|
HC PENILE INJECTION
|
Facility
|
OP
|
$1,927.00
|
|
|
Service Code
|
CPT 54235
|
| Hospital Charge Code |
900501609
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$321.35 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Commercial |
$385.40
|
| 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 |
$482.02
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$353.49
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$321.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,685.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$492.37
|
| Rate for Payer: Cash Price |
$867.15
|
| Rate for Payer: Cash Price |
$867.15
|
| Rate for Payer: Cash Price |
$867.15
|
| Rate for Payer: Cash Price |
$867.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,541.60
|
| Rate for Payer: Cigna of CA HMO |
$1,233.28
|
| Rate for Payer: Cigna of CA PPO |
$1,425.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$482.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$353.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$321.35
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,348.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$530.23
|
| Rate for Payer: EPIC Health Plan Senior |
$353.49
|
| Rate for Payer: Galaxy Health WC |
$1,637.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,156.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,734.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$527.01
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$321.35
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,223.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$699.50
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$345.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$430.61
|
| Rate for Payer: Multiplan Commercial |
$1,445.25
|
| Rate for Payer: Multiplan WC |
$492.37
|
| Rate for Payer: Networks By Design Commercial |
$1,252.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$321.35
|
| Rate for Payer: Preferred Health Network WC |
$502.42
|
| Rate for Payer: Prime Health Services Commercial |
$1,637.95
|
| Rate for Payer: Prime Health Services Medicare |
$340.63
|
| Rate for Payer: Prime Health Services WC |
$487.35
|
| Rate for Payer: Riverside University Health System MISP |
$353.49
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,156.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$963.50
|
| Rate for Payer: United Healthcare All Other HMO |
$963.50
|
| Rate for Payer: United Healthcare HMO Rider |
$963.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$963.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$321.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$482.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$353.49
|
| Rate for Payer: Vantage Medical Group Senior |
$321.35
|
|
|
HC PENILE INJECTION
|
Facility
|
IP
|
$1,927.00
|
|
|
Service Code
|
CPT 54235
|
| Hospital Charge Code |
900501609
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$385.40 |
| Max. Negotiated Rate |
$1,734.30 |
| Rate for Payer: Adventist Health Commercial |
$385.40
|
| Rate for Payer: Cash Price |
$867.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,541.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,348.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$770.80
|
| Rate for Payer: EPIC Health Plan Senior |
$770.80
|
| Rate for Payer: Galaxy Health WC |
$1,637.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,156.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,734.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,223.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,136.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$385.40
|
| Rate for Payer: Multiplan Commercial |
$1,445.25
|
| Rate for Payer: Networks By Design Commercial |
$1,252.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,637.95
|
|
|
HC PENILE VASC STUDIES COMPLETE
|
Facility
|
IP
|
$1,741.00
|
|
|
Service Code
|
CPT 93980
|
| Hospital Charge Code |
908100111
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$348.20 |
| Max. Negotiated Rate |
$1,566.90 |
| Rate for Payer: Adventist Health Commercial |
$348.20
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Central Health Plan Commercial |
$1,392.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,218.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$696.40
|
| Rate for Payer: EPIC Health Plan Senior |
$696.40
|
| Rate for Payer: Galaxy Health WC |
$1,479.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,044.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,566.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,105.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,027.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$348.20
|
| Rate for Payer: Multiplan Commercial |
$1,305.75
|
| Rate for Payer: Networks By Design Commercial |
$1,131.65
|
| Rate for Payer: Prime Health Services Commercial |
$1,479.85
|
|
|
HC PENILE VASC STUDIES COMPLETE
|
Facility
|
OP
|
$1,741.00
|
|
|
Service Code
|
CPT 93980
|
| Hospital Charge Code |
908100111
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$134.46 |
| Max. Negotiated Rate |
$1,588.00 |
| Rate for Payer: Adventist Health Commercial |
$348.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$134.46
|
| Rate for Payer: Aetna of CA HMO/PPO |
$735.92
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$201.69
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$147.91
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$134.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$790.29
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,012.74
|
| Rate for Payer: Blue Shield of California Commercial |
$1,096.83
|
| Rate for Payer: Blue Shield of California EPN |
$691.18
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Cash Price |
$783.45
|
| Rate for Payer: Central Health Plan Commercial |
$1,392.80
|
| Rate for Payer: Cigna of CA HMO |
$1,114.24
|
| Rate for Payer: Cigna of CA PPO |
$1,288.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$201.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$147.91
|
| Rate for Payer: Dignity Health Medicare Advantage |
$134.46
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,218.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$221.86
|
| Rate for Payer: EPIC Health Plan Senior |
$147.91
|
| Rate for Payer: Galaxy Health WC |
$1,479.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,044.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,566.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$220.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$284.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$134.46
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,105.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$314.68
