|
HC ICD GEN & LEAD TEST @ IMPLANT
|
Facility
IP
|
$7,578.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
906811333
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,515.60 |
| Max. Negotiated Rate |
$6,820.20 |
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,062.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,031.20
|
| Rate for Payer: Galaxy Health WC |
$6,441.30
|
| Rate for Payer: Global Benefits Group Commercial |
$4,546.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,820.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,054.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,515.60
|
| Rate for Payer: Multiplan Commercial |
$5,683.50
|
| Rate for Payer: Networks By Design Commercial |
$4,925.70
|
| Rate for Payer: Prime Health Services Commercial |
$6,441.30
|
|
|
HC ICD GEN & LEAD TEST @ IMPLANT
|
Facility
OP
|
$7,578.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
906820051
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$9,620.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6,441.30
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4,167.90
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4,167.90
|
| 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 |
$4,546.80
|
| 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: Cash Price |
$3,410.10
|
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,062.40
|
| Rate for Payer: Cigna of CA HMO |
$4,849.92
|
| Rate for Payer: Cigna of CA PPO |
$5,607.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,441.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,031.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,031.20
|
| Rate for Payer: Galaxy Health WC |
$6,441.30
|
| Rate for Payer: Global Benefits Group Commercial |
$4,546.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,820.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5,683.50
|
| Rate for Payer: IEHP medi-cal |
$2,652.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,054.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,515.60
|
| Rate for Payer: Multiplan Commercial |
$5,683.50
|
| Rate for Payer: Networks By Design Commercial |
$4,925.70
|
| Rate for Payer: Prime Health Services Commercial |
$6,441.30
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$4,546.80
|
| Rate for Payer: Riverside University Health MISP |
$3,031.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,546.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,546.80
|
| 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 Medi-Cal |
$6,441.30
|
| Rate for Payer: Vantage Medical Group Senior |
$6,441.30
|
|
|
HC ICD GEN & LEAD TEST @ IMPLANT
|
Facility
IP
|
$7,578.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
906820051
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,515.60 |
| Max. Negotiated Rate |
$6,820.20 |
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,062.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,031.20
|
| Rate for Payer: Galaxy Health WC |
$6,441.30
|
| Rate for Payer: Global Benefits Group Commercial |
$4,546.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,820.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,054.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,515.60
|
| Rate for Payer: Multiplan Commercial |
$5,683.50
|
| Rate for Payer: Networks By Design Commercial |
$4,925.70
|
| Rate for Payer: Prime Health Services Commercial |
$6,441.30
|
|
|
HC ICD GEN & LEAD TEST @ IMPLANT
|
Facility
OP
|
$7,578.00
|
|
|
Service Code
|
CPT 93641
|
| Hospital Charge Code |
906811333
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$643.00 |
| Max. Negotiated Rate |
$9,620.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$6,441.30
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4,167.90
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4,167.90
|
| 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 |
$4,546.80
|
| 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: Cash Price |
$3,410.10
|
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Cash Price |
$3,410.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,062.40
|
| Rate for Payer: Cigna of CA HMO |
$4,849.92
|
| Rate for Payer: Cigna of CA PPO |
$5,607.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,441.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,031.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,031.20
|
| Rate for Payer: Galaxy Health WC |
$6,441.30
|
| Rate for Payer: Global Benefits Group Commercial |
$4,546.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,820.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$5,683.50
|
| Rate for Payer: IEHP medi-cal |
$2,652.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,054.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,515.60
|
| Rate for Payer: Multiplan Commercial |
$5,683.50
|
| Rate for Payer: Networks By Design Commercial |
$4,925.70
|
| Rate for Payer: Prime Health Services Commercial |
$6,441.30
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$4,546.80
|
| Rate for Payer: Riverside University Health MISP |
$3,031.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,546.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,546.80
|
| 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 Medi-Cal |
$6,441.30
|
| Rate for Payer: Vantage Medical Group Senior |
$6,441.30
|
|
|
HC ICD GEN &/OR LEAD REMOVE, THOR
|
Facility
IP
|
$6,270.00
|
|
|
Service Code
|
CPT 33243
|
| Hospital Charge Code |
906820107
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,254.00 |
| Max. Negotiated Rate |
$5,643.00 |
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,016.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,508.00
|
| Rate for Payer: Galaxy Health WC |
$5,329.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,762.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,643.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,182.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,254.00
|
| Rate for Payer: Multiplan Commercial |
