|
HC LANG EXPRESS GOAL STATUS
|
Facility
|
OP
|
$0.01
|
|
|
Service Code
|
CPT G9163
|
| Hospital Charge Code |
900018128
|
|
Hospital Revenue Code
|
420
|
| Max. Negotiated Rate |
$447.00 |
| Rate for Payer: Adventist Health Commercial |
$0.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$0.01
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$0.01
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$0.01
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$0.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$447.00
|
| Rate for Payer: Blue Shield of California Commercial |
$412.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Central Health Plan Commercial |
$0.01
|
| Rate for Payer: Cigna of CA HMO |
$0.01
|
| Rate for Payer: Cigna of CA PPO |
$0.01
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$0.01
|
| Rate for Payer: Dignity Health Medi-Cal |
$0.01
|
| Rate for Payer: Dignity Health Medicare Advantage |
$0.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.00
|
| Rate for Payer: EPIC Health Plan Senior |
$0.00
|
| Rate for Payer: Galaxy Health WC |
$0.01
|
| Rate for Payer: Global Benefits Group Commercial |
$0.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.01
|
| Rate for Payer: InnovAge PACE Commercial |
$0.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$0.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$0.01
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$0.01
|
| Rate for Payer: Multiplan Commercial |
$0.01
|
| Rate for Payer: Networks By Design Commercial |
$0.01
|
| Rate for Payer: Prime Health Services Commercial |
$0.01
|
| Rate for Payer: Riverside University Health System MISP |
$0.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$0.01
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$0.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$0.01
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$0.01
|
| Rate for Payer: Vantage Medical Group Senior |
$0.01
|
|
|
HC LANG EXPRESS GOAL STATUS
|
Facility
|
IP
|
$0.01
|
|
|
Service Code
|
CPT G9163
|
| Hospital Charge Code |
900018428
|
|
Hospital Revenue Code
|
420
|
| Max. Negotiated Rate |
$0.01 |
| Rate for Payer: Adventist Health Commercial |
$0.00
|
| Rate for Payer: Central Health Plan Commercial |
$0.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$0.00
|
| Rate for Payer: EPIC Health Plan Senior |
$0.00
|
| Rate for Payer: Galaxy Health WC |
$0.01
|
| Rate for Payer: Global Benefits Group Commercial |
$0.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$0.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$0.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$0.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$0.00
|
| Rate for Payer: Multiplan Commercial |
$0.01
|
| Rate for Payer: Networks By Design Commercial |
$0.01
|
| Rate for Payer: Prime Health Services Commercial |
$0.01
|
|
|
HC LANGUAGE EVALUATION
|
Facility
|
OP
|
$1,093.00
|
|
| Hospital Charge Code |
905601211
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$983.70 |
| Rate for Payer: Adventist Health Commercial |
$448.13
|
| Rate for Payer: Aetna of CA HMO/PPO |
$663.78
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$929.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$601.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$819.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$447.00
|
| Rate for Payer: Blue Shield of California Commercial |
$412.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$491.85
|
| Rate for Payer: Cash Price |
$491.85
|
| Rate for Payer: Cash Price |
$491.85
|
| Rate for Payer: Central Health Plan Commercial |
$874.40
|
| Rate for Payer: Cigna of CA HMO |
$699.52
|
| Rate for Payer: Cigna of CA PPO |
$808.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$929.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$929.05
|
| Rate for Payer: Dignity Health Medicare Advantage |
$929.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$437.20
|
| Rate for Payer: EPIC Health Plan Senior |
$437.20
|
| Rate for Payer: Galaxy Health WC |
$929.05
|
| Rate for Payer: Global Benefits Group Commercial |
$655.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$983.70
|
| Rate for Payer: InnovAge PACE Commercial |
$546.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$729.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$416.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$676.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$448.13
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$765.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$765.10
|
| Rate for Payer: Multiplan Commercial |
$819.75
|
| Rate for Payer: Networks By Design Commercial |
$710.45
|
| Rate for Payer: Prime Health Services Commercial |
$929.05
|
| Rate for Payer: Riverside University Health System MISP |
$437.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$655.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$655.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$417.00
|
| Rate for Payer: United Healthcare All Other HMO |
$295.00
|
| Rate for Payer: United Healthcare HMO Rider |
$224.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$206.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$929.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$929.05
|
| Rate for Payer: Vantage Medical Group Senior |
$929.05
|
|
|
HC LANGUAGE EVALUATION
|
Facility
|
IP
|
$1,093.00
|
|
| Hospital Charge Code |
905601211
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$218.60 |
| Max. Negotiated Rate |
$983.70 |
| Rate for Payer: Adventist Health Commercial |
$218.60
|
| Rate for Payer: Cash Price |
$491.85
|
| Rate for Payer: Central Health Plan Commercial |
$874.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$437.20
|
| Rate for Payer: EPIC Health Plan Senior |
$437.20
|
| Rate for Payer: Galaxy Health WC |
$929.05
|
| Rate for Payer: Global Benefits Group Commercial |
$655.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$983.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$729.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$416.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$676.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$218.60
|
| Rate for Payer: Multiplan Commercial |
$819.75
|
| Rate for Payer: Networks By Design Commercial |
$710.45
|
| Rate for Payer: Prime Health Services Commercial |
