|
HC ICD REMV REPL EX MULT LEADS
|
Facility
|
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906820217
|
|
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: Kaiser Permanente of CA Medi-Cal |
$36,244.15
|
| 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 REMV REPL EX MULT LEADS
|
Facility
|
IP
|
$95,129.00
|
|
|
Service Code
|
CPT 33264
|
| Hospital Charge Code |
906811424
|
|
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: Kaiser Permanente of CA Medi-Cal |
$36,244.15
|
| 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 REMV REPL EX SINGLE LEAD
|
Facility
|
OP
|
$99,885.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906811422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$573.31 |
| 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: Alpha Care Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: Alpha Care 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: Blue Distinction Transplant |
$59,931.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,121.55
|
| Rate for Payer: Blue Shield of California EPN |
$2,960.28
|
| Rate for Payer: Caremore Medicare Advantage |
$29,450.93
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Central Health Plan Commercial |
$79,908.00
|
| Rate for Payer: Cigna of CA PPO |
$73,914.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Dignity Health Media |
$29,450.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$32,396.02
|
| 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 |
$84,902.25
|
| Rate for Payer: Global Benefits Group Commercial |
$59,931.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$89,896.50
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$74,913.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,299.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$48,594.03
|
| Rate for Payer: Inland Empire Health Plan (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 |
$66,623.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$573.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,450.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,977.00
|
| 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 |
$74,913.75
|
| Rate for Payer: Multiplan WC |
$40,263.62
|
| Rate for Payer: Networks By Design Commercial |
$64,925.25
|
| Rate for Payer: Preferred Health Network WC |
$41,085.33
|
| Rate for Payer: Prime Health Services Commercial |
$84,902.25
|
| Rate for Payer: Prime Health Services Medicare |
$31,217.99
|
| Rate for Payer: Prime Health Services WC |
$39,852.77
|
| Rate for Payer: Riverside University Health System MISP |
$32,396.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$59,931.00
|
| 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 |
$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 REMV REPL EX SINGLE LEAD
|
Facility
|
IP
|
$99,885.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906820215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,977.00 |
| Max. Negotiated Rate |
$89,896.50 |
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Central Health Plan Commercial |
$79,908.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,954.00
|
| Rate for Payer: Galaxy Health WC |
$84,902.25
|
| Rate for Payer: Global Benefits Group Commercial |
$59,931.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$89,896.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$66,623.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$38,056.18
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,977.00
|
| Rate for Payer: Multiplan Commercial |
$74,913.75
|
| Rate for Payer: Networks By Design Commercial |
$64,925.25
|
| Rate for Payer: Prime Health Services Commercial |
$84,902.25
|
|
|
HC ICD REMV REPL EX SINGLE LEAD
|
Facility
|
OP
|
$99,885.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906820215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$573.31 |
| 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: Alpha Care Medical Group Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32,396.02
|
| Rate for Payer: Alpha Care 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: Blue Distinction Transplant |
$59,931.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,121.55
|
| Rate for Payer: Blue Shield of California EPN |
$2,960.28
|
| Rate for Payer: Caremore Medicare Advantage |
$29,450.93
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Central Health Plan Commercial |
$79,908.00
|
| Rate for Payer: Cigna of CA PPO |
$73,914.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$44,176.40
|
| Rate for Payer: Dignity Health Media |
$29,450.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$32,396.02
|
| 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 |
$84,902.25
|
| Rate for Payer: Global Benefits Group Commercial |
$59,931.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$89,896.50
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$74,913.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$48,299.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$48,594.03
|
| Rate for Payer: Inland Empire Health Plan (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 |
$66,623.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$573.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$29,450.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,977.00
|
| 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 |
$74,913.75
|
| Rate for Payer: Multiplan WC |
$40,263.62
|
| Rate for Payer: Networks By Design Commercial |
$64,925.25
|
| Rate for Payer: Preferred Health Network WC |
$41,085.33
|
| Rate for Payer: Prime Health Services Commercial |
$84,902.25
|
| Rate for Payer: Prime Health Services Medicare |
$31,217.99
|
| Rate for Payer: Prime Health Services WC |
$39,852.77
|
| Rate for Payer: Riverside University Health System MISP |
$32,396.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$59,931.00
|
| 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 |
$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 REMV REPL EX SINGLE LEAD
|
Facility
|
IP
|
$99,885.00
|
|
|
Service Code
|
CPT 33262
|
| Hospital Charge Code |
906811422
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$19,977.00 |
| Max. Negotiated Rate |
$89,896.50 |
| Rate for Payer: Cash Price |
$44,948.25
|
| Rate for Payer: Central Health Plan Commercial |
$79,908.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$39,954.00
|
| Rate for Payer: Galaxy Health WC |
$84,902.25
|
| Rate for Payer: Global Benefits Group Commercial |
$59,931.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$89,896.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$66,623.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$38,056.18
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,977.00
|
| Rate for Payer: Multiplan Commercial |
$74,913.75
|
| Rate for Payer: Networks By Design Commercial |
$64,925.25
|
| Rate for Payer: Prime Health Services Commercial |
$84,902.25
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
IP
|
$8,940.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906812082
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,788.00 |
| Max. Negotiated Rate |
$8,046.00 |
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Central Health Plan Commercial |
$7,152.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,576.00
|
| Rate for Payer: Galaxy Health WC |
$7,599.00
|
