|
HC PWRWAND XL SINGLE 3FR, 6CM
|
Facility
|
IP
|
$417.60
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698242
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$83.52 |
| Max. Negotiated Rate |
$375.84 |
| Rate for Payer: Adventist Health Commercial |
$83.52
|
| Rate for Payer: Cash Price |
$187.92
|
| Rate for Payer: Central Health Plan Commercial |
$334.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$292.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$167.04
|
| Rate for Payer: EPIC Health Plan Senior |
$167.04
|
| Rate for Payer: Galaxy Health WC |
$354.96
|
| Rate for Payer: Global Benefits Group Commercial |
$250.56
|
| Rate for Payer: Health Management Network EPO/PPO |
$375.84
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$265.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$246.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$83.52
|
| Rate for Payer: Multiplan Commercial |
$313.20
|
| Rate for Payer: Networks By Design Commercial |
$271.44
|
| Rate for Payer: Prime Health Services Commercial |
$354.96
|
|
|
HC PWRWAND XL SINGLE 4FR, 8CM
|
Facility
|
OP
|
$574.20
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$114.84 |
| Max. Negotiated Rate |
$1,019.88 |
| Rate for Payer: Adventist Health Commercial |
$114.84
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,019.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$488.07
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$315.81
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$430.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$278.03
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$334.01
|
| Rate for Payer: Blue Shield of California Commercial |
$364.04
|
| Rate for Payer: Blue Shield of California EPN |
$229.11
|
| Rate for Payer: Cash Price |
$258.39
|
| Rate for Payer: Cash Price |
$258.39
|
| Rate for Payer: Central Health Plan Commercial |
$459.36
|
| Rate for Payer: Cigna of CA HMO |
$367.49
|
| Rate for Payer: Cigna of CA PPO |
$424.91
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$488.07
|
| Rate for Payer: Dignity Health Medi-Cal |
$488.07
|
| Rate for Payer: Dignity Health Medicare Advantage |
$488.07
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$401.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$229.68
|
| Rate for Payer: EPIC Health Plan Senior |
$229.68
|
| Rate for Payer: Galaxy Health WC |
$488.07
|
| Rate for Payer: Global Benefits Group Commercial |
$344.52
|
| Rate for Payer: Health Management Network EPO/PPO |
$516.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$364.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$208.43
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$338.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$114.84
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$401.94
|
| Rate for Payer: Multiplan Commercial |
$430.65
|
| Rate for Payer: Networks By Design Commercial |
$373.23
|
| Rate for Payer: Prime Health Services Commercial |
$488.07
|
| Rate for Payer: Riverside University Health System MISP |
$229.68
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$344.52
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$344.52
|
| Rate for Payer: United Healthcare All Other Commercial |
$287.10
|
| Rate for Payer: United Healthcare All Other HMO |
$287.10
|
| Rate for Payer: United Healthcare HMO Rider |
$287.10
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$287.10
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$488.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$488.07
|
| Rate for Payer: Vantage Medical Group Senior |
$488.07
|
|
|
HC PWRWAND XL SINGLE 4FR, 8CM
|
Facility
|
IP
|
$574.20
|
|
|
Service Code
|
CPT C1751
|
| Hospital Charge Code |
901698241
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$114.84 |
| Max. Negotiated Rate |
$516.78 |
| Rate for Payer: Adventist Health Commercial |
$114.84
|
| Rate for Payer: Cash Price |
$258.39
|
| Rate for Payer: Central Health Plan Commercial |
$459.36
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$401.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$229.68
|
| Rate for Payer: EPIC Health Plan Senior |
$229.68
|
| Rate for Payer: Galaxy Health WC |
$488.07
|
| Rate for Payer: Global Benefits Group Commercial |
$344.52
|
| Rate for Payer: Health Management Network EPO/PPO |
$516.78
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$364.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$338.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$114.84
|
| Rate for Payer: Multiplan Commercial |
$430.65
|
| Rate for Payer: Networks By Design Commercial |
$373.23
|
| Rate for Payer: Prime Health Services Commercial |
$488.07
|
|
|
HC PYRUVATE
|
Facility
|
OP
|
$110.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910251
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$109.83 |
| Rate for Payer: Adventist Health Commercial |
$22.00
|
| Rate for Payer: Adventist Health Commercial |
$10.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$14.48
|
| Rate for Payer: Adventist Health Medi-Cal |
$14.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$109.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$109.83
|
| Rate for Payer: Blue Shield of California Commercial |
$32.13
|
| Rate for Payer: Blue Shield of California Commercial |
$69.30
|
| Rate for Payer: Blue Shield of California EPN |
