|
HC PLCMNT LCL DVC PERC ADD LESION
|
Facility
|
IP
|
$878.00
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
909010036
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$175.60 |
| Max. Negotiated Rate |
$790.20 |
| Rate for Payer: Adventist Health Commercial |
$175.60
|
| Rate for Payer: Cash Price |
$395.10
|
| Rate for Payer: Central Health Plan Commercial |
$702.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$614.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$351.20
|
| Rate for Payer: EPIC Health Plan Senior |
$351.20
|
| Rate for Payer: Galaxy Health WC |
$746.30
|
| Rate for Payer: Global Benefits Group Commercial |
$526.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$790.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$557.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$518.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$175.60
|
| Rate for Payer: Multiplan Commercial |
$658.50
|
| Rate for Payer: Networks By Design Commercial |
$570.70
|
| Rate for Payer: Prime Health Services Commercial |
$746.30
|
|
|
HC PLCMNT LCL DVC PERC ADD LESION
|
Facility
|
OP
|
$878.00
|
|
|
Service Code
|
CPT 10036
|
| Hospital Charge Code |
909010036
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$175.60 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$175.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$244.94
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$746.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$482.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$658.50
|
| 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 |
$553.14
|
| Rate for Payer: Blue Shield of California EPN |
$348.57
|
| Rate for Payer: Cash Price |
$395.10
|
| Rate for Payer: Cash Price |
$395.10
|
| Rate for Payer: Cash Price |
$395.10
|
| Rate for Payer: Central Health Plan Commercial |
$702.40
|
| Rate for Payer: Cigna of CA HMO |
$561.92
|
| Rate for Payer: Cigna of CA PPO |
$649.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$746.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$746.30
|
| Rate for Payer: Dignity Health Medicare Advantage |
$746.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$614.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$351.20
|
| Rate for Payer: EPIC Health Plan Senior |
$351.20
|
| Rate for Payer: Galaxy Health WC |
$746.30
|
| Rate for Payer: Global Benefits Group Commercial |
$526.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$790.20
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$740.89
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$557.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$818.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$518.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$175.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$614.60
|
| Rate for Payer: Multiplan Commercial |
$658.50
|
| Rate for Payer: Networks By Design Commercial |
$570.70
|
| Rate for Payer: Prime Health Services Commercial |
$746.30
|
| Rate for Payer: Riverside University Health System MISP |
$351.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$526.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$526.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$439.00
|
| Rate for Payer: United Healthcare All Other HMO |
$439.00
|
| Rate for Payer: United Healthcare HMO Rider |
$439.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$439.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$746.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$746.30
|
| Rate for Payer: Vantage Medical Group Senior |
$746.30
|
|
|
HC PLCMNT NEPH CATH PERCU
|
Facility
|
IP
|
$17,730.00
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
909050432
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,546.00 |
| Max. Negotiated Rate |
$15,957.00 |
| Rate for Payer: Adventist Health Commercial |
$3,546.00
|
| Rate for Payer: Cash Price |
$7,978.50
|
| Rate for Payer: Central Health Plan Commercial |
$14,184.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12,411.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,092.00
|
| Rate for Payer: EPIC Health Plan Senior |
$7,092.00
|
| Rate for Payer: Galaxy Health WC |
$15,070.50
|
| Rate for Payer: Global Benefits Group Commercial |
$10,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,957.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11,258.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,460.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,546.00
|
| Rate for Payer: Multiplan Commercial |
$13,297.50
|
| Rate for Payer: Networks By Design Commercial |
$11,524.50
|
| Rate for Payer: Prime Health Services Commercial |
$15,070.50
|
|
|
HC PLCMNT NEPH CATH PERCU
|
Facility
|
OP
|
$17,730.00
|
|
|
Service Code
|
CPT 50432
|
| Hospital Charge Code |
909050432
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,330.66 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$3,546.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,688.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,957.44
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,688.58
|
| 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 |
$4,147.14
|
| 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 |
$7,978.50
|
| Rate for Payer: Cash Price |
$7,978.50
|
| Rate for Payer: Cash Price |
$7,978.50
|
| Rate for Payer: Central Health Plan Commercial |
$14,184.00
|
| Rate for Payer: Cigna of CA HMO |
$11,347.20
|
| Rate for Payer: Cigna of CA PPO |
$13,120.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,957.44
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,688.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12,411.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,436.16
|
| Rate for Payer: EPIC Health Plan Senior |
$2,957.44
|