$929.05
|
|
|
HC LARYNGOSCOPY DIRECT
|
Facility
|
OP
|
$8,658.00
|
|
|
Service Code
|
CPT 31515
|
| Hospital Charge Code |
900501121
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$133.68 |
| Max. Negotiated Rate |
$7,792.20 |
| Rate for Payer: Adventist Health Commercial |
$1,731.60
|
| 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 |
$740.09
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$542.73
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$493.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$786.13
|
| Rate for Payer: Cash Price |
$3,896.10
|
| Rate for Payer: Cash Price |
$3,896.10
|
| Rate for Payer: Cash Price |
$3,896.10
|
| Rate for Payer: Cash Price |
$3,896.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,926.40
|
| Rate for Payer: Cigna of CA HMO |
$5,541.12
|
| Rate for Payer: Cigna of CA PPO |
$6,406.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$740.09
|
| Rate for Payer: Dignity Health Medi-Cal |
$542.73
|
| Rate for Payer: Dignity Health Medicare Advantage |
$493.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$666.08
|
| Rate for Payer: EPIC Health Plan Senior |
$493.39
|
| Rate for Payer: Galaxy Health WC |
$7,359.30
|
| Rate for Payer: Global Benefits Group Commercial |
$5,194.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,792.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$809.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$493.39
|
| Rate for Payer: InnovAge PACE Commercial |
$740.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,774.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$133.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$493.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,731.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$661.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$661.14
|
| Rate for Payer: Multiplan Commercial |
$6,493.50
|
| Rate for Payer: Multiplan WC |
$786.13
|
| Rate for Payer: Networks By Design Commercial |
$5,627.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$493.39
|
| Rate for Payer: Preferred Health Network WC |
$802.17
|
| Rate for Payer: Prime Health Services Commercial |
$7,359.30
|
| Rate for Payer: Prime Health Services Medicare |
$522.99
|
| Rate for Payer: Prime Health Services WC |
$778.10
|
| Rate for Payer: Riverside University Health System MISP |
$542.73
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,194.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,329.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,329.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,329.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,329.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$493.39
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$740.09
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$542.73
|
| Rate for Payer: Vantage Medical Group Senior |
$493.39
|
|
|
HC LARYNGOSCOPY DIRECT
|
Facility
|
IP
|
$8,658.00
|
|
|
Service Code
|
CPT 31515
|
| Hospital Charge Code |
900501121
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,731.60 |
| Max. Negotiated Rate |
$7,792.20 |
| Rate for Payer: Adventist Health Commercial |
$1,731.60
|
| Rate for Payer: Cash Price |
$3,896.10
|
| Rate for Payer: Central Health Plan Commercial |
$6,926.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,463.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,463.20
|
| Rate for Payer: Galaxy Health WC |
$7,359.30
|
| Rate for Payer: Global Benefits Group Commercial |
$5,194.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,792.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,774.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,298.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,359.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,731.60
|
| Rate for Payer: Multiplan Commercial |
$6,493.50
|
| Rate for Payer: Networks By Design Commercial |
$5,627.70
|
| Rate for Payer: Prime Health Services Commercial |
$7,359.30
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
OP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$132.56 |
| Max. Negotiated Rate |
$6,248.00 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$246.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$429.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$521.52
|
| Rate for Payer: Blue Shield of California Commercial |
$542.57
|
| Rate for Payer: Blue Shield of California EPN |
$354.31
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: Cigna of CA HMO |
$568.32
|
| Rate for Payer: Cigna of CA PPO |
$657.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$132.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$146.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$532.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$532.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$444.00
|
| Rate for Payer: United Healthcare All Other HMO |
$444.00
|
| Rate for Payer: United Healthcare HMO Rider |
$444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$444.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
IP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$177.60 |
| Max. Negotiated Rate |
$799.20 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$355.20
|
| Rate for Payer: EPIC Health Plan Senior |
$355.20
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$338.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$549.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
IP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$177.60 |
| Max. Negotiated Rate |
$799.20 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$355.20
|
| Rate for Payer: EPIC Health Plan Senior |
$355.20
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$338.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$549.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
OP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$146.43 |
| Max. Negotiated Rate |
$6,248.00 |
| Rate for Payer: Adventist Health Commercial |
$364.08
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$521.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$393.03
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: Cigna of CA HMO |
$568.32
|
| Rate for Payer: Cigna of CA PPO |
$657.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$146.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Multiplan WC |