$20.25
|
| Rate for Payer: Blue Shield of California EPN |
$43.67
|
| Rate for Payer: Cash Price |
$22.95
|
| Rate for Payer: Cash Price |
$22.95
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Central Health Plan Commercial |
$88.00
|
| Rate for Payer: Central Health Plan Commercial |
$40.80
|
| Rate for Payer: Cigna of CA HMO |
$32.64
|
| Rate for Payer: Cigna of CA HMO |
$70.40
|
| Rate for Payer: Cigna of CA PPO |
$37.74
|
| Rate for Payer: Cigna of CA PPO |
$81.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.48
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.48
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$77.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.89
|
| Rate for Payer: EPIC Health Plan Senior |
$15.93
|
| Rate for Payer: EPIC Health Plan Senior |
$15.93
|
| Rate for Payer: Galaxy Health WC |
$43.35
|
| Rate for Payer: Galaxy Health WC |
$93.50
|
| Rate for Payer: Global Benefits Group Commercial |
$30.60
|
| Rate for Payer: Global Benefits Group Commercial |
$66.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$99.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14.48
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$69.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19.40
|
| Rate for Payer: Multiplan Commercial |
$38.25
|
| Rate for Payer: Multiplan Commercial |
$82.50
|
| Rate for Payer: Networks By Design Commercial |
$71.50
|
| Rate for Payer: Networks By Design Commercial |
$33.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14.48
|
| Rate for Payer: Prime Health Services Commercial |
$43.35
|
| Rate for Payer: Prime Health Services Commercial |
$93.50
|
| Rate for Payer: Prime Health Services Medicare |
$15.35
|
| Rate for Payer: Prime Health Services Medicare |
$15.35
|
| Rate for Payer: Riverside University Health System MISP |
$15.93
|
| Rate for Payer: Riverside University Health System MISP |
$15.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$66.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$30.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$66.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.73
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.73
|
| Rate for Payer: United Healthcare All Other HMO |
$11.73
|
| Rate for Payer: United Healthcare All Other HMO |
$11.73
|
| Rate for Payer: United Healthcare HMO Rider |
$11.73
|
| Rate for Payer: United Healthcare HMO Rider |
$11.73
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.73
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.73
|
| Rate for Payer: Upland Medical Group Pediatric |
$14.48
|
| Rate for Payer: Upland Medical Group Pediatric |
$14.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
|
|
HC PYRUVATE
|
Facility
|
IP
|
$110.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910251
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Adventist Health Commercial |
$22.00
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Central Health Plan Commercial |
$88.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$77.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$44.00
|
| Rate for Payer: EPIC Health Plan Senior |
$44.00
|
| Rate for Payer: Galaxy Health WC |
$93.50
|
| Rate for Payer: Global Benefits Group Commercial |
$66.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$99.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$69.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$64.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.00
|
| Rate for Payer: Multiplan Commercial |
$82.50
|
| Rate for Payer: Networks By Design Commercial |
$71.50
|
| Rate for Payer: Prime Health Services Commercial |
$93.50
|
|
|
HC PYRUVATE CSF
|
Facility
|
OP
|
$110.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910344
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$109.83 |
| Rate for Payer: Adventist Health Commercial |
$22.00
|
| Rate for Payer: Adventist Health Commercial |
$10.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$14.48
|
| Rate for Payer: Adventist Health Medi-Cal |
$14.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$79.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$79.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$109.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$109.83
|
| Rate for Payer: Blue Shield of California Commercial |
$32.13
|
| Rate for Payer: Blue Shield of California Commercial |
$69.30
|
| Rate for Payer: Blue Shield of California EPN |
$20.25
|
| Rate for Payer: Blue Shield of California EPN |
$43.67
|
| Rate for Payer: Cash Price |
$22.95
|
| Rate for Payer: Cash Price |
$22.95
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Central Health Plan Commercial |
$88.00
|
| Rate for Payer: Central Health Plan Commercial |
$40.80
|
| Rate for Payer: Cigna of CA HMO |
$32.64
|
| Rate for Payer: Cigna of CA HMO |
$70.40
|
| Rate for Payer: Cigna of CA PPO |
$37.74
|
| Rate for Payer: Cigna of CA PPO |
$81.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.48
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14.48
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$77.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$35.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.89
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.89
|
| Rate for Payer: EPIC Health Plan Senior |
$15.93
|
| Rate for Payer: EPIC Health Plan Senior |
