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Charge Type Setting Price  
Service Code APR-DRG 5411
Min. Negotiated Rate $6,801.14
Max. Negotiated Rate $10,768.48
Rate for Payer: Adventist Health Medi-Cal $6,801.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $8,104.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,768.48
Service Code APR-DRG 0221
Min. Negotiated Rate $14,104.28
Max. Negotiated Rate $22,331.78
Rate for Payer: Adventist Health Medi-Cal $14,104.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $16,807.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $22,331.78
Service Code APR-DRG 0222
Min. Negotiated Rate $16,277.04
Max. Negotiated Rate $25,771.98
Rate for Payer: Adventist Health Medi-Cal $16,277.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $19,396.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $25,771.98
Service Code APR-DRG 0224
Min. Negotiated Rate $42,464.18
Max. Negotiated Rate $67,234.96
Rate for Payer: Adventist Health Medi-Cal $42,464.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $50,603.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal $67,234.96
Service Code APR-DRG 0223
Min. Negotiated Rate $22,634.35
Max. Negotiated Rate $35,837.72
Rate for Payer: Adventist Health Medi-Cal $22,634.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $26,972.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal $35,837.72
Service Code APR-DRG 3102
Min. Negotiated Rate $15,759.37
Max. Negotiated Rate $24,952.34
Rate for Payer: Adventist Health Medi-Cal $15,759.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $18,779.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $24,952.34
Service Code APR-DRG 3103
Min. Negotiated Rate $21,577.40
Max. Negotiated Rate $34,164.22
Rate for Payer: Adventist Health Medi-Cal $21,577.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $25,713.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $34,164.22
Service Code APR-DRG 3104
Min. Negotiated Rate $40,166.52
Max. Negotiated Rate $63,596.99
Rate for Payer: Adventist Health Medi-Cal $40,166.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $47,865.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $63,596.99
Service Code APR-DRG 3101
Min. Negotiated Rate $11,803.01
Max. Negotiated Rate $18,688.10
Rate for Payer: Adventist Health Medi-Cal $11,803.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $14,065.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $18,688.10
Service Code APR-DRG 1114
Min. Negotiated Rate $16,667.39
Max. Negotiated Rate $26,390.03
Rate for Payer: Adventist Health Medi-Cal $16,667.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $19,861.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal $26,390.03
Service Code APR-DRG 1111
Min. Negotiated Rate $5,771.18
Max. Negotiated Rate $9,137.71
Rate for Payer: Adventist Health Medi-Cal $5,771.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $6,877.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9,137.71
Service Code APR-DRG 1113
Min. Negotiated Rate $8,031.62
Max. Negotiated Rate $12,716.74
Rate for Payer: Adventist Health Medi-Cal $8,031.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $9,571.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12,716.74
Service Code APR-DRG 1112
Min. Negotiated Rate $6,616.75
Max. Negotiated Rate $10,476.52
Rate for Payer: Adventist Health Medi-Cal $6,616.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $7,884.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,476.52
Service Code APR-DRG 7234
Min. Negotiated Rate $17,086.56
Max. Negotiated Rate $27,053.72
Rate for Payer: Adventist Health Medi-Cal $17,086.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $20,361.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal $27,053.72
Service Code APR-DRG 7233
Min. Negotiated Rate $8,199.77
Max. Negotiated Rate $12,982.97
Rate for Payer: Adventist Health Medi-Cal $8,199.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $9,771.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12,982.97
Service Code APR-DRG 7231
Min. Negotiated Rate $3,851.87
Max. Negotiated Rate $6,098.79
Rate for Payer: Adventist Health Medi-Cal $3,851.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $4,590.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6,098.79
Service Code APR-DRG 7232
Min. Negotiated Rate $5,361.62
Max. Negotiated Rate $8,489.24
Rate for Payer: Adventist Health Medi-Cal $5,361.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $6,389.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal $8,489.24
Service Code APR-DRG 0514
Min. Negotiated Rate $23,299.75
Max. Negotiated Rate $36,891.27
