|
HC EPS ATRIAL RECORDING
|
Facility
OP
|
$6,164.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906820040
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$282.30 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$282.30
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,698.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,931.20
|
| Rate for Payer: Cigna of CA HMO |
$3,944.96
|
| Rate for Payer: Cigna of CA PPO |
$4,561.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$5,239.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,698.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,547.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,623.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,111.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,232.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$4,623.00
|
| Rate for Payer: Networks By Design Commercial |
$4,006.60
|
| Rate for Payer: Prime Health Services Commercial |
$5,239.40
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,698.40
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,698.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,698.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
OP
|
$6,164.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906811320
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$282.30 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$282.30
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,698.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,931.20
|
| Rate for Payer: Cigna of CA HMO |
$3,944.96
|
| Rate for Payer: Cigna of CA PPO |
$4,561.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$5,239.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,698.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,547.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,623.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,111.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,232.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$4,623.00
|
| Rate for Payer: Networks By Design Commercial |
$4,006.60
|
| Rate for Payer: Prime Health Services Commercial |
$5,239.40
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,698.40
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,698.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,698.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
IP
|
$6,164.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906820040
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,232.80 |
| Max. Negotiated Rate |
$5,547.60 |
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,931.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,465.60
|
| Rate for Payer: Galaxy Health WC |
$5,239.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,698.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,547.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,111.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,232.80
|
| Rate for Payer: Multiplan Commercial |
$4,623.00
|
| Rate for Payer: Networks By Design Commercial |
$4,006.60
|
| Rate for Payer: Prime Health Services Commercial |
$5,239.40
|
|
|
HC EPS ATRIAL RECORDING
|
Facility
IP
|
$6,164.00
|
|
|
Service Code
|
CPT 93602
|
| Hospital Charge Code |
906811320
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,232.80 |
| Max. Negotiated Rate |
$5,547.60 |
| Rate for Payer: Cash Price |
$2,773.80
|
| Rate for Payer: Central Health Plan Commercial |
$4,931.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,465.60
|
| Rate for Payer: Galaxy Health WC |
$5,239.40
|
| Rate for Payer: Global Benefits Group Commercial |
$3,698.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,547.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,111.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,232.80
|
| Rate for Payer: Multiplan Commercial |
$4,623.00
|
| Rate for Payer: Networks By Design Commercial |
$4,006.60
|
| Rate for Payer: Prime Health Services Commercial |
$5,239.40
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
OP
|
$8,487.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906820038
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$5,092.20
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Central Health Plan Commercial |
$6,789.60
|
| Rate for Payer: Cigna of CA HMO |
$5,431.68
|
| Rate for Payer: Cigna of CA PPO |
$6,280.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$7,213.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,092.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,638.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6,365.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,660.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,697.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$6,365.25
|
| Rate for Payer: Networks By Design Commercial |
$5,516.55
|
| Rate for Payer: Prime Health Services Commercial |
$7,213.95
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5,092.20
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,092.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,092.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
IP
|
$8,487.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906811305
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,697.40 |
| Max. Negotiated Rate |
$7,638.30 |
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Central Health Plan Commercial |
$6,789.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,394.80
|
| Rate for Payer: Galaxy Health WC |
$7,213.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,092.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,638.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,660.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,697.40
|
| Rate for Payer: Multiplan Commercial |
$6,365.25
|
| Rate for Payer: Networks By Design Commercial |
$5,516.55
|
| Rate for Payer: Prime Health Services Commercial |
$7,213.95
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
OP
|
$8,487.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906811305