$15.93
|
| Rate for Payer: Galaxy Health WC |
$43.35
|
| Rate for Payer: Galaxy Health WC |
$93.50
|
| Rate for Payer: Global Benefits Group Commercial |
$30.60
|
| Rate for Payer: Global Benefits Group Commercial |
$66.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$45.90
|
| Rate for Payer: Health Management Network EPO/PPO |
$99.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23.75
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$19.92
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14.48
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14.48
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$69.85
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$32.38
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20.27
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$20.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$19.40
|
| Rate for Payer: Multiplan Commercial |
$38.25
|
| Rate for Payer: Multiplan Commercial |
$82.50
|
| Rate for Payer: Networks By Design Commercial |
$71.50
|
| Rate for Payer: Networks By Design Commercial |
$33.15
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14.48
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14.48
|
| Rate for Payer: Prime Health Services Commercial |
$43.35
|
| Rate for Payer: Prime Health Services Commercial |
$93.50
|
| Rate for Payer: Prime Health Services Medicare |
$15.35
|
| Rate for Payer: Prime Health Services Medicare |
$15.35
|
| Rate for Payer: Riverside University Health System MISP |
$15.93
|
| Rate for Payer: Riverside University Health System MISP |
$15.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$66.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$30.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$30.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$66.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.73
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.73
|
| Rate for Payer: United Healthcare All Other HMO |
$11.73
|
| Rate for Payer: United Healthcare All Other HMO |
$11.73
|
| Rate for Payer: United Healthcare HMO Rider |
$11.73
|
| Rate for Payer: United Healthcare HMO Rider |
$11.73
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.73
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.73
|
| Rate for Payer: Upland Medical Group Pediatric |
$14.48
|
| Rate for Payer: Upland Medical Group Pediatric |
$14.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
|
|
HC PYRUVATE CSF
|
Facility
|
IP
|
$110.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910344
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Adventist Health Commercial |
$22.00
|
| Rate for Payer: Cash Price |
$49.50
|
| Rate for Payer: Central Health Plan Commercial |
$88.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$77.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$44.00
|
| Rate for Payer: EPIC Health Plan Senior |
$44.00
|
| Rate for Payer: Galaxy Health WC |
$93.50
|
| Rate for Payer: Global Benefits Group Commercial |
$66.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$99.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$69.85
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$64.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$22.00
|
| Rate for Payer: Multiplan Commercial |
$82.50
|
| Rate for Payer: Networks By Design Commercial |
$71.50
|
| Rate for Payer: Prime Health Services Commercial |
$93.50
|
|
|
HC QUAD BRIM ADD PREFAB
|
Facility
|
OP
|
$1,894.00
|
|
|
Service Code
|
CPT L2520
|
| Hospital Charge Code |
915352520
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$529.00 |
| Max. Negotiated Rate |
$1,704.60 |
| Rate for Payer: Adventist Health Commercial |
$776.54
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,041.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,420.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,101.74
|
| Rate for Payer: Blue Shield of California Commercial |
$1,518.99
|
| Rate for Payer: Blue Shield of California EPN |
$954.58
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,515.20
|
| Rate for Payer: Cigna of CA HMO |
$1,325.80
|
| Rate for Payer: Cigna of CA PPO |
$1,325.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,609.90
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,609.90
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,325.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$757.60
|
| Rate for Payer: EPIC Health Plan Senior |
$757.60
|
| Rate for Payer: Galaxy Health WC |
$1,609.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,136.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,704.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$529.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,202.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$584.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,117.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$776.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,325.80
|
| Rate for Payer: Multiplan Commercial |
$1,420.50
|
| Rate for Payer: Networks By Design Commercial |
$947.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,609.90
|
| Rate for Payer: Riverside University Health System MISP |
$757.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,136.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,136.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$710.82
