|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$73.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$258.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$258.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$402.27
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Cigna of CA HMO |
$1,496.96
|
| Rate for Payer: Cigna of CA PPO |
$1,730.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$387.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$283.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$258.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$425.78
|
| Rate for Payer: EPIC Health Plan Senior |
$283.86
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$423.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$73.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$258.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$80.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$361.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$345.79
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Multiplan WC |
$402.27
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$258.05
|
| Rate for Payer: Preferred Health Network WC |
$410.48
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
| Rate for Payer: Prime Health Services Medicare |
$273.53
|
| Rate for Payer: Prime Health Services WC |
$398.17
|
| Rate for Payer: Riverside University Health System MISP |
$283.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,403.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,169.50
|
| 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 |
$258.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Vantage Medical Group Senior |
$258.05
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$80.64 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$958.99
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$523.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$258.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$402.27
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Cigna of CA HMO |
$1,496.96
|
| Rate for Payer: Cigna of CA PPO |
$1,730.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$387.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$283.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$258.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$425.78
|
| Rate for Payer: EPIC Health Plan Senior |
$283.86
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$423.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$258.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$80.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$277.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$345.79
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Multiplan WC |
$402.27
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$258.05
|
| Rate for Payer: Preferred Health Network WC |
$410.48
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
| Rate for Payer: Prime Health Services Medicare |
$273.53
|
| Rate for Payer: Prime Health Services WC |
$398.17
|
| Rate for Payer: Riverside University Health System MISP |
$283.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,403.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,403.40
|
| 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 |
$258.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Vantage Medical Group Senior |
$258.05
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$467.80 |
| Max. Negotiated Rate |
$2,105.10 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$935.60
|
| Rate for Payer: EPIC Health Plan Senior |
$935.60
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,380.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$467.80 |
| Max. Negotiated Rate |
$2,105.10 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$935.60
|
| Rate for Payer: EPIC Health Plan Senior |
$935.60
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,380.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$467.80 |
| Max. Negotiated Rate |
$2,105.10 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$935.60
|
| Rate for Payer: EPIC Health Plan Senior |
$935.60
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,380.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$73.00 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$258.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$523.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$258.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,482.93
|
| Rate for Payer: Blue Shield of California EPN |
$933.26
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Cigna of CA HMO |
$1,496.96
|
| Rate for Payer: Cigna of CA PPO |
$1,730.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$387.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$283.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$258.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$425.78
|
| Rate for Payer: EPIC Health Plan Senior |
$283.86
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$423.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$73.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$258.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$80.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$361.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$345.79
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$258.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
| Rate for Payer: Prime Health Services Medicare |
$273.53
|
| Rate for Payer: Riverside University Health System MISP |
$283.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,403.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,403.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,091.00
|
| Rate for Payer: United Healthcare All Other HMO |
$839.00
|
| Rate for Payer: United Healthcare HMO Rider |
$635.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$581.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$258.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Vantage Medical Group Senior |
$258.05
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$80.64 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| 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 |
$387.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$258.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$402.27
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Cigna of CA HMO |
$1,496.96
|
| Rate for Payer: Cigna of CA PPO |
$1,730.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$387.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$283.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$258.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$425.78
|
| Rate for Payer: EPIC Health Plan Senior |
$283.86