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$5,092.20
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Central Health Plan Commercial |
$6,789.60
|
| Rate for Payer: Cigna of CA HMO |
$5,431.68
|
| Rate for Payer: Cigna of CA PPO |
$6,280.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$7,213.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,092.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,638.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6,365.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,660.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,697.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$6,365.25
|
| Rate for Payer: Networks By Design Commercial |
$5,516.55
|
| Rate for Payer: Prime Health Services Commercial |
$7,213.95
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5,092.20
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,092.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,092.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS BUNDLE OF HIS RECORDING
|
Facility
IP
|
$8,487.00
|
|
|
Service Code
|
CPT 93600
|
| Hospital Charge Code |
906820038
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,697.40 |
| Max. Negotiated Rate |
$7,638.30 |
| Rate for Payer: Cash Price |
$3,819.15
|
| Rate for Payer: Central Health Plan Commercial |
$6,789.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,394.80
|
| Rate for Payer: Galaxy Health WC |
$7,213.95
|
| Rate for Payer: Global Benefits Group Commercial |
$5,092.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,638.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,660.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,697.40
|
| Rate for Payer: Multiplan Commercial |
$6,365.25
|
| Rate for Payer: Networks By Design Commercial |
$5,516.55
|
| Rate for Payer: Prime Health Services Commercial |
$7,213.95
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
IP
|
$10,948.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906811334
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,189.60 |
| Max. Negotiated Rate |
$9,853.20 |
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,758.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,379.20
|
| Rate for Payer: Galaxy Health WC |
$9,305.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,568.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,853.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,302.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,189.60
|
| Rate for Payer: Multiplan Commercial |
$8,211.00
|
| Rate for Payer: Networks By Design Commercial |
$7,116.20
|
| Rate for Payer: Prime Health Services Commercial |
$9,305.80
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
IP
|
$10,948.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906820052
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$2,189.60 |
| Max. Negotiated Rate |
$9,853.20 |
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,758.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,379.20
|
| Rate for Payer: Galaxy Health WC |
$9,305.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,568.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,853.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,302.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,189.60
|
| Rate for Payer: Multiplan Commercial |
$8,211.00
|
| Rate for Payer: Networks By Design Commercial |
$7,116.20
|
| Rate for Payer: Prime Health Services Commercial |
$9,305.80
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
OP
|
$10,948.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906811334
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$6,568.80
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,758.40
|
| Rate for Payer: Cigna of CA HMO |
$7,006.72
|
| Rate for Payer: Cigna of CA PPO |
$8,101.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$9,305.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,568.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,853.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$8,211.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,302.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,189.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$8,211.00
|
| Rate for Payer: Networks By Design Commercial |
$7,116.20
|
| Rate for Payer: Prime Health Services Commercial |
$9,305.80
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$6,568.80
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,568.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,568.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS CATH ABLATION OF AV NODE
|
Facility
OP
|
$10,948.00
|
|
|
Service Code
|
CPT 93650
|
| Hospital Charge Code |
906820052
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$6,568.80
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Cash Price |
$4,926.60
|
| Rate for Payer: Central Health Plan Commercial |
$8,758.40
|
| Rate for Payer: Cigna of CA HMO |
$7,006.72
|
| Rate for Payer: Cigna of CA PPO |
$8,101.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$9,305.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,568.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,853.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$8,211.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,302.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,189.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$8,211.00
|
| Rate for Payer: Networks By Design Commercial |
$7,116.20
|
| Rate for Payer: Prime Health Services Commercial |
$9,305.80
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$6,568.80
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,568.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,568.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
IP
|
$23,494.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906820036
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$4,698.80 |
| Max. Negotiated Rate |
$21,144.60 |
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Central Health Plan Commercial |