| Rate for Payer: Galaxy Health WC |
$15,070.50
|
| Rate for Payer: Global Benefits Group Commercial |
$10,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$15,957.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,409.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,330.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,688.58
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11,258.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,469.92
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,764.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,546.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,602.70
|
| Rate for Payer: Multiplan Commercial |
$13,297.50
|
| Rate for Payer: Multiplan WC |
$4,147.14
|
| Rate for Payer: Networks By Design Commercial |
$11,524.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,688.58
|
| Rate for Payer: Preferred Health Network WC |
$4,231.78
|
| Rate for Payer: Prime Health Services Commercial |
$15,070.50
|
| Rate for Payer: Prime Health Services Medicare |
$2,849.89
|
| Rate for Payer: Prime Health Services WC |
$4,104.83
|
| Rate for Payer: Riverside University Health System MISP |
$2,957.44
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10,638.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$8,865.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,688.58
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$4,032.87
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,957.44
|
| Rate for Payer: Vantage Medical Group Senior |
$2,688.58
|
|
|
HC PLCMNT NEPHU CATH PERCU
|
Facility
|
IP
|
$10,190.00
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
909050433
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,038.00 |
| Max. Negotiated Rate |
$9,171.00 |
| Rate for Payer: Adventist Health Commercial |
$2,038.00
|
| Rate for Payer: Cash Price |
$4,585.50
|
| Rate for Payer: Central Health Plan Commercial |
$8,152.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,133.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,076.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,076.00
|
| Rate for Payer: Galaxy Health WC |
$8,661.50
|
| Rate for Payer: Global Benefits Group Commercial |
$6,114.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,171.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,470.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,012.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,038.00
|
| Rate for Payer: Multiplan Commercial |
$7,642.50
|
| Rate for Payer: Networks By Design Commercial |
$6,623.50
|
| Rate for Payer: Prime Health Services Commercial |
$8,661.50
|
|
|
HC PLCMNT NEPHU CATH PERCU
|
Facility
|
OP
|
$10,190.00
|
|
|
Service Code
|
CPT 50433
|
| Hospital Charge Code |
909050433
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,794.27 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,038.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,533.71
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,800.56
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,987.08
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,533.71
|
| 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 |
$6,982.34
|
| 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 |
$4,585.50
|
| Rate for Payer: Cash Price |
$4,585.50
|
| Rate for Payer: Cash Price |
$4,585.50
|
| Rate for Payer: Central Health Plan Commercial |
$8,152.00
|
| Rate for Payer: Cigna of CA HMO |
$6,521.60
|
| Rate for Payer: Cigna of CA PPO |
$7,540.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,800.56
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,987.08
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,533.71
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,133.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,480.62
|
| Rate for Payer: EPIC Health Plan Senior |
$4,987.08
|
| Rate for Payer: Galaxy Health WC |
$8,661.50
|
| Rate for Payer: Global Benefits Group Commercial |
$6,114.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,171.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,435.28
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,794.27
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,533.71
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,470.65
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,982.04
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,347.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,038.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,075.17
|
| Rate for Payer: Multiplan Commercial |
$7,642.50
|
| Rate for Payer: Multiplan WC |
$6,982.34
|
| Rate for Payer: Networks By Design Commercial |
$6,623.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,533.71
|
| Rate for Payer: Preferred Health Network WC |
$7,124.84
|
| Rate for Payer: Prime Health Services Commercial |
$8,661.50
|
| Rate for Payer: Prime Health Services Medicare |
$4,805.73
|
| Rate for Payer: Prime Health Services WC |
$6,911.09
|
| Rate for Payer: Riverside University Health System MISP |
$4,987.08
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,114.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,095.00
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,533.71
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,800.56
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,987.08
|
| Rate for Payer: Vantage Medical Group Senior |
$4,533.71
|
|
|
HC PLCMNT TRANSESOPHEAGEAL PROBE
|
Facility
|
IP
|
$1,953.00
|
|
|
Service Code
|
CPT 93316
|
| Hospital Charge Code |
900501593
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$390.60 |
| Max. Negotiated Rate |
$1,757.70 |
| Rate for Payer: Adventist Health Commercial |
$390.60
|
| Rate for Payer: Cash Price |
$878.85
|
| Rate for Payer: Central Health Plan Commercial |
