|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
OP
|
$68,291.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906811375
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$660.20 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$13,658.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,520.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,520.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$12,745.22
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$37,560.05
|
| Rate for Payer: Cash Price |
$37,560.05
|
| Rate for Payer: Cash Price |
$37,560.05
|
| Rate for Payer: Central Health Plan Commercial |
$54,632.80
|
| Rate for Payer: Cigna of CA HMO |
$43,706.24
|
| Rate for Payer: Cigna of CA PPO |
$50,535.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,372.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,520.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,502.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,520.13
|
| Rate for Payer: Galaxy Health WC |
$58,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$40,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,461.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,773.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$660.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,520.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,780.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$45,550.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$729.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,520.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,658.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,216.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,216.97
|
| Rate for Payer: Multiplan Commercial |
$51,218.25
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$44,389.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,520.13
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$58,047.35
|
| Rate for Payer: Prime Health Services Medicare |
$30,231.34
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,372.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$40,974.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,520.13
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Vantage Medical Group Senior |
$28,520.13
|
|
|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
OP
|
$80,342.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906820124
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$660.20 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$16,068.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,520.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,520.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$12,745.22
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$44,188.10
|
| Rate for Payer: Cash Price |
$44,188.10
|
| Rate for Payer: Cash Price |
$44,188.10
|
| Rate for Payer: Central Health Plan Commercial |
$64,273.60
|
| Rate for Payer: Cigna of CA HMO |
$51,418.88
|
| Rate for Payer: Cigna of CA PPO |
$59,453.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,372.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,520.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,502.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,520.13
|
| Rate for Payer: Galaxy Health WC |
$68,290.70
|
| Rate for Payer: Global Benefits Group Commercial |
$48,205.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$72,307.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,773.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$660.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,520.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,780.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$53,588.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$729.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,520.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,068.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,216.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,216.97
|
| Rate for Payer: Multiplan Commercial |
$60,256.50
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$52,222.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,520.13
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$68,290.70
|
| Rate for Payer: Prime Health Services Medicare |
$30,231.34
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,372.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48,205.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,520.13
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Vantage Medical Group Senior |
$28,520.13
|
|
|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
IP
|
$68,291.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906811375
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,658.20 |
| Max. Negotiated Rate |
$61,461.90 |
| Rate for Payer: Adventist Health Commercial |
$13,658.20
|
| Rate for Payer: Cash Price |
$37,560.05
|
| Rate for Payer: Central Health Plan Commercial |
$54,632.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,316.40
|
| Rate for Payer: EPIC Health Plan Senior |
$27,316.40
|
| Rate for Payer: Galaxy Health WC |
$58,047.35
|
| Rate for Payer: Global Benefits Group Commercial |
$40,974.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,461.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$45,550.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$26,018.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$42,272.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,658.20
|
| Rate for Payer: Multiplan Commercial |
$51,218.25
|
| Rate for Payer: Networks By Design Commercial |
$44,389.15
|
| Rate for Payer: Prime Health Services Commercial |
$58,047.35
|
|
|
HC ICD INSERT SINGLE/DBL CHAMBER
|
Facility
|
IP
|
$80,342.00
|
|
|
Service Code
|
CPT 33240
|
| Hospital Charge Code |
906820124
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$16,068.40 |
| Max. Negotiated Rate |
$72,307.80 |
| Rate for Payer: Adventist Health Commercial |
$16,068.40
|
| Rate for Payer: Cash Price |
$44,188.10
|
| Rate for Payer: Central Health Plan Commercial |
$64,273.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,136.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32,136.80
|
| Rate for Payer: Galaxy Health WC |
$68,290.70
|
| Rate for Payer: Global Benefits Group Commercial |