Rate for Payer: Adventist Health Medi-Cal $23,299.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $27,765.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $36,891.27
Service Code APR-DRG 0513
Min. Negotiated Rate $12,743.46
Max. Negotiated Rate $20,177.15
Rate for Payer: Adventist Health Medi-Cal $12,743.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $15,185.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $20,177.15
Service Code APR-DRG 0512
Min. Negotiated Rate $7,537.98
Max. Negotiated Rate $11,935.14
Rate for Payer: Adventist Health Medi-Cal $7,537.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $8,982.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11,935.14
Service Code APR-DRG 0511
Min. Negotiated Rate $5,075.76
Max. Negotiated Rate $8,036.62
Rate for Payer: Adventist Health Medi-Cal $5,075.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $6,048.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal $8,036.62
Service Code HCPCS J0185
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $1.71
Max. Negotiated Rate $27.27
Rate for Payer: Adventist Health Commercial $6.06
Rate for Payer: Adventist Health Medi-Cal $1.77
Rate for Payer: Aetna of CA HMO/PPO $18.40
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $2.22
Rate for Payer: Alpha Care Medical Group Medi-Cal $1.95
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $1.95
Rate for Payer: Anthem Blue Cross of CA Exchange $7.53
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Blue Shield of California Commercial $4.43
Rate for Payer: Blue Shield of California EPN $4.03
Rate for Payer: Cash Price $16.67
Rate for Payer: Cash Price $16.67
Rate for Payer: Central Health Plan Commercial $24.24
Rate for Payer: Cigna of CA HMO $21.21
Rate for Payer: Cigna of CA PPO $21.21
Rate for Payer: Dignity Health Commercial/Exchange $2.22
Rate for Payer: Dignity Health Medi-Cal $1.95
Rate for Payer: Dignity Health Medicare Advantage $1.95
Rate for Payer: EPIC Health Plan Commercial $2.39
Rate for Payer: EPIC Health Plan Senior $1.77
Rate for Payer: Galaxy Health WC $25.75
Rate for Payer: Global Benefits Group Commercial $18.18
Rate for Payer: Health Management Network EPO/PPO $27.27
Rate for Payer: Heritage Provider Network Commercial/Senior $2.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $1.77
Rate for Payer: InnovAge PACE Commercial $2.66
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $20.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.70
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1.77
Rate for Payer: LLUH Dept of Risk Management WC $6.06
Rate for Payer: Molina Healthcare of CA Medi-Cal $2.38
Rate for Payer: Molina Healthcare of CA Medicare $2.38
Rate for Payer: Multiplan Commercial $22.73
Rate for Payer: Networks By Design Commercial $15.15
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $1.77
Rate for Payer: Prime Health Services Commercial $25.75
Rate for Payer: Prime Health Services Medicare $1.88
Rate for Payer: Riverside University Health System MISP $1.95
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $18.18
Rate for Payer: TriValley Medical Group Commercial/Senior $18.18
Rate for Payer: United Healthcare All Other Commercial $11.37
Rate for Payer: United Healthcare All Other HMO $11.07
Rate for Payer: United Healthcare HMO Rider $10.83
Rate for Payer: United Healthcare Select/Navigate/Core $9.92
Rate for Payer: Upland Medical Group Pediatric $1.77
Rate for Payer: Vantage Medical Group Commercial/Exchange $2.22
Rate for Payer: Vantage Medical Group Medi-Cal $1.95
Rate for Payer: Vantage Medical Group Senior $1.95
Service Code HCPCS J0185
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $6.06
Max. Negotiated Rate $27.27
Rate for Payer: Adventist Health Commercial $6.06
Rate for Payer: Blue Shield of California Commercial $23.42
Rate for Payer: Blue Shield of California EPN $15.27
Rate for Payer: Cash Price $16.67
Rate for Payer: Central Health Plan Commercial $24.24
Rate for Payer: Cigna of CA HMO $21.21
Rate for Payer: Cigna of CA PPO $21.21
Rate for Payer: EPIC Health Plan Commercial $12.12
Rate for Payer: EPIC Health Plan Senior $12.12
Rate for Payer: Galaxy Health WC $25.75
Rate for Payer: Global Benefits Group Commercial $18.18
Rate for Payer: Health Management Network EPO/PPO $27.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $20.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.54
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $18.76
Rate for Payer: LLUH Dept of Risk Management WC $6.06
Rate for Payer: Multiplan Commercial $22.73
Rate for Payer: Networks By Design Commercial $15.15
Rate for Payer: Prime Health Services Commercial $25.75
Rate for Payer: United Healthcare All Other Commercial $11.37
Rate for Payer: United Healthcare All Other HMO $11.07