$1,562.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,367.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$781.20
|
| Rate for Payer: EPIC Health Plan Senior |
$781.20
|
| Rate for Payer: Galaxy Health WC |
$1,660.05
|
| Rate for Payer: Global Benefits Group Commercial |
$1,171.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,757.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,240.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,152.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$390.60
|
| Rate for Payer: Multiplan Commercial |
$1,464.75
|
| Rate for Payer: Networks By Design Commercial |
$1,269.45
|
| Rate for Payer: Prime Health Services Commercial |
$1,660.05
|
|
|
HC PLCMNT TRANSESOPHEAGEAL PROBE
|
Facility
|
OP
|
$1,953.00
|
|
|
Service Code
|
CPT 93316
|
| Hospital Charge Code |
900501593
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$390.60 |
| Max. Negotiated Rate |
$2,696.00 |
| Rate for Payer: Adventist Health Commercial |
$390.60
|
| 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 |
$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 |
$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 |
$1,110.02
|
| Rate for Payer: Cash Price |
$878.85
|
| Rate for Payer: Cash Price |
$878.85
|
| Rate for Payer: Cash Price |
$878.85
|
| Rate for Payer: Cash Price |
$878.85
|
| Rate for Payer: Central Health Plan Commercial |
$1,562.40
|
| Rate for Payer: Cigna of CA HMO |
$1,249.92
|
| Rate for Payer: Cigna of CA PPO |
$1,445.22
|
| 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 |
$1,367.10
|
| 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 |
$1,660.05
|
| Rate for Payer: Global Benefits Group Commercial |
$1,171.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,757.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,152.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$702.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,240.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$708.94
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$755.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$390.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$941.73
|
| Rate for Payer: Multiplan Commercial |
$1,464.75
|
| Rate for Payer: Multiplan WC |
$1,110.02
|
| Rate for Payer: Networks By Design Commercial |
$1,269.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$702.78
|
| Rate for Payer: Preferred Health Network WC |
$1,132.67
|
| Rate for Payer: Prime Health Services Commercial |
$1,660.05
|
| Rate for Payer: Prime Health Services Medicare |
$744.95
|
| Rate for Payer: Prime Health Services WC |
$1,098.69
|
| Rate for Payer: Riverside University Health System MISP |
$773.06
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,171.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$976.50
|
| Rate for Payer: United Healthcare All Other HMO |
$976.50
|
| Rate for Payer: United Healthcare HMO Rider |
$976.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$976.50
|
| 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 PLCMT CENTRLY INSERT TUN CVP GT 5YR
|
Facility
|
OP
|
$16,638.00
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
909080010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$233.09 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$3,327.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,061.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,061.05
|
| 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 |
$6,372.03
|
| 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 |
$7,487.10
|
| Rate for Payer: Cash Price |
$7,487.10
|
| Rate for Payer: Cash Price |
$7,487.10
|
| Rate for Payer: Central Health Plan Commercial |
$13,310.40
|
| Rate for Payer: Cigna of CA HMO |
$10,648.32
|
| Rate for Payer: Cigna of CA PPO |
$12,312.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,467.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,061.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$11,646.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,700.73
|
| Rate for Payer: EPIC Health Plan Senior |
$4,467.15
|
| Rate for Payer: Galaxy Health WC |
$14,142.30
|
| Rate for Payer: Global Benefits Group Commercial |
$9,982.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,974.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,660.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$233.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10,565.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$257.49
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,685.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,327.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,441.81
|
| Rate for Payer: Multiplan Commercial |
$12,478.50
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$10,814.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$14,142.30
|
| Rate for Payer: Prime Health Services Medicare |
$4,304.71
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,467.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,982.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$8,319.00
|
| 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 |
$4,061.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Vantage Medical Group Senior |
$4,061.05
|
|
|
HC PLCMT CENTRLY INSERT TUN CVP GT 5YR
|
Facility
|
IP
|
$16,638.00
|
|
|
Service Code
|
CPT 36558
|
| Hospital Charge Code |
909080010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,327.60 |
| Max. Negotiated Rate |
$14,974.20 |
| Rate for Payer: Adventist Health Commercial |
$3,327.60
|
| Rate for Payer: Cash Price |
$7,487.10
|
| Rate for Payer: Central Health Plan Commercial |
$13,310.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$11,646.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,655.20
|
| Rate for Payer: EPIC Health Plan Senior |