$48,205.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$72,307.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$53,588.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$30,610.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$49,731.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,068.40
|
| Rate for Payer: Multiplan Commercial |
$60,256.50
|
| Rate for Payer: Networks By Design Commercial |
$52,222.30
|
| Rate for Payer: Prime Health Services Commercial |
$68,290.70
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
IP
|
$4,810.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906811373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$962.00 |
| Max. Negotiated Rate |
$4,329.00 |
| Rate for Payer: Adventist Health Commercial |
$962.00
|
| Rate for Payer: Cash Price |
$2,645.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,848.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,924.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,924.00
|
| Rate for Payer: Galaxy Health WC |
$4,088.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,886.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,329.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,208.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,832.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,977.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$962.00
|
| Rate for Payer: Multiplan Commercial |
$3,607.50
|
| Rate for Payer: Networks By Design Commercial |
$3,126.50
|
| Rate for Payer: Prime Health Services Commercial |
$4,088.50
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
IP
|
$5,659.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906820123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,131.80 |
| Max. Negotiated Rate |
$5,093.10 |
| Rate for Payer: Adventist Health Commercial |
$1,131.80
|
| Rate for Payer: Cash Price |
$3,112.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,527.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,263.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,263.60
|
| Rate for Payer: Galaxy Health WC |
$4,810.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,395.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,093.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,774.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,156.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,502.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,131.80
|
| Rate for Payer: Multiplan Commercial |
$4,244.25
|
| Rate for Payer: Networks By Design Commercial |
$3,678.35
|
| Rate for Payer: Prime Health Services Commercial |
$4,810.15
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
OP
|
$4,810.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906811373
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$187.62 |
| Max. Negotiated Rate |
$44,438.00 |
| Rate for Payer: Adventist Health Commercial |
$962.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,624.09
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,086.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,624.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,367.67
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,645.50
|
| Rate for Payer: Cash Price |
$2,645.50
|
| Rate for Payer: Cash Price |
$2,645.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,848.00
|
| Rate for Payer: Cigna of CA HMO |
$3,078.40
|
| Rate for Payer: Cigna of CA PPO |
$3,559.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,086.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,624.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,242.52
|
| Rate for Payer: EPIC Health Plan Senior |
$4,624.09
|
| Rate for Payer: Galaxy Health WC |
$4,088.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,886.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,329.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,583.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$187.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,624.09
|
| Rate for Payer: InnovAge PACE Commercial |
$6,936.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,208.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,624.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$962.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,196.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,196.28
|
| Rate for Payer: Multiplan Commercial |
$3,607.50
|
| Rate for Payer: Multiplan WC |
$7,367.67
|
| Rate for Payer: Networks By Design Commercial |
$3,126.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,624.09
|
| Rate for Payer: Preferred Health Network WC |
$7,518.03
|
| Rate for Payer: Prime Health Services Commercial |
$4,088.50
|
| Rate for Payer: Prime Health Services Medicare |
$4,901.54
|
| Rate for Payer: Prime Health Services WC |
$7,292.49
|
| Rate for Payer: Riverside University Health System MISP |
$5,086.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,886.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,624.09
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,086.50
|
| Rate for Payer: Vantage Medical Group Senior |
$4,624.09
|
|
|
HC ICD LEAD REMOVAL, A &/OR V
|
Facility
|
OP
|
$5,659.00
|
|
|
Service Code
|
CPT 33244
|
| Hospital Charge Code |
906820123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$187.62 |
| Max. Negotiated Rate |
$44,438.00 |
| Rate for Payer: Adventist Health Commercial |
$1,131.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,624.09
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,086.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,624.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,367.67
|
| Rate for Payer: Blue Shield of California Commercial |
$4,851.77
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$3,112.45
|
| Rate for Payer: Cash Price |
$3,112.45
|
| Rate for Payer: Cash Price |
$3,112.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,527.20
|
| Rate for Payer: Cigna of CA HMO |
$3,621.76
|
| Rate for Payer: Cigna of CA PPO |
$4,187.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,086.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,624.09
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,242.52
|
| Rate for Payer: EPIC Health Plan Senior |
$4,624.09
|
| Rate for Payer: Galaxy Health WC |
$4,810.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,395.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,093.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,583.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$187.62