$18,795.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,397.60
|
| Rate for Payer: Galaxy Health WC |
$19,969.90
|
| Rate for Payer: Global Benefits Group Commercial |
$14,096.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,144.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,670.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,698.80
|
| Rate for Payer: Multiplan Commercial |
$17,620.50
|
| Rate for Payer: Networks By Design Commercial |
$15,271.10
|
| Rate for Payer: Prime Health Services Commercial |
$19,969.90
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
OP
|
$23,494.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906820036
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$21,144.60 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,017.00
|
| Rate for Payer: BCBS Transplant Transplant |
$14,096.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Central Health Plan Commercial |
$18,795.20
|
| Rate for Payer: Cigna of CA HMO |
$15,036.16
|
| Rate for Payer: Cigna of CA PPO |
$17,385.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$19,969.90
|
| Rate for Payer: Global Benefits Group Commercial |
$14,096.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,144.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17,620.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,670.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,698.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$17,620.50
|
| Rate for Payer: Networks By Design Commercial |
$15,271.10
|
| Rate for Payer: Prime Health Services Commercial |
$19,969.90
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,096.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
OP
|
$23,494.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906811303
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$21,144.60 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,017.00
|
| Rate for Payer: BCBS Transplant Transplant |
$14,096.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Central Health Plan Commercial |
$18,795.20
|
| Rate for Payer: Cigna of CA HMO |
$15,036.16
|
| Rate for Payer: Cigna of CA PPO |
$17,385.56
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$19,969.90
|
| Rate for Payer: Global Benefits Group Commercial |
$14,096.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,144.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17,620.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,670.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,698.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$17,620.50
|
| Rate for Payer: Networks By Design Commercial |
$15,271.10
|
| Rate for Payer: Prime Health Services Commercial |
$19,969.90
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,096.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,500.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS COMP W ARRHYTHMIA INDUCT
|
Facility
IP
|
$23,494.00
|
|
|
Service Code
|
CPT 93620
|
| Hospital Charge Code |
906811303
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$4,698.80 |
| Max. Negotiated Rate |
$21,144.60 |
| Rate for Payer: Cash Price |
$10,572.30
|
| Rate for Payer: Central Health Plan Commercial |
$18,795.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,397.60
|
| Rate for Payer: Galaxy Health WC |
$19,969.90
|
| Rate for Payer: Global Benefits Group Commercial |
$14,096.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$21,144.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15,670.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,698.80
|
| Rate for Payer: Multiplan Commercial |
$17,620.50
|
| Rate for Payer: Networks By Design Commercial |
$15,271.10
|
| Rate for Payer: Prime Health Services Commercial |
$19,969.90
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
OP
|
$16,699.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906820053
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,017.00
|
| Rate for Payer: BCBS Transplant Transplant |
$10,019.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Central Health Plan Commercial |
$13,359.20
|
| Rate for Payer: Cigna of CA HMO |
$10,687.36
|
| Rate for Payer: Cigna of CA PPO |
$12,357.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$14,194.15
|
| Rate for Payer: Global Benefits Group Commercial |
$10,019.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,029.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$12,524.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,138.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,339.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$12,524.25
|
| Rate for Payer: Networks By Design Commercial |
$10,854.35
|
| Rate for Payer: Prime Health Services Commercial |
$14,194.15
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$10,019.40
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,019.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10,019.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
IP
|
$16,699.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906820053
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$3,339.80 |
| Max. Negotiated Rate |
$15,029.10 |
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Central Health Plan Commercial |
$13,359.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,679.60
|
| Rate for Payer: Galaxy Health WC |
$14,194.15
|
| Rate for Payer: Global Benefits Group Commercial |
$10,019.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,029.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,138.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,339.80
|
| Rate for Payer: Multiplan Commercial |
$12,524.25
|
| Rate for Payer: Networks By Design Commercial |
$10,854.35
|
| Rate for Payer: Prime Health Services Commercial |
$14,194.15
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
OP
|
$16,699.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906811349
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$15,396.15 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,331.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9,331.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,017.00
