|
HC INCISION/DRAIN FOREARM/WRIST
|
Facility
|
IP
|
$10,830.00
|
|
|
Service Code
|
CPT 25028
|
| Hospital Charge Code |
900501423
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,166.00 |
| Max. Negotiated Rate |
$9,747.00 |
| Rate for Payer: Adventist Health Commercial |
$2,166.00
|
| Rate for Payer: Cash Price |
$4,873.50
|
| Rate for Payer: Central Health Plan Commercial |
$8,664.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,581.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,332.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,332.00
|
| Rate for Payer: Galaxy Health WC |
$9,205.50
|
| Rate for Payer: Global Benefits Group Commercial |
$6,498.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,747.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,877.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,389.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,166.00
|
| Rate for Payer: Multiplan Commercial |
$8,122.50
|
| Rate for Payer: Networks By Design Commercial |
$7,039.50
|
| Rate for Payer: Prime Health Services Commercial |
$9,205.50
|
|
|
HC INCISION/DRAIN PERIRECTAL ABSC
|
Facility
|
IP
|
$8,004.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
900501237
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,600.80 |
| Max. Negotiated Rate |
$7,203.60 |
| Rate for Payer: Adventist Health Commercial |
$1,600.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Central Health Plan Commercial |
$6,403.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,602.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,201.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,201.60
|
| Rate for Payer: Galaxy Health WC |
$6,803.40
|
| Rate for Payer: Global Benefits Group Commercial |
$4,802.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,203.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,082.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,722.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,600.80
|
| Rate for Payer: Multiplan Commercial |
$6,003.00
|
| Rate for Payer: Networks By Design Commercial |
$5,202.60
|
| Rate for Payer: Prime Health Services Commercial |
$6,803.40
|
|
|
HC INCISION/DRAIN PERIRECTAL ABSC
|
Facility
|
OP
|
$8,004.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
900501237
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$240.50 |
| Max. Negotiated Rate |
$7,203.60 |
| Rate for Payer: Adventist Health Commercial |
$1,600.80
|
| 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 |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| 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 |
$2,387.03
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Central Health Plan Commercial |
$6,403.20
|
| Rate for Payer: Cigna of CA HMO |
$5,122.56
|
| Rate for Payer: Cigna of CA PPO |
$5,922.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,602.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$6,803.40
|
| Rate for Payer: Global Benefits Group Commercial |
$4,802.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,203.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,082.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$240.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,654.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,600.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$6,003.00
|
| Rate for Payer: Multiplan WC |
$2,387.03
|
| Rate for Payer: Networks By Design Commercial |
$5,202.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Preferred Health Network WC |
$2,435.74
|
| Rate for Payer: Prime Health Services Commercial |
$6,803.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services WC |
$2,362.67
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,802.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,002.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,002.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,002.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,002.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC INCISION/DRAIN PERIRECTAL ABSC
|
Facility
|
IP
|
$8,004.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
900501237
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,600.80 |
| Max. Negotiated Rate |
$7,203.60 |
| Rate for Payer: Adventist Health Commercial |
$1,600.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Central Health Plan Commercial |
$6,403.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,602.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,201.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,201.60
|
| Rate for Payer: Galaxy Health WC |
$6,803.40
|
| Rate for Payer: Global Benefits Group Commercial |
$4,802.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,203.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,082.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,722.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,600.80
|
| Rate for Payer: Multiplan Commercial |
$6,003.00
|
| Rate for Payer: Networks By Design Commercial |
$5,202.60
|
| Rate for Payer: Prime Health Services Commercial |
$6,803.40
|
|
|
HC INCISION/DRAIN PERIRECTAL ABSC
|
Facility
|
OP
|
$8,004.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
900501237
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$240.50 |
| Max. Negotiated Rate |
$7,203.60 |
| Rate for Payer: Adventist Health Commercial |
$3,281.64
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$882.62
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| 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 |
$2,387.03
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Cash Price |
$3,601.80
|
| Rate for Payer: Central Health Plan Commercial |
$6,403.20
|
| Rate for Payer: Cigna of CA HMO |
$5,122.56
|
| Rate for Payer: Cigna of CA PPO |
$5,922.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,602.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$6,803.40
|
| Rate for Payer: Global Benefits Group Commercial |