$393.03
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Preferred Health Network WC |
$401.05
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Prime Health Services WC |
$389.02
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$532.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$532.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
IP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$177.60 |
| Max. Negotiated Rate |
$799.20 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$355.20
|
| Rate for Payer: EPIC Health Plan Senior |
$355.20
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$338.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$549.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
IP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$177.60 |
| Max. Negotiated Rate |
$799.20 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$355.20
|
| Rate for Payer: EPIC Health Plan Senior |
$355.20
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$338.33
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$549.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
OP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$146.43 |
| Max. Negotiated Rate |
$6,248.00 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$393.03
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: Cigna of CA HMO |
$568.32
|
| Rate for Payer: Cigna of CA PPO |
$657.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$146.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Multiplan WC |
$393.03
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Preferred Health Network WC |
$401.05
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Prime Health Services WC |
$389.02
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$532.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$444.00
|
| Rate for Payer: United Healthcare All Other HMO |
$444.00
|
| Rate for Payer: United Healthcare HMO Rider |
$444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$444.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY FLEX FIBEROPTIC
|
Facility
|
OP
|
$888.00
|
|
|
Service Code
|
CPT 31575
|
| Hospital Charge Code |
900501260
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$132.56 |
| Max. Negotiated Rate |
$6,248.00 |
| Rate for Payer: Adventist Health Commercial |
$177.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$246.67
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$429.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$521.52
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$393.03
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Cash Price |
$399.60
|
| Rate for Payer: Central Health Plan Commercial |
$710.40
|
| Rate for Payer: Cigna of CA HMO |
$568.32
|
| Rate for Payer: Cigna of CA PPO |
$657.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$754.80
|
| Rate for Payer: Global Benefits Group Commercial |
$532.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$799.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$132.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$592.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$146.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$177.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$666.00
|
| Rate for Payer: Multiplan WC |
$393.03
|
| Rate for Payer: Networks By Design Commercial |
$577.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Preferred Health Network WC |
$401.05
|
| Rate for Payer: Prime Health Services Commercial |
$754.80
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Prime Health Services WC |
$389.02
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$532.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY INDIRECT
|
Facility
|
OP
|
$774.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
900501120
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$112.48 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Commercial |
$154.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,582.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$393.03
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Central Health Plan Commercial |
$619.20
|
| Rate for Payer: Cigna of CA HMO |
$495.36
|
| Rate for Payer: Cigna of CA PPO |
$572.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$657.90
|
| Rate for Payer: Global Benefits Group Commercial |
$464.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$696.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$516.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$112.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$580.50
|
| Rate for Payer: Multiplan WC |
$393.03
|
| Rate for Payer: Networks By Design Commercial |
$503.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Preferred Health Network WC |
$401.05
|
| Rate for Payer: Prime Health Services Commercial |
$657.90
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Prime Health Services WC |
$389.02
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$464.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$387.00
|
| Rate for Payer: United Healthcare All Other HMO |
$387.00
|
| Rate for Payer: United Healthcare HMO Rider |
$387.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$387.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY INDIRECT
|
Facility
|
IP
|
$774.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
900501120
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$154.80 |
| Max. Negotiated Rate |
$696.60 |
| Rate for Payer: Adventist Health Commercial |
$154.80
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Central Health Plan Commercial |
$619.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$309.60
|
| Rate for Payer: EPIC Health Plan Senior |
$309.60
|
| Rate for Payer: Galaxy Health WC |
$657.90
|
| Rate for Payer: Global Benefits Group Commercial |
$464.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$696.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$516.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$294.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$479.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.80
|
| Rate for Payer: Multiplan Commercial |
$580.50
|
| Rate for Payer: Networks By Design Commercial |
$503.10
|
| Rate for Payer: Prime Health Services Commercial |
$657.90
|
|
|
HC LARYNGOSCOPY INDIRECT