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,624.09
|
| Rate for Payer: InnovAge PACE Commercial |
$6,936.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,774.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,624.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,131.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,196.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,196.28
|
| Rate for Payer: Multiplan Commercial |
$4,244.25
|
| Rate for Payer: Multiplan WC |
$7,367.67
|
| Rate for Payer: Networks By Design Commercial |
$3,678.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,624.09
|
| Rate for Payer: Preferred Health Network WC |
$7,518.03
|
| Rate for Payer: Prime Health Services Commercial |
$4,810.15
|
| Rate for Payer: Prime Health Services Medicare |
$4,901.54
|
| Rate for Payer: Prime Health Services WC |
$7,292.49
|
| Rate for Payer: Riverside University Health System MISP |
$5,086.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,395.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,624.09
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,936.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,086.50
|
| Rate for Payer: Vantage Medical Group Senior |
$4,624.09
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
IP
|
$3,910.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906820055
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$782.00 |
| Max. Negotiated Rate |
$3,519.00 |
| Rate for Payer: Adventist Health Commercial |
$782.00
|
| Rate for Payer: Cash Price |
$2,150.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,128.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,564.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,564.00
|
| Rate for Payer: Galaxy Health WC |
$3,323.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,346.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,519.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,607.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,489.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,420.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$782.00
|
| Rate for Payer: Multiplan Commercial |
$2,932.50
|
| Rate for Payer: Networks By Design Commercial |
$2,541.50
|
| Rate for Payer: Prime Health Services Commercial |
$3,323.50
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
OP
|
$4,496.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906811383
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$9,620.00 |
| Rate for Payer: Adventist Health Commercial |
$899.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,472.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,372.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2,176.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,640.50
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,596.80
|
| Rate for Payer: Cigna of CA HMO |
$2,877.44
|
| Rate for Payer: Cigna of CA PPO |
$3,327.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,821.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,821.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,798.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,798.40
|
| Rate for Payer: Galaxy Health WC |
$3,821.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,697.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,046.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$831.47
|
| Rate for Payer: InnovAge PACE Commercial |
$2,248.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,998.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$918.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,783.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$899.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,147.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,147.20
|
| Rate for Payer: Multiplan Commercial |
$3,372.00
|
| Rate for Payer: Networks By Design Commercial |
$2,922.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,821.60
|
| Rate for Payer: Riverside University Health System MISP |
$1,798.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,697.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,697.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,821.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,821.60
|
| Rate for Payer: Vantage Medical Group Senior |
$3,821.60
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
IP
|
$4,496.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906811383
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$899.20 |
| Max. Negotiated Rate |
$4,046.40 |
| Rate for Payer: Adventist Health Commercial |
$899.20
|
| Rate for Payer: Cash Price |
$2,472.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,596.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,798.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,798.40
|
| Rate for Payer: Galaxy Health WC |
$3,821.60
|
| Rate for Payer: Global Benefits Group Commercial |
$2,697.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,046.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,998.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,712.98
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,783.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$899.20
|
| Rate for Payer: Multiplan Commercial |
$3,372.00
|
| Rate for Payer: Networks By Design Commercial |
$2,922.40
|
| Rate for Payer: Prime Health Services Commercial |
$3,821.60
|
|
|
HC ICD LEAD(S) TEST @ IMPLANT
|
Facility
|
OP
|
$3,910.00
|
|
|
Service Code
|
CPT 93640
|
| Hospital Charge Code |
906820055
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$676.00 |
| Max. Negotiated Rate |
$9,620.00 |
| Rate for Payer: Adventist Health Commercial |
$782.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,323.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,150.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,932.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,893.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,296.34
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,150.50
|
| Rate for Payer: Cash Price |
$2,150.50
|
| Rate for Payer: Cash Price |
$2,150.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,128.00
|
| Rate for Payer: Cigna of CA HMO |
$2,502.40
|
| Rate for Payer: Cigna of CA PPO |