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$423.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$258.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$80.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$277.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$345.79
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Multiplan WC |
$402.27
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$258.05
|
| Rate for Payer: Preferred Health Network WC |
$410.48
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
| Rate for Payer: Prime Health Services Medicare |
$273.53
|
| Rate for Payer: Prime Health Services WC |
$398.17
|
| Rate for Payer: Riverside University Health System MISP |
$283.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,403.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,169.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,169.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,169.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,169.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$258.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$387.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$283.86
|
| Rate for Payer: Vantage Medical Group Senior |
$258.05
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$2,339.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$467.80 |
| Max. Negotiated Rate |
$2,105.10 |
| Rate for Payer: Adventist Health Commercial |
$467.80
|
| Rate for Payer: Cash Price |
$1,052.55
|
| Rate for Payer: Central Health Plan Commercial |
$1,871.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,637.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$935.60
|
| Rate for Payer: EPIC Health Plan Senior |
$935.60
|
| Rate for Payer: Galaxy Health WC |
$1,988.15
|
| Rate for Payer: Global Benefits Group Commercial |
$1,403.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,105.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,485.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,380.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$467.80
|
| Rate for Payer: Multiplan Commercial |
$1,754.25
|
| Rate for Payer: Networks By Design Commercial |
$1,520.35
|
| Rate for Payer: Prime Health Services Commercial |
$1,988.15
|
|
|
HC I & D ABSCESS,THROAT INTRAORAL
|
Facility
|
IP
|
$11,085.00
|
|
|
Service Code
|
CPT 42720
|
| Hospital Charge Code |
900501607
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,217.00 |
| Max. Negotiated Rate |
$9,976.50 |
| Rate for Payer: Adventist Health Commercial |
$2,217.00
|
| Rate for Payer: Cash Price |
$4,988.25
|
| Rate for Payer: Central Health Plan Commercial |
$8,868.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,759.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,434.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,434.00
|
| Rate for Payer: Galaxy Health WC |
$9,422.25
|
| Rate for Payer: Global Benefits Group Commercial |
$6,651.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,976.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,038.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,540.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,217.00
|
| Rate for Payer: Multiplan Commercial |
$8,313.75
|
| Rate for Payer: Networks By Design Commercial |
$7,205.25
|
| Rate for Payer: Prime Health Services Commercial |
$9,422.25
|
|
|
HC I & D ABSCESS,THROAT INTRAORAL
|
Facility
|
OP
|
$11,085.00
|
|
|
Service Code
|
CPT 42720
|
| Hospital Charge Code |
900501607
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$329.63 |
| Max. Negotiated Rate |
$9,976.50 |
| Rate for Payer: Adventist Health Commercial |
$2,217.00
|
| 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 |
$6,396.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,264.23
|
| 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 |
$6,565.51
|
| Rate for Payer: Cash Price |
$4,988.25
|
| Rate for Payer: Cash Price |
$4,988.25
|
| Rate for Payer: Cash Price |
$4,988.25
|
| Rate for Payer: Cash Price |
$4,988.25
|
| Rate for Payer: Central Health Plan Commercial |
$8,868.00
|
| Rate for Payer: Cigna of CA HMO |
$7,094.40
|
| Rate for Payer: Cigna of CA PPO |
$8,202.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,690.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,264.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,759.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,035.98
|
| Rate for Payer: EPIC Health Plan Senior |
$4,690.65
|
| Rate for Payer: Galaxy Health WC |
$9,422.25
|
| Rate for Payer: Global Benefits Group Commercial |
$6,651.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,976.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,993.34
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,038.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$329.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,584.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,217.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,714.07
|
| Rate for Payer: Multiplan Commercial |
$8,313.75
|
| Rate for Payer: Multiplan WC |
$6,565.51
|
| Rate for Payer: Networks By Design Commercial |
$7,205.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,264.23
|
| Rate for Payer: Preferred Health Network WC |
$6,699.50
|
| Rate for Payer: Prime Health Services Commercial |
$9,422.25
|
| Rate for Payer: Prime Health Services Medicare |
$4,520.08
|
| Rate for Payer: Prime Health Services WC |
$6,498.52
|
| Rate for Payer: Riverside University Health System MISP |
$4,690.65
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,651.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,542.50
|
| Rate for Payer: United Healthcare All Other HMO |
$5,542.50
|
| Rate for Payer: United Healthcare HMO Rider |
$5,542.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,542.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,264.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,396.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,690.65
|
| Rate for Payer: Vantage Medical Group Senior |
$4,264.23
|
|
|
HC I & D ARM BURSA
|
Facility
|
OP
|
$9,439.00
|
|
|
Service Code
|
CPT 23931
|
| Hospital Charge Code |
900501660
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$216.45 |
| Max. Negotiated Rate |
$8,495.10 |
| Rate for Payer: Adventist Health Commercial |
$1,887.80
|
| 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 |
$3,186.34
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,336.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,124.23
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,280.13
|
| Rate for Payer: Cash Price |
$4,247.55
|
| Rate for Payer: Cash Price |
$4,247.55
|
| Rate for Payer: Cash Price |
$4,247.55
|
| Rate for Payer: Cash Price |
$4,247.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,551.20
|
| Rate for Payer: Cigna of CA HMO |
$6,040.96
|
| Rate for Payer: Cigna of CA PPO |