|
Facility
|
OP
|
$774.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
900501120
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$112.48 |
| Max. Negotiated Rate |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$317.34
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$470.05
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$246.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$393.03
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Central Health Plan Commercial |
$619.20
|
| Rate for Payer: Cigna of CA HMO |
$495.36
|
| Rate for Payer: Cigna of CA PPO |
$572.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$370.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$271.34
|
| Rate for Payer: Dignity Health Medicare Advantage |
$246.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$333.00
|
| Rate for Payer: EPIC Health Plan Senior |
$246.67
|
| Rate for Payer: Galaxy Health WC |
$657.90
|
| Rate for Payer: Global Benefits Group Commercial |
$464.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$696.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$404.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$246.67
|
| Rate for Payer: InnovAge PACE Commercial |
$370.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$516.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$112.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$246.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$330.54
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$330.54
|
| Rate for Payer: Multiplan Commercial |
$580.50
|
| Rate for Payer: Multiplan WC |
$393.03
|
| Rate for Payer: Networks By Design Commercial |
$503.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$246.67
|
| Rate for Payer: Preferred Health Network WC |
$401.05
|
| Rate for Payer: Prime Health Services Commercial |
$657.90
|
| Rate for Payer: Prime Health Services Medicare |
$261.47
|
| Rate for Payer: Prime Health Services WC |
$389.02
|
| Rate for Payer: Riverside University Health System MISP |
$271.34
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$464.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$464.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$246.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$370.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$271.34
|
| Rate for Payer: Vantage Medical Group Senior |
$246.67
|
|
|
HC LARYNGOSCOPY INDIRECT
|
Facility
|
IP
|
$774.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
900501120
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$154.80 |
| Max. Negotiated Rate |
$696.60 |
| Rate for Payer: Adventist Health Commercial |
$154.80
|
| Rate for Payer: Cash Price |
$348.30
|
| Rate for Payer: Central Health Plan Commercial |
$619.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$309.60
|
| Rate for Payer: EPIC Health Plan Senior |
$309.60
|
| Rate for Payer: Galaxy Health WC |
$657.90
|
| Rate for Payer: Global Benefits Group Commercial |
$464.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$696.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$516.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$294.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$479.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$154.80
|
| Rate for Payer: Multiplan Commercial |
$580.50
|
| Rate for Payer: Networks By Design Commercial |
$503.10
|
| Rate for Payer: Prime Health Services Commercial |
$657.90
|
|
|
HC LARYNGOSCOPY W/RMVL F.B.
|
Facility
|
OP
|
$3,557.00
|
|
|
Service Code
|
CPT 31577
|
| Hospital Charge Code |
900501549
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$288.61 |
| Max. Negotiated Rate |
$6,333.00 |
| Rate for Payer: Adventist Health Commercial |
$711.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$740.09
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$542.73
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$493.39
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$786.13
|
| Rate for Payer: Cash Price |
$1,600.65
|
| Rate for Payer: Cash Price |
$1,600.65
|
| Rate for Payer: Cash Price |
$1,600.65
|
| Rate for Payer: Cash Price |
$1,600.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,845.60
|
| Rate for Payer: Cigna of CA HMO |
$2,276.48
|
| Rate for Payer: Cigna of CA PPO |
$2,632.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$740.09
|
| Rate for Payer: Dignity Health Medi-Cal |
$542.73
|
| Rate for Payer: Dignity Health Medicare Advantage |
$493.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$666.08
|
| Rate for Payer: EPIC Health Plan Senior |
$493.39
|
| Rate for Payer: Galaxy Health WC |
$3,023.45
|
| Rate for Payer: Global Benefits Group Commercial |
$2,134.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,201.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$809.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$493.39
|
| Rate for Payer: InnovAge PACE Commercial |
$740.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,372.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$288.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$493.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$711.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$661.14
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$661.14
|
| Rate for Payer: Multiplan Commercial |
$2,667.75
|
| Rate for Payer: Multiplan WC |
$786.13
|
| Rate for Payer: Networks By Design Commercial |
$2,312.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$493.39
|
| Rate for Payer: Preferred Health Network WC |
$802.17
|
| Rate for Payer: Prime Health Services Commercial |
$3,023.45
|
| Rate for Payer: Prime Health Services Medicare |
$522.99
|
| Rate for Payer: Prime Health Services WC |
$778.10
|
| Rate for Payer: Riverside University Health System MISP |
$542.73
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,134.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,778.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,778.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,778.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,778.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$493.39
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$740.09
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$542.73
|
| Rate for Payer: Vantage Medical Group Senior |
$493.39
|
|
|
HC LARYNGOSCOPY W/RMVL F.B.