$4,702.50
|
| Rate for Payer: Networks By Design Commercial |
$4,075.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,329.50
|
|
|
HC ICD GEN &/OR LEAD REMOVE, THOR
|
Facility
OP
|
$6,270.00
|
|
|
Service Code
|
CPT 33243
|
| Hospital Charge Code |
906820107
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,254.00 |
| Max. Negotiated Rate |
$40,548.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,352.96
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5,329.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3,448.50
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3,448.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,762.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,016.00
|
| Rate for Payer: Cigna of CA PPO |
$4,639.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,329.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,508.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,508.00
|
| Rate for Payer: Galaxy Health WC |
$5,329.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,762.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,643.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,702.50
|
| Rate for Payer: IEHP medi-cal |
$2,194.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,182.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,254.00
|
| Rate for Payer: Multiplan Commercial |
$4,702.50
|
| Rate for Payer: Networks By Design Commercial |
$4,075.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,329.50
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,762.00
|
| Rate for Payer: Riverside University Health MISP |
$2,508.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,762.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,836.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,512.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,069.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,692.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,329.50
|
| Rate for Payer: Vantage Medical Group Senior |
$5,329.50
|
|
|
HC ICD GEN &/OR LEAD REMOVE, THOR
|
Facility
IP
|
$6,270.00
|
|
|
Service Code
|
CPT 33243
|
| Hospital Charge Code |
906811339
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,254.00 |
| Max. Negotiated Rate |
$5,643.00 |
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,016.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,508.00
|
| Rate for Payer: Galaxy Health WC |
$5,329.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,762.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,643.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,182.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,254.00
|
| Rate for Payer: Multiplan Commercial |
$4,702.50
|
| Rate for Payer: Networks By Design Commercial |
$4,075.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,329.50
|
|
|
HC ICD GEN &/OR LEAD REMOVE, THOR
|
Facility
OP
|
$6,270.00
|
|
|
Service Code
|
CPT 33243
|
| Hospital Charge Code |
906811339
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,254.00 |
| Max. Negotiated Rate |
$40,548.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,352.96
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5,329.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3,448.50
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3,448.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,762.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Cash Price |
$2,821.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,016.00
|
| Rate for Payer: Cigna of CA PPO |
$4,639.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,329.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,508.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,508.00
|
| Rate for Payer: Galaxy Health WC |
$5,329.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,762.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,643.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,702.50
|
| Rate for Payer: IEHP medi-cal |
$2,194.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,182.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,254.00
|
| Rate for Payer: Multiplan Commercial |
$4,702.50
|
| Rate for Payer: Networks By Design Commercial |
$4,075.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,329.50
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,762.00
|
| Rate for Payer: Riverside University Health MISP |
$2,508.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,762.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$14,836.00
|
| Rate for Payer: United Healthcare All Other HMO |
$25,512.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,069.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14,692.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,329.50
|
| Rate for Payer: Vantage Medical Group Senior |
$5,329.50
|
|
|
HC ICD GEN REMOVE ONLY
|
Facility
IP
|
$5,957.00
|
|
|
Service Code
|
CPT 33241
|
| Hospital Charge Code |
906820122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.40 |
| Max. Negotiated Rate |
$5,361.30 |
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Central Health Plan Commercial |
$4,765.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,382.80
|
| Rate for Payer: Galaxy Health WC |
$5,063.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,574.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,361.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,973.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,191.40
|
| Rate for Payer: Multiplan Commercial |
$4,467.75
|
| Rate for Payer: Networks By Design Commercial |
$3,872.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,063.45
|
|
|
HC ICD GEN REMOVE ONLY
|
Facility
IP
|
$5,957.00
|
|
|
Service Code
|
CPT 33241
|
| Hospital Charge Code |
906811372
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.40 |
| Max. Negotiated Rate |
$5,361.30 |
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Central Health Plan Commercial |
$4,765.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,382.80
|