$6,655.20
|
| Rate for Payer: Galaxy Health WC |
$14,142.30
|
| Rate for Payer: Global Benefits Group Commercial |
$9,982.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,974.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$10,565.13
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$9,816.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,327.60
|
| Rate for Payer: Multiplan Commercial |
$12,478.50
|
| Rate for Payer: Networks By Design Commercial |
$10,814.70
|
| Rate for Payer: Prime Health Services Commercial |
$14,142.30
|
|
|
HC PLCMT CENTRLY INSERT TUN CVP LT 5YR
|
Facility
|
OP
|
$10,962.00
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
909081359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$238.22 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$2,192.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,156.86
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,735.29
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,872.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,156.86
|
| 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 |
$10,943.70
|
| 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 |
$4,932.90
|
| Rate for Payer: Cash Price |
$4,932.90
|
| Rate for Payer: Cash Price |
$4,932.90
|
| Rate for Payer: Central Health Plan Commercial |
$8,769.60
|
| Rate for Payer: Cigna of CA HMO |
$7,015.68
|
| Rate for Payer: Cigna of CA PPO |
$8,111.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,735.29
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,872.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,156.86
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,673.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,808.82
|
| Rate for Payer: EPIC Health Plan Senior |
$7,872.55
|
| Rate for Payer: Galaxy Health WC |
$9,317.70
|
| Rate for Payer: Global Benefits Group Commercial |
$6,577.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,865.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,737.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$238.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,156.86
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,960.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$263.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,019.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,192.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$9,590.19
|
| Rate for Payer: Multiplan Commercial |
$8,221.50
|
| Rate for Payer: Multiplan WC |
$10,943.70
|
| Rate for Payer: Networks By Design Commercial |
$7,125.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,156.86
|
| Rate for Payer: Preferred Health Network WC |
$11,167.04
|
| Rate for Payer: Prime Health Services Commercial |
$9,317.70
|
| Rate for Payer: Prime Health Services Medicare |
$7,586.27
|
| Rate for Payer: Prime Health Services WC |
$10,832.03
|
| Rate for Payer: Riverside University Health System MISP |
$7,872.55
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,577.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,481.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,156.86
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,735.29
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,872.55
|
| Rate for Payer: Vantage Medical Group Senior |
$7,156.86
|
|
|
HC PLCMT CENTRLY INSERT TUN CVP LT 5YR
|
Facility
|
IP
|
$10,962.00
|
|
|
Service Code
|
CPT 36557
|
| Hospital Charge Code |
909081359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,192.40 |
| Max. Negotiated Rate |
$9,865.80 |
| Rate for Payer: Adventist Health Commercial |
$2,192.40
|
| Rate for Payer: Cash Price |
$4,932.90
|
| Rate for Payer: Central Health Plan Commercial |
$8,769.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$7,673.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,384.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,384.80
|
| Rate for Payer: Galaxy Health WC |
$9,317.70
|
| Rate for Payer: Global Benefits Group Commercial |
$6,577.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$9,865.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$6,960.87
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,467.58
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,192.40
|
| Rate for Payer: Multiplan Commercial |
$8,221.50
|
| Rate for Payer: Networks By Design Commercial |
$7,125.30
|
| Rate for Payer: Prime Health Services Commercial |
$9,317.70
|
|
|
HC PLCMT OF ENTRSTMY OR CECSTMY TUBE
|
Facility
|
IP
|
$5,527.00
|
|
|
Service Code
|
CPT 44300
|
| Hospital Charge Code |
906744300
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,105.40 |
| Max. Negotiated Rate |
$4,974.30 |
| Rate for Payer: Adventist Health Commercial |
$1,105.40
|
| Rate for Payer: Cash Price |
$2,487.15
|
| Rate for Payer: Central Health Plan Commercial |
$4,421.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,868.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,210.80
|
| Rate for Payer: EPIC Health Plan Senior |
$2,210.80
|
| Rate for Payer: Galaxy Health WC |
$4,697.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,316.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,974.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,509.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,260.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,105.40
|
| Rate for Payer: Multiplan Commercial |
$4,145.25
|
| Rate for Payer: Networks By Design Commercial |
$3,592.55
|
| Rate for Payer: Prime Health Services Commercial |
$4,697.95
|
|
|
HC PLCMT OF ENTRSTMY OR CECSTMY TUBE
|
Facility
|
OP
|
$5,527.00
|
|
|
Service Code
|
CPT 44300
|
| Hospital Charge Code |
906744300
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$616.65 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,105.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,468.04
