|
HC PERICARDIOCENTESIS INITIAL
|
Facility
|
OP
|
$1,328.00
|
|
|
Service Code
|
CPT 33010
|
| Hospital Charge Code |
900501128
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$265.60 |
| Max. Negotiated Rate |
$1,195.20 |
| Rate for Payer: Adventist Health Commercial |
$265.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$806.49
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,128.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$730.40
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$996.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Central Health Plan Commercial |
$1,062.40
|
| Rate for Payer: Cigna of CA HMO |
$849.92
|
| Rate for Payer: Cigna of CA PPO |
$982.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,128.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,128.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,128.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$929.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$531.20
|
| Rate for Payer: EPIC Health Plan Senior |
$531.20
|
| Rate for Payer: Galaxy Health WC |
$1,128.80
|
| Rate for Payer: Global Benefits Group Commercial |
$796.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,195.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$843.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$482.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$783.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$265.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$929.60
|
| Rate for Payer: Multiplan Commercial |
$996.00
|
| Rate for Payer: Networks By Design Commercial |
$863.20
|
| Rate for Payer: Prime Health Services Commercial |
$1,128.80
|
| Rate for Payer: Riverside University Health System MISP |
$531.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$796.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$796.80
|
| 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: Vantage Medical Group Commercial/Exchange |
$1,128.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,128.80
|
| Rate for Payer: Vantage Medical Group Senior |
$1,128.80
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
IP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
909000126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$927.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
IP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
900501518
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$927.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
IP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
900501518
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$927.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
OP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
900501518
|
|
Hospital Revenue Code
|
410
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$927.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$625.52
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$566.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$772.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$465.00
|
| Rate for Payer: Blue Shield of California Commercial |
$427.00
|
| Rate for Payer: Blue Shield of California EPN |
$268.00
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Cigna of CA HMO |
$659.20
|
| Rate for Payer: Cigna of CA PPO |
$762.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$875.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$875.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$875.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$373.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$721.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
| Rate for Payer: Riverside University Health System MISP |
$412.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$618.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$618.00
|
| 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: Vantage Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$875.50
|
| Rate for Payer: Vantage Medical Group Senior |
$875.50
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
OP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
900501518
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$566.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$772.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$498.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$599.15
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Cigna of CA HMO |
$659.20
|
| Rate for Payer: Cigna of CA PPO |
$762.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$875.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$875.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$875.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$373.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$721.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
| Rate for Payer: Riverside University Health System MISP |
$412.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$618.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$515.00
|
| Rate for Payer: United Healthcare All Other HMO |
$515.00
|
| Rate for Payer: United Healthcare HMO Rider |
$515.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$515.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$875.50
|
| Rate for Payer: Vantage Medical Group Senior |
$875.50
|
|
|
HC PERICARDIOCENTESIS SUBSEQNT
|
Facility
|
OP
|
$1,030.00
|
|
|
Service Code
|
CPT 33011
|
| Hospital Charge Code |
909000126