$2,893.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,323.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,323.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,323.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,564.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,564.00
|
| Rate for Payer: Galaxy Health WC |
$3,323.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,346.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,519.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$831.47
|
| Rate for Payer: InnovAge PACE Commercial |
$1,955.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,607.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$918.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,420.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$782.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,737.00
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,737.00
|
| Rate for Payer: Multiplan Commercial |
$2,932.50
|
| Rate for Payer: Networks By Design Commercial |
$2,541.50
|
| Rate for Payer: Prime Health Services Commercial |
$3,323.50
|
| Rate for Payer: Riverside University Health System MISP |
$1,564.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,346.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,346.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,323.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,323.50
|
| Rate for Payer: Vantage Medical Group Senior |
$3,323.50
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
OP
|
$4,214.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906820106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$126.80 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$842.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,324.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,556.64
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,324.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,703.23
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$2,317.70
|
| Rate for Payer: Cash Price |
$2,317.70
|
| Rate for Payer: Cash Price |
$2,317.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,371.20
|
| Rate for Payer: Cigna of CA HMO |
$2,696.96
|
| Rate for Payer: Cigna of CA PPO |
$3,118.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,556.64
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,324.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,137.70
|
| Rate for Payer: EPIC Health Plan Senior |
$2,324.22
|
| Rate for Payer: Galaxy Health WC |
$3,581.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,528.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,792.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,811.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$126.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,324.22
|
| Rate for Payer: InnovAge PACE Commercial |
$3,486.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,810.74
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$140.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,324.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$842.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,114.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,114.45
|
| Rate for Payer: Multiplan Commercial |
$3,160.50
|
| Rate for Payer: Multiplan WC |
$3,703.23
|
| Rate for Payer: Networks By Design Commercial |
$2,739.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,324.22
|
| Rate for Payer: Preferred Health Network WC |
$3,778.81
|
| Rate for Payer: Prime Health Services Commercial |
$3,581.90
|
| Rate for Payer: Prime Health Services Medicare |
$2,463.67
|
| Rate for Payer: Prime Health Services WC |
$3,665.45
|
| Rate for Payer: Riverside University Health System MISP |
$2,556.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,528.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,324.22
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,556.64
|
| Rate for Payer: Vantage Medical Group Senior |
$2,324.22
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
OP
|
$3,582.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906811336
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$126.80 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$716.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,324.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,556.64
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,324.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,703.23
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$1,970.10
|
| Rate for Payer: Cash Price |
$1,970.10
|
| Rate for Payer: Cash Price |
$1,970.10
|
| Rate for Payer: Central Health Plan Commercial |
$2,865.60
|
| Rate for Payer: Cigna of CA HMO |
$2,292.48
|
| Rate for Payer: Cigna of CA PPO |
$2,650.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,556.64
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,324.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,137.70
|
| Rate for Payer: EPIC Health Plan Senior |
$2,324.22
|
| Rate for Payer: Galaxy Health WC |
$3,044.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,149.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,223.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,811.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$126.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,324.22
|
| Rate for Payer: InnovAge PACE Commercial |
$3,486.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,389.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$140.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,324.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$716.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,114.45
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,114.45
|
| Rate for Payer: Multiplan Commercial |
$2,686.50
|
| Rate for Payer: Multiplan WC |
$3,703.23
|
| Rate for Payer: Networks By Design Commercial |
$2,328.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,324.22
|
| Rate for Payer: Preferred Health Network WC |
$3,778.81
|
| Rate for Payer: Prime Health Services Commercial |
$3,044.70
|
| Rate for Payer: Prime Health Services Medicare |
$2,463.67
|
| Rate for Payer: Prime Health Services WC |
$3,665.45
|
| Rate for Payer: Riverside University Health System MISP |
$2,556.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,149.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,324.22
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,486.33
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,556.64
|