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,714.84
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,468.04
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,138.00
|
| 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 |
$2,487.15
|
| Rate for Payer: Cash Price |
$2,487.15
|
| Rate for Payer: Cash Price |
$2,487.15
|
| Rate for Payer: Central Health Plan Commercial |
$4,421.60
|
| Rate for Payer: Cigna of CA HMO |
$3,537.28
|
| Rate for Payer: Cigna of CA PPO |
$4,089.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,714.84
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,468.04
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,868.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,072.27
|
| Rate for Payer: EPIC Health Plan Senior |
$2,714.84
|
| Rate for Payer: Galaxy Health WC |
$4,697.95
|
| Rate for Payer: Global Benefits Group Commercial |
$3,316.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,974.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,047.59
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$616.65
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,468.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,509.64
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$681.19
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,455.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,105.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,307.17
|
| Rate for Payer: Multiplan Commercial |
$4,145.25
|
| Rate for Payer: Networks By Design Commercial |
$3,592.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,468.04
|
| Rate for Payer: Prime Health Services Commercial |
$4,697.95
|
| Rate for Payer: Prime Health Services Medicare |
$2,616.12
|
| Rate for Payer: Riverside University Health System MISP |
$2,714.84
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,316.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,961.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,763.50
|
| 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 |
$2,468.04
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,714.84
|
| Rate for Payer: Vantage Medical Group Senior |
$2,468.04
|
|
|
HC PLCMT PERIPH INSRT CV DEVC W/P
|
Facility
|
OP
|
$14,091.00
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
909080016
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$522.54 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,061.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,061.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| 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 |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Cigna of CA HMO |
$9,018.24
|
| Rate for Payer: Cigna of CA PPO |
$10,427.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,467.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,061.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,700.73
|
| Rate for Payer: EPIC Health Plan Senior |
$4,467.15
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,660.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$522.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$577.22
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,685.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,441.81
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
| Rate for Payer: Prime Health Services Medicare |
$4,304.71
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,467.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,454.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,045.50
|
| 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 |
$4,061.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Vantage Medical Group Senior |
$4,061.05
|
|
|
HC PLCMT PERIPH INSRT CV DEVC W/P
|
Facility
|
IP
|
$14,091.00
|
|
|
Service Code
|
CPT 36571
|
| Hospital Charge Code |
909080016
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,818.20 |
| Max. Negotiated Rate |
$12,681.90 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,636.40
|
| Rate for Payer: EPIC Health Plan Senior |
$5,636.40
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,313.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
|
|
HC PLCMT PERIPH INSRT CV DVC W/PO
|
Facility
|
IP
|
$14,091.00
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
909080015
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,818.20 |
| Max. Negotiated Rate |
$12,681.90 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,636.40
|
| Rate for Payer: EPIC Health Plan Senior |
$5,636.40
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,313.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
|
|
HC PLCMT PERIPH INSRT CV DVC W/PO
|
Facility
|
OP
|
$14,091.00
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
909080015
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$582.08 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,061.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,061.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| 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 |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Cigna of CA HMO |
$9,018.24
|
| Rate for Payer: Cigna of CA PPO |
$10,427.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,467.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,061.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,700.73
|
| Rate for Payer: EPIC Health Plan Senior |
$4,467.15
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,660.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$582.08
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$643.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,685.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,441.81
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