|
Facility
|
IP
|
$3,557.00
|
|
|
Service Code
|
CPT 31577
|
| Hospital Charge Code |
900501549
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$711.40 |
| Max. Negotiated Rate |
$3,201.30 |
| Rate for Payer: Adventist Health Commercial |
$711.40
|
| Rate for Payer: Cash Price |
$1,600.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,845.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,422.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,422.80
|
| Rate for Payer: Galaxy Health WC |
$3,023.45
|
| Rate for Payer: Global Benefits Group Commercial |
$2,134.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,201.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,372.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,355.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,201.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$711.40
|
| Rate for Payer: Multiplan Commercial |
$2,667.75
|
| Rate for Payer: Networks By Design Commercial |
$2,312.05
|
| Rate for Payer: Prime Health Services Commercial |
$3,023.45
|
|
|
HC LARYNGOSCOPY W/TUMOR EXC W/SCO
|
Facility
|
OP
|
$17,182.00
|
|
|
Service Code
|
CPT 31541
|
| Hospital Charge Code |
900501640
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$15,463.80 |
| Rate for Payer: Adventist Health Commercial |
$7,044.62
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,684.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,464.14
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Central Health Plan Commercial |
$13,745.60
|
| Rate for Payer: Cigna of CA HMO |
$10,996.48
|
| Rate for Payer: Cigna of CA PPO |
$12,714.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,153.10
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,684.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,324.26
|
| Rate for Payer: EPIC Health Plan Senior |
$4,684.64
|
| Rate for Payer: Galaxy Health WC |
$14,604.70
|
| Rate for Payer: Global Benefits Group Commercial |
$10,309.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,463.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,682.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,684.64
|
| Rate for Payer: InnovAge PACE Commercial |
$7,026.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,460.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$509.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,684.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,436.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,277.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,277.42
|
| Rate for Payer: Multiplan Commercial |
$12,886.50
|
| Rate for Payer: Multiplan WC |
$7,464.14
|
| Rate for Payer: Networks By Design Commercial |
$11,168.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,684.64
|
| Rate for Payer: Preferred Health Network WC |
$7,616.47
|
| Rate for Payer: Prime Health Services Commercial |
$14,604.70
|
| Rate for Payer: Prime Health Services Medicare |
$4,965.72
|
| Rate for Payer: Prime Health Services WC |
$7,387.98
|
| Rate for Payer: Riverside University Health System MISP |
$5,153.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,309.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10,309.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,684.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Vantage Medical Group Senior |
$4,684.64
|
|
|
HC LARYNGOSCOPY W/TUMOR EXC W/SCO
|
Facility
|
IP
|
$17,182.00
|
|
|
Service Code
|
CPT 31541
|
| Hospital Charge Code |
900501640
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$3,436.40 |
| Max. Negotiated Rate |
$15,463.80 |
| Rate for Payer: Adventist Health Commercial |
$3,436.40
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Central Health Plan Commercial |
$13,745.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,872.80
|
| Rate for Payer: EPIC Health Plan Senior |
$6,872.80
|
| Rate for Payer: Galaxy Health WC |
$14,604.70
|
| Rate for Payer: Global Benefits Group Commercial |
$10,309.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,463.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,460.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,546.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,635.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,436.40
|
| Rate for Payer: Multiplan Commercial |
$12,886.50
|
| Rate for Payer: Networks By Design Commercial |
$11,168.30
|
| Rate for Payer: Prime Health Services Commercial |
$14,604.70
|
|
|
HC LARYNGOSCOPY W/TUMOR EXC W/SCO
|
Facility
|
IP
|
$17,182.00
|
|
|
Service Code
|
CPT 31541
|
| Hospital Charge Code |
900501640
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$3,436.40 |
| Max. Negotiated Rate |
$15,463.80 |
| Rate for Payer: Adventist Health Commercial |
$3,436.40
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Central Health Plan Commercial |
$13,745.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,872.80
|
| Rate for Payer: EPIC Health Plan Senior |
$6,872.80
|
| Rate for Payer: Galaxy Health WC |
$14,604.70
|
| Rate for Payer: Global Benefits Group Commercial |
$10,309.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,463.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,460.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,546.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,635.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,436.40
|
| Rate for Payer: Multiplan Commercial |