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$206.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$566.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$772.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$498.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$599.15
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Cash Price |
$463.50
|
| Rate for Payer: Central Health Plan Commercial |
$824.00
|
| Rate for Payer: Cigna of CA HMO |
$659.20
|
| Rate for Payer: Cigna of CA PPO |
$762.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$875.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$875.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$875.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$721.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$412.00
|
| Rate for Payer: EPIC Health Plan Senior |
$412.00
|
| Rate for Payer: Galaxy Health WC |
$875.50
|
| Rate for Payer: Global Benefits Group Commercial |
$618.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$927.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$654.05
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$373.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$607.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$206.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$721.00
|
| Rate for Payer: Multiplan Commercial |
$772.50
|
| Rate for Payer: Networks By Design Commercial |
$669.50
|
| Rate for Payer: Prime Health Services Commercial |
$875.50
|
| Rate for Payer: Riverside University Health System MISP |
$412.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$618.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$515.00
|
| Rate for Payer: United Healthcare All Other HMO |
$515.00
|
| Rate for Payer: United Healthcare HMO Rider |
$515.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$515.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$875.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$875.50
|
| Rate for Payer: Vantage Medical Group Senior |
$875.50
|
|
|
HC PERICARDIOCENTESIS W/IMAGING
|
Facility
|
IP
|
$4,059.00
|
|
|
Service Code
|
CPT 33016
|
| Hospital Charge Code |
900503016
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$811.80 |
| Max. Negotiated Rate |
$3,653.10 |
| Rate for Payer: Adventist Health Commercial |
$811.80
|
| Rate for Payer: Cash Price |
$1,826.55
|
| Rate for Payer: Central Health Plan Commercial |
$3,247.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,841.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,623.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,623.60
|
| Rate for Payer: Galaxy Health WC |
$3,450.15
|
| Rate for Payer: Global Benefits Group Commercial |
$2,435.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,653.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,577.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,394.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$811.80
|
| Rate for Payer: Multiplan Commercial |
$3,044.25
|
| Rate for Payer: Networks By Design Commercial |
$2,638.35
|
| Rate for Payer: Prime Health Services Commercial |
$3,450.15
|
|
|
HC PERICARDIOCENTESIS W/IMAGING
|
Facility
|
OP
|
$4,059.00
|
|
|
Service Code
|
CPT 33016
|
| Hospital Charge Code |
900503016
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$345.15 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$811.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,024.63
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,036.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,227.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,024.63
|
| 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 |
$3,144.90
|
| 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 |
$1,826.55
|
| Rate for Payer: Cash Price |
$1,826.55
|
| Rate for Payer: Cash Price |
$1,826.55
|
| Rate for Payer: Central Health Plan Commercial |
$3,247.20
|
| Rate for Payer: Cigna of CA HMO |
$2,597.76
|
| Rate for Payer: Cigna of CA PPO |
$3,003.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,036.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,227.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,024.63
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,841.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,340.64
|
| Rate for Payer: EPIC Health Plan Senior |
$2,227.09
|
| Rate for Payer: Galaxy Health WC |
$3,450.15
|
| Rate for Payer: Global Benefits Group Commercial |
$2,435.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,653.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,320.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$345.15
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,024.63
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,577.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$381.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,834.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$811.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,713.00
|
| Rate for Payer: Multiplan Commercial |
$3,044.25
|
| Rate for Payer: Multiplan WC |
$3,144.90
|
| Rate for Payer: Networks By Design Commercial |
$2,638.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,024.63
|
| Rate for Payer: Preferred Health Network WC |
$3,209.08
|
| Rate for Payer: Prime Health Services Commercial |
$3,450.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,146.11
|
| Rate for Payer: Prime Health Services WC |
$3,112.81
|
| Rate for Payer: Riverside University Health System MISP |