| Rate for Payer: Prime Health Services Medicare |
$4,304.71
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,467.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,454.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,045.50
|
| 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 |
$4,061.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Vantage Medical Group Senior |
$4,061.05
|
|
|
HC PLCMT PERIPH INSRT CV DVC W/PO
|
Facility
|
OP
|
$14,091.00
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
909080015
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$12,681.90 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| 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 |
$6,091.57
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,061.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Cigna of CA HMO |
$9,018.24
|
| Rate for Payer: Cigna of CA PPO |
$10,427.34
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,467.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,061.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,700.73
|
| Rate for Payer: EPIC Health Plan Senior |
$4,467.15
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,660.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$643.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$4,365.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,441.81
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
| Rate for Payer: Prime Health Services Medicare |
$4,304.71
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,467.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,454.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,045.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,045.50
|
| Rate for Payer: United Healthcare HMO Rider |
$7,045.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,045.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,061.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Vantage Medical Group Senior |
$4,061.05
|
|
|
HC PLCMT PERIPH INSRT CV DVC W/PO
|
Facility
|
IP
|
$14,091.00
|
|
|
Service Code
|
CPT 36570
|
| Hospital Charge Code |
909080015
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,818.20 |
| Max. Negotiated Rate |
$12,681.90 |
| Rate for Payer: Adventist Health Commercial |
$2,818.20
|
| Rate for Payer: Cash Price |
$6,340.95
|
| Rate for Payer: Central Health Plan Commercial |
$11,272.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,863.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,636.40
|
| Rate for Payer: EPIC Health Plan Senior |
$5,636.40
|
| Rate for Payer: Galaxy Health WC |
$11,977.35
|
| Rate for Payer: Global Benefits Group Commercial |
$8,454.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,681.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,947.78
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,313.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,818.20
|
| Rate for Payer: Multiplan Commercial |
$10,568.25
|
| Rate for Payer: Networks By Design Commercial |
$9,159.15
|
| Rate for Payer: Prime Health Services Commercial |
$11,977.35
|
|
|
HC PLC TUN CNTRL VAD W/SUB PRT LT 5YR
|
Facility
|
IP
|
$14,068.00
|
|
|
Service Code
|
CPT 36560
|
| Hospital Charge Code |
909080011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,813.60 |
| Max. Negotiated Rate |
$12,661.20 |
| Rate for Payer: Adventist Health Commercial |
$2,813.60
|
| Rate for Payer: Cash Price |
$6,330.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,254.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,847.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,627.20
|
| Rate for Payer: EPIC Health Plan Senior |
$5,627.20
|
| Rate for Payer: Galaxy Health WC |
$11,957.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,440.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,661.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,933.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,300.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,813.60
|
| Rate for Payer: Multiplan Commercial |
$10,551.00
|
| Rate for Payer: Networks By Design Commercial |
$9,144.20
|
| Rate for Payer: Prime Health Services Commercial |
$11,957.80
|
|
|
HC PLC TUN CNTRL VAD W/SUB PRT LT 5YR
|
Facility
|
OP
|
$14,068.00
|
|
|
Service Code
|
CPT 36560
|
| Hospital Charge Code |
909080011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$451.45 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,813.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,061.05
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,061.05
|
| 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 |
$6,372.03
|
| Rate for Payer: Blue Shield of California Commercial |
$7,080.44
|
| Rate for Payer: Blue Shield of California EPN |
$4,450.12
|
| Rate for Payer: Cash Price |
$6,330.60
|
| Rate for Payer: Cash Price |
$6,330.60
|
| Rate for Payer: Cash Price |
$6,330.60
|
| Rate for Payer: Central Health Plan Commercial |
$11,254.40
|
| Rate for Payer: Cigna of CA HMO |
$9,003.52
|
| Rate for Payer: Cigna of CA PPO |
$10,410.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,467.15
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,061.05
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$9,847.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,700.73
|
| Rate for Payer: EPIC Health Plan Senior |
$4,467.15
|
| Rate for Payer: Galaxy Health WC |
$11,957.80
|
| Rate for Payer: Global Benefits Group Commercial |
$8,440.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,661.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,660.12
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$451.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$8,933.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$498.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,685.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,813.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,441.81