|
| Rate for Payer: BCBS Transplant Transplant |
$10,019.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Caremore Medicare Advantage |
$9,331.00
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Central Health Plan Commercial |
$13,359.20
|
| Rate for Payer: Cigna of CA HMO |
$10,687.36
|
| Rate for Payer: Cigna of CA PPO |
$12,357.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,996.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,596.85
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$9,331.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$9,331.00
|
| Rate for Payer: Galaxy Health WC |
$14,194.15
|
| Rate for Payer: Global Benefits Group Commercial |
$10,019.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,029.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$12,524.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$15,302.84
|
| Rate for Payer: IEHP medi-cal |
$15,396.15
|
| Rate for Payer: IEHP Medicare Advantage |
$9,331.00
|
| Rate for Payer: Innovage PACE Commercial |
$13,996.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,138.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,339.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,503.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,503.54
|
| Rate for Payer: Multiplan Commercial |
$12,524.25
|
| Rate for Payer: Networks By Design Commercial |
$10,854.35
|
| Rate for Payer: Prime Health Services Commercial |
$14,194.15
|
| Rate for Payer: Prime Health Services Medicare |
$9,890.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$10,019.40
|
| Rate for Payer: Riverside University Health MISP |
$10,264.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,019.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10,019.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,996.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,264.10
|
| Rate for Payer: Vantage Medical Group Senior |
$9,331.00
|
|
|
HC EPS COMP W/O ARRHYTHMIA INDUCT
|
Facility
IP
|
$16,699.00
|
|
|
Service Code
|
CPT 93619
|
| Hospital Charge Code |
906811349
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$3,339.80 |
| Max. Negotiated Rate |
$15,029.10 |
| Rate for Payer: Cash Price |
$7,514.55
|
| Rate for Payer: Central Health Plan Commercial |
$13,359.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,679.60
|
| Rate for Payer: Galaxy Health WC |
$14,194.15
|
| Rate for Payer: Global Benefits Group Commercial |
$10,019.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,029.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,138.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,339.80
|
| Rate for Payer: Multiplan Commercial |
$12,524.25
|
| Rate for Payer: Networks By Design Commercial |
$10,854.35
|
| Rate for Payer: Prime Health Services Commercial |
$14,194.15
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
OP
|
$58,614.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906811448
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,603.71 |
| Max. Negotiated Rate |
$52,752.60 |
| Rate for Payer: Adventist Health Medi-Cal |
$29,674.56
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29,674.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$35,168.40
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$29,674.56
|
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Central Health Plan Commercial |
$46,891.20
|
| Rate for Payer: Cigna of CA PPO |
$43,374.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,511.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,060.66
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,674.56
|
| Rate for Payer: EPIC Health Plan Transplant |
$29,674.56
|
| Rate for Payer: Galaxy Health WC |
$49,821.90
|
| Rate for Payer: Global Benefits Group Commercial |
$35,168.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$52,752.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$43,960.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,666.28
|
| Rate for Payer: IEHP medi-cal |
$48,963.02
|
| Rate for Payer: IEHP Medicare Advantage |
$29,674.56
|
| Rate for Payer: Innovage PACE Commercial |
$44,511.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$39,095.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,674.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,722.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,763.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,763.91
|
| Rate for Payer: Multiplan Commercial |
$43,960.50
|
| Rate for Payer: Networks By Design Commercial |
$38,099.10
|
| Rate for Payer: Prime Health Services Commercial |
$49,821.90
|
| Rate for Payer: Prime Health Services Medicare |
$31,455.03
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$35,168.40
|
| Rate for Payer: Riverside University Health MISP |
$32,642.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$35,168.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$35,168.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,597.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,783.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,722.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: Vantage Medical Group Senior |
$29,674.56
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
IP
|
$58,614.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906811448
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,722.80 |
| Max. Negotiated Rate |
$52,752.60 |
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Central Health Plan Commercial |
$46,891.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,445.60
|
| Rate for Payer: Galaxy Health WC |
$49,821.90
|
| Rate for Payer: Global Benefits Group Commercial |
$35,168.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$52,752.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$39,095.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,722.80
|
| Rate for Payer: Multiplan Commercial |
$43,960.50
|