|
| Rate for Payer: United Healthcare All Other HMO |
$691.88
|
| Rate for Payer: United Healthcare HMO Rider |
$676.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$620.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,609.90
|
| Rate for Payer: Vantage Medical Group Senior |
$1,609.90
|
|
|
HC QUAD BRIM ADD PREFAB
|
Facility
|
IP
|
$1,894.00
|
|
|
Service Code
|
CPT L2520
|
| Hospital Charge Code |
915352520
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$378.80 |
| Max. Negotiated Rate |
$1,704.60 |
| Rate for Payer: Adventist Health Commercial |
$378.80
|
| Rate for Payer: Blue Shield of California Commercial |
$1,518.99
|
| Rate for Payer: Blue Shield of California EPN |
$954.58
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,515.20
|
| Rate for Payer: Cigna of CA HMO |
$1,325.80
|
| Rate for Payer: Cigna of CA PPO |
$1,325.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,325.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$757.60
|
| Rate for Payer: EPIC Health Plan Senior |
$757.60
|
| Rate for Payer: Galaxy Health WC |
$1,609.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,136.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,704.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,202.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,117.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$378.80
|
| Rate for Payer: Multiplan Commercial |
$1,420.50
|
| Rate for Payer: Networks By Design Commercial |
$1,231.10
|
| Rate for Payer: Prime Health Services Commercial |
$1,609.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$710.82
|
| Rate for Payer: United Healthcare All Other HMO |
$691.88
|
| Rate for Payer: United Healthcare HMO Rider |
$676.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$620.28
|
|
|
HC QUAD BRIM ADD PREFAB
|
Facility
|
OP
|
$1,894.00
|
|
|
Service Code
|
CPT L2520
|
| Hospital Charge Code |
905352520
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$529.00 |
| Max. Negotiated Rate |
$1,704.60 |
| Rate for Payer: Adventist Health Commercial |
$776.54
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,041.70
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,420.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,101.74
|
| Rate for Payer: Blue Shield of California Commercial |
$1,518.99
|
| Rate for Payer: Blue Shield of California EPN |
$954.58
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,515.20
|
| Rate for Payer: Cigna of CA HMO |
$1,325.80
|
| Rate for Payer: Cigna of CA PPO |
$1,325.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,609.90
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,609.90
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,325.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$757.60
|
| Rate for Payer: EPIC Health Plan Senior |
$757.60
|
| Rate for Payer: Galaxy Health WC |
$1,609.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,136.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,704.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$529.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,202.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$584.36
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,117.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$776.54
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,325.80
|
| Rate for Payer: Multiplan Commercial |
$1,420.50
|
| Rate for Payer: Networks By Design Commercial |
$947.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,609.90
|
| Rate for Payer: Riverside University Health System MISP |
$757.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,136.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,136.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$710.82
|
| Rate for Payer: United Healthcare All Other HMO |
$691.88
|
| Rate for Payer: United Healthcare HMO Rider |
$676.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$620.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,609.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,609.90
|
| Rate for Payer: Vantage Medical Group Senior |
$1,609.90
|
|
|
HC QUAD BRIM ADD PREFAB
|
Facility
|
IP
|
$1,894.00
|
|
|
Service Code
|
CPT L2520
|
| Hospital Charge Code |
905352520
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$378.80 |
| Max. Negotiated Rate |
$1,704.60 |
| Rate for Payer: Adventist Health Commercial |
$378.80
|
| Rate for Payer: Blue Shield of California Commercial |
$1,518.99
|
| Rate for Payer: Blue Shield of California EPN |
$954.58
|
| Rate for Payer: Cash Price |
$852.30
|
| Rate for Payer: Central Health Plan Commercial |
$1,515.20
|
| Rate for Payer: Cigna of CA HMO |
$1,325.80
|
| Rate for Payer: Cigna of CA PPO |
$1,325.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,325.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$757.60
|
| Rate for Payer: EPIC Health Plan Senior |
$757.60
|
| Rate for Payer: Galaxy Health WC |
$1,609.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,136.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,704.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,202.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,117.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$378.80
|
| Rate for Payer: Multiplan Commercial |
$1,420.50
|
| Rate for Payer: Networks By Design Commercial |
$1,231.10
|
| Rate for Payer: Prime Health Services Commercial |
$1,609.90
|
| Rate for Payer: United Healthcare All Other Commercial |
$710.82
|
| Rate for Payer: United Healthcare All Other HMO |
$691.88
|
| Rate for Payer: United Healthcare HMO Rider |
$676.92
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$620.28
|
|
|
HC QUAD BRIM ADD TO KAFO
|
Facility
|
OP
|
$1,555.00
|
|
|
Service Code
|
CPT L2510
|
| Hospital Charge Code |
905352510
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$509.26 |
| Max. Negotiated Rate |
$1,399.50 |
| Rate for Payer: Adventist Health Commercial |
$637.55
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$855.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,166.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$904.54
|
| Rate for Payer: Blue Shield of California Commercial |
$1,247.11
|
| Rate for Payer: Blue Shield of California EPN |
$783.72
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,244.00
|
| Rate for Payer: Cigna of CA HMO |
$1,088.50
|
| Rate for Payer: Cigna of CA PPO |
$1,088.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,321.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,321.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,088.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$622.00
|
| Rate for Payer: EPIC Health Plan Senior |
$622.00
|
| Rate for Payer: Galaxy Health WC |
$1,321.75
|
| Rate for Payer: Global Benefits Group Commercial |
$933.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,399.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$690.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$987.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$762.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$917.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$637.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,088.50
|
| Rate for Payer: Multiplan Commercial |
$1,166.25
|
| Rate for Payer: Networks By Design Commercial |
$777.50
|
| Rate for Payer: Prime Health Services Commercial |
$1,321.75
|
| Rate for Payer: Riverside University Health System MISP |
$622.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$933.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$933.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$583.59
|
| Rate for Payer: United Healthcare All Other HMO |
$568.04
|
| Rate for Payer: United Healthcare HMO Rider |
$555.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$509.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,321.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,321.75
|
|
|
HC QUAD BRIM ADD TO KAFO
|
Facility
|
IP
|
$1,555.00
|
|
|
Service Code
|
CPT L2510
|
| Hospital Charge Code |
905352510
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$311.00 |
| Max. Negotiated Rate |
$1,399.50 |
| Rate for Payer: Adventist Health Commercial |
$311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,247.11
|
| Rate for Payer: Blue Shield of California EPN |
$783.72
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,244.00
|
| Rate for Payer: Cigna of CA HMO |
$1,088.50
|
| Rate for Payer: Cigna of CA PPO |
$1,088.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,088.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$622.00
|
| Rate for Payer: EPIC Health Plan Senior |
$622.00
|
| Rate for Payer: Galaxy Health WC |
$1,321.75
|
| Rate for Payer: Global Benefits Group Commercial |
$933.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,399.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$987.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$917.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$311.00
|
| Rate for Payer: Multiplan Commercial |
$1,166.25
|
| Rate for Payer: Networks By Design Commercial |
$1,010.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,321.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$583.59
|
| Rate for Payer: United Healthcare All Other HMO |
$568.04
|
| Rate for Payer: United Healthcare HMO Rider |
$555.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$509.26
|
|
|
HC QUAD BRIM ADD TO KAFO
|
Facility
|
OP
|
$1,555.00
|
|
|
Service Code
|
CPT L2510
|
| Hospital Charge Code |
915352510
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$509.26 |
| Max. Negotiated Rate |
$1,399.50 |
| Rate for Payer: Adventist Health Commercial |
$637.55
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$855.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,166.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$904.54
|
| Rate for Payer: Blue Shield of California Commercial |
$1,247.11
|
| Rate for Payer: Blue Shield of California EPN |
$783.72
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,244.00
|
| Rate for Payer: Cigna of CA HMO |
$1,088.50
|
| Rate for Payer: Cigna of CA PPO |
$1,088.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,321.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,321.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,088.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$622.00
|
| Rate for Payer: EPIC Health Plan Senior |
$622.00
|
| Rate for Payer: Galaxy Health WC |
$1,321.75
|
| Rate for Payer: Global Benefits Group Commercial |
$933.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,399.50
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$690.06