|
| Rate for Payer: Multiplan Commercial |
$10,551.00
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$9,144.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,061.05
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$11,957.80
|
| Rate for Payer: Prime Health Services Medicare |
$4,304.71
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,467.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,440.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,034.00
|
| 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 |
$4,061.05
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,091.57
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,467.15
|
| Rate for Payer: Vantage Medical Group Senior |
$4,061.05
|
|
|
HC PLEURA BIOPSY, PERCUTANEOUS
|
Facility
|
OP
|
$3,971.00
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
909000123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$230.53 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$794.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,124.23
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,186.34
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,336.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,124.23
|
| 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 |
$3,280.13
|
| 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 |
$1,786.95
|
| Rate for Payer: Cash Price |
$1,786.95
|
| Rate for Payer: Cash Price |
$1,786.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,176.80
|
| Rate for Payer: Cigna of CA HMO |
$2,541.44
|
| Rate for Payer: Cigna of CA PPO |
$2,938.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,186.34
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,336.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,124.23
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,779.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,504.98
|
| Rate for Payer: EPIC Health Plan Senior |
$2,336.65
|
| Rate for Payer: Galaxy Health WC |
$3,375.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,382.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,573.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,483.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$230.53
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,124.23
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,521.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$254.66
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,973.92
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$794.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,846.47
|
| Rate for Payer: Multiplan Commercial |
$2,978.25
|
| Rate for Payer: Multiplan WC |
$3,280.13
|
| Rate for Payer: Networks By Design Commercial |
$2,581.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,124.23
|
| Rate for Payer: Preferred Health Network WC |
$3,347.07
|
| Rate for Payer: Prime Health Services Commercial |
$3,375.35
|
| Rate for Payer: Prime Health Services Medicare |
$2,251.68
|
| Rate for Payer: Prime Health Services WC |
$3,246.66
|
| Rate for Payer: Riverside University Health System MISP |
$2,336.65
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,382.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,985.50
|
| 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 |
$2,124.23
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,186.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,336.65
|
| Rate for Payer: Vantage Medical Group Senior |
$2,124.23
|
|
|
HC PLEURA BIOPSY, PERCUTANEOUS
|
Facility
|
IP
|
$3,971.00
|
|
|
Service Code
|
CPT 32400
|
| Hospital Charge Code |
909000123
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$794.20 |
| Max. Negotiated Rate |
$3,573.90 |
| Rate for Payer: Adventist Health Commercial |
$794.20
|
| Rate for Payer: Cash Price |
$1,786.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,176.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,779.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,588.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,588.40
|
| Rate for Payer: Galaxy Health WC |
$3,375.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,382.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,573.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,521.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,342.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$794.20
|
| Rate for Payer: Multiplan Commercial |
$2,978.25
|
| Rate for Payer: Networks By Design Commercial |
$2,581.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,375.35
|
|
|
HC PLEURAL DRAINAGE, PERC W INS OF IND CATH W IG
|
Facility
|
IP
|
$5,753.00
|
|
|
Service Code
|
CPT 32557
|
| Hospital Charge Code |
900200009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,150.60 |
| Max. Negotiated Rate |
$5,177.70 |
| Rate for Payer: Adventist Health Commercial |
$1,150.60
|
| Rate for Payer: Cash Price |
$2,588.85
|
| Rate for Payer: Central Health Plan Commercial |
$4,602.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,027.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,301.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,301.20
|
| Rate for Payer: Galaxy Health WC |
$4,890.05
|
| Rate for Payer: Global Benefits Group Commercial |
$3,451.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,177.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,653.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,394.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,150.60
|
| Rate for Payer: Multiplan Commercial |
$4,314.75
|
| Rate for Payer: Networks By Design Commercial |
$3,739.45
|
| Rate for Payer: Prime Health Services Commercial |
$4,890.05
|
|