Rate for Payer: United Healthcare HMO Rider $10.83
Rate for Payer: United Healthcare Select/Navigate/Core $9.92
Service Code NDC 63402-911-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $2.36
Max. Negotiated Rate $10.64
Rate for Payer: Adventist Health Commercial $2.36
Rate for Payer: Aetna of CA HMO/PPO $7.18
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $10.05
Rate for Payer: Alpha Care Medical Group Medi-Cal $6.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $8.87
Rate for Payer: Anthem Blue Cross of CA Exchange $5.72
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $6.94
Rate for Payer: Blue Shield of California Commercial $7.22
Rate for Payer: Blue Shield of California EPN $4.72
Rate for Payer: Cash Price $6.50
Rate for Payer: Central Health Plan Commercial $9.46
Rate for Payer: Cigna of CA HMO $8.27
Rate for Payer: Cigna of CA PPO $8.27
Rate for Payer: Dignity Health Commercial/Exchange $10.05
Rate for Payer: Dignity Health Medi-Cal $10.05
Rate for Payer: Dignity Health Medicare Advantage $10.05
Rate for Payer: EPIC Health Plan Commercial $4.73
Rate for Payer: EPIC Health Plan Senior $4.73
Rate for Payer: Galaxy Health WC $10.05
Rate for Payer: Global Benefits Group Commercial $7.09
Rate for Payer: Health Management Network EPO/PPO $10.64
Rate for Payer: InnovAge PACE Commercial $5.91
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $7.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4.50
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $7.32
Rate for Payer: LLUH Dept of Risk Management WC $2.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $8.27
Rate for Payer: Molina Healthcare of CA Medicare $8.27
Rate for Payer: Multiplan Commercial $8.87
Rate for Payer: Networks By Design Commercial $7.68
Rate for Payer: Prime Health Services Commercial $10.05
Rate for Payer: Riverside University Health System MISP $4.73
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $7.09
Rate for Payer: TriValley Medical Group Commercial/Senior $7.09
Rate for Payer: United Healthcare All Other Commercial $5.91
Rate for Payer: United Healthcare All Other HMO $5.91
Rate for Payer: United Healthcare HMO Rider $5.91
Rate for Payer: United Healthcare Select/Navigate/Core $5.91
Rate for Payer: Vantage Medical Group Commercial/Exchange $10.05
Rate for Payer: Vantage Medical Group Medi-Cal $10.05
Rate for Payer: Vantage Medical Group Senior $10.05
Service Code NDC 0093-5955-56
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.77
Max. Negotiated Rate $3.46
Rate for Payer: Adventist Health Commercial $0.77
Rate for Payer: Aetna of CA HMO/PPO $2.34
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3.27
Rate for Payer: Alpha Care Medical Group Medi-Cal $2.12
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2.89
Rate for Payer: Anthem Blue Cross of CA Exchange $1.86
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.26
Rate for Payer: Blue Shield of California Commercial $2.35
Rate for Payer: Blue Shield of California EPN $1.54
Rate for Payer: Cash Price $2.12
Rate for Payer: Central Health Plan Commercial $3.08
Rate for Payer: Cigna of CA HMO $2.69
Rate for Payer: Cigna of CA PPO $2.69
Rate for Payer: Dignity Health Commercial/Exchange $3.27
Rate for Payer: Dignity Health Medi-Cal $3.27
Rate for Payer: Dignity Health Medicare Advantage $3.27
Rate for Payer: EPIC Health Plan Commercial $1.54
Rate for Payer: EPIC Health Plan Senior $1.54
Rate for Payer: Galaxy Health WC $3.27
Rate for Payer: Global Benefits Group Commercial $2.31
Rate for Payer: Health Management Network EPO/PPO $3.46
Rate for Payer: InnovAge PACE Commercial $1.93
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $2.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1.47
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2.38
Rate for Payer: LLUH Dept of Risk Management WC $0.77
Rate for Payer: Molina Healthcare of CA Medi-Cal $2.69
Rate for Payer: Molina Healthcare of CA Medicare $2.69
Rate for Payer: Multiplan Commercial $2.89
Rate for Payer: Networks By Design Commercial $2.50
Rate for Payer: Prime Health Services Commercial $3.27
Rate for Payer: Riverside University Health System MISP $1.54
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $2.31
Rate for Payer: TriValley Medical Group Commercial/Senior $2.31
Rate for Payer: United Healthcare All Other Commercial $1.93
Rate for Payer: United Healthcare All Other HMO $1.93
Rate for Payer: United Healthcare HMO Rider $1.93
Rate for Payer: United Healthcare Select/Navigate/Core $1.93
Rate for Payer: Vantage Medical Group Commercial/Exchange $3.27
Rate for Payer: Vantage Medical Group Medi-Cal $3.27
Rate for Payer: Vantage Medical Group Senior $3.27