|
HC INTRAORAL I&D ABSCESS SUBMAND
|
Facility
|
OP
|
$9,433.00
|
|
|
Service Code
|
CPT 41008
|
| Hospital Charge Code |
900501403
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$8,489.70 |
| Rate for Payer: Adventist Health Commercial |
$3,867.53
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,180.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,532.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,120.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,565.51
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,546.40
|
| Rate for Payer: Cigna of CA HMO |
$6,037.12
|
| Rate for Payer: Cigna of CA PPO |
$6,980.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,180.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,532.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,120.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,562.86
|
| Rate for Payer: EPIC Health Plan Senior |
$4,120.64
|
| Rate for Payer: Galaxy Health WC |
$8,018.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,659.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,489.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,757.85
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,120.64
|
| Rate for Payer: InnovAge PACE Commercial |
$6,180.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,291.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$415.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,120.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,886.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,521.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,521.66
|
| Rate for Payer: Multiplan Commercial |
$7,074.75
|
| Rate for Payer: Multiplan WC |
$6,565.51
|
| Rate for Payer: Networks By Design Commercial |
$6,131.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,120.64
|
| Rate for Payer: Preferred Health Network WC |
$6,699.50
|
| Rate for Payer: Prime Health Services Commercial |
$8,018.05
|
| Rate for Payer: Prime Health Services Medicare |
$4,367.88
|
| Rate for Payer: Prime Health Services WC |
$6,498.52
|
| Rate for Payer: Riverside University Health System MISP |
$4,532.70
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,659.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,659.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,120.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,180.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,532.70
|
| Rate for Payer: Vantage Medical Group Senior |
$4,120.64
|
|
|
HC INTRAORAL I&D ABSCESS SUBMAND
|
Facility
|
IP
|
$9,433.00
|
|
|
Service Code
|
CPT 41008
|
| Hospital Charge Code |
900501403
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,886.60 |
| Max. Negotiated Rate |
$8,489.70 |
| Rate for Payer: Adventist Health Commercial |
$1,886.60
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,546.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,773.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,773.20
|
| Rate for Payer: Galaxy Health WC |
$8,018.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,659.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,489.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,291.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,593.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,839.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,886.60
|
| Rate for Payer: Multiplan Commercial |
$7,074.75
|
| Rate for Payer: Networks By Design Commercial |
$6,131.45
|
| Rate for Payer: Prime Health Services Commercial |
$8,018.05
|
|
|
HC INTRAORAL I&D ABSCESS SUBMAND
|
Facility
|
IP
|
$9,433.00
|
|
|
Service Code
|
CPT 41008
|
| Hospital Charge Code |
900501403
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,886.60 |
| Max. Negotiated Rate |
$8,489.70 |
| Rate for Payer: Adventist Health Commercial |
$1,886.60
|
| Rate for Payer: Cash Price |
$5,188.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,546.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,773.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,773.20
|
| Rate for Payer: Galaxy Health WC |
$8,018.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,659.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,489.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,291.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,593.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,839.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,886.60
|
| Rate for Payer: Multiplan Commercial |
$7,074.75
|
| Rate for Payer: Networks By Design Commercial |
$6,131.45
|
| Rate for Payer: Prime Health Services Commercial |
$8,018.05
|
|
|
HC INTRAORAL I&D OF ABSC LINGUAL
|
Facility
|
IP
|
$10,189.00
|
|
|
Service Code
|
CPT 41007
|
| Hospital Charge Code |
900501146
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$2,037.80 |
| Max. Negotiated Rate |
$9,170.10 |
| Rate for Payer: Adventist Health Commercial |
$2,037.80
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Central Health Plan Commercial |
$8,151.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,075.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,075.60
|
| Rate for Payer: Galaxy Health WC |
$8,660.65
|
| Rate for Payer: Global Benefits Group Commercial |
$6,113.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,170.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,796.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,882.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,306.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,037.80
|
| Rate for Payer: Multiplan Commercial |
$7,641.75
|
| Rate for Payer: Networks By Design Commercial |
$6,622.85
|
| Rate for Payer: Prime Health Services Commercial |
$8,660.65
|
|
|
HC INTRAORAL I&D OF ABSC LINGUAL
|
Facility
|
OP
|
$10,189.00
|
|
|
Service Code