| Rate for Payer: Vantage Medical Group Senior |
$2,324.22
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
IP
|
$3,582.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906811336
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$716.40 |
| Max. Negotiated Rate |
$3,223.80 |
| Rate for Payer: Adventist Health Commercial |
$716.40
|
| Rate for Payer: Cash Price |
$1,970.10
|
| Rate for Payer: Central Health Plan Commercial |
$2,865.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,432.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,432.80
|
| Rate for Payer: Galaxy Health WC |
$3,044.70
|
| Rate for Payer: Global Benefits Group Commercial |
$2,149.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,223.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,389.19
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,364.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,217.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$716.40
|
| Rate for Payer: Multiplan Commercial |
$2,686.50
|
| Rate for Payer: Networks By Design Commercial |
$2,328.30
|
| Rate for Payer: Prime Health Services Commercial |
$3,044.70
|
|
|
HC ICD POCKET REVISION/RELOC
|
Facility
|
IP
|
$4,214.00
|
|
|
Service Code
|
CPT 33223
|
| Hospital Charge Code |
906820106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$842.80 |
| Max. Negotiated Rate |
$3,792.60 |
| Rate for Payer: Adventist Health Commercial |
$842.80
|
| Rate for Payer: Cash Price |
$2,317.70
|
| Rate for Payer: Central Health Plan Commercial |
$3,371.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,685.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,685.60
|
| Rate for Payer: Galaxy Health WC |
$3,581.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,528.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,792.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,810.74
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,605.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,608.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$842.80
|
| Rate for Payer: Multiplan Commercial |
$3,160.50
|
| Rate for Payer: Networks By Design Commercial |
$2,739.10
|
| Rate for Payer: Prime Health Services Commercial |
$3,581.90
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
IP
|
$67,780.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906820216
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$13,556.00 |
| Max. Negotiated Rate |
$61,002.00 |
| Rate for Payer: Adventist Health Commercial |
$13,556.00
|
| Rate for Payer: Cash Price |
$37,279.00
|
| Rate for Payer: Central Health Plan Commercial |
$54,224.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$27,112.00
|
| Rate for Payer: EPIC Health Plan Senior |
$27,112.00
|
| Rate for Payer: Galaxy Health WC |
$57,613.00
|
| Rate for Payer: Global Benefits Group Commercial |
$40,668.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,002.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$45,209.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$25,824.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,955.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,556.00
|
| Rate for Payer: Multiplan Commercial |
$50,835.00
|
| Rate for Payer: Networks By Design Commercial |
$44,057.00
|
| Rate for Payer: Prime Health Services Commercial |
$57,613.00
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
IP
|
$57,613.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906811423
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,522.60 |
| Max. Negotiated Rate |
$51,851.70 |
| Rate for Payer: Adventist Health Commercial |
$11,522.60
|
| Rate for Payer: Cash Price |
$31,687.15
|
| Rate for Payer: Central Health Plan Commercial |
$46,090.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,045.20
|
| Rate for Payer: EPIC Health Plan Senior |
$23,045.20
|
| Rate for Payer: Galaxy Health WC |
$48,971.05
|
| Rate for Payer: Global Benefits Group Commercial |
$34,567.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$51,851.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38,427.87
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$21,950.55
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$35,662.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,522.60
|
| Rate for Payer: Multiplan Commercial |
$43,209.75
|
| Rate for Payer: Networks By Design Commercial |
$37,448.45
|
| Rate for Payer: Prime Health Services Commercial |
$48,971.05
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
OP
|
$57,613.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906811423
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$539.19 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$11,522.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,520.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,520.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$31,687.15
|
| Rate for Payer: Cash Price |
$31,687.15
|
| Rate for Payer: Cash Price |
$31,687.15
|
| Rate for Payer: Central Health Plan Commercial |
$46,090.40
|
| Rate for Payer: Cigna of CA HMO |
$36,872.32
|
| Rate for Payer: Cigna of CA PPO |
$42,633.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,372.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,520.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,502.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,520.13
|
| Rate for Payer: Galaxy Health WC |
$48,971.05
|
| Rate for Payer: Global Benefits Group Commercial |
$34,567.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$51,851.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,773.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$539.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,520.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,780.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38,427.87
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$595.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,520.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,522.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,216.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,216.97
|
| Rate for Payer: Multiplan Commercial |
$43,209.75
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$37,448.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,520.13
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$48,971.05
|
| Rate for Payer: Prime Health Services Medicare |
$30,231.34