$4,802.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,203.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,082.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$240.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,654.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,600.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$6,003.00
|
| Rate for Payer: Multiplan WC |
$2,387.03
|
| Rate for Payer: Networks By Design Commercial |
$5,202.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Preferred Health Network WC |
$2,435.74
|
| Rate for Payer: Prime Health Services Commercial |
$6,803.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services WC |
$2,362.67
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,802.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,802.40
|
| 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 |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
IP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,626.60 |
| Max. Negotiated Rate |
$7,319.70 |
| Rate for Payer: Adventist Health Commercial |
$1,626.60
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,693.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,253.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,253.20
|
| Rate for Payer: Galaxy Health WC |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,798.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| Rate for Payer: Prime Health Services Commercial |
$6,913.05
|
|
|
HC INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
IP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,626.60 |
| Max. Negotiated Rate |
$7,319.70 |
| Rate for Payer: Adventist Health Commercial |
$1,626.60
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,693.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,253.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,253.20
|
| Rate for Payer: Galaxy Health WC |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,798.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| Rate for Payer: Prime Health Services Commercial |
$6,913.05
|
|
|
HC INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
OP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$8,074.00 |
| Rate for Payer: Adventist Health Commercial |
$1,626.60
|
| 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 |
$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 |
$5,794.14
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Cigna of CA HMO |
$5,205.12
|
| Rate for Payer: Cigna of CA PPO |
$6,018.42
|
| 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 |
$5,693.10
|
| 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 |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| 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 |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$133.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| 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 |
$6,913.05
|
| 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 |
$4,879.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,066.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,066.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,066.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,066.50
|
| 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 INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
OP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$121.02 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,626.60
|
| 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 |
$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 |
$5,794.14
|
| 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 |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Cigna of CA HMO |
$5,205.12
|
| Rate for Payer: Cigna of CA PPO |
$6,018.42
|
| 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 |
$5,693.10
|
| 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 |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,126.96
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$121.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,735.95
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$133.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,230.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| 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 |
$6,913.05
|
| 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 |
$4,879.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,066.50
|
| 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 INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
IP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,626.60 |
| Max. Negotiated Rate |
$7,319.70 |
| Rate for Payer: Adventist Health Commercial |
$1,626.60
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,693.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,253.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,253.20
|
| Rate for Payer: Galaxy Health WC |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,798.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| Rate for Payer: Prime Health Services Commercial |
$6,913.05
|
|
|
HC INCISION/DRAIN THIGH/KNEE LESI
|
Facility
|
OP
|
$8,133.00
|
|
|
Service Code
|
CPT 27301
|
| Hospital Charge Code |
909000271
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$8,074.00 |
| Rate for Payer: Adventist Health Commercial |
$3,334.53
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,796.28
|
| 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 |
$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 |
$5,794.14
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Cash Price |
$3,659.85
|
| Rate for Payer: Central Health Plan Commercial |
$6,506.40
|
| Rate for Payer: Cigna of CA HMO |
$5,205.12
|
| Rate for Payer: Cigna of CA PPO |
$6,018.42
|
| 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 |
$5,693.10
|
| 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 |
$6,913.05
|
| Rate for Payer: Global Benefits Group Commercial |
$4,879.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,319.70
|