|
CPT 41007
|
| Hospital Charge Code |
900501146
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$398.96 |
| Max. Negotiated Rate |
$9,170.10 |
| Rate for Payer: Adventist Health Commercial |
$4,177.49
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,070.32
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,882.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,998.82
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Central Health Plan Commercial |
$8,151.20
|
| Rate for Payer: Cigna of CA HMO |
$6,520.96
|
| Rate for Payer: Cigna of CA PPO |
$7,539.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,070.32
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,882.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,540.85
|
| Rate for Payer: EPIC Health Plan Senior |
$1,882.11
|
| Rate for Payer: Galaxy Health WC |
$8,660.65
|
| Rate for Payer: Global Benefits Group Commercial |
$6,113.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,170.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,086.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,882.11
|
| Rate for Payer: InnovAge PACE Commercial |
$2,823.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,796.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$398.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,882.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,037.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,522.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,522.03
|
| Rate for Payer: Multiplan Commercial |
$7,641.75
|
| Rate for Payer: Multiplan WC |
$2,998.82
|
| Rate for Payer: Networks By Design Commercial |
$6,622.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,882.11
|
| Rate for Payer: Preferred Health Network WC |
$3,060.02
|
| Rate for Payer: Prime Health Services Commercial |
$8,660.65
|
| Rate for Payer: Prime Health Services Medicare |
$1,995.04
|
| Rate for Payer: Prime Health Services WC |
$2,968.22
|
| Rate for Payer: Riverside University Health System MISP |
$2,070.32
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,113.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,113.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,882.11
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,070.32
|
| Rate for Payer: Vantage Medical Group Senior |
$1,882.11
|
|
|
HC INTRAORAL I&D OF ABSC LINGUAL
|
Facility
|
IP
|
$10,189.00
|
|
|
Service Code
|
CPT 41007
|
| Hospital Charge Code |
900501146
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,037.80 |
| Max. Negotiated Rate |
$9,170.10 |
| Rate for Payer: Adventist Health Commercial |
$2,037.80
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Central Health Plan Commercial |
$8,151.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,075.60
|
| Rate for Payer: EPIC Health Plan Senior |
$4,075.60
|
| Rate for Payer: Galaxy Health WC |
$8,660.65
|
| Rate for Payer: Global Benefits Group Commercial |
$6,113.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,170.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,796.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,882.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6,306.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,037.80
|
| Rate for Payer: Multiplan Commercial |
$7,641.75
|
| Rate for Payer: Networks By Design Commercial |
$6,622.85
|
| Rate for Payer: Prime Health Services Commercial |
$8,660.65
|
|
|
HC INTRAORAL I&D OF ABSC LINGUAL
|
Facility
|
OP
|
$10,189.00
|
|
|
Service Code
|
CPT 41007
|
| Hospital Charge Code |
900501146
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$398.96 |
| Max. Negotiated Rate |
$9,170.10 |
| Rate for Payer: Adventist Health Commercial |
$2,037.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,070.32
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,882.11
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,998.82
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Cash Price |
$5,603.95
|
| Rate for Payer: Central Health Plan Commercial |
$8,151.20
|
| Rate for Payer: Cigna of CA HMO |
$6,520.96
|
| Rate for Payer: Cigna of CA PPO |
$7,539.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,070.32
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,882.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,540.85
|
| Rate for Payer: EPIC Health Plan Senior |
$1,882.11
|
| Rate for Payer: Galaxy Health WC |
$8,660.65
|
| Rate for Payer: Global Benefits Group Commercial |
$6,113.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,170.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,086.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,882.11
|
| Rate for Payer: InnovAge PACE Commercial |
$2,823.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,796.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$398.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,882.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,037.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,522.03
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,522.03
|
| Rate for Payer: Multiplan Commercial |
$7,641.75
|
| Rate for Payer: Multiplan WC |
$2,998.82
|
| Rate for Payer: Networks By Design Commercial |
$6,622.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,882.11
|
| Rate for Payer: Preferred Health Network WC |
$3,060.02
|
| Rate for Payer: Prime Health Services Commercial |
$8,660.65
|
| Rate for Payer: Prime Health Services Medicare |
$1,995.04
|
| Rate for Payer: Prime Health Services WC |
$2,968.22
|
| Rate for Payer: Riverside University Health System MISP |
$2,070.32
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,113.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,094.50
|
| Rate for Payer: United Healthcare All Other HMO |
$5,094.50
|
| Rate for Payer: United Healthcare HMO Rider |