| Rate for Payer: Global Benefits Group Commercial |
$5,364.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,046.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,962.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,406.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,788.00
|
| Rate for Payer: Multiplan Commercial |
$6,705.00
|
| Rate for Payer: Networks By Design Commercial |
$5,811.00
|
| Rate for Payer: Prime Health Services Commercial |
$7,599.00
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
OP
|
$8,940.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906820078
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$294.70 |
| Max. Negotiated Rate |
$8,046.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$294.70
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,599.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,917.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,917.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$483.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,281.75
|
| Rate for Payer: Blue Distinction Transplant |
$5,364.00
|
| 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 |
$4,023.00
|
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Central Health Plan Commercial |
$7,152.00
|
| Rate for Payer: Cigna of CA HMO |
$5,721.60
|
| Rate for Payer: Cigna of CA PPO |
$6,615.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,599.00
|
| Rate for Payer: Dignity Health Media |
$7,599.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,599.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,576.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,576.00
|
| Rate for Payer: Galaxy Health WC |
$7,599.00
|
| Rate for Payer: Global Benefits Group Commercial |
$5,364.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,046.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$6,705.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,129.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,962.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$514.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,788.00
|
| Rate for Payer: Multiplan Commercial |
$6,705.00
|
| Rate for Payer: Networks By Design Commercial |
$5,811.00
|
| Rate for Payer: Prime Health Services Commercial |
$7,599.00
|
| Rate for Payer: Riverside University Health System MISP |
$3,576.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,364.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,364.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,599.00
|
| Rate for Payer: Vantage Medical Group Senior |
$7,599.00
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
OP
|
$8,940.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906812082
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$294.70 |
| Max. Negotiated Rate |
$8,046.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$294.70
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,599.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,917.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,917.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$483.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,281.75
|
| Rate for Payer: Blue Distinction Transplant |
$5,364.00
|
| 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 |
$4,023.00
|
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Central Health Plan Commercial |
$7,152.00
|
| Rate for Payer: Cigna of CA HMO |
$5,721.60
|
| Rate for Payer: Cigna of CA PPO |
$6,615.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,599.00
|
| Rate for Payer: Dignity Health Media |
$7,599.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,599.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,576.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,576.00
|
| Rate for Payer: Galaxy Health WC |
$7,599.00
|
| Rate for Payer: Global Benefits Group Commercial |
$5,364.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,046.00
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$6,705.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$3,129.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,962.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$514.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,788.00
|
| Rate for Payer: Multiplan Commercial |
$6,705.00
|
| Rate for Payer: Networks By Design Commercial |
$5,811.00
|
| Rate for Payer: Prime Health Services Commercial |
$7,599.00
|
| Rate for Payer: Riverside University Health System MISP |
$3,576.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,364.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,364.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,078.00
|
| Rate for Payer: United Healthcare All Other HMO |
$827.00
|
| Rate for Payer: United Healthcare HMO Rider |
$702.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$643.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,599.00
|
| Rate for Payer: Vantage Medical Group Senior |
$7,599.00
|
|
|
HC ICE INTRACARDIAC ECHO
|
Facility
|
IP
|
$8,940.00
|
|
|
Service Code
|
CPT 93662
|
| Hospital Charge Code |
906820078
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$1,788.00 |
| Max. Negotiated Rate |
$8,046.00 |
| Rate for Payer: Cash Price |
$4,023.00
|
| Rate for Payer: Central Health Plan Commercial |
$7,152.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,576.00
|
| Rate for Payer: Galaxy Health WC |
$7,599.00
|
| Rate for Payer: Global Benefits Group Commercial |
$5,364.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,046.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,962.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,406.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,788.00
|
| Rate for Payer: Multiplan Commercial |
$6,705.00
|
| Rate for Payer: Networks By Design Commercial |
$5,811.00
|
| Rate for Payer: Prime Health Services Commercial |
$7,599.00
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$143.94 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$498.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$747.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$498.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,205.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,263.66
|
| Rate for Payer: Blue Shield of California EPN |
$982.40
|
| Rate for Payer: Caremore Medicare Advantage |
$498.20
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: Cigna of CA HMO |
$1,285.76
|
| Rate for Payer: Cigna of CA PPO |
$1,486.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$747.30
|
| Rate for Payer: Dignity Health Media |
$498.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$548.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$672.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$498.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$498.20
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,506.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$817.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$822.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$498.20
|
| Rate for Payer: InnovAge PACE Commercial |
$747.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$143.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$498.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$667.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$667.59