| 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 |
$5,164.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$133.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,626.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$6,099.75
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$5,286.45
|
| 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 |
$6,913.05
|
| 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 |
$4,879.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,879.80
|
| 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 INCISION/DRAIN,UPPER ARM/ELBOW
|
Facility
|
OP
|
$11,664.00
|
|
|
Service Code
|
CPT 23930
|
| Hospital Charge Code |
900501316
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$308.41 |
| Max. Negotiated Rate |
$10,497.60 |
| Rate for Payer: Adventist Health Commercial |
$2,332.80
|
| 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 |
$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 |
$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 |
$5,794.14
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,331.20
|
| Rate for Payer: Cigna of CA HMO |
$7,464.96
|
| Rate for Payer: Cigna of CA PPO |
$8,631.36
|
| 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 |
$8,164.80
|
| 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 |
$9,914.40
|
| Rate for Payer: Global Benefits Group Commercial |
$6,998.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,497.60
|
| 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 |
$7,406.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$308.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$8,748.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$7,581.60
|
| 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 |
$9,914.40
|
| 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 |
$6,998.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,832.00
|
| Rate for Payer: United Healthcare All Other HMO |
$5,832.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,832.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,832.00
|
| 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 INCISION/DRAIN,UPPER ARM/ELBOW
|
Facility
|
OP
|
$11,664.00
|
|
|
Service Code
|
CPT 23930
|
| Hospital Charge Code |
900501316
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$308.41 |
| Max. Negotiated Rate |
$10,497.60 |
| Rate for Payer: Adventist Health Commercial |
$4,782.24
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,212.23
|
| 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 |
$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 |
$5,794.14
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,331.20
|
| Rate for Payer: Cigna of CA HMO |
$7,464.96
|
| Rate for Payer: Cigna of CA PPO |
$8,631.36
|
| 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 |
$8,164.80
|
| 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 |
$9,914.40
|
| Rate for Payer: Global Benefits Group Commercial |
$6,998.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,497.60
|
| 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 |
$7,406.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$308.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,016.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,006.17
|
| Rate for Payer: Multiplan Commercial |
$8,748.00
|
| Rate for Payer: Multiplan WC |
$5,794.14
|
| Rate for Payer: Networks By Design Commercial |
$7,581.60
|
| 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 |
$9,914.40
|
| 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 |
$6,998.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,998.40
|
| 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 |
$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 INCISION/DRAIN,UPPER ARM/ELBOW
|
Facility
|
IP
|
$11,664.00
|
|
|
Service Code
|
CPT 23930
|
| Hospital Charge Code |
900501316
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,332.80 |
| Max. Negotiated Rate |
$10,497.60 |
| Rate for Payer: Adventist Health Commercial |
$2,332.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,331.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,164.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,665.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,665.60
|
| Rate for Payer: Galaxy Health WC |
$9,914.40
|
| Rate for Payer: Global Benefits Group Commercial |
$6,998.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,497.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,406.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,881.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.80
|
| Rate for Payer: Multiplan Commercial |
$8,748.00
|
| Rate for Payer: Networks By Design Commercial |
$7,581.60
|
| Rate for Payer: Prime Health Services Commercial |
$9,914.40
|
|
|
HC INCISION/DRAIN,UPPER ARM/ELBOW
|
Facility
|
IP
|
$11,664.00
|
|
|
Service Code
|
CPT 23930
|
| Hospital Charge Code |
900501316
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$2,332.80 |
| Max. Negotiated Rate |
$10,497.60 |
| Rate for Payer: Adventist Health Commercial |
$2,332.80
|
| Rate for Payer: Cash Price |
$5,248.80
|
| Rate for Payer: Central Health Plan Commercial |
$9,331.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,164.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,665.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,665.60
|
| Rate for Payer: Galaxy Health WC |
$9,914.40
|
| Rate for Payer: Global Benefits Group Commercial |
$6,998.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,497.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,406.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,881.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.80
|
| Rate for Payer: Multiplan Commercial |
$8,748.00
|
| Rate for Payer: Networks By Design Commercial |
$7,581.60
|
| Rate for Payer: Prime Health Services Commercial |
$9,914.40
|
|
|
HC INCISION FINGER TENDON EACH
|
Facility
|
IP
|
$10,508.00
|
|
|
Service Code
|
CPT 26455
|
| Hospital Charge Code |
900501536
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,101.60 |
