316.72 |
| Max. Negotiated Rate |
$9,681.30 |
| Rate for Payer: Adventist Health Commercial |
$2,151.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$316.72
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$9,143.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,916.35
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8,067.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$483.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,257.35
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$4,840.65
|
| Rate for Payer: Cash Price |
$4,840.65
|
| Rate for Payer: Cash Price |
$4,840.65
|
| Rate for Payer: Cash Price |
$4,840.65
|
| Rate for Payer: Central Health Plan Commercial |
$8,605.60
|
| Rate for Payer: Cigna of CA HMO |
$6,884.48
|
| Rate for Payer: Cigna of CA PPO |
$7,960.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$9,143.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,143.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,143.45
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,529.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,302.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,302.80
|
| Rate for Payer: Galaxy Health WC |
$9,143.45
|
| Rate for Payer: Global Benefits Group Commercial |
$6,454.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,681.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$465.36
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,830.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$514.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,346.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,151.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$7,529.90
|
| Rate for Payer: Multiplan Commercial |
$8,067.75
|
| Rate for Payer: Networks By Design Commercial |
$6,992.05
|
| Rate for Payer: Prime Health Services Commercial |
$9,143.45
|
| Rate for Payer: Riverside University Health System MISP |
$4,302.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,454.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,454.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$9,143.45
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,143.45
|
| Rate for Payer: Vantage Medical Group Senior |
$9,143.45
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
IP
|
$10,757.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906812082
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,151.40 |
| Max. Negotiated Rate |
$9,681.30 |
| Rate for Payer: Adventist Health Commercial |
$2,151.40
|
| Rate for Payer: Cash Price |
$4,840.65
|
| Rate for Payer: Central Health Plan Commercial |
$8,605.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,529.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,302.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,302.80
|
| Rate for Payer: Galaxy Health WC |
$9,143.45
|
| Rate for Payer: Global Benefits Group Commercial |
$6,454.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,681.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,830.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,346.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,151.40
|
| Rate for Payer: Multiplan Commercial |
$8,067.75
|
| Rate for Payer: Networks By Design Commercial |
$6,992.05
|
| Rate for Payer: Prime Health Services Commercial |
$9,143.45
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$531.20 |
| Max. Negotiated Rate |
$2,390.40 |
| Rate for Payer: Adventist Health Commercial |
$531.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,062.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,062.40
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,567.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$531.20 |
| Max. Negotiated Rate |
$2,390.40 |
| Rate for Payer: Adventist Health Commercial |
$531.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,062.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,062.40
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,567.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$1,088.96
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$885.32
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$784.27
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$522.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$808.84
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Cigna of CA HMO |
$1,699.84
|
| Rate for Payer: Cigna of CA PPO |
$1,965.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$784.27
|
| Rate for Payer: Dignity Health Medi-Cal |
$575.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$522.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$862.70
|
| Rate for Payer: EPIC Health Plan Senior |
$575.13
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$857.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$522.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$562.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$700.62
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Multiplan WC |
$808.84
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$522.85
|
| Rate for Payer: Preferred Health Network WC |
$825.35
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
| Rate for Payer: Prime Health Services Medicare |
$554.22
|
| Rate for Payer: Prime Health Services WC |
$800.59
|
| Rate for Payer: Riverside University Health System MISP |
$575.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,593.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,593.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$522.85
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$784.27
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Vantage Medical Group Senior |
$522.85
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$531.20 |
| Max. Negotiated Rate |
$2,390.40 |
| Rate for Payer: Adventist Health Commercial |
$531.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,062.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,062.40
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,567.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$522.85 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$531.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$522.85
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$784.27
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$522.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$808.84
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Cigna of CA HMO |
$1,699.84
|
| Rate for Payer: Cigna of CA PPO |
$1,965.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$784.27
|
| Rate for Payer: Dignity Health Medi-Cal |
$575.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$522.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$862.70
|
| Rate for Payer: EPIC Health Plan Senior |
$575.13
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$857.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$522.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$731.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$700.62
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Multiplan WC |
$808.84
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$522.85
|
| Rate for Payer: Preferred Health Network WC |
$825.35
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
| Rate for Payer: Prime Health Services Medicare |
$554.22
|
| Rate for Payer: Prime Health Services WC |
$800.59
|
| Rate for Payer: Riverside University Health System MISP |
$575.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,593.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,328.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$522.85
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$784.27
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Vantage Medical Group Senior |
$522.85
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,656.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$531.20
|
| 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 |
$784.27
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$522.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$808.84
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Cash Price |
$1,195.20
|
| Rate for Payer: Central Health Plan Commercial |
$2,124.80
|
| Rate for Payer: Cigna of CA HMO |
$1,699.84
|
| Rate for Payer: Cigna of CA PPO |
$1,965.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$784.27
|
| Rate for Payer: Dignity Health Medi-Cal |
$575.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$522.85
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,859.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$862.70
|
| Rate for Payer: EPIC Health Plan Senior |
$575.13
|
| Rate for Payer: Galaxy Health WC |
$2,257.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,593.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,390.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$857.47
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$522.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,686.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$562.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$531.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$700.62
|
| Rate for Payer: Multiplan Commercial |
$1,992.00
|
| Rate for Payer: Multiplan WC |
$808.84
|
| Rate for Payer: Networks By Design Commercial |
$1,726.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$522.85
|
| Rate for Payer: Preferred Health Network WC |
$825.35
|
| Rate for Payer: Prime Health Services Commercial |
$2,257.60
|
| Rate for Payer: Prime Health Services Medicare |
$554.22
|
| Rate for Payer: Prime Health Services WC |
$800.59
|
| Rate for Payer: Riverside University Health System MISP |
$575.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,593.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,328.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,328.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,328.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,328.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$522.85
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$784.27
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$575.13
|
| Rate for Payer: Vantage Medical Group Senior |
$522.85
|
|