| Rate for Payer: Networks By Design Commercial |
$38,099.10
|
| Rate for Payer: Prime Health Services Commercial |
$49,821.90
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
IP
|
$58,614.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906820251
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$11,722.80 |
| Max. Negotiated Rate |
$52,752.60 |
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Central Health Plan Commercial |
$46,891.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$23,445.60
|
| Rate for Payer: Galaxy Health WC |
$49,821.90
|
| Rate for Payer: Global Benefits Group Commercial |
$35,168.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$52,752.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$39,095.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,722.80
|
| Rate for Payer: Multiplan Commercial |
$43,960.50
|
| Rate for Payer: Networks By Design Commercial |
$38,099.10
|
| Rate for Payer: Prime Health Services Commercial |
$49,821.90
|
|
|
HC EPS COMP W PULM VEIN AFIB ABL
|
Facility
OP
|
$58,614.00
|
|
|
Service Code
|
CPT 93656
|
| Hospital Charge Code |
906820251
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,603.71 |
| Max. Negotiated Rate |
$52,752.60 |
| Rate for Payer: Adventist Health Medi-Cal |
$29,674.56
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29,674.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$35,168.40
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$29,674.56
|
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Cash Price |
$26,376.30
|
| Rate for Payer: Central Health Plan Commercial |
$46,891.20
|
| Rate for Payer: Cigna of CA PPO |
$43,374.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,511.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,060.66
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,674.56
|
| Rate for Payer: EPIC Health Plan Transplant |
$29,674.56
|
| Rate for Payer: Galaxy Health WC |
$49,821.90
|
| Rate for Payer: Global Benefits Group Commercial |
$35,168.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$52,752.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$43,960.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,666.28
|
| Rate for Payer: IEHP medi-cal |
$48,963.02
|
| Rate for Payer: IEHP Medicare Advantage |
$29,674.56
|
| Rate for Payer: Innovage PACE Commercial |
$44,511.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$39,095.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,674.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,722.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,763.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,763.91
|
| Rate for Payer: Multiplan Commercial |
$43,960.50
|
| Rate for Payer: Networks By Design Commercial |
$38,099.10
|
| Rate for Payer: Prime Health Services Commercial |
$49,821.90
|
| Rate for Payer: Prime Health Services Medicare |
$31,455.03
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$35,168.40
|
| Rate for Payer: Riverside University Health MISP |
$32,642.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$35,168.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$35,168.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,597.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,783.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,722.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: Vantage Medical Group Senior |
$29,674.56
|
|
|
HC EPS COMP W SVT ABLATION
|
Facility
OP
|
$41,319.00
|
|
|
Service Code
|
CPT 93653
|
| Hospital Charge Code |
906820248
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$6,603.71 |
| Max. Negotiated Rate |
$51,156.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$29,674.56
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29,674.56
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$24,791.40
|
| Rate for Payer: Blue Shield of California Commercial |
$9,194.24
|
| Rate for Payer: Blue Shield of California EPN |
$6,603.71
|
| Rate for Payer: Caremore Medicare Advantage |
$29,674.56
|
| Rate for Payer: Cash Price |
$18,593.55
|
| Rate for Payer: Cash Price |
$18,593.55
|
| Rate for Payer: Central Health Plan Commercial |
$33,055.20
|
| Rate for Payer: Cigna of CA PPO |
$30,576.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,511.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$40,060.66
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,674.56
|
| Rate for Payer: EPIC Health Plan Transplant |
$29,674.56
|
| Rate for Payer: Galaxy Health WC |
$35,121.15
|
| Rate for Payer: Global Benefits Group Commercial |
$24,791.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$37,187.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$30,989.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,666.28
|
| Rate for Payer: IEHP medi-cal |
$48,963.02
|
| Rate for Payer: IEHP Medicare Advantage |
$29,674.56
|
| Rate for Payer: Innovage PACE Commercial |
$44,511.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27,559.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,674.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,263.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,763.91
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,763.91
|
| Rate for Payer: Multiplan Commercial |
$30,989.25
|
| Rate for Payer: Networks By Design Commercial |
$26,857.35
|
| Rate for Payer: Prime Health Services Commercial |
$35,121.15
|
| Rate for Payer: Prime Health Services Medicare |
$31,455.03
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$24,791.40
|
| Rate for Payer: Riverside University Health MISP |
$32,642.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24,791.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24,791.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,597.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,783.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,722.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44,511.84
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32,642.02
|
| Rate for Payer: Vantage Medical Group Senior |
$29,674.56
|
|