| Max. Negotiated Rate |
$9,457.20 |
| Rate for Payer: Adventist Health Commercial |
$2,101.60
|
| Rate for Payer: Cash Price |
$4,728.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,406.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,355.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,203.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,203.20
|
| Rate for Payer: Galaxy Health WC |
$8,931.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,304.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,457.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,672.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,199.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,101.60
|
| Rate for Payer: Multiplan Commercial |
$7,881.00
|
| Rate for Payer: Networks By Design Commercial |
$6,830.20
|
| Rate for Payer: Prime Health Services Commercial |
$8,931.80
|
|
|
HC INCISION FINGER TENDON EACH
|
Facility
|
OP
|
$10,508.00
|
|
|
Service Code
|
CPT 26455
|
| Hospital Charge Code |
900501536
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$79.93 |
| Max. Negotiated Rate |
$9,457.20 |
| Rate for Payer: Adventist Health Commercial |
$2,101.60
|
| 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 |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| 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 |
$3,240.00
|
| Rate for Payer: Cash Price |
$4,728.60
|
| Rate for Payer: Cash Price |
$4,728.60
|
| Rate for Payer: Cash Price |
$4,728.60
|
| Rate for Payer: Cash Price |
$4,728.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,406.40
|
| Rate for Payer: Cigna of CA HMO |
$6,725.12
|
| Rate for Payer: Cigna of CA PPO |
$7,775.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,355.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$8,931.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,304.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,457.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,672.58
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$79.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,101.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$7,881.00
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$6,830.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$8,931.80
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,304.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,254.00
|
| Rate for Payer: United Healthcare All Other HMO |
$5,254.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,254.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,254.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC INCISION LINGUAL FRENUM
|
Facility
|
IP
|
$7,626.00
|
|
|
Service Code
|
CPT 41010
|
| Hospital Charge Code |
900501558
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,525.20 |
| Max. Negotiated Rate |
$6,863.40 |
| Rate for Payer: Adventist Health Commercial |
$1,525.20
|
| Rate for Payer: Cash Price |
$3,431.70
|
| Rate for Payer: Central Health Plan Commercial |
$6,100.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,338.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,050.40
|
| Rate for Payer: EPIC Health Plan Senior |
$3,050.40
|
| Rate for Payer: Galaxy Health WC |
$6,482.10
|
| Rate for Payer: Global Benefits Group Commercial |
$4,575.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,863.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,842.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,499.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,525.20
|
| Rate for Payer: Multiplan Commercial |
$5,719.50
|
| Rate for Payer: Networks By Design Commercial |
$4,956.90
|
| Rate for Payer: Prime Health Services Commercial |
$6,482.10
|
|
|
HC INCISION LINGUAL FRENUM
|
Facility
|
OP
|
$7,626.00
|
|
|
Service Code
|
CPT 41010
|
| Hospital Charge Code |
900501558
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$290.74 |
| Max. Negotiated Rate |
$6,863.40 |
| Rate for Payer: Adventist Health Commercial |
$1,525.20
|
| 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 |
$2,993.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,195.16
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,995.60
|
| 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 |
$2,998.82
|
| Rate for Payer: Cash Price |
$3,431.70
|
| Rate for Payer: Cash Price |
$3,431.70
|
| Rate for Payer: Cash Price |
$3,431.70
|
| Rate for Payer: Cash Price |
$3,431.70
|
| Rate for Payer: Central Health Plan Commercial |
$6,100.80
|
| Rate for Payer: Cigna of CA HMO |
$4,880.64
|
| Rate for Payer: Cigna of CA PPO |
$5,643.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,993.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,195.16
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,995.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$5,338.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,292.74
|
| Rate for Payer: EPIC Health Plan Senior |
$2,195.16
|
| Rate for Payer: Galaxy Health WC |
$6,482.10
|
| Rate for Payer: Global Benefits Group Commercial |
$4,575.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,863.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,272.78
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,995.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,842.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$290.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,145.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,525.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,674.10
|
| Rate for Payer: Multiplan Commercial |
$5,719.50
|
| Rate for Payer: Multiplan WC |
$2,998.82
|
| Rate for Payer: Networks By Design Commercial |
$4,956.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,995.60
|
| Rate for Payer: Preferred Health Network WC |
$3,060.02
|
| Rate for Payer: Prime Health Services Commercial |
$6,482.10
|
| Rate for Payer: Prime Health Services Medicare |
$2,115.34
|
| Rate for Payer: Prime Health Services WC |
$2,968.22
|
| Rate for Payer: Riverside University Health System MISP |