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
| Rate for Payer: Prime Health Services Medicare |
$528.09
|
| Rate for Payer: Riverside University Health System MISP |
$548.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,205.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,205.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,004.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,004.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,004.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,004.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$747.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Vantage Medical Group Senior |
$498.20
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$143.94 |
| Max. Negotiated Rate |
$2,901.00 |
| 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 |
$747.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$498.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,205.40
|
| Rate for Payer: Caremore Medicare Advantage |
$498.20
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: Cigna of CA PPO |
$1,486.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$747.30
|
| Rate for Payer: Dignity Health Media |
$498.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$548.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$672.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$498.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$498.20
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,506.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$817.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$498.20
|
| Rate for Payer: InnovAge PACE Commercial |
$747.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$143.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$498.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$667.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$667.59
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
| Rate for Payer: Prime Health Services Medicare |
$528.09
|
| Rate for Payer: Riverside University Health System MISP |
$548.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,205.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,004.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,004.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,004.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,004.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$747.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Vantage Medical Group Senior |
$498.20
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
OP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$143.94 |
| Max. Negotiated Rate |
$4,846.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$498.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$747.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$498.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,205.40
|
| 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 |
$498.20
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: Cigna of CA PPO |
$1,486.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$747.30
|
| Rate for Payer: Dignity Health Media |
$498.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$548.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$672.57
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$498.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$498.20
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,506.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$817.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$822.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$498.20
|
| Rate for Payer: InnovAge PACE Commercial |
$747.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$143.94
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$498.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$667.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$667.59
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
| Rate for Payer: Prime Health Services Medicare |
$528.09
|
| Rate for Payer: Riverside University Health System MISP |
$548.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,205.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,834.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,041.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$951.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$747.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$548.02
|
| Rate for Payer: Vantage Medical Group Senior |
$498.20
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$401.80 |
| Max. Negotiated Rate |
$1,808.10 |
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$803.60
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$765.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$401.80 |
| Max. Negotiated Rate |
$1,808.10 |
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$803.60
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$765.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
|
|
HC I & D ABSCESS COMPL OR MULT
|
Facility
|
IP
|
$2,009.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
900501001
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$401.80 |
| Max. Negotiated Rate |
$1,808.10 |
| Rate for Payer: Cash Price |
$904.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,607.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$803.60
|
| Rate for Payer: Galaxy Health WC |
$1,707.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,205.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,808.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,340.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$765.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$401.80
|
| Rate for Payer: Multiplan Commercial |
$1,506.75
|
| Rate for Payer: Networks By Design Commercial |
$1,305.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,707.65
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$353.80 |
| Max. Negotiated Rate |
$1,592.10 |
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$707.60
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$673.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$207.20 |
| Max. Negotiated Rate |
$5,779.00 |
| 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 |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,061.40
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: Cigna of CA PPO |
$1,309.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,326.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,061.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$884.50
|
| Rate for Payer: United Healthcare All Other HMO |
$884.50
|
| Rate for Payer: United Healthcare HMO Rider |
$884.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$884.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$353.80 |
| Max. Negotiated Rate |
$1,592.10 |
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$707.60
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$673.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$353.80 |
| Max. Negotiated Rate |
$1,592.10 |
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$707.60
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$673.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
IP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$353.80 |
| Max. Negotiated Rate |
$1,592.10 |