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$987.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$762.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$917.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$637.55
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,088.50
|
| Rate for Payer: Multiplan Commercial |
$1,166.25
|
| Rate for Payer: Networks By Design Commercial |
$777.50
|
| Rate for Payer: Prime Health Services Commercial |
$1,321.75
|
| Rate for Payer: Riverside University Health System MISP |
$622.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$933.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$933.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$583.59
|
| Rate for Payer: United Healthcare All Other HMO |
$568.04
|
| Rate for Payer: United Healthcare HMO Rider |
$555.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$509.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,321.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,321.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,321.75
|
|
|
HC QUAD BRIM ADD TO KAFO
|
Facility
|
IP
|
$1,555.00
|
|
|
Service Code
|
CPT L2510
|
| Hospital Charge Code |
915352510
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$311.00 |
| Max. Negotiated Rate |
$1,399.50 |
| Rate for Payer: Adventist Health Commercial |
$311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,247.11
|
| Rate for Payer: Blue Shield of California EPN |
$783.72
|
| Rate for Payer: Cash Price |
$699.75
|
| Rate for Payer: Central Health Plan Commercial |
$1,244.00
|
| Rate for Payer: Cigna of CA HMO |
$1,088.50
|
| Rate for Payer: Cigna of CA PPO |
$1,088.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,088.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$622.00
|
| Rate for Payer: EPIC Health Plan Senior |
$622.00
|
| Rate for Payer: Galaxy Health WC |
$1,321.75
|
| Rate for Payer: Global Benefits Group Commercial |
$933.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,399.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$987.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$917.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$311.00
|
| Rate for Payer: Multiplan Commercial |
$1,166.25
|
| Rate for Payer: Networks By Design Commercial |
$1,010.75
|
| Rate for Payer: Prime Health Services Commercial |
$1,321.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$583.59
|
| Rate for Payer: United Healthcare All Other HMO |
$568.04
|
| Rate for Payer: United Healthcare HMO Rider |
$555.76
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$509.26
|
|
|
HC QUANTITATIVE GAIT ANALYSIS W/R
|
Facility
|
OP
|
$25.00
|
|
| Hospital Charge Code |
905370011
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$8.19 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Adventist Health Commercial |
$10.25
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21.25
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$13.75
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$18.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14.54
|
| Rate for Payer: Blue Shield of California Commercial |
$20.05
|
| Rate for Payer: Blue Shield of California EPN |
$12.60
|
| Rate for Payer: Cash Price |
$11.25
|
| Rate for Payer: Central Health Plan Commercial |
$20.00
|
| Rate for Payer: Cigna of CA HMO |
$17.50
|
| Rate for Payer: Cigna of CA PPO |
$17.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.25
|
| Rate for Payer: Dignity Health Medi-Cal |
$21.25
|
| Rate for Payer: Dignity Health Medicare Advantage |
$21.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10.00
|
| Rate for Payer: Galaxy Health WC |
$21.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$9.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$17.50
|
| Rate for Payer: Multiplan Commercial |
$18.75
|
| Rate for Payer: Networks By Design Commercial |
$12.50
|
| Rate for Payer: Prime Health Services Commercial |
$21.25
|
| Rate for Payer: Riverside University Health System MISP |
$10.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$15.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.38
|
| Rate for Payer: United Healthcare All Other HMO |
$9.13
|
| Rate for Payer: United Healthcare HMO Rider |
$8.94
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.19
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$21.25
|
| Rate for Payer: Vantage Medical Group Senior |
$21.25
|
|
|
HC QUANTITATIVE GAIT ANALYSIS W/R
|
Facility
|
IP
|
$25.00
|
|
| Hospital Charge Code |
905370011
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Adventist Health Commercial |
$5.00
|
| Rate for Payer: Blue Shield of California Commercial |
$20.05
|
| Rate for Payer: Blue Shield of California EPN |
$12.60
|
| Rate for Payer: Cash Price |
$11.25
|
| Rate for Payer: Central Health Plan Commercial |
$20.00
|
| Rate for Payer: Cigna of CA HMO |
$17.50
|
| Rate for Payer: Cigna of CA PPO |
$17.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$17.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10.00
|
| Rate for Payer: Galaxy Health WC |
$21.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$15.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.00
|
| Rate for Payer: Multiplan Commercial |
$18.75
|
| Rate for Payer: Networks By Design Commercial |
$16.25
|
| Rate for Payer: Prime Health Services Commercial |
$21.25
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.38
|
| Rate for Payer: United Healthcare All Other HMO |