$2,227.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,435.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,029.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,460.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,374.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,024.63
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,036.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,227.09
|
| Rate for Payer: Vantage Medical Group Senior |
$2,024.63
|
|
|
HC PERIOD ACID SCHIFF
|
Facility
|
OP
|
$136.00
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
903800258
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$21.16 |
| Max. Negotiated Rate |
$420.66 |
| Rate for Payer: Adventist Health Commercial |
$27.20
|
| Rate for Payer: Adventist Health Commercial |
$126.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$171.12
|
| Rate for Payer: Adventist Health Medi-Cal |
$171.12
|
| Rate for Payer: Aetna of CA HMO/PPO |
$420.66
|
| Rate for Payer: Aetna of CA HMO/PPO |
$420.66
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$171.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$171.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.41
|
| Rate for Payer: Blue Shield of California Commercial |
$399.42
|
| Rate for Payer: Blue Shield of California Commercial |
$85.68
|
| Rate for Payer: Blue Shield of California EPN |
$251.70
|
| Rate for Payer: Blue Shield of California EPN |
$53.99
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Central Health Plan Commercial |
$108.80
|
| Rate for Payer: Central Health Plan Commercial |
$507.20
|
| Rate for Payer: Cigna of CA HMO |
$405.76
|
| Rate for Payer: Cigna of CA HMO |
$87.04
|
| Rate for Payer: Cigna of CA PPO |
$469.16
|
| Rate for Payer: Cigna of CA PPO |
$100.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$256.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$256.68
|
| Rate for Payer: Dignity Health Medi-Cal |
$188.23
|
| Rate for Payer: Dignity Health Medi-Cal |
$188.23
|
| Rate for Payer: Dignity Health Medicare Advantage |
$171.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$171.12
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$95.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$443.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$282.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$282.35
|
| Rate for Payer: EPIC Health Plan Senior |
$188.23
|
| Rate for Payer: EPIC Health Plan Senior |
$188.23
|
| Rate for Payer: Galaxy Health WC |
$538.90
|
| Rate for Payer: Galaxy Health WC |
$115.60
|
| Rate for Payer: Global Benefits Group Commercial |
$380.40
|
| Rate for Payer: Global Benefits Group Commercial |
$81.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$570.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$122.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$280.64
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$280.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$58.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$58.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$171.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$171.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$86.36
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$402.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$65.09
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$65.09
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$239.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$239.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$126.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$229.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$229.30
|
| Rate for Payer: Multiplan Commercial |
$475.50
|
| Rate for Payer: Multiplan Commercial |
$102.00
|
| Rate for Payer: Networks By Design Commercial |
$88.40
|
| Rate for Payer: Networks By Design Commercial |
$412.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$171.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$171.12
|
| Rate for Payer: Prime Health Services Commercial |
$538.90
|
| Rate for Payer: Prime Health Services Commercial |
$115.60
|
| Rate for Payer: Prime Health Services Medicare |
$181.39
|
| Rate for Payer: Prime Health Services Medicare |
$181.39
|
| Rate for Payer: Riverside University Health System MISP |
$188.23
|
| Rate for Payer: Riverside University Health System MISP |
$188.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$81.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$380.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$380.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$81.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$171.12
|
| Rate for Payer: Upland Medical Group Pediatric |
$171.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Vantage Medical Group Senior |
$171.12
|
| Rate for Payer: Vantage Medical Group Senior |
$171.12
|
|
|
HC PERIOD ACID SCHIFF
|
Facility
|
OP
|
$136.00
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
900910051
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$21.16 |
| Max. Negotiated Rate |
$420.66 |
| Rate for Payer: Adventist Health Commercial |
$27.20
|
| Rate for Payer: Adventist Health Commercial |
$126.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$171.12
|
| Rate for Payer: Adventist Health Medi-Cal |
$171.12
|
| Rate for Payer: Aetna of CA HMO/PPO |
$420.66
|
| Rate for Payer: Aetna of CA HMO/PPO |
$420.66
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$171.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$171.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$29.41
|
| Rate for Payer: Blue Shield of California Commercial |
$399.42
|
| Rate for Payer: Blue Shield of California Commercial |
$85.68
|
| Rate for Payer: Blue Shield of California EPN |
$251.70
|
| Rate for Payer: Blue Shield of California EPN |
$53.99
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Cash Price |
$61.20
|
| Rate for Payer: Central Health Plan Commercial |
$108.80
|
| Rate for Payer: Central Health Plan Commercial |
$507.20
|
| Rate for Payer: Cigna of CA HMO |
$405.76
|
| Rate for Payer: Cigna of CA HMO |
$87.04
|
| Rate for Payer: Cigna of CA PPO |
$469.16
|
| Rate for Payer: Cigna of CA PPO |
$100.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$256.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$256.68
|
| Rate for Payer: Dignity Health Medi-Cal |
$188.23
|
| Rate for Payer: Dignity Health Medi-Cal |
$188.23
|
| Rate for Payer: Dignity Health Medicare Advantage |
$171.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$171.12
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$95.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$443.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$282.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$282.35
|
| Rate for Payer: EPIC Health Plan Senior |
$188.23
|
| Rate for Payer: EPIC Health Plan Senior |
$188.23
|
| Rate for Payer: Galaxy Health WC |
$538.90
|
| Rate for Payer: Galaxy Health WC |
$115.60
|
| Rate for Payer: Global Benefits Group Commercial |
$380.40
|
| Rate for Payer: Global Benefits Group Commercial |
$81.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$570.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$122.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$280.64
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$280.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$58.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$58.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$171.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$171.12
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$86.36
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$402.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$65.09
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$65.09
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$239.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$239.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$126.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$229.30
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$229.30
|
| Rate for Payer: Multiplan Commercial |
$475.50
|
| Rate for Payer: Multiplan Commercial |
$102.00
|
| Rate for Payer: Networks By Design Commercial |
$88.40
|
| Rate for Payer: Networks By Design Commercial |
$412.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$171.12
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$171.12
|
| Rate for Payer: Prime Health Services Commercial |
$538.90
|
| Rate for Payer: Prime Health Services Commercial |
$115.60
|
| Rate for Payer: Prime Health Services Medicare |
$181.39
|
| Rate for Payer: Prime Health Services Medicare |
$181.39
|
| Rate for Payer: Riverside University Health System MISP |
$188.23
|
| Rate for Payer: Riverside University Health System MISP |
$188.23
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$81.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$380.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$380.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$81.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28.00
|
| Rate for Payer: United Healthcare HMO Rider |
$28.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$171.12
|
| Rate for Payer: Upland Medical Group Pediatric |
$171.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$256.68
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$188.23
|
| Rate for Payer: Vantage Medical Group Senior |
$171.12
|
| Rate for Payer: Vantage Medical Group Senior |
$171.12
|
|
|
HC PERIOD ACID SCHIFF
|
Facility
|
IP
|
$634.00
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
903800258
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$126.80 |
| Max. Negotiated Rate |
$570.60 |
| Rate for Payer: Adventist Health Commercial |
$126.80
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Central Health Plan Commercial |
$507.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$443.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$253.60
|
| Rate for Payer: EPIC Health Plan Senior |
$253.60
|
| Rate for Payer: Galaxy Health WC |
$538.90
|
| Rate for Payer: Global Benefits Group Commercial |
$380.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$570.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$402.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$374.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$126.80
|
| Rate for Payer: Multiplan Commercial |
$475.50
|
| Rate for Payer: Networks By Design Commercial |
$412.10
|
| Rate for Payer: Prime Health Services Commercial |
$538.90
|
|
|
HC PERIOD ACID SCHIFF
|
Facility
|
IP
|
$634.00
|
|
|
Service Code
|
CPT 88313
|
| Hospital Charge Code |
900910051
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$126.80 |
| Max. Negotiated Rate |
$570.60 |
| Rate for Payer: Adventist Health Commercial |
$126.80
|
| Rate for Payer: Cash Price |
$285.30
|
| Rate for Payer: Central Health Plan Commercial |
$507.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$443.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$253.60
|
| Rate for Payer: EPIC Health Plan Senior |
$253.60
|
| Rate for Payer: Galaxy Health WC |
$538.90
|
| Rate for Payer: Global Benefits Group Commercial |
$380.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$570.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$402.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$374.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$126.80
|
| Rate for Payer: Multiplan Commercial |
$475.50
|
| Rate for Payer: Networks By Design Commercial |
$412.10
|
| Rate for Payer: Prime Health Services Commercial |
$538.90
|
|
|
HC PERI PX DEV EVAL PROG 1/DUAL/MLT LEAD IMPL DFIB
|
Facility
|
OP
|
$68.00
|
|
|
Service Code
|
CPT 93287
|
| Hospital Charge Code |
900200307
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$8,136.21 |
| Rate for Payer: Adventist Health Commercial |
$13.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$83.20
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$57.80
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$37.40
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$51.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$82.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$39.56
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Central Health Plan Commercial |
$54.40
|
| Rate for Payer: Cigna of CA HMO |
$43.52
|
| Rate for Payer: Cigna of CA PPO |
$50.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$57.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$57.80
|
| Rate for Payer: Dignity Health Medicare Advantage |
$57.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$47.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$27.20
|
| Rate for Payer: EPIC Health Plan Senior |
$27.20
|
| Rate for Payer: Galaxy Health WC |
$57.80
|
| Rate for Payer: Global Benefits Group Commercial |
$40.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$61.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$53.65
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$43.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$59.26
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$47.60
|
| Rate for Payer: Multiplan Commercial |
$51.00
|
| Rate for Payer: Networks By Design Commercial |
$44.20
|
| Rate for Payer: Prime Health Services Commercial |
$57.80
|
| Rate for Payer: Riverside University Health System MISP |
$27.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$40.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$40.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$57.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$57.80
|
| Rate for Payer: Vantage Medical Group Senior |
$57.80
|
|
|
HC PERI PX DEV EVAL PROG 1/DUAL/MLT LEAD IMPL DFIB
|
Facility
|
IP
|
$68.00
|
|
|
Service Code
|
CPT 93287
|
| Hospital Charge Code |
900200307
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$61.20 |
| Rate for Payer: Adventist Health Commercial |
$13.60
|
| Rate for Payer: Cash Price |
$30.60
|
| Rate for Payer: Central Health Plan Commercial |
$54.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$47.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$27.20
|
| Rate for Payer: EPIC Health Plan Senior |
$27.20
|
| Rate for Payer: Galaxy Health WC |
$57.80
|
| Rate for Payer: Global Benefits Group Commercial |
$40.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$61.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$43.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$13.60
|
| Rate for Payer: Multiplan Commercial |
$51.00
|
| Rate for Payer: Networks By Design Commercial |
$44.20
|
| Rate for Payer: Prime Health Services Commercial |
$57.80
|
|
|
HC PERITONEOGRAM
|
Facility
|
IP
|
$658.00
|
|
|
Service Code
|
CPT 49400
|
| Hospital Charge Code |
909000190
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$131.60 |
| Max. Negotiated Rate |
$592.20 |
| Rate for Payer: Adventist Health Commercial |
$131.60
|
| Rate for Payer: Cash Price |
$296.10
|
| Rate for Payer: Central Health Plan Commercial |
$526.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$460.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$263.20
|
| Rate for Payer: EPIC Health Plan Senior |
$263.20
|
| Rate for Payer: Galaxy Health WC |
$559.30
|
| Rate for Payer: Global Benefits Group Commercial |
$394.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$592.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$417.83
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$388.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$131.60
|
| Rate for Payer: Multiplan Commercial |
$493.50
|
| Rate for Payer: Networks By Design Commercial |
$427.70
|
| Rate for Payer: Prime Health Services Commercial |
$559.30
|
|
|
HC PERITONEOGRAM
|
Facility
|
OP
|
$1,177.00
|
|
|
Service Code
|
CPT 74190
|
| Hospital Charge Code |
909001474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$59.39 |
| Max. Negotiated Rate |
$1,462.69 |
| Rate for Payer: Adventist Health Commercial |
$235.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$702.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,462.69
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,054.17
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$773.06
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$702.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$269.77
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$375.04
|
| Rate for Payer: Blue Shield of California Commercial |
$741.51
|
| Rate for Payer: Blue Shield of California EPN |
$467.27
|
| Rate for Payer: Cash Price |
$529.65
|
| Rate for Payer: Cash Price |
$529.65
|
| Rate for Payer: Central Health Plan Commercial |
$941.60
|
| Rate for Payer: Cigna of CA HMO |
$753.28
|
| Rate for Payer: Cigna of CA PPO |
$870.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,054.17
|
| Rate for Payer: Dignity Health Medi-Cal |
$773.06
|
| Rate for Payer: Dignity Health Medicare Advantage |
$702.78
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$823.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,159.59
|
| Rate for Payer: EPIC Health Plan Senior |
$773.06
|
| Rate for Payer: Galaxy Health WC |
$1,000.45
|
| Rate for Payer: Global Benefits Group Commercial |
$706.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,059.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,152.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$59.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$702.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$747.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$65.61
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$983.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$235.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$941.73
|
| Rate for Payer: Multiplan Commercial |
$882.75
|
| Rate for Payer: Networks By Design Commercial |
$765.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$702.78
|
| Rate for Payer: Prime Health Services Commercial |
$1,000.45
|
| Rate for Payer: Prime Health Services Medicare |
$744.95
|
| Rate for Payer: Riverside University Health System MISP |
$773.06
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$706.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$706.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$605.23
|
| Rate for Payer: United Healthcare All Other HMO |
$605.23
|
| Rate for Payer: United Healthcare HMO Rider |
$605.23
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$605.23
|
| Rate for Payer: Upland Medical Group Pediatric |
$702.78
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,054.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$773.06
|
| Rate for Payer: Vantage Medical Group Senior |
$702.78
|
|
|
HC PERITONEOGRAM
|
Facility
|
OP
|
$658.00
|
|
|
Service Code
|
CPT 49400
|
| Hospital Charge Code |
909000190
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$72.36 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$131.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$559.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$361.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$493.50
|
| 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: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$296.10
|
| Rate for Payer: Cash Price |
$296.10
|
| Rate for Payer: Cash Price |
$296.10
|
| Rate for Payer: Central Health Plan Commercial |
$526.40
|
| Rate for Payer: Cigna of CA HMO |
$421.12
|
| Rate for Payer: Cigna of CA PPO |
$486.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$559.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$559.30
|
| Rate for Payer: Dignity Health Medicare Advantage |
$559.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$460.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$263.20
|
| Rate for Payer: EPIC Health Plan Senior |
$263.20
|
| Rate for Payer: Galaxy Health WC |
$559.30
|
| Rate for Payer: Global Benefits Group Commercial |
$394.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$592.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$72.36
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$417.83
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$79.93
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$388.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$131.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$460.60
|
| Rate for Payer: Multiplan Commercial |
$493.50
|
| Rate for Payer: Networks By Design Commercial |
$427.70
|
| Rate for Payer: Prime Health Services Commercial |
$559.30
|
| Rate for Payer: Riverside University Health System MISP |
$263.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$394.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$329.00
|
| 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 |
$559.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$559.30
|
| Rate for Payer: Vantage Medical Group Senior |
$559.30
|
|
|
HC PERITONEOGRAM
|
Facility
|
IP
|
$1,177.00
|
|
|
Service Code
|
CPT 74190
|
| Hospital Charge Code |
909001474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$235.40 |
| Max. Negotiated Rate |
$1,059.30 |
| Rate for Payer: Adventist Health Commercial |
$235.40
|
| Rate for Payer: Cash Price |
$529.65
|
| Rate for Payer: Central Health Plan Commercial |
$941.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$823.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$470.80
|
| Rate for Payer: EPIC Health Plan Senior |
$470.80
|
| Rate for Payer: Galaxy Health WC |
$1,000.45
|
| Rate for Payer: Global Benefits Group Commercial |
$706.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,059.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$747.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$694.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$235.40
|
| Rate for Payer: Multiplan Commercial |
$882.75
|
| Rate for Payer: Networks By Design Commercial |
$765.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,000.45
|
|
|
HC PERM DIALYSIS CATH
|
Facility
|
OP
|
$1,116.00
|
|
|
Service Code
|
CPT C1750
|
| Hospital Charge Code |
909081101
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$223.20 |
| Max. Negotiated Rate |
$1,004.40 |
| Rate for Payer: Adventist Health Commercial |
$223.20
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$948.60
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$613.80
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$837.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$509.57
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$612.01
|
| Rate for Payer: Blue Shield of California Commercial |
$895.03
|
| Rate for Payer: Blue Shield of California EPN |
$562.46
|
| Rate for Payer: Cash Price |
$502.20
|
| Rate for Payer: Central Health Plan Commercial |
$892.80
|
| Rate for Payer: Cigna of CA HMO |
$781.20
|
| Rate for Payer: Cigna of CA PPO |
$781.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$948.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$948.60
|
| Rate for Payer: Dignity Health Medicare Advantage |
$948.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$781.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$446.40
|
| Rate for Payer: EPIC Health Plan Senior |
$446.40
|
| Rate for Payer: Galaxy Health WC |
$948.60
|
| Rate for Payer: Global Benefits Group Commercial |
$669.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,004.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$708.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$405.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$658.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$223.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$781.20
|
| Rate for Payer: Multiplan Commercial |
$837.00
|
| Rate for Payer: Networks By Design Commercial |
$558.00
|
| Rate for Payer: Prime Health Services Commercial |
$948.60
|
| Rate for Payer: Riverside University Health System MISP |
$446.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$669.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$669.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$418.83
|
| Rate for Payer: United Healthcare All Other HMO |
$407.67
|
| Rate for Payer: United Healthcare HMO Rider |
$398.86
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$365.49
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$948.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$948.60
|
| Rate for Payer: Vantage Medical Group Senior |
$948.60
|
|
|
HC PERM DIALYSIS CATH
|
Facility
|
IP
|
$1,116.00
|
|
|
Service Code
|
CPT C1750
|
| Hospital Charge Code |
909081101
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$223.20 |
| Max. Negotiated Rate |
$1,004.40 |
| Rate for Payer: Adventist Health Commercial |
$223.20
|
| Rate for Payer: Blue Shield of California Commercial |
$895.03
|
| Rate for Payer: Blue Shield of California EPN |
$562.46
|
| Rate for Payer: Cash Price |
$502.20
|
| Rate for Payer: Central Health Plan Commercial |
$892.80
|
| Rate for Payer: Cigna of CA HMO |
$781.20
|
| Rate for Payer: Cigna of CA PPO |
$781.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$781.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$446.40
|
| Rate for Payer: EPIC Health Plan Senior |
$446.40
|
| Rate for Payer: Galaxy Health WC |
$948.60
|
| Rate for Payer: Global Benefits Group Commercial |
$669.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,004.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$708.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$658.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$223.20
|
| Rate for Payer: Multiplan Commercial |
$837.00
|
| Rate for Payer: Networks By Design Commercial |
$558.00
|
| Rate for Payer: Prime Health Services Commercial |
$948.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$418.83
|
| Rate for Payer: United Healthcare All Other HMO |
$407.67
|
| Rate for Payer: United Healthcare HMO Rider |
$398.86
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$365.49
|
|
|
HC PERONEAL STRAPS, PAIR
|
Facility
|
OP
|
$59.00
|
|
|
Service Code
|
CPT L0980
|
| Hospital Charge Code |
905350980
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.30 |
| Max. Negotiated Rate |
$53.10 |
| Rate for Payer: Adventist Health Commercial |
$24.19
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$50.15
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$44.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34.32
|
| Rate for Payer: Blue Shield of California Commercial |
$47.32
|
| Rate for Payer: Blue Shield of California EPN |
$29.74
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Central Health Plan Commercial |
$47.20
|
| Rate for Payer: Cigna of CA HMO |
$41.30
|
| Rate for Payer: Cigna of CA PPO |
$41.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$50.15
|
| Rate for Payer: Dignity Health Medi-Cal |
$50.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$50.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.60
|
| Rate for Payer: EPIC Health Plan Senior |
$23.60
|
| Rate for Payer: Galaxy Health WC |
$50.15
|
| Rate for Payer: Global Benefits Group Commercial |
$35.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$10.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$11.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$24.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$41.30
|
| Rate for Payer: Multiplan Commercial |
$44.25
|
| Rate for Payer: Networks By Design Commercial |
$29.50
|
| Rate for Payer: Prime Health Services Commercial |