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$188.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$348.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$180.18
|
| Rate for Payer: Multiplan Commercial |
$1,305.75
|
| Rate for Payer: Networks By Design Commercial |
$1,131.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$134.46
|
| Rate for Payer: Prime Health Services Commercial |
$1,479.85
|
| Rate for Payer: Prime Health Services Medicare |
$142.53
|
| Rate for Payer: Riverside University Health System MISP |
$147.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,044.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,044.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,588.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,289.00
|
| Rate for Payer: United Healthcare HMO Rider |
$978.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$895.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$134.46
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$201.69
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$147.91
|
| Rate for Payer: Vantage Medical Group Senior |
$134.46
|
|
|
HC PERC BILIARY DRAINAGE EXT
|
Facility
|
OP
|
$19,065.00
|
|
|
Service Code
|
CPT 47533
|
| Hospital Charge Code |
909000145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,108.05 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$3,813.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,604.99
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,065.49
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,604.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$8,579.25
|
| Rate for Payer: Cash Price |
$8,579.25
|
| Rate for Payer: Cash Price |
$8,579.25
|
| Rate for Payer: Central Health Plan Commercial |
$15,252.00
|
| Rate for Payer: Cigna of CA HMO |
$12,201.60
|
| Rate for Payer: Cigna of CA PPO |
$14,108.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,065.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,604.99
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13,345.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,598.23
|
| Rate for Payer: EPIC Health Plan Senior |
$5,065.49
|
| Rate for Payer: Galaxy Health WC |
$16,205.25
|
| Rate for Payer: Global Benefits Group Commercial |
$11,439.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$17,158.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,552.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,108.05
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,604.99
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12,106.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,328.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,446.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,813.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,170.69
|
| Rate for Payer: Multiplan Commercial |
$14,298.75
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$12,392.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,604.99
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$16,205.25
|
| Rate for Payer: Prime Health Services Medicare |
$4,881.29
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$5,065.49
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11,439.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,532.50
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,604.99
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,065.49
|
| Rate for Payer: Vantage Medical Group Senior |
$4,604.99
|
|
|
HC PERC BILIARY DRAINAGE EXT
|
Facility
|
IP
|
$19,065.00
|
|
|
Service Code
|
CPT 47533
|
| Hospital Charge Code |
909000145
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,813.00 |
| Max. Negotiated Rate |
$17,158.50 |
| Rate for Payer: Adventist Health Commercial |
$3,813.00
|
| Rate for Payer: Cash Price |
$8,579.25
|
| Rate for Payer: Central Health Plan Commercial |
$15,252.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13,345.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,626.00
|
| Rate for Payer: EPIC Health Plan Senior |
$7,626.00
|
| Rate for Payer: Galaxy Health WC |
$16,205.25
|
| Rate for Payer: Global Benefits Group Commercial |
$11,439.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$17,158.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$12,106.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11,248.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,813.00
|
| Rate for Payer: Multiplan Commercial |
$14,298.75
|
| Rate for Payer: Networks By Design Commercial |
$12,392.25
|
| Rate for Payer: Prime Health Services Commercial |
$16,205.25
|
|
|
HC PERC BILIARY DRAIN INT & EX
|
Facility
|
IP
|
$18,776.00
|
|
|
Service Code
|
CPT 47534
|
| Hospital Charge Code |
909000146
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,755.20 |
| Max. Negotiated Rate |
$16,898.40 |
| Rate for Payer: Adventist Health Commercial |
$3,755.20
|
| Rate for Payer: Cash Price |
$8,449.20
|
| Rate for Payer: Central Health Plan Commercial |
$15,020.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13,143.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,510.40
|
| Rate for Payer: EPIC Health Plan Senior |
$7,510.40
|
| Rate for Payer: Galaxy Health WC |
$15,959.60
|
| Rate for Payer: Global Benefits Group Commercial |
$11,265.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,898.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11,922.76
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11,077.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,755.20
|
| Rate for Payer: Multiplan Commercial |
$14,082.00
|
| Rate for Payer: Networks By Design Commercial |
$12,204.40
|
| Rate for Payer: Prime Health Services Commercial |
$15,959.60
|
|
|
HC PERC BILIARY DRAIN INT & EX
|
Facility
|
OP
|
$18,776.00
|
|
|
Service Code
|
CPT 47534
|
| Hospital Charge Code |
909000146
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,593.45 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$3,755.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,604.99
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,065.49
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,604.99
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,144.49
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$8,449.20
|
| Rate for Payer: Cash Price |
$8,449.20
|
| Rate for Payer: Cash Price |
$8,449.20
|
| Rate for Payer: Central Health Plan Commercial |
$15,020.80
|
| Rate for Payer: Cigna of CA HMO |
$12,016.64
|
| Rate for Payer: Cigna of CA PPO |
$13,894.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,065.49
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,604.99