$5,094.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,094.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,882.11
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,823.16
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,070.32
|
| Rate for Payer: Vantage Medical Group Senior |
$1,882.11
|
|
|
HC INTRAORAL INCISION OF ABSCESS
|
Facility
|
OP
|
$5,819.00
|
|
|
Service Code
|
CPT 41000
|
| Hospital Charge Code |
900501290
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$108.93 |
| Max. Negotiated Rate |
$6,333.00 |
| Rate for Payer: Adventist Health Commercial |
$1,163.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$970.58
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$711.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$647.05
|
| 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 |
$1,030.97
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,655.20
|
| Rate for Payer: Cigna of CA HMO |
$3,724.16
|
| Rate for Payer: Cigna of CA PPO |
$4,306.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$970.58
|
| Rate for Payer: Dignity Health Medi-Cal |
$711.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$647.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$873.52
|
| Rate for Payer: EPIC Health Plan Senior |
$647.05
|
| Rate for Payer: Galaxy Health WC |
$4,946.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,491.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,237.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,061.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$647.05
|
| Rate for Payer: InnovAge PACE Commercial |
$970.58
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,881.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$108.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$647.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,163.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$867.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$867.05
|
| Rate for Payer: Multiplan Commercial |
$4,364.25
|
| Rate for Payer: Multiplan WC |
$1,030.97
|
| Rate for Payer: Networks By Design Commercial |
$3,782.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$647.05
|
| Rate for Payer: Preferred Health Network WC |
$1,052.01
|
| Rate for Payer: Prime Health Services Commercial |
$4,946.15
|
| Rate for Payer: Prime Health Services Medicare |
$685.87
|
| Rate for Payer: Prime Health Services WC |
$1,020.45
|
| Rate for Payer: Riverside University Health System MISP |
$711.75
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,491.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,909.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,909.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,909.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,909.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$647.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$970.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$711.75
|
| Rate for Payer: Vantage Medical Group Senior |
$647.05
|
|
|
HC INTRAORAL INCISION OF ABSCESS
|
Facility
|
IP
|
$5,819.00
|
|
|
Service Code
|
CPT 41000
|
| Hospital Charge Code |
900501290
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,163.80 |
| Max. Negotiated Rate |
$5,237.10 |
| Rate for Payer: Adventist Health Commercial |
$1,163.80
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,655.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,327.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,327.60
|
| Rate for Payer: Galaxy Health WC |
$4,946.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,491.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,237.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,881.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,217.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,601.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,163.80
|
| Rate for Payer: Multiplan Commercial |
$4,364.25
|
| Rate for Payer: Networks By Design Commercial |
$3,782.35
|
| Rate for Payer: Prime Health Services Commercial |
$4,946.15
|
|
|
HC INTRAORAL INCISION OF ABSCESS
|
Facility
|
OP
|
$5,819.00
|
|
|
Service Code
|
CPT 41000
|
| Hospital Charge Code |
900501290
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$108.93 |
| Max. Negotiated Rate |
$6,333.00 |
| Rate for Payer: Adventist Health Commercial |
$2,385.79
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$970.58
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$711.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$647.05
|
| 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 |
$1,030.97
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,655.20
|
| Rate for Payer: Cigna of CA HMO |
$3,724.16
|
| Rate for Payer: Cigna of CA PPO |
$4,306.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$970.58
|
| Rate for Payer: Dignity Health Medi-Cal |
$711.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$647.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$873.52
|
| Rate for Payer: EPIC Health Plan Senior |
$647.05
|
| Rate for Payer: Galaxy Health WC |
$4,946.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,491.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,237.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,061.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$647.05
|
| Rate for Payer: InnovAge PACE Commercial |
$970.58
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,881.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$108.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$647.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,163.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$867.05
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$867.05
|
| Rate for Payer: Multiplan Commercial |
$4,364.25
|