| Rate for Payer: Galaxy Health WC |
$5,063.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,574.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,361.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,973.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,191.40
|
| Rate for Payer: Multiplan Commercial |
$4,467.75
|
| Rate for Payer: Networks By Design Commercial |
$3,872.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,063.45
|
|
|
HC ICD GEN REMOVE ONLY
|
Facility
OP
|
$5,957.00
|
|
|
Service Code
|
CPT 33241
|
| Hospital Charge Code |
906811372
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.40 |
| Max. Negotiated Rate |
$40,548.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,906.54
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7,359.81
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5,397.19
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4,906.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,574.20
|
| Rate for Payer: Blue Shield of California Commercial |
$4,710.35
|
| Rate for Payer: Blue Shield of California EPN |
$3,383.18
|
| Rate for Payer: Caremore Medicare Advantage |
$4,906.54
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Central Health Plan Commercial |
$4,765.60
|
| Rate for Payer: Cigna of CA PPO |
$4,408.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,359.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,623.83
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$4,906.54
|
| Rate for Payer: EPIC Health Plan Transplant |
$4,906.54
|
| Rate for Payer: Galaxy Health WC |
$5,063.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,574.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,361.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,467.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,046.73
|
| Rate for Payer: IEHP medi-cal |
$8,095.79
|
| Rate for Payer: IEHP Medicare Advantage |
$4,906.54
|
| Rate for Payer: Innovage PACE Commercial |
$7,359.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,973.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,906.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,191.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,574.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,574.76
|
| Rate for Payer: Multiplan Commercial |
$4,467.75
|
| Rate for Payer: Networks By Design Commercial |
$3,872.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,063.45
|
| Rate for Payer: Prime Health Services Medicare |
$5,200.93
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,574.20
|
| Rate for Payer: Riverside University Health MISP |
$5,397.19
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,574.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$13,537.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$12,444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,379.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,359.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,397.19
|
| Rate for Payer: Vantage Medical Group Senior |
$4,906.54
|
|
|
HC ICD GEN REMOVE ONLY
|
Facility
OP
|
$5,957.00
|
|
|
Service Code
|
CPT 33241
|
| Hospital Charge Code |
906820122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.40 |
| Max. Negotiated Rate |
$40,548.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$4,906.54
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7,359.81
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5,397.19
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4,906.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,574.20
|
| Rate for Payer: Blue Shield of California Commercial |
$4,710.35
|
| Rate for Payer: Blue Shield of California EPN |
$3,383.18
|
| Rate for Payer: Caremore Medicare Advantage |
$4,906.54
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Central Health Plan Commercial |
$4,765.60
|
| Rate for Payer: Cigna of CA PPO |
$4,408.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,359.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,623.83
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$4,906.54
|
| Rate for Payer: EPIC Health Plan Transplant |
$4,906.54
|
| Rate for Payer: Galaxy Health WC |
$5,063.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,574.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,361.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,467.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$8,046.73
|
| Rate for Payer: IEHP medi-cal |
$8,095.79
|
| Rate for Payer: IEHP Medicare Advantage |
$4,906.54
|
| Rate for Payer: Innovage PACE Commercial |
$7,359.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,973.32
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,906.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,191.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,574.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,574.76
|
| Rate for Payer: Multiplan Commercial |
$4,467.75
|
| Rate for Payer: Networks By Design Commercial |
$3,872.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,063.45
|
| Rate for Payer: Prime Health Services Medicare |
$5,200.93
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,574.20
|
| Rate for Payer: Riverside University Health MISP |
$5,397.19
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,574.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$13,537.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$12,444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,379.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,359.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,397.19
|
| Rate for Payer: Vantage Medical Group Senior |
$4,906.54
|
|
|
HC ICD INSERT EXIST DUAL LEADS
|
Facility
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33230
|
| Hospital Charge Code |
906811425
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,025.80 |
| Max. Negotiated Rate |
$85,616.10 |
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,051.60
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
|
|