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,372.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34,567.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,520.13
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Vantage Medical Group Senior |
$28,520.13
|
|
|
HC ICD REMV REPL EX DUAL LEADS
|
Facility
|
OP
|
$67,780.00
|
|
|
Service Code
|
CPT 33263
|
| Hospital Charge Code |
906820216
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$539.19 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$13,556.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,520.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,520.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$37,279.00
|
| Rate for Payer: Cash Price |
$37,279.00
|
| Rate for Payer: Cash Price |
$37,279.00
|
| Rate for Payer: Central Health Plan Commercial |
$54,224.00
|
| Rate for Payer: Cigna of CA HMO |
$43,379.20
|
| Rate for Payer: Cigna of CA PPO |
$50,157.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,372.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,520.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,502.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,520.13
|
| Rate for Payer: Galaxy Health WC |
$57,613.00
|
| Rate for Payer: Global Benefits Group Commercial |
$40,668.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$61,002.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,773.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$539.19
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,520.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,780.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$45,209.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$595.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,520.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13,556.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,216.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,216.97
|
| Rate for Payer: Multiplan Commercial |
$50,835.00
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$44,057.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,520.13
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$57,613.00
|
| Rate for Payer: Prime Health Services Medicare |
$30,231.34
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,372.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$40,668.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,520.13
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Vantage Medical Group Senior |
$28,520.13
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
IP
|
$90,373.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906820217
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$18,074.60 |
| Max. Negotiated Rate |
$81,335.70 |
| Rate for Payer: Adventist Health Commercial |
$18,074.60
|
| Rate for Payer: Cash Price |
$49,705.15
|
| Rate for Payer: Central Health Plan Commercial |
$72,298.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$36,149.20
|
| Rate for Payer: EPIC Health Plan Senior |
$36,149.20
|
| Rate for Payer: Galaxy Health WC |
$76,817.05
|
| Rate for Payer: Global Benefits Group Commercial |
$54,223.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$81,335.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$60,278.79
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$34,432.11
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$55,940.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$18,074.60
|
| Rate for Payer: Multiplan Commercial |
$67,779.75
|
| Rate for Payer: Networks By Design Commercial |
$58,742.45
|
| Rate for Payer: Prime Health Services Commercial |
$76,817.05
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
OP
|
$90,373.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906820217
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$559.03 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$18,074.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$40,737.44
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44,811.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40,737.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$64,907.85
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$49,705.15
|
| Rate for Payer: Cash Price |
$49,705.15
|
| Rate for Payer: Cash Price |
$49,705.15
|
| Rate for Payer: Central Health Plan Commercial |
$72,298.40
|
| Rate for Payer: Cigna of CA HMO |
$57,838.72
|
| Rate for Payer: Cigna of CA PPO |
$66,876.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$44,811.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$40,737.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,995.54
|
| Rate for Payer: EPIC Health Plan Senior |
$40,737.44
|
| Rate for Payer: Galaxy Health WC |
$76,817.05
|
| Rate for Payer: Global Benefits Group Commercial |
$54,223.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$81,335.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$66,809.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$559.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,737.44
|
| Rate for Payer: InnovAge PACE Commercial |
$61,106.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$60,278.79
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$617.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,737.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$18,074.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,588.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,588.17
|
| Rate for Payer: Multiplan Commercial |
$67,779.75
|
| Rate for Payer: Multiplan WC |
$64,907.85
|
| Rate for Payer: Networks By Design Commercial |
$58,742.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,737.44
|
| Rate for Payer: Preferred Health Network WC |
$66,232.50
|
| Rate for Payer: Prime Health Services Commercial |
$76,817.05
|
| Rate for Payer: Prime Health Services Medicare |
$43,181.69
|
| Rate for Payer: Prime Health Services WC |
$64,245.53
|
| Rate for Payer: Riverside University Health System MISP |
$44,811.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$54,223.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$40,737.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44,811.18
|
| Rate for Payer: Vantage Medical Group Senior |
$40,737.44
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
OP
|
$76,817.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906811424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$559.03 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$15,363.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$40,737.44