$6,984.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,186.34
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,336.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,124.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,607.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,504.98
|
| Rate for Payer: EPIC Health Plan Senior |
$2,336.65
|
| Rate for Payer: Galaxy Health WC |
$8,023.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,663.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,495.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,483.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,124.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,993.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$216.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,283.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,887.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,846.47
|
| Rate for Payer: Multiplan Commercial |
$7,079.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$6,135.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,124.23
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$8,023.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,251.68
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,336.65
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,663.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,719.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,719.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,719.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,719.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,124.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,186.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,336.65
|
| Rate for Payer: Vantage Medical Group Senior |
$2,124.23
|
|
|
HC I & D ARM BURSA
|
Facility
|
IP
|
$9,439.00
|
|
|
Service Code
|
CPT 23931
|
| Hospital Charge Code |
900501660
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,887.80 |
| Max. Negotiated Rate |
$8,495.10 |
| Rate for Payer: Adventist Health Commercial |
$1,887.80
|
| Rate for Payer: Cash Price |
$4,247.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,551.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,607.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,775.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,775.60
|
| Rate for Payer: Galaxy Health WC |
$8,023.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,663.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,495.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,993.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,569.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,887.80
|
| Rate for Payer: Multiplan Commercial |
$7,079.25
|
| Rate for Payer: Networks By Design Commercial |
$6,135.35
|
| Rate for Payer: Prime Health Services Commercial |
$8,023.15
|
|
|
HC I&D BARTHOLIN ABSC
|
Facility
|
OP
|
$1,732.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
900501169
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$260.03 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$710.12
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$572.03
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$390.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$286.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$260.03
|
| 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 |
$407.27
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,385.60
|
| Rate for Payer: Cigna of CA HMO |
$1,108.48
|
| Rate for Payer: Cigna of CA PPO |
$1,281.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$390.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$286.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$260.03
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,212.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$429.05
|
| Rate for Payer: EPIC Health Plan Senior |
$286.03
|
| Rate for Payer: Galaxy Health WC |
$1,472.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,039.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,558.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$426.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$260.03
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,099.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$330.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$279.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$348.44
|
| Rate for Payer: Multiplan Commercial |
$1,299.00
|
| Rate for Payer: Multiplan WC |
$407.27
|
| Rate for Payer: Networks By Design Commercial |
$1,125.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$260.03
|
| Rate for Payer: Preferred Health Network WC |
$415.58
|
| Rate for Payer: Prime Health Services Commercial |
$1,472.20
|
| Rate for Payer: Prime Health Services Medicare |
$275.63
|
| Rate for Payer: Prime Health Services WC |
$403.11
|
| Rate for Payer: Riverside University Health System MISP |
$286.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,039.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,039.20
|
| 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 |
$260.03
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$390.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$286.03
|
| Rate for Payer: Vantage Medical Group Senior |
$260.03
|
|
|
HC I&D BARTHOLIN ABSC
|
Facility
|
IP
|
$1,732.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
900501169
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$346.40 |
| Max. Negotiated Rate |
$1,558.80 |
| Rate for Payer: Adventist Health Commercial |
$346.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,385.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,212.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$692.80
|
| Rate for Payer: EPIC Health Plan Senior |
$692.80
|
| Rate for Payer: Galaxy Health WC |
$1,472.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,039.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,558.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,099.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,021.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.40
|
| Rate for Payer: Multiplan Commercial |
$1,299.00
|
| Rate for Payer: Networks By Design Commercial |
$1,125.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,472.20
|
|
|
HC I&D BARTHOLIN ABSC
|
Facility
|
OP
|
$1,732.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
900501169
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$260.03 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$346.40
|
| 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 |
$390.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$286.03
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$260.03
|
| 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 |
$407.27
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,385.60
|
| Rate for Payer: Cigna of CA HMO |
$1,108.48
|
| Rate for Payer: Cigna of CA PPO |
$1,281.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$390.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$286.03
|
| Rate for Payer: Dignity Health Medicare Advantage |
$260.03
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,212.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$429.05
|
| Rate for Payer: EPIC Health Plan Senior |
$286.03
|
| Rate for Payer: Galaxy Health WC |
$1,472.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,039.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,558.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$426.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$260.03
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,099.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$330.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$279.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$348.44
|
| Rate for Payer: Multiplan Commercial |
$1,299.00
|
| Rate for Payer: Multiplan WC |
$407.27
|
| Rate for Payer: Networks By Design Commercial |
$1,125.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$260.03
|
| Rate for Payer: Preferred Health Network WC |
$415.58
|
| Rate for Payer: Prime Health Services Commercial |
$1,472.20
|
| Rate for Payer: Prime Health Services Medicare |
$275.63
|
| Rate for Payer: Prime Health Services WC |
$403.11
|
| Rate for Payer: Riverside University Health System MISP |
$286.03
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,039.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$866.00
|
| Rate for Payer: United Healthcare All Other HMO |
$866.00
|
| Rate for Payer: United Healthcare HMO Rider |
$866.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$866.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$260.03
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$390.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$286.03
|
| Rate for Payer: Vantage Medical Group Senior |
$260.03
|
|
|
HC I&D BARTHOLIN ABSC
|
Facility
|
IP
|
$1,732.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
900501169
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$346.40 |
| Max. Negotiated Rate |
$1,558.80 |
| Rate for Payer: Adventist Health Commercial |
$346.40
|
| Rate for Payer: Cash Price |
$779.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,385.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,212.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$692.80
|
| Rate for Payer: EPIC Health Plan Senior |
$692.80
|
| Rate for Payer: Galaxy Health WC |
$1,472.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,039.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,558.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,099.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,021.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$346.40
|
| Rate for Payer: Multiplan Commercial |
$1,299.00
|
| Rate for Payer: Networks By Design Commercial |
$1,125.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,472.20
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
OP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$223.53 |
| Max. Negotiated Rate |
$12,877.20 |
| Rate for Payer: Adventist Health Commercial |
$5,866.28
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$975.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,735.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Cigna of CA HMO |
$9,157.12
|
| Rate for Payer: Cigna of CA PPO |
$10,587.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,109.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,735.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.32
|
| Rate for Payer: EPIC Health Plan Senior |
$4,109.55
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$223.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Preferred Health Network WC |
$5,912.39
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
| Rate for Payer: Prime Health Services Medicare |
$3,960.11
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,109.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,584.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8,584.80
|
| 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 |
$3,735.95
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Vantage Medical Group Senior |
$3,735.95
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
IP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,861.60 |
| Max. Negotiated Rate |
$12,877.20 |
| Rate for Payer: Adventist Health Commercial |
$2,861.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,723.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,723.20
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,441.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
IP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,861.60 |
| Max. Negotiated Rate |
$12,877.20 |
| Rate for Payer: Adventist Health Commercial |
$2,861.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,723.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,723.20
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,441.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
OP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$202.36 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,861.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,735.95
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,735.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| 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 |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Cigna of CA HMO |
$9,157.12
|
| Rate for Payer: Cigna of CA PPO |
$10,587.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,109.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,735.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.32
|
| Rate for Payer: EPIC Health Plan Senior |
$4,109.55
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$202.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$223.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,230.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Preferred Health Network WC |
$5,912.39
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
| Rate for Payer: Prime Health Services Medicare |
$3,960.11
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,109.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,584.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,154.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,735.95
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Vantage Medical Group Senior |
$3,735.95
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
IP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$2,861.60 |
| Max. Negotiated Rate |
$12,877.20 |
| Rate for Payer: Adventist Health Commercial |