HC ICD INSERT EXIST DUAL LEADS
|
Facility
OP
|
$95,129.00
|
|
|
Service Code
|
CPT 33230
|
| Hospital Charge Code |
906811425
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$29,450.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29,450.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,263.62
|
| Rate for Payer: BCBS Transplant Transplant |
$57,077.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$29,450.93
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: Cigna of CA PPO |
$70,395.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,176.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,758.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,450.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$29,450.93
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$71,346.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,299.53
|
| Rate for Payer: IEHP medi-cal |
$48,594.03
|
| Rate for Payer: IEHP Medicare Advantage |
$29,450.93
|
| Rate for Payer: Innovage PACE Commercial |
$44,176.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,450.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,464.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,464.25
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Multiplan WC |
$40,263.62
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Preferred Health Network WC |
$41,085.33
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
| Rate for Payer: Prime Health Services Medicare |
$31,217.99
|
| Rate for Payer: Prime Health Services WC |
$39,852.77
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$57,077.40
|
| Rate for Payer: Riverside University Health MISP |
$32,396.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$57,077.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: Vantage Medical Group Senior |
$29,450.93
|
|
|
HC ICD INSERT EXIST DUAL LEADS
|
Facility
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33230
|
| Hospital Charge Code |
906820218
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,025.80 |
| Max. Negotiated Rate |
$85,616.10 |
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,051.60
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
|
|
HC ICD INSERT EXIST DUAL LEADS
|
Facility
OP
|
$95,129.00
|
|
|
Service Code
|
CPT 33230
|
| Hospital Charge Code |
906820218
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$29,450.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$29,450.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$40,263.62
|
| Rate for Payer: BCBS Transplant Transplant |
$57,077.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$29,450.93
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: Cigna of CA PPO |
$70,395.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,176.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,758.76
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$29,450.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$29,450.93
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$71,346.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,299.53
|
| Rate for Payer: IEHP medi-cal |
$48,594.03
|
| Rate for Payer: IEHP Medicare Advantage |
$29,450.93
|
| Rate for Payer: Innovage PACE Commercial |
$44,176.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,450.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$39,464.25
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$39,464.25
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Multiplan WC |
$40,263.62
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Preferred Health Network WC |
$41,085.33
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
| Rate for Payer: Prime Health Services Medicare |
$31,217.99
|
| Rate for Payer: Prime Health Services WC |
$39,852.77
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$57,077.40
|
| Rate for Payer: Riverside University Health MISP |
$32,396.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$57,077.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: Vantage Medical Group Senior |
$29,450.93
|
|
|
HC ICD INSERT EXIST MULT HC LEADS
|
Facility
OP
|
$95,129.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
906811426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,105.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41,105.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,196.73
|
| Rate for Payer: BCBS Transplant Transplant |
$57,077.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$41,105.24
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: Cigna of CA PPO |
$70,395.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,657.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,492.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,105.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$41,105.24
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$71,346.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$67,412.59
|
| Rate for Payer: IEHP medi-cal |
$67,823.65
|
| Rate for Payer: IEHP Medicare Advantage |
$41,105.24
|
| Rate for Payer: Innovage PACE Commercial |
$61,657.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,105.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,081.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,081.02
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Multiplan WC |
$56,196.73
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Preferred Health Network WC |
$57,343.60
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
| Rate for Payer: Prime Health Services Medicare |
$43,571.55
|
| Rate for Payer: Prime Health Services WC |
$55,623.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$57,077.40
|
| Rate for Payer: Riverside University Health MISP |
$45,215.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$57,077.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: Vantage Medical Group Senior |
$41,105.24
|
|
|
HC ICD INSERT EXIST MULT HC LEADS
|
Facility
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
906811426
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,025.80 |