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$13,143.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,598.23
|
| Rate for Payer: EPIC Health Plan Senior |
$5,065.49
|
| Rate for Payer: Galaxy Health WC |
$15,959.60
|
| Rate for Payer: Global Benefits Group Commercial |
$11,265.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,898.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,552.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$2,593.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,604.99
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11,922.76
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,864.86
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,446.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,755.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,170.69
|
| Rate for Payer: Multiplan Commercial |
$14,082.00
|
| Rate for Payer: Multiplan WC |
$7,144.49
|
| Rate for Payer: Networks By Design Commercial |
$12,204.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,604.99
|
| Rate for Payer: Preferred Health Network WC |
$7,290.30
|
| Rate for Payer: Prime Health Services Commercial |
$15,959.60
|
| Rate for Payer: Prime Health Services Medicare |
$4,881.29
|
| Rate for Payer: Prime Health Services WC |
$7,071.59
|
| Rate for Payer: Riverside University Health System MISP |
$5,065.49
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11,265.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,388.00
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,604.99
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,907.48
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,065.49
|
| Rate for Payer: Vantage Medical Group Senior |
$4,604.99
|
|
|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
|
IP
|
$10,747.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,149.40 |
| Max. Negotiated Rate |
$9,672.30 |
| Rate for Payer: Adventist Health Commercial |
$2,149.40
|
| Rate for Payer: Cash Price |
$4,836.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,597.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,522.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,298.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,298.80
|
| Rate for Payer: Galaxy Health WC |
$9,134.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,448.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,672.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,824.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,340.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,149.40
|
| Rate for Payer: Multiplan Commercial |
$8,060.25
|
| Rate for Payer: Networks By Design Commercial |
$6,985.55
|
| Rate for Payer: Prime Health Services Commercial |
$9,134.95
|
|
|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
|
OP
|
$10,747.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,533.02 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,149.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,539.08
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,387.03
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$4,836.15
|
| Rate for Payer: Cash Price |
$4,836.15
|
| Rate for Payer: Cash Price |
$4,836.15
|
| Rate for Payer: Central Health Plan Commercial |
$8,597.60
|
| Rate for Payer: Cigna of CA HMO |
$6,878.08
|
| Rate for Payer: Cigna of CA PPO |
$7,952.78
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,522.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,539.48
|
| Rate for Payer: EPIC Health Plan Senior |
$1,692.99
|
| Rate for Payer: Galaxy Health WC |
$9,134.95
|
| Rate for Payer: Global Benefits Group Commercial |
$6,448.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,672.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,524.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,533.02
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,824.35
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,693.45
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,154.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,149.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$8,060.25
|
| Rate for Payer: Multiplan WC |
$2,387.03
|
| Rate for Payer: Networks By Design Commercial |
$6,985.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Preferred Health Network WC |
$2,435.74
|
| Rate for Payer: Prime Health Services Commercial |
$9,134.95
|
| Rate for Payer: Prime Health Services Medicare |
$1,631.42
|
| Rate for Payer: Prime Health Services WC |
$2,362.67
|
| Rate for Payer: Riverside University Health System MISP |
$1,692.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,448.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,373.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,539.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
|
OP
|
$2,187.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$179.77 |
| Max. Negotiated Rate |
$2,364.00 |
| Rate for Payer: Adventist Health Commercial |
$437.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,364.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,858.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,202.85
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,640.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$651.98
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,272.18
|
| Rate for Payer: Blue Shield of California Commercial |
$1,377.81
|
| Rate for Payer: Blue Shield of California EPN |
$868.24
|
| Rate for Payer: Cash Price |
$984.15
|
| Rate for Payer: Cash Price |
$984.15
|
| Rate for Payer: Cash Price |
$984.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,749.60
|
| Rate for Payer: Cigna of CA HMO |
$1,399.68
|
| Rate for Payer: Cigna of CA PPO |
$1,618.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,858.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,858.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,858.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,530.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$874.80
|
| Rate for Payer: EPIC Health Plan Senior |
$874.80
|
| Rate for Payer: Galaxy Health WC |
$1,858.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,312.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,968.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$179.77
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,388.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$198.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,290.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$437.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,530.90
|
| Rate for Payer: Multiplan Commercial |
$1,640.25
|
| Rate for Payer: Networks By Design Commercial |
$1,421.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,858.95
|