| Rate for Payer: Multiplan WC |
$1,030.97
|
| Rate for Payer: Networks By Design Commercial |
$3,782.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$647.05
|
| Rate for Payer: Preferred Health Network WC |
$1,052.01
|
| Rate for Payer: Prime Health Services Commercial |
$4,946.15
|
| Rate for Payer: Prime Health Services Medicare |
$685.87
|
| Rate for Payer: Prime Health Services WC |
$1,020.45
|
| Rate for Payer: Riverside University Health System MISP |
$711.75
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,491.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,491.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$647.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$970.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$711.75
|
| Rate for Payer: Vantage Medical Group Senior |
$647.05
|
|
|
HC INTRAORAL INCISION OF ABSCESS
|
Facility
|
IP
|
$5,819.00
|
|
|
Service Code
|
CPT 41000
|
| Hospital Charge Code |
900501290
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,163.80 |
| Max. Negotiated Rate |
$5,237.10 |
| Rate for Payer: Adventist Health Commercial |
$1,163.80
|
| Rate for Payer: Cash Price |
$3,200.45
|
| Rate for Payer: Central Health Plan Commercial |
$4,655.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,327.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,327.60
|
| Rate for Payer: Galaxy Health WC |
$4,946.15
|
| Rate for Payer: Global Benefits Group Commercial |
$3,491.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,237.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,881.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,217.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,601.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,163.80
|
| Rate for Payer: Multiplan Commercial |
$4,364.25
|
| Rate for Payer: Networks By Design Commercial |
$3,782.35
|
| Rate for Payer: Prime Health Services Commercial |
$4,946.15
|
|
|
HC INTRAOSSEOUS INFUSION
|
Facility
|
OP
|
$1,934.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
900501143
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$99.03 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Commercial |
$792.94
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$760.53
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$557.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$507.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,135.84
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$807.84
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,547.20
|
| Rate for Payer: Cigna of CA HMO |
$1,237.76
|
| Rate for Payer: Cigna of CA PPO |
$1,431.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$760.53
|
| Rate for Payer: Dignity Health Medi-Cal |
$557.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$507.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$684.48
|
| Rate for Payer: EPIC Health Plan Senior |
$507.02
|
| Rate for Payer: Galaxy Health WC |
$1,643.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,160.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,740.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$831.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$507.02
|
| Rate for Payer: InnovAge PACE Commercial |
$760.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,289.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$99.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$507.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$679.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$679.41
|
| Rate for Payer: Multiplan Commercial |
$1,450.50
|
| Rate for Payer: Multiplan WC |
$807.84
|
| Rate for Payer: Networks By Design Commercial |
$1,257.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$507.02
|
| Rate for Payer: Preferred Health Network WC |
$824.33
|
| Rate for Payer: Prime Health Services Commercial |
$1,643.90
|
| Rate for Payer: Prime Health Services Medicare |
$537.44
|
| Rate for Payer: Prime Health Services WC |
$799.60
|
| Rate for Payer: Riverside University Health System MISP |
$557.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,160.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,160.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$507.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$760.53
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$557.72
|
| Rate for Payer: Vantage Medical Group Senior |
$507.02
|
|
|
HC INTRAOSSEOUS INFUSION
|
Facility
|
IP
|
$1,934.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
900501143
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$386.80 |
| Max. Negotiated Rate |
$1,740.60 |
| Rate for Payer: Adventist Health Commercial |
$386.80
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,547.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$773.60
|
| Rate for Payer: EPIC Health Plan Senior |
$773.60
|
| Rate for Payer: Galaxy Health WC |
$1,643.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,160.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,740.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,289.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$736.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,197.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.80
|
| Rate for Payer: Multiplan Commercial |
$1,450.50
|
| Rate for Payer: Networks By Design Commercial |
$1,257.10
|
| Rate for Payer: Prime Health Services Commercial |
$1,643.90
|
|
|
HC INTRAOSSEOUS INFUSION
|
Facility
|
OP
|
$1,934.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
900501143
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$99.03 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Commercial |
$386.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$760.53
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$557.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$507.02