$12,886.50
|
| Rate for Payer: Networks By Design Commercial |
$11,168.30
|
| Rate for Payer: Prime Health Services Commercial |
$14,604.70
|
|
|
HC LARYNGOSCOPY W/TUMOR EXC W/SCO
|
Facility
|
OP
|
$17,182.00
|
|
|
Service Code
|
CPT 31541
|
| Hospital Charge Code |
900501640
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$15,463.80 |
| Rate for Payer: Adventist Health Commercial |
$3,436.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,684.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,464.14
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Cash Price |
$7,731.90
|
| Rate for Payer: Central Health Plan Commercial |
$13,745.60
|
| Rate for Payer: Cigna of CA HMO |
$10,996.48
|
| Rate for Payer: Cigna of CA PPO |
$12,714.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,153.10
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,684.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,324.26
|
| Rate for Payer: EPIC Health Plan Senior |
$4,684.64
|
| Rate for Payer: Galaxy Health WC |
$14,604.70
|
| Rate for Payer: Global Benefits Group Commercial |
$10,309.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,463.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,682.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,684.64
|
| Rate for Payer: InnovAge PACE Commercial |
$7,026.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11,460.39
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$509.31
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,684.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,436.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,277.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,277.42
|
| Rate for Payer: Multiplan Commercial |
$12,886.50
|
| Rate for Payer: Multiplan WC |
$7,464.14
|
| Rate for Payer: Networks By Design Commercial |
$11,168.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,684.64
|
| Rate for Payer: Preferred Health Network WC |
$7,616.47
|
| Rate for Payer: Prime Health Services Commercial |
$14,604.70
|
| Rate for Payer: Prime Health Services Medicare |
$4,965.72
|
| Rate for Payer: Prime Health Services WC |
$7,387.98
|
| Rate for Payer: Riverside University Health System MISP |
$5,153.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,309.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$8,591.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,591.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8,591.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,684.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Vantage Medical Group Senior |
$4,684.64
|
|
|
HC LASER TREATMENT
|
Facility
|
OP
|
$11,348.00
|
|
|
Service Code
|
CPT 31641
|
| Hospital Charge Code |
900803400
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$268.00 |
| Max. Negotiated Rate |
$10,213.20 |
| Rate for Payer: Adventist Health Commercial |
$2,269.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,684.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,684.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Blue Shield of California Commercial |
$412.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$5,106.60
|
| Rate for Payer: Cash Price |
$5,106.60
|
| Rate for Payer: Cash Price |
$5,106.60
|
| Rate for Payer: Cash Price |
$5,106.60
|
| Rate for Payer: Central Health Plan Commercial |
$9,078.40
|
| Rate for Payer: Cigna of CA HMO |
$7,262.72
|
| Rate for Payer: Cigna of CA PPO |
$8,397.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,153.10
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,684.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,324.26
|
| Rate for Payer: EPIC Health Plan Senior |
$4,684.64
|
| Rate for Payer: Galaxy Health WC |
$9,645.80
|
| Rate for Payer: Global Benefits Group Commercial |
$6,808.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,213.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,682.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$362.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,684.64
|
| Rate for Payer: InnovAge PACE Commercial |
$7,026.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7,569.12
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$400.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,684.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,269.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,277.42
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,277.42
|
| Rate for Payer: Multiplan Commercial |
$8,511.00
|
| Rate for Payer: Networks By Design Commercial |
$7,376.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,684.64
|
| Rate for Payer: Prime Health Services Commercial |
$9,645.80
|
| Rate for Payer: Prime Health Services Medicare |
$4,965.72
|
| Rate for Payer: Riverside University Health System MISP |
$5,153.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,808.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6,808.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$536.00
|
| Rate for Payer: United Healthcare All Other HMO |
$502.00
|
| Rate for Payer: United Healthcare HMO Rider |
$449.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$441.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,684.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,026.96
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,153.10
|
| Rate for Payer: Vantage Medical Group Senior |
$4,684.64
|
|