| Rate for Payer: Riverside University Health System MISP |
$874.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,312.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,312.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,093.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,093.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,093.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,858.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,858.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,858.95
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
|
IP
|
$2,187.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$437.40 |
| Max. Negotiated Rate |
$1,968.30 |
| Rate for Payer: Adventist Health Commercial |
$437.40
|
| Rate for Payer: Cash Price |
$984.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,749.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,530.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$874.80
|
| Rate for Payer: EPIC Health Plan Senior |
$874.80
|
| Rate for Payer: Galaxy Health WC |
$1,858.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,312.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,968.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,388.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,290.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$437.40
|
| Rate for Payer: Multiplan Commercial |
$1,640.25
|
| Rate for Payer: Networks By Design Commercial |
$1,421.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,858.95
|
|
|
HC PERC HC TRANSCATH ABLTN PULM ARTERIES RH CATH
|
Facility
|
OP
|
$64,413.00
|
|
|
Service Code
|
CPT 0793T
|
| Hospital Charge Code |
906819786
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$57,971.70 |
| Rate for Payer: Adventist Health Commercial |
$12,882.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$23,577.55
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,935.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$23,577.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$31,188.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,469.04
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$28,985.85
|
| Rate for Payer: Cash Price |
$28,985.85
|
| Rate for Payer: Cash Price |
$28,985.85
|
| Rate for Payer: Central Health Plan Commercial |
$51,530.40
|
| Rate for Payer: Cigna of CA HMO |
$41,224.32
|
| Rate for Payer: Cigna of CA PPO |
$47,665.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,935.31
|
| Rate for Payer: Dignity Health Medicare Advantage |
$23,577.55
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45,089.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,902.96
|
| Rate for Payer: EPIC Health Plan Senior |
$25,935.31
|
| Rate for Payer: Galaxy Health WC |
$54,751.05
|
| Rate for Payer: Global Benefits Group Commercial |
$38,647.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$57,971.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$38,667.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,577.55
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$40,902.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$23,381.92
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33,008.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,882.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$31,593.92
|
| Rate for Payer: Multiplan Commercial |
$48,309.75
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$41,868.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,577.55
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$54,751.05
|
| Rate for Payer: Prime Health Services Medicare |
$24,992.20
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,935.31
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$38,647.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$32,206.50
|
| Rate for Payer: United Healthcare All Other HMO |
$32,206.50
|
| Rate for Payer: United Healthcare HMO Rider |
$32,206.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,206.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$23,577.55
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,935.31
|
| Rate for Payer: Vantage Medical Group Senior |
$23,577.55
|
|
|
HC PERC HC TRANSCATH ABLTN PULM ARTERIES RH CATH
|
Facility
|
IP
|
$64,413.00
|
|
|
Service Code
|
CPT 0793T
|
| Hospital Charge Code |
906819786
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$12,882.60 |
| Max. Negotiated Rate |
$57,971.70 |
| Rate for Payer: Adventist Health Commercial |
$12,882.60
|
| Rate for Payer: Cash Price |
$28,985.85
|
| Rate for Payer: Central Health Plan Commercial |
$51,530.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$45,089.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,765.20
|
| Rate for Payer: EPIC Health Plan Senior |
$25,765.20
|
| Rate for Payer: Galaxy Health WC |
$54,751.05
|
| Rate for Payer: Global Benefits Group Commercial |
$38,647.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$57,971.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$40,902.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$38,003.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,882.60
|
| Rate for Payer: Multiplan Commercial |
$48,309.75
|
| Rate for Payer: Networks By Design Commercial |
$41,868.45
|
| Rate for Payer: Prime Health Services Commercial |
$54,751.05
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
|
IP
|
$2,761.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$552.20 |
| Max. Negotiated Rate |
$2,484.90 |
| Rate for Payer: Adventist Health Commercial |
$552.20
|
| Rate for Payer: Cash Price |
$1,242.45
|
| Rate for Payer: Central Health Plan Commercial |
$2,208.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,932.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,104.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,104.40
|
| Rate for Payer: Galaxy Health WC |
$2,346.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,656.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,484.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,753.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,628.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.20
|
| Rate for Payer: Multiplan Commercial |
$2,070.75
|
| Rate for Payer: Networks By Design Commercial |
$1,794.65
|
| Rate for Payer: Prime Health Services Commercial |
$2,346.85
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
|
OP
|
$2,761.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$552.20 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$552.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,780.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,958.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,780.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$2,770.01