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$707.60
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$673.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$207.20 |
| Max. Negotiated Rate |
$5,779.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$250.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,061.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,112.70
|
| Rate for Payer: Blue Shield of California EPN |
$865.04
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: Cigna of CA HMO |
$1,132.16
|
| Rate for Payer: Cigna of CA PPO |
$1,309.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,326.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$412.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,061.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,061.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$884.50
|
| Rate for Payer: United Healthcare All Other HMO |
$884.50
|
| Rate for Payer: United Healthcare HMO Rider |
$884.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$884.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
720
|
| Min. Negotiated Rate |
$207.20 |
| Max. Negotiated Rate |
$5,779.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$250.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,061.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,112.70
|
| Rate for Payer: Blue Shield of California EPN |
$865.04
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: Cigna of CA HMO |
$1,132.16
|
| Rate for Payer: Cigna of CA PPO |
$1,309.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,326.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$412.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,061.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,061.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,036.00
|
| Rate for Payer: United Healthcare All Other HMO |
$799.00
|
| Rate for Payer: United Healthcare HMO Rider |
$605.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$552.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC I & D ABSCESS SIMPLE
|
Facility
|
OP
|
$1,769.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
900501000
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$207.20 |
| Max. Negotiated Rate |
$5,779.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$250.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$250.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Blue Distinction Transplant |
$1,061.40
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Caremore Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Cash Price |
$796.05
|
| Rate for Payer: Central Health Plan Commercial |
$1,415.20
|
| Rate for Payer: Cigna of CA PPO |
$1,309.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$375.21
|
| Rate for Payer: Dignity Health Media |
$250.14
|
| Rate for Payer: Dignity Health Medi-Cal |
$275.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$337.69
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$250.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$250.14
|
| Rate for Payer: Galaxy Health WC |
$1,503.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,061.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,592.10
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$1,326.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$410.23
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$412.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$250.14
|
| Rate for Payer: InnovAge PACE Commercial |
$375.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,179.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$207.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$250.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$353.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$335.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$335.19
|
| Rate for Payer: Multiplan Commercial |
$1,326.75
|
| Rate for Payer: Networks By Design Commercial |
$1,149.85
|
| Rate for Payer: Prime Health Services Commercial |
$1,503.65
|
| Rate for Payer: Prime Health Services Medicare |
$265.15
|
| Rate for Payer: Riverside University Health System MISP |
$275.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,061.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,834.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,041.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$951.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$375.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$275.15
|
| Rate for Payer: Vantage Medical Group Senior |
$250.14
|
|
|
HC I & D ABSCESS,THROAT INTRAORAL
|
Facility
|
OP
|
$8,382.00
|
|
|
Service Code
|
CPT 42720
|
| Hospital Charge Code |
900501607
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$329.63 |
| Max. Negotiated Rate |
$7,543.80 |
| 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 |
$6,034.04
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,424.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,022.69
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: Blue Distinction Transplant |
$5,029.20
|
| Rate for Payer: Caremore Medicare Advantage |
$4,022.69
|
| Rate for Payer: Cash Price |
$3,771.90
|
| Rate for Payer: Cash Price |
$3,771.90
|
| Rate for Payer: Cash Price |
$3,771.90
|
| Rate for Payer: Cash Price |
$3,771.90
|
| Rate for Payer: Central Health Plan Commercial |
$6,705.60
|
| Rate for Payer: Cigna of CA PPO |
$6,202.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,034.04
|
| Rate for Payer: Dignity Health Media |
$4,022.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,424.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,430.63
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$4,022.69
|
| Rate for Payer: EPIC Health Plan Transplant |
$4,022.69
|
| Rate for Payer: Galaxy Health WC |
$7,124.70
|
| Rate for Payer: Global Benefits Group Commercial |
$5,029.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,543.80
|
| Rate for Payer: Health Plan of Nevada (Sierra) Other |
$6,286.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,597.21
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$936.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,022.69
|
| Rate for Payer: InnovAge PACE Commercial |
$6,034.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,590.79
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$329.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,022.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,676.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,390.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,390.40
|
| Rate for Payer: Multiplan Commercial |
$6,286.50
|
| Rate for Payer: Networks By Design Commercial |
$5,448.30
|
| Rate for Payer: Prime Health Services Commercial |
$7,124.70
|
| Rate for Payer: Prime Health Services Medicare |
$4,264.05
|
| Rate for Payer: Riverside University Health System MISP |
$4,424.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,029.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,191.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,191.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,191.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,191.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,034.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,424.96
|
| Rate for Payer: Vantage Medical Group Senior |
$4,022.69
|
|