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$807.84
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,547.20
|
| Rate for Payer: Cigna of CA HMO |
$1,237.76
|
| Rate for Payer: Cigna of CA PPO |
$1,431.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$760.53
|
| Rate for Payer: Dignity Health Medi-Cal |
$557.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$507.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$684.48
|
| Rate for Payer: EPIC Health Plan Senior |
$507.02
|
| Rate for Payer: Galaxy Health WC |
$1,643.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,160.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,740.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$831.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$507.02
|
| Rate for Payer: InnovAge PACE Commercial |
$760.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,289.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$99.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$507.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$679.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$679.41
|
| Rate for Payer: Multiplan Commercial |
$1,450.50
|
| Rate for Payer: Multiplan WC |
$807.84
|
| Rate for Payer: Networks By Design Commercial |
$1,257.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$507.02
|
| Rate for Payer: Preferred Health Network WC |
$824.33
|
| Rate for Payer: Prime Health Services Commercial |
$1,643.90
|
| Rate for Payer: Prime Health Services Medicare |
$537.44
|
| Rate for Payer: Prime Health Services WC |
$799.60
|
| Rate for Payer: Riverside University Health System MISP |
$557.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,160.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$967.00
|
| Rate for Payer: United Healthcare All Other HMO |
$967.00
|
| Rate for Payer: United Healthcare HMO Rider |
$967.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$967.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$507.02
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$760.53
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$557.72
|
| Rate for Payer: Vantage Medical Group Senior |
$507.02
|
|
|
HC INTRAOSSEOUS INFUSION
|
Facility
|
IP
|
$1,934.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
900501143
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$386.80 |
| Max. Negotiated Rate |
$1,740.60 |
| Rate for Payer: Adventist Health Commercial |
$386.80
|
| Rate for Payer: Cash Price |
$1,063.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,547.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$773.60
|
| Rate for Payer: EPIC Health Plan Senior |
$773.60
|
| Rate for Payer: Galaxy Health WC |
$1,643.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,160.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,740.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,289.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$736.85
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,197.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$386.80
|
| Rate for Payer: Multiplan Commercial |
$1,450.50
|
| Rate for Payer: Networks By Design Commercial |
$1,257.10
|
| Rate for Payer: Prime Health Services Commercial |
$1,643.90
|
|
|
HC INTRAVASC LITHOTRIPSY
|
Facility
|
IP
|
$12,338.00
|
|
|
Service Code
|
CPT C9764
|
| Hospital Charge Code |
906819764
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,467.60 |
| Max. Negotiated Rate |
$11,104.20 |
| Rate for Payer: Adventist Health Commercial |
$2,467.60
|
| Rate for Payer: Cash Price |
$6,785.90
|
| Rate for Payer: Central Health Plan Commercial |
$9,870.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,935.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,935.20
|
| Rate for Payer: Galaxy Health WC |
$10,487.30
|
| Rate for Payer: Global Benefits Group Commercial |
$7,402.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,104.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,229.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,700.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,637.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,467.60
|
| Rate for Payer: Multiplan Commercial |
$9,253.50
|
| Rate for Payer: Networks By Design Commercial |
$8,019.70
|
| Rate for Payer: Prime Health Services Commercial |
$10,487.30
|
|
|
HC INTRAVASC LITHOTRIPSY
|
Facility
|
IP
|
$14,515.00
|
|
|
Service Code
|
CPT C9764
|
| Hospital Charge Code |
906820312
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,903.00 |
| Max. Negotiated Rate |
$13,063.50 |
| Rate for Payer: Adventist Health Commercial |
$2,903.00
|
| Rate for Payer: Cash Price |
$7,983.25
|
| Rate for Payer: Central Health Plan Commercial |
$11,612.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,806.00
|
| Rate for Payer: EPIC Health Plan Senior |
$5,806.00
|
| Rate for Payer: Galaxy Health WC |
$12,337.75
|
| Rate for Payer: Global Benefits Group Commercial |
$8,709.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,063.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,681.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,530.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,984.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,903.00
|
| Rate for Payer: Multiplan Commercial |
$10,886.25
|
| Rate for Payer: Networks By Design Commercial |
$9,434.75
|
| Rate for Payer: Prime Health Services Commercial |
$12,337.75
|
|
|
HC INTRAVASC LITHOTRIPSY
|
Facility
|
OP
|
$12,338.00
|
|
|
Service Code
|
CPT C9764
|
| Hospital Charge Code |
906819764
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,467.60 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$2,467.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,974.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,246.11