$2,195.16
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,575.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,813.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,813.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,813.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,995.60
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,993.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,195.16
|
| Rate for Payer: Vantage Medical Group Senior |
$1,995.60
|
|
|
HC INCISION OF EYE
|
Facility
|
IP
|
$9,475.00
|
|
|
Service Code
|
CPT 66172
|
| Hospital Charge Code |
900501631
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,895.00 |
| Max. Negotiated Rate |
$8,527.50 |
| Rate for Payer: Adventist Health Commercial |
$1,895.00
|
| Rate for Payer: Cash Price |
$4,263.75
|
| Rate for Payer: Central Health Plan Commercial |
$7,580.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,632.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,790.00
|
| Rate for Payer: EPIC Health Plan Senior |
$3,790.00
|
| Rate for Payer: Galaxy Health WC |
$8,053.75
|
| Rate for Payer: Global Benefits Group Commercial |
$5,685.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,527.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,016.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,590.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,895.00
|
| Rate for Payer: Multiplan Commercial |
$7,106.25
|
| Rate for Payer: Networks By Design Commercial |
$6,158.75
|
| Rate for Payer: Prime Health Services Commercial |
$8,053.75
|
|
|
HC INCISION OF EYE
|
Facility
|
OP
|
$9,475.00
|
|
|
Service Code
|
CPT 66172
|
| Hospital Charge Code |
900501631
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$332.46 |
| Max. Negotiated Rate |
$8,924.00 |
| Rate for Payer: Adventist Health Commercial |
$1,895.00
|
| 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 |
$4,452.38
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,265.07
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,968.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,924.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$4,617.28
|
| Rate for Payer: Cash Price |
$4,263.75
|
| Rate for Payer: Cash Price |
$4,263.75
|
| Rate for Payer: Cash Price |
$4,263.75
|
| Rate for Payer: Cash Price |
$4,263.75
|
| Rate for Payer: Central Health Plan Commercial |
$7,580.00
|
| Rate for Payer: Cigna of CA HMO |
$6,064.00
|
| Rate for Payer: Cigna of CA PPO |
$7,011.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4,452.38
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,265.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,968.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,632.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,897.61
|
| Rate for Payer: EPIC Health Plan Senior |
$3,265.07
|
| Rate for Payer: Galaxy Health WC |
$8,053.75
|
| Rate for Payer: Global Benefits Group Commercial |
$5,685.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,527.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,867.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,968.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,016.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$332.46
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,190.87
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,895.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,977.45
|
| Rate for Payer: Multiplan Commercial |
$7,106.25
|
| Rate for Payer: Multiplan WC |
$4,617.28
|
| Rate for Payer: Networks By Design Commercial |
$6,158.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,968.25
|
| Rate for Payer: Preferred Health Network WC |
$4,711.51
|
| Rate for Payer: Prime Health Services Commercial |
$8,053.75
|
| Rate for Payer: Prime Health Services Medicare |
$3,146.34
|
| Rate for Payer: Prime Health Services WC |
$4,570.16
|
| Rate for Payer: Riverside University Health System MISP |
$3,265.07
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,685.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,737.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,737.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,737.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,737.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,968.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4,452.38
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,265.07
|
| Rate for Payer: Vantage Medical Group Senior |
$2,968.25
|
|
|
HC INCISION OF LABIAL FRENUM
|
Facility
|
OP
|
$1,543.00
|
|
|
Service Code
|
CPT 40806
|
| Hospital Charge Code |
900501559
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$308.60 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$308.60
|
| 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 |
$1,040.51
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$763.04
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$693.67
|
| 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 |
$1,030.97
|
| Rate for Payer: Cash Price |
$694.35
|
| Rate for Payer: Cash Price |
$694.35
|
| Rate for Payer: Cash Price |
$694.35
|
| Rate for Payer: Cash Price |
$694.35
|
| Rate for Payer: Central Health Plan Commercial |
$1,234.40
|
| Rate for Payer: Cigna of CA HMO |
$987.52
|
| Rate for Payer: Cigna of CA PPO |
$1,141.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,040.51
|
| Rate for Payer: Dignity Health Medi-Cal |
$763.04
|
| Rate for Payer: Dignity Health Medicare Advantage |
$693.67
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,080.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,144.56
|
| Rate for Payer: EPIC Health Plan Senior |
$763.04
|
| Rate for Payer: Galaxy Health WC |
$1,311.55
|
| Rate for Payer: Global Benefits Group Commercial |
$925.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,388.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,137.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$693.67
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$979.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$560.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$745.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$308.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$929.52
|
| Rate for Payer: Multiplan Commercial |
$1,157.25
|
| Rate for Payer: Multiplan WC |
$1,030.97
|
| Rate for Payer: Networks By Design Commercial |
$1,002.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$693.67
|
| Rate for Payer: Preferred Health Network WC |
$1,052.01
|
| Rate for Payer: Prime Health Services Commercial |
$1,311.55
|
| Rate for Payer: Prime Health Services Medicare |
$735.29
|
| Rate for Payer: Prime Health Services WC |
$1,020.45
|
| Rate for Payer: Riverside University Health System MISP |
$763.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$925.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$771.50
|
| Rate for Payer: United Healthcare All Other HMO |
$771.50
|
| Rate for Payer: United Healthcare HMO Rider |
$771.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$771.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$693.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,040.51
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$763.04
|
| Rate for Payer: Vantage Medical Group Senior |
$693.67
|
|
|
HC INCISION OF LABIAL FRENUM
|
Facility
|
IP
|
$1,543.00
|
|
|
Service Code
|
CPT 40806
|
| Hospital Charge Code |
900501559
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$308.60 |
| Max. Negotiated Rate |
$1,388.70 |
| Rate for Payer: Adventist Health Commercial |
$308.60
|
| Rate for Payer: Cash Price |
$694.35
|
| Rate for Payer: Central Health Plan Commercial |
$1,234.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,080.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$617.20
|
| Rate for Payer: EPIC Health Plan Senior |
$617.20
|
| Rate for Payer: Galaxy Health WC |
$1,311.55
|
| Rate for Payer: Global Benefits Group Commercial |
$925.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,388.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$979.80
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$910.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$308.60
|
| Rate for Payer: Multiplan Commercial |
$1,157.25
|
| Rate for Payer: Networks By Design Commercial |
$1,002.95
|
| Rate for Payer: Prime Health Services Commercial |
$1,311.55
|
|
|
HC INCISION OF URETHRA
|
Facility
|
IP
|
$9,187.00
|
|
|
Service Code
|
CPT 53000
|
| Hospital Charge Code |
902400991
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$1,837.40 |
| Max. Negotiated Rate |
$8,268.30 |
| Rate for Payer: Adventist Health Commercial |
$1,837.40
|
| Rate for Payer: Cash Price |
$4,134.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,349.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,430.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,674.80
|
| Rate for Payer: EPIC Health Plan Senior |
$3,674.80
|
| Rate for Payer: Galaxy Health WC |
$7,808.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,512.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,268.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,833.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,420.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,837.40
|
| Rate for Payer: Multiplan Commercial |
$6,890.25
|
| Rate for Payer: Networks By Design Commercial |
$5,971.55
|
| Rate for Payer: Prime Health Services Commercial |
$7,808.95
|
|
|
HC INCISION OF URETHRA
|
Facility
|
OP
|
$9,187.00
|
|
|
Service Code
|
CPT 53000
|
| Hospital Charge Code |
902400991
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$265.74 |
| Max. Negotiated Rate |
$8,268.30 |
| Rate for Payer: Adventist Health Commercial |
$1,837.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,688.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$997.73
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,957.44
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,688.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Blue Shield of California Commercial |
$5,824.56
|
| Rate for Payer: Blue Shield of California EPN |
$3,665.61
|
| Rate for Payer: Cash Price |
$4,134.15
|
| Rate for Payer: Cash Price |
$4,134.15
|
| Rate for Payer: Cash Price |
$4,134.15
|
| Rate for Payer: Cash Price |
$4,134.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,349.60
|
| Rate for Payer: Cigna of CA HMO |
$5,879.68
|
| Rate for Payer: Cigna of CA PPO |
$6,798.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,957.44
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,688.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,430.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,436.16
|
| Rate for Payer: EPIC Health Plan Senior |
$2,957.44
|
| Rate for Payer: Galaxy Health WC |
$7,808.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,512.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,268.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,409.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$265.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,688.58
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,833.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$293.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,764.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,837.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,602.70
|
| Rate for Payer: Multiplan Commercial |
$6,890.25
|
| Rate for Payer: Networks By Design Commercial |
$5,971.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,688.58
|
| Rate for Payer: Prime Health Services Commercial |
$7,808.95
|
| Rate for Payer: Prime Health Services Medicare |
$2,849.89
|
| Rate for Payer: Riverside University Health System MISP |
$2,957.44
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,512.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,512.20
|
| 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 |
$2,688.58
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,957.44
|
| Rate for Payer: Vantage Medical Group Senior |
$2,688.58
|
|