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$1,242.45
|
| Rate for Payer: Cash Price |
$1,242.45
|
| Rate for Payer: Cash Price |
$1,242.45
|
| Rate for Payer: Central Health Plan Commercial |
$2,208.80
|
| Rate for Payer: Cigna of CA HMO |
$1,767.04
|
| Rate for Payer: Cigna of CA PPO |
$2,043.14
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,958.24
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,780.22
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,932.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,937.36
|
| Rate for Payer: EPIC Health Plan Senior |
$1,958.24
|
| Rate for Payer: Galaxy Health WC |
$2,346.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,656.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,484.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,919.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$893.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,780.22
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,753.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$986.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,492.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$552.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,385.49
|
| Rate for Payer: Multiplan Commercial |
$2,070.75
|
| Rate for Payer: Multiplan WC |
$2,770.01
|
| Rate for Payer: Networks By Design Commercial |
$1,794.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,780.22
|
| Rate for Payer: Preferred Health Network WC |
$2,826.54
|
| Rate for Payer: Prime Health Services Commercial |
$2,346.85
|
| Rate for Payer: Prime Health Services Medicare |
$1,887.03
|
| Rate for Payer: Prime Health Services WC |
$2,741.74
|
| Rate for Payer: Riverside University Health System MISP |
$1,958.24
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,656.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,380.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,780.22
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,958.24
|
| Rate for Payer: Vantage Medical Group Senior |
$1,780.22
|
|
|
HC PERC PULM ART STENT ABN BI
|
Facility
|
IP
|
$25,085.00
|
|
|
Service Code
|
CPT 33903
|
| Hospital Charge Code |
906811903
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,017.00 |
| Max. Negotiated Rate |
$22,576.50 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17,559.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,034.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10,034.00
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15,928.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14,800.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
|
|
HC PERC PULM ART STENT ABN BI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33903
|
| Hospital Charge Code |
906811903
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,847.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,847.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,933.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Dignity Health Medi-Cal |
$16,332.54
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,847.76
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17,559.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,498.80
|
| Rate for Payer: EPIC Health Plan Senior |
$16,332.54
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$24,350.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15,928.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20,786.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19,896.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,738.63
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$16,332.54
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,542.50
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,847.76
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Vantage Medical Group Senior |
$14,847.76
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
OP
|
$38,563.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906811902
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$7,712.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$23,577.55
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,935.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$23,577.55
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,933.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$17,353.35
|
| Rate for Payer: Cash Price |
$17,353.35
|
| Rate for Payer: Cash Price |
$17,353.35
|
| Rate for Payer: Central Health Plan Commercial |
$30,850.40
|
| Rate for Payer: Cigna of CA HMO |
$24,680.32
|
| Rate for Payer: Cigna of CA PPO |
$28,536.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,935.31
|
| Rate for Payer: Dignity Health Medicare Advantage |
$23,577.55
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$26,994.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$38,902.96
|
| Rate for Payer: EPIC Health Plan Senior |
$25,935.31
|
| Rate for Payer: Galaxy Health WC |
$32,778.55
|
| Rate for Payer: Global Benefits Group Commercial |
$23,137.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$34,706.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$38,667.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$23,577.55
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$24,487.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$33,008.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,712.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$31,593.92
|
| Rate for Payer: Multiplan Commercial |
$28,922.25
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$25,065.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$23,577.55
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$32,778.55
|
| Rate for Payer: Prime Health Services Medicare |
$24,992.20
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,935.31
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23,137.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$19,281.50
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$23,577.55
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$35,366.32
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,935.31
|
| Rate for Payer: Vantage Medical Group Senior |
$23,577.55
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
IP
|
$38,563.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906811902
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,712.60 |
| Max. Negotiated Rate |
$34,706.70 |
| Rate for Payer: Adventist Health Commercial |
$7,712.60
|
| Rate for Payer: Cash Price |
$17,353.35
|
| Rate for Payer: Central Health Plan Commercial |
$30,850.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$26,994.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,425.20
|