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$44,811.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$40,737.44
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$64,907.85
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$42,249.35
|
| Rate for Payer: Cash Price |
$42,249.35
|
| Rate for Payer: Cash Price |
$42,249.35
|
| Rate for Payer: Central Health Plan Commercial |
$61,453.60
|
| Rate for Payer: Cigna of CA HMO |
$49,162.88
|
| Rate for Payer: Cigna of CA PPO |
$56,844.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$44,811.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$40,737.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$54,995.54
|
| Rate for Payer: EPIC Health Plan Senior |
$40,737.44
|
| Rate for Payer: Galaxy Health WC |
$65,294.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$69,135.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$66,809.40
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$559.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$40,737.44
|
| Rate for Payer: InnovAge PACE Commercial |
$61,106.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$51,236.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$617.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$40,737.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,363.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$54,588.17
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$54,588.17
|
| Rate for Payer: Multiplan Commercial |
$57,612.75
|
| Rate for Payer: Multiplan WC |
$64,907.85
|
| Rate for Payer: Networks By Design Commercial |
$49,931.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$40,737.44
|
| Rate for Payer: Preferred Health Network WC |
$66,232.50
|
| Rate for Payer: Prime Health Services Commercial |
$65,294.45
|
| Rate for Payer: Prime Health Services Medicare |
$43,181.69
|
| Rate for Payer: Prime Health Services WC |
$64,245.53
|
| Rate for Payer: Riverside University Health System MISP |
$44,811.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$46,090.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$40,737.44
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,106.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$44,811.18
|
| Rate for Payer: Vantage Medical Group Senior |
$40,737.44
|
|
|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
IP
|
$76,817.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906811424
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$15,363.40 |
| Max. Negotiated Rate |
$69,135.30 |
| Rate for Payer: Adventist Health Commercial |
$15,363.40
|
| Rate for Payer: Cash Price |
$42,249.35
|
| Rate for Payer: Central Health Plan Commercial |
$61,453.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,726.80
|
| Rate for Payer: EPIC Health Plan Senior |
$30,726.80
|
| Rate for Payer: Galaxy Health WC |
$65,294.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,090.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$69,135.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$51,236.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$29,267.28
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$47,549.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,363.40
|
| Rate for Payer: Multiplan Commercial |
$57,612.75
|
| Rate for Payer: Networks By Design Commercial |
$49,931.05
|
| Rate for Payer: Prime Health Services Commercial |
$65,294.45
|
|
|
HC ICD REMV REPL EX SINGLE LEAD
|
Facility
|
OP
|
$80,657.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906811422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$518.68 |
| Max. Negotiated Rate |
$109,559.00 |
| Rate for Payer: Adventist Health Commercial |
$16,131.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,520.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,520.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$44,438.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$45,441.74
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$44,361.35
|
| Rate for Payer: Cash Price |
$44,361.35
|
| Rate for Payer: Cash Price |
$44,361.35
|
| Rate for Payer: Central Health Plan Commercial |
$64,525.60
|
| Rate for Payer: Cigna of CA HMO |
$51,620.48
|
| Rate for Payer: Cigna of CA PPO |
$59,686.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,372.14
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,520.13
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,502.18
|
| Rate for Payer: EPIC Health Plan Senior |
$28,520.13
|
| Rate for Payer: Galaxy Health WC |
$68,558.45
|
| Rate for Payer: Global Benefits Group Commercial |
$48,394.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$72,591.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,773.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$518.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,520.13
|
| Rate for Payer: InnovAge PACE Commercial |
$42,780.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$53,798.22
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$572.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,520.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,131.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$38,216.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$38,216.97
|
| Rate for Payer: Multiplan Commercial |
$60,492.75
|
| Rate for Payer: Multiplan WC |
$45,441.74
|
| Rate for Payer: Networks By Design Commercial |
$52,427.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,520.13
|
| Rate for Payer: Preferred Health Network WC |
$46,369.12
|
| Rate for Payer: Prime Health Services Commercial |
$68,558.45
|
| Rate for Payer: Prime Health Services Medicare |
$30,231.34
|
| Rate for Payer: Prime Health Services WC |
$44,978.05
|
| Rate for Payer: Riverside University Health System MISP |
$31,372.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$48,394.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$109,559.00
|
| Rate for Payer: United Healthcare All Other HMO |
$97,437.00
|
| Rate for Payer: United Healthcare HMO Rider |
$84,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$77,134.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,520.13
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,780.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,372.14
|
| Rate for Payer: Vantage Medical Group Senior |
$28,520.13
|
|