| Max. Negotiated Rate |
$85,616.10 |
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,051.60
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
|
|
HC ICD INSERT EXIST MULT HC LEADS
|
Facility
OP
|
$95,129.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
906820255
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,105.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41,105.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,196.73
|
| Rate for Payer: BCBS Transplant Transplant |
$57,077.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$41,105.24
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: Cigna of CA PPO |
$70,395.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,657.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,492.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,105.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$41,105.24
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$71,346.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$67,412.59
|
| Rate for Payer: IEHP medi-cal |
$67,823.65
|
| Rate for Payer: IEHP Medicare Advantage |
$41,105.24
|
| Rate for Payer: Innovage PACE Commercial |
$61,657.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,105.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,081.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,081.02
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Multiplan WC |
$56,196.73
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Preferred Health Network WC |
$57,343.60
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
| Rate for Payer: Prime Health Services Medicare |
$43,571.55
|
| Rate for Payer: Prime Health Services WC |
$55,623.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$57,077.40
|
| Rate for Payer: Riverside University Health MISP |
$45,215.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$57,077.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: Vantage Medical Group Senior |
$41,105.24
|
|
|
HC ICD INSERT EXIST MULT HC LEADS
|
Facility
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33231
|
| Hospital Charge Code |
906820255
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,025.80 |
| Max. Negotiated Rate |
$85,616.10 |
| Rate for Payer: Cash Price |
$42,808.05
|
| Rate for Payer: Central Health Plan Commercial |
$76,103.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,051.60
|
| Rate for Payer: Galaxy Health WC |
$80,859.65
|
| Rate for Payer: Global Benefits Group Commercial |
$57,077.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$85,616.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$63,451.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,025.80
|
| Rate for Payer: Multiplan Commercial |
$71,346.75
|
| Rate for Payer: Networks By Design Commercial |
$61,833.85
|
| Rate for Payer: Prime Health Services Commercial |
$80,859.65
|
|
|
HC ICD INSERT/REPL + DUAL LEADS
|
Facility
IP
|
$97,445.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906811378
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,489.00 |
| Max. Negotiated Rate |
$87,700.50 |
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Central Health Plan Commercial |
$77,956.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,978.00
|
| Rate for Payer: Galaxy Health WC |
$82,828.25
|
| Rate for Payer: Global Benefits Group Commercial |
$58,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$87,700.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$64,995.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,489.00
|
| Rate for Payer: Multiplan Commercial |
$73,083.75
|
| Rate for Payer: Networks By Design Commercial |
$63,339.25
|
| Rate for Payer: Prime Health Services Commercial |
$82,828.25
|
|
|
HC ICD INSERT/REPL + DUAL LEADS
|
Facility
OP
|
$97,445.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906811378
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,572.00 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,105.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41,105.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,196.73
|
| Rate for Payer: BCBS Transplant Transplant |
$58,467.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$41,105.24
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Central Health Plan Commercial |
$77,956.00
|
| Rate for Payer: Cigna of CA PPO |
$72,109.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,657.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,492.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,105.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$41,105.24
|
| Rate for Payer: Galaxy Health WC |
$82,828.25
|
| Rate for Payer: Global Benefits Group Commercial |
$58,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$87,700.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$73,083.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$67,412.59
|
| Rate for Payer: IEHP medi-cal |
$67,823.65
|
| Rate for Payer: IEHP Medicare Advantage |
$41,105.24
|
| Rate for Payer: Innovage PACE Commercial |
$61,657.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$64,995.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,105.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,489.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,081.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,081.02
|
| Rate for Payer: Multiplan Commercial |
$73,083.75
|
| Rate for Payer: Multiplan WC |
$56,196.73
|
| Rate for Payer: Networks By Design Commercial |
$63,339.25
|
| Rate for Payer: Preferred Health Network WC |
$57,343.60
|
| Rate for Payer: Prime Health Services Commercial |
$82,828.25
|
| Rate for Payer: Prime Health Services Medicare |
$43,571.55
|
| Rate for Payer: Prime Health Services WC |
$55,623.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$58,467.00
|
| Rate for Payer: Riverside University Health MISP |
$45,215.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$58,467.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: Vantage Medical Group Senior |