$2,861.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,723.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,723.20
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,441.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
|
|
HC I & D COMPL POST-OP WND INF
|
Facility
|
OP
|
$14,308.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
900501007
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$223.53 |
| Max. Negotiated Rate |
$12,877.20 |
| Rate for Payer: Adventist Health Commercial |
$2,861.60
|
| 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 |
$5,603.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,735.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Cash Price |
$6,438.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,446.40
|
| Rate for Payer: Cigna of CA HMO |
$9,157.12
|
| Rate for Payer: Cigna of CA PPO |
$10,587.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,109.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,735.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$10,015.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.32
|
| Rate for Payer: EPIC Health Plan Senior |
$4,109.55
|
| Rate for Payer: Galaxy Health WC |
$12,161.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,584.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,877.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$9,085.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$223.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,861.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$10,731.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$9,300.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Preferred Health Network WC |
$5,912.39
|
| Rate for Payer: Prime Health Services Commercial |
$12,161.80
|
| Rate for Payer: Prime Health Services Medicare |
$3,960.11
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,109.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,584.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,154.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,154.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,154.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,154.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,735.95
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Vantage Medical Group Senior |
$3,735.95
|
|
|
HC I & D DEEP ABSCESS NECK/THORAX
|
Facility
|
IP
|
$11,346.00
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
900501670
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,269.20 |
| Max. Negotiated Rate |
$10,211.40 |
| Rate for Payer: Adventist Health Commercial |
$2,269.20
|
| Rate for Payer: Cash Price |
$5,105.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,076.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,942.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,538.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,538.40
|
| Rate for Payer: Galaxy Health WC |
$9,644.10
|
| Rate for Payer: Global Benefits Group Commercial |
$6,807.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,211.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,204.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,694.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,269.20
|
| Rate for Payer: Multiplan Commercial |
$8,509.50
|
| Rate for Payer: Networks By Design Commercial |
$7,374.90
|
| Rate for Payer: Prime Health Services Commercial |
$9,644.10
|
|
|
HC I & D DEEP ABSCESS NECK/THORAX
|
Facility
|
OP
|
$11,346.00
|
|
|
Service Code
|
CPT 21501
|
| Hospital Charge Code |
900501670
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$96.92 |
| Max. Negotiated Rate |
$10,211.40 |
| Rate for Payer: Adventist Health Commercial |
$2,269.20
|
| 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 |
$5,603.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,735.95
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$5,794.14
|
| Rate for Payer: Cash Price |
$5,105.70
|
| Rate for Payer: Cash Price |
$5,105.70
|
| Rate for Payer: Cash Price |
$5,105.70
|
| Rate for Payer: Cash Price |
$5,105.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,076.80
|
| Rate for Payer: Cigna of CA HMO |
$7,261.44
|
| Rate for Payer: Cigna of CA PPO |
$8,396.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,109.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,735.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,942.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.32
|
| Rate for Payer: EPIC Health Plan Senior |
$4,109.55
|
| Rate for Payer: Galaxy Health WC |
$9,644.10
|
| Rate for Payer: Global Benefits Group Commercial |
$6,807.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,211.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,204.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$96.92
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,269.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$8,509.50
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$7,374.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Preferred Health Network WC |
$5,912.39
|
| Rate for Payer: Prime Health Services Commercial |
$9,644.10
|
| Rate for Payer: Prime Health Services Medicare |
$3,960.11
|
| Rate for Payer: Prime Health Services WC |
$5,735.02
|
| Rate for Payer: Riverside University Health System MISP |
$4,109.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,807.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$5,673.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,673.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,673.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,735.95
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,603.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,109.55
|
| Rate for Payer: Vantage Medical Group Senior |
$3,735.95
|
|
|
HC I&D DENTOALVEOLAR ABSC/HEMAT
|
Facility
|
IP
|
$1,564.00
|
|
|
Service Code
|
CPT 41800
|
| Hospital Charge Code |
900501150
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$312.80 |
| Max. Negotiated Rate |
$1,407.60 |
| Rate for Payer: Adventist Health Commercial |
$312.80
|
| Rate for Payer: Cash Price |
$703.80
|
| Rate for Payer: Central Health Plan Commercial |
$1,251.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,094.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$625.60
|
| Rate for Payer: EPIC Health Plan Senior |
$625.60
|
| Rate for Payer: Galaxy Health WC |
$1,329.40
|
| Rate for Payer: Global Benefits Group Commercial |
$938.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,407.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$993.14
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$922.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$312.80
|
| Rate for Payer: Multiplan Commercial |
$1,173.00
|
| Rate for Payer: Networks By Design Commercial |
$1,016.60
|
| Rate for Payer: Prime Health Services Commercial |
$1,329.40
|
|