$50.15
|
| Rate for Payer: Riverside University Health System MISP |
$23.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$35.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$35.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.14
|
| Rate for Payer: United Healthcare All Other HMO |
$21.55
|
| Rate for Payer: United Healthcare HMO Rider |
$21.09
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.32
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$50.15
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$50.15
|
| Rate for Payer: Vantage Medical Group Senior |
$50.15
|
|
|
HC PERONEAL STRAPS, PAIR
|
Facility
|
IP
|
$59.00
|
|
|
Service Code
|
CPT L0980
|
| Hospital Charge Code |
905350980
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$11.80 |
| Max. Negotiated Rate |
$53.10 |
| Rate for Payer: Adventist Health Commercial |
$11.80
|
| Rate for Payer: Blue Shield of California Commercial |
$47.32
|
| Rate for Payer: Blue Shield of California EPN |
$29.74
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Central Health Plan Commercial |
$47.20
|
| Rate for Payer: Cigna of CA HMO |
$41.30
|
| Rate for Payer: Cigna of CA PPO |
$41.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.60
|
| Rate for Payer: EPIC Health Plan Senior |
$23.60
|
| Rate for Payer: Galaxy Health WC |
$50.15
|
| Rate for Payer: Global Benefits Group Commercial |
$35.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.80
|
| Rate for Payer: Multiplan Commercial |
$44.25
|
| Rate for Payer: Networks By Design Commercial |
$38.35
|
| Rate for Payer: Prime Health Services Commercial |
$50.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.14
|
| Rate for Payer: United Healthcare All Other HMO |
$21.55
|
| Rate for Payer: United Healthcare HMO Rider |
$21.09
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.32
|
|
|
HC PERONEAL STRAPS, PAIR
|
Facility
|
IP
|
$59.00
|
|
|
Service Code
|
CPT L0980
|
| Hospital Charge Code |
915350980
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$11.80 |
| Max. Negotiated Rate |
$53.10 |
| Rate for Payer: Adventist Health Commercial |
$11.80
|
| Rate for Payer: Blue Shield of California Commercial |
$47.32
|
| Rate for Payer: Blue Shield of California EPN |
$29.74
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Central Health Plan Commercial |
$47.20
|
| Rate for Payer: Cigna of CA HMO |
$41.30
|
| Rate for Payer: Cigna of CA PPO |
$41.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.60
|
| Rate for Payer: EPIC Health Plan Senior |
$23.60
|
| Rate for Payer: Galaxy Health WC |
$50.15
|
| Rate for Payer: Global Benefits Group Commercial |
$35.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.80
|
| Rate for Payer: Multiplan Commercial |
$44.25
|
| Rate for Payer: Networks By Design Commercial |
$38.35
|
| Rate for Payer: Prime Health Services Commercial |
$50.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.14
|
| Rate for Payer: United Healthcare All Other HMO |
$21.55
|
| Rate for Payer: United Healthcare HMO Rider |
$21.09
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.32
|
|
|
HC PERONEAL STRAPS, PAIR
|
Facility
|
OP
|
$59.00
|
|
|
Service Code
|
CPT L0980
|
| Hospital Charge Code |
915350980
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.30 |
| Max. Negotiated Rate |
$53.10 |
| Rate for Payer: Adventist Health Commercial |
$24.19
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$50.15
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$44.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34.32
|
| Rate for Payer: Blue Shield of California Commercial |
$47.32
|
| Rate for Payer: Blue Shield of California EPN |
$29.74
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Cash Price |
$26.55
|
| Rate for Payer: Central Health Plan Commercial |
$47.20
|
| Rate for Payer: Cigna of CA HMO |
$41.30
|
| Rate for Payer: Cigna of CA PPO |
$41.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$50.15
|
| Rate for Payer: Dignity Health Medi-Cal |
$50.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$50.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$41.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.60
|
| Rate for Payer: EPIC Health Plan Senior |
$23.60
|
| Rate for Payer: Galaxy Health WC |
$50.15
|
| Rate for Payer: Global Benefits Group Commercial |
$35.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$53.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$10.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$37.47
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$11.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$34.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$24.19
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$41.30
|
| Rate for Payer: Multiplan Commercial |
$44.25
|
| Rate for Payer: Networks By Design Commercial |
$29.50
|
| Rate for Payer: Prime Health Services Commercial |
$50.15
|
| Rate for Payer: Riverside University Health System MISP |
$23.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$35.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$35.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.14
|
| Rate for Payer: United Healthcare All Other HMO |
$21.55
|
| Rate for Payer: United Healthcare HMO Rider |
$21.09
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$19.32
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$50.15
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$50.15
|
| Rate for Payer: Vantage Medical Group Senior |
$50.15
|
|