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| 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 |
$6,785.90
|
| Rate for Payer: Cash Price |
$6,785.90
|
| Rate for Payer: Cash Price |
$6,785.90
|
| Rate for Payer: Central Health Plan Commercial |
$9,870.40
|
| Rate for Payer: Cigna of CA HMO |
$7,896.32
|
| Rate for Payer: Cigna of CA PPO |
$9,130.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$10,487.30
|
| Rate for Payer: Global Benefits Group Commercial |
$7,402.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,104.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,229.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,467.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$9,253.50
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$8,019.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$10,487.30
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,402.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC INTRAVASC LITHOTRIPSY
|
Facility
|
OP
|
$14,515.00
|
|
|
Service Code
|
CPT C9764
|
| Hospital Charge Code |
906820312
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,903.00 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$2,903.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$7,028.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,524.66
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| 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 |
$7,983.25
|
| Rate for Payer: Cash Price |
$7,983.25
|
| Rate for Payer: Cash Price |
$7,983.25
|
| Rate for Payer: Central Health Plan Commercial |
$11,612.00
|
| Rate for Payer: Cigna of CA HMO |
$9,289.60
|
| Rate for Payer: Cigna of CA PPO |
$10,741.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$12,337.75
|
| Rate for Payer: Global Benefits Group Commercial |
$8,709.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,063.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,681.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,903.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$10,886.25
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$9,434.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$12,337.75
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,709.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC INTRAVASC LITHOTRIPSY ATHRCTMY
|
Facility
|
IP
|
$29,033.00
|
|
|
Service Code
|
CPT C9766
|
| Hospital Charge Code |
906820314
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,806.60 |
| Max. Negotiated Rate |
$26,129.70 |
| Rate for Payer: Adventist Health Commercial |
$5,806.60
|
| Rate for Payer: Cash Price |
$15,968.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,226.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,613.20
|
| Rate for Payer: EPIC Health Plan Senior |
$11,613.20
|
| Rate for Payer: Galaxy Health WC |
$24,678.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,419.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,129.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,365.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,061.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17,971.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,806.60
|
| Rate for Payer: Multiplan Commercial |
$21,774.75
|
| Rate for Payer: Networks By Design Commercial |
$18,871.45
|
| Rate for Payer: Prime Health Services Commercial |
$24,678.05
|
|
|
HC INTRAVASC LITHOTRIPSY ATHRCTMY
|
Facility
|
IP
|
$24,678.00
|
|
|
Service Code
|
CPT C9766
|
| Hospital Charge Code |
906819766
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,935.60 |
| Max. Negotiated Rate |
$22,210.20 |
| Rate for Payer: Adventist Health Commercial |
$4,935.60
|
| Rate for Payer: Cash Price |
$13,572.90
|
| Rate for Payer: Central Health Plan Commercial |
$19,742.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,871.20
|
| Rate for Payer: EPIC Health Plan Senior |
$9,871.20
|
| Rate for Payer: Galaxy Health WC |
$20,976.30
|
| Rate for Payer: Global Benefits Group Commercial |
$14,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,210.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,460.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,402.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,275.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,935.60
|
| Rate for Payer: Multiplan Commercial |
$18,508.50
|
| Rate for Payer: Networks By Design Commercial |
$16,040.70
|
| Rate for Payer: Prime Health Services Commercial |
$20,976.30
|
|
|
HC INTRAVASC LITHOTRIPSY ATHRCTMY
|
Facility
|
OP
|
$24,678.00
|
|
|
Service Code
|
CPT C9766
|
| Hospital Charge Code |
906819766
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,935.60 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$4,935.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$22,815.81
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,949.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,493.39
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| 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 |
$13,572.90
|
| Rate for Payer: Cash Price |
$13,572.90
|
| Rate for Payer: Cash Price |
$13,572.90
|
| Rate for Payer: Central Health Plan Commercial |
$19,742.40
|
| Rate for Payer: Cigna of CA HMO |
$15,793.92
|
| Rate for Payer: Cigna of CA PPO |
$18,261.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,801.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22,815.81
|
| Rate for Payer: Galaxy Health WC |
$20,976.30
|
| Rate for Payer: Global Benefits Group Commercial |
$14,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,210.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$37,417.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: InnovAge PACE Commercial |
$34,223.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,460.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,815.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,935.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,573.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,573.19
|
| Rate for Payer: Multiplan Commercial |
$18,508.50
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$16,040.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$20,976.30
|
| Rate for Payer: Prime Health Services Medicare |
$24,184.76
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,097.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,806.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$22,815.81
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
|
HC INTRAVASC LITHOTRIPSY ATHRCTMY
|
Facility
|
OP
|
$29,033.00
|
|
|
Service Code
|
CPT C9766
|
| Hospital Charge Code |
906820314
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,113.68 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,806.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$22,815.81
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,057.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,051.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| 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 |
$15,968.15
|
| Rate for Payer: Cash Price |
$15,968.15
|
| Rate for Payer: Cash Price |
$15,968.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,226.40
|
| Rate for Payer: Cigna of CA HMO |
$18,581.12
|
| Rate for Payer: Cigna of CA PPO |
$21,484.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,801.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22,815.81
|
| Rate for Payer: Galaxy Health WC |
$24,678.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,419.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,129.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$37,417.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: InnovAge PACE Commercial |
$34,223.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,365.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,815.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,806.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,573.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,573.19
|
| Rate for Payer: Multiplan Commercial |
$21,774.75
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$18,871.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$24,678.05
|
| Rate for Payer: Prime Health Services Medicare |
$24,184.76
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,097.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,419.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$22,815.81
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
|
HC INTRAVASC LITHOTRIPSY STENT
|
Facility
|
IP
|
$24,678.00
|
|
|
Service Code
|
CPT C9765
|
| Hospital Charge Code |
906819765
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,935.60 |
| Max. Negotiated Rate |
$22,210.20 |
| Rate for Payer: Adventist Health Commercial |
$4,935.60
|
| Rate for Payer: Cash Price |
$13,572.90
|
| Rate for Payer: Central Health Plan Commercial |
$19,742.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,871.20
|
| Rate for Payer: EPIC Health Plan Senior |
$9,871.20
|
| Rate for Payer: Galaxy Health WC |
$20,976.30
|
| Rate for Payer: Global Benefits Group Commercial |
$14,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,210.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,460.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,402.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,275.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,935.60
|
| Rate for Payer: Multiplan Commercial |
$18,508.50
|
| Rate for Payer: Networks By Design Commercial |
$16,040.70
|
| Rate for Payer: Prime Health Services Commercial |
$20,976.30
|
|
|
HC INTRAVASC LITHOTRIPSY STENT
|
Facility
|
OP
|
$29,033.00
|
|
|
Service Code
|
CPT C9765
|
| Hospital Charge Code |
906820313
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,113.68 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,806.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$22,815.81
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$14,057.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$17,051.08
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| 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 |
$15,968.15
|
| Rate for Payer: Cash Price |
$15,968.15
|
| Rate for Payer: Cash Price |
$15,968.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,226.40
|
| Rate for Payer: Cigna of CA HMO |
$18,581.12
|
| Rate for Payer: Cigna of CA PPO |
$21,484.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,801.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22,815.81
|
| Rate for Payer: Galaxy Health WC |
$24,678.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,419.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,129.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$37,417.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: InnovAge PACE Commercial |
$34,223.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,365.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,815.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,806.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,573.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,573.19
|
| Rate for Payer: Multiplan Commercial |
$21,774.75
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$18,871.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$24,678.05
|
| Rate for Payer: Prime Health Services Medicare |
$24,184.76
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,097.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,419.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$22,815.81
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