| Rate for Payer: EPIC Health Plan Senior |
$15,425.20
|
| Rate for Payer: Galaxy Health WC |
$32,778.55
|
| Rate for Payer: Global Benefits Group Commercial |
$23,137.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$34,706.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$24,487.51
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$22,752.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,712.60
|
| Rate for Payer: Multiplan Commercial |
$28,922.25
|
| Rate for Payer: Networks By Design Commercial |
$25,065.95
|
| Rate for Payer: Prime Health Services Commercial |
$32,778.55
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
OP
|
$12,542.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906811904
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,508.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,898.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,406.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,072.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,295.68
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$5,643.90
|
| Rate for Payer: Cash Price |
$5,643.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,033.60
|
| Rate for Payer: Cigna of CA HMO |
$8,026.88
|
| Rate for Payer: Cigna of CA PPO |
$9,281.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,660.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,660.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,779.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,016.80
|
| Rate for Payer: EPIC Health Plan Senior |
$5,016.80
|
| Rate for Payer: Galaxy Health WC |
$10,660.70
|
| Rate for Payer: Global Benefits Group Commercial |
$7,525.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,287.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,964.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,399.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,508.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$8,779.40
|
| Rate for Payer: Multiplan Commercial |
$9,406.50
|
| Rate for Payer: Networks By Design Commercial |
$8,152.30
|
| Rate for Payer: Prime Health Services Commercial |
$10,660.70
|
| Rate for Payer: Riverside University Health System MISP |
$5,016.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,525.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,271.00
|
| 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: Vantage Medical Group Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,660.70
|
| Rate for Payer: Vantage Medical Group Senior |
$10,660.70
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
IP
|
$12,542.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906811904
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,508.40 |
| Max. Negotiated Rate |
$11,287.80 |
| Rate for Payer: Adventist Health Commercial |
$2,508.40
|
| Rate for Payer: Cash Price |
$5,643.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,033.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,779.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,016.80
|
| Rate for Payer: EPIC Health Plan Senior |
$5,016.80
|
| Rate for Payer: Galaxy Health WC |
$10,660.70
|
| Rate for Payer: Global Benefits Group Commercial |
$7,525.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,287.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,964.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,399.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,508.40
|
| Rate for Payer: Multiplan Commercial |
$9,406.50
|
| Rate for Payer: Networks By Design Commercial |
$8,152.30
|
| Rate for Payer: Prime Health Services Commercial |
$10,660.70
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906811901
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,847.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,847.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,933.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Dignity Health Medi-Cal |
$16,332.54
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,847.76
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17,559.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,498.80
|
| Rate for Payer: EPIC Health Plan Senior |
$16,332.54
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$24,350.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15,928.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20,786.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19,896.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,738.63
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$16,332.54
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,542.50
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,847.76
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Vantage Medical Group Senior |
$14,847.76
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
IP
|
$25,085.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906811901
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,017.00 |
| Max. Negotiated Rate |
$22,576.50 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17,559.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,034.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10,034.00
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15,928.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14,800.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906811900
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,847.76
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,847.76
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,933.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,293.23
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Cash Price |
$11,288.25
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Dignity Health Medi-Cal |
$16,332.54
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,847.76
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17,559.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,498.80
|
| Rate for Payer: EPIC Health Plan Senior |
$16,332.54
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$24,350.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15,928.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20,786.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19,896.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,847.76
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,738.63
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$16,332.54
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,542.50
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,847.76
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22,271.64
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16,332.54
|
| Rate for Payer: Vantage Medical Group Senior |
$14,847.76
|
|