$41,105.24
|
|
|
HC ICD INSERT/REPL + DUAL LEADS
|
Facility
OP
|
$97,445.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906820211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,572.00 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,105.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41,105.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,196.73
|
| Rate for Payer: BCBS Transplant Transplant |
$58,467.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$41,105.24
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Central Health Plan Commercial |
$77,956.00
|
| Rate for Payer: Cigna of CA PPO |
$72,109.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,657.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,492.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,105.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$41,105.24
|
| Rate for Payer: Galaxy Health WC |
$82,828.25
|
| Rate for Payer: Global Benefits Group Commercial |
$58,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$87,700.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$73,083.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$67,412.59
|
| Rate for Payer: IEHP medi-cal |
$67,823.65
|
| Rate for Payer: IEHP Medicare Advantage |
$41,105.24
|
| Rate for Payer: Innovage PACE Commercial |
$61,657.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$64,995.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,105.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,489.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,081.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,081.02
|
| Rate for Payer: Multiplan Commercial |
$73,083.75
|
| Rate for Payer: Multiplan WC |
$56,196.73
|
| Rate for Payer: Networks By Design Commercial |
$63,339.25
|
| Rate for Payer: Preferred Health Network WC |
$57,343.60
|
| Rate for Payer: Prime Health Services Commercial |
$82,828.25
|
| Rate for Payer: Prime Health Services Medicare |
$43,571.55
|
| Rate for Payer: Prime Health Services WC |
$55,623.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$58,467.00
|
| Rate for Payer: Riverside University Health MISP |
$45,215.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$58,467.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: Vantage Medical Group Senior |
$41,105.24
|
|
|
HC ICD INSERT/REPL + DUAL LEADS
|
Facility
IP
|
$97,445.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906820211
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,489.00 |
| Max. Negotiated Rate |
$87,700.50 |
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Central Health Plan Commercial |
$77,956.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,978.00
|
| Rate for Payer: Galaxy Health WC |
$82,828.25
|
| Rate for Payer: Global Benefits Group Commercial |
$58,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$87,700.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$64,995.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,489.00
|
| Rate for Payer: Multiplan Commercial |
$73,083.75
|
| Rate for Payer: Networks By Design Commercial |
$63,339.25
|
| Rate for Payer: Prime Health Services Commercial |
$82,828.25
|
|
|
HC ICD INSERT/REPOS SINGLE/DBL +LEAD
|
Facility
OP
|
$97,445.00
|
|
|
Service Code
|
CPT 33249
|
| Hospital Charge Code |
906820125
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,572.00 |
| Max. Negotiated Rate |
$103,995.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$41,105.24
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$41,105.24
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$40,548.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$56,196.73
|
| Rate for Payer: BCBS Transplant Transplant |
$58,467.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$41,105.24
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Cash Price |
$43,850.25
|
| Rate for Payer: Central Health Plan Commercial |
$77,956.00
|
| Rate for Payer: Cigna of CA PPO |
$72,109.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$61,657.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$55,492.07
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$41,105.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$41,105.24
|
| Rate for Payer: Galaxy Health WC |
$82,828.25
|
| Rate for Payer: Global Benefits Group Commercial |
$58,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$87,700.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$73,083.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$67,412.59
|
| Rate for Payer: IEHP medi-cal |
$67,823.65
|
| Rate for Payer: IEHP Medicare Advantage |
$41,105.24
|
| Rate for Payer: Innovage PACE Commercial |
$61,657.86
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$64,995.82
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$41,105.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,489.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$55,081.02
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$55,081.02
|
| Rate for Payer: Multiplan Commercial |
$73,083.75
|
| Rate for Payer: Multiplan WC |
$56,196.73
|
| Rate for Payer: Networks By Design Commercial |
$63,339.25
|
| Rate for Payer: Preferred Health Network WC |
$57,343.60
|
| Rate for Payer: Prime Health Services Commercial |
$82,828.25
|
| Rate for Payer: Prime Health Services Medicare |
$43,571.55
|
| Rate for Payer: Prime Health Services WC |
$55,623.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$58,467.00
|
| Rate for Payer: Riverside University Health MISP |
$45,215.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$58,467.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$103,995.00
|
| Rate for Payer: United Healthcare All Other HMO |
$92,797.00
|
| Rate for Payer: United Healthcare HMO Rider |
$80,182.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$73,321.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$61,657.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$45,215.76
|
| Rate for Payer: Vantage Medical Group Senior |
$41,105.24
|
|