$9.13
|
| Rate for Payer: United Healthcare HMO Rider |
$8.94
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.19
|
|
|
HC RA223 DICLORIDE INJECTION PER MICRO CURIE
|
Facility
|
OP
|
$720.00
|
|
|
Service Code
|
CPT A9606
|
| Hospital Charge Code |
909301550
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$1,032.88 |
| Rate for Payer: Adventist Health Commercial |
$144.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$181.55
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,032.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$226.94
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$199.71
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$199.71
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$225.27
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$281.12
|
| Rate for Payer: Blue Shield of California Commercial |
$453.60
|
| Rate for Payer: Blue Shield of California EPN |
$285.84
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Central Health Plan Commercial |
$576.00
|
| Rate for Payer: Cigna of CA HMO |
$460.80
|
| Rate for Payer: Cigna of CA PPO |
$532.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$226.94
|
| Rate for Payer: Dignity Health Medi-Cal |
$199.71
|
| Rate for Payer: Dignity Health Medicare Advantage |
$199.71
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$504.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$299.56
|
| Rate for Payer: EPIC Health Plan Senior |
$199.71
|
| Rate for Payer: Galaxy Health WC |
$612.00
|
| Rate for Payer: Global Benefits Group Commercial |
$432.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$648.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$297.74
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$181.55
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$457.20
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$337.00
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$254.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$144.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$243.28
|
| Rate for Payer: Multiplan Commercial |
$540.00
|
| Rate for Payer: Networks By Design Commercial |
$468.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$181.55
|
| Rate for Payer: Prime Health Services Commercial |
$612.00
|
| Rate for Payer: Prime Health Services Medicare |
$192.44
|
| Rate for Payer: Riverside University Health System MISP |
$199.71
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$432.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$432.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$270.22
|
| Rate for Payer: United Healthcare All Other HMO |
$263.02
|
| Rate for Payer: United Healthcare HMO Rider |
$257.33
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$235.80
|
| Rate for Payer: Upland Medical Group Pediatric |
$181.55
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$226.94
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$199.71
|
| Rate for Payer: Vantage Medical Group Senior |
$199.71
|
|
|
HC RA223 DICLORIDE INJECTION PER MICRO CURIE
|
Facility
|
IP
|
$720.00
|
|
|
Service Code
|
CPT A9606
|
| Hospital Charge Code |
909301550
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$648.00 |
| Rate for Payer: Adventist Health Commercial |
$144.00
|
| Rate for Payer: Blue Shield of California Commercial |
$577.44
|
| Rate for Payer: Blue Shield of California EPN |
$362.88
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Central Health Plan Commercial |
$576.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$504.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$288.00
|
| Rate for Payer: EPIC Health Plan Senior |
$288.00
|
| Rate for Payer: Galaxy Health WC |
$612.00
|
| Rate for Payer: Global Benefits Group Commercial |
$432.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$648.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$457.20
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$424.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$144.00
|
| Rate for Payer: Multiplan Commercial |
$540.00
|
| Rate for Payer: Networks By Design Commercial |
$468.00
|
| Rate for Payer: Prime Health Services Commercial |
$612.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$270.22
|
| Rate for Payer: United Healthcare All Other HMO |
$263.02
|
| Rate for Payer: United Healthcare HMO Rider |
$257.33
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$235.80
|
|
|
HC RADIAL ARM SUPPORT,ADJT RANCHO
|
Facility
|
IP
|
$6,338.00
|
|
|
Service Code
|
CPT L3965
|
| Hospital Charge Code |
903203965
|
|
Hospital Revenue Code
|
290
|
| Min. Negotiated Rate |
$1,267.60 |
| Max. Negotiated Rate |
$5,704.20 |
| Rate for Payer: Adventist Health Commercial |
$1,267.60
|
| Rate for Payer: Cash Price |
$2,852.10
|
| Rate for Payer: Central Health Plan Commercial |
$5,070.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,436.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,535.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,535.20
|
| Rate for Payer: Galaxy Health WC |
$5,387.30
|
| Rate for Payer: Global Benefits Group Commercial |
$3,802.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,704.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,024.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,739.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,267.60
|
| Rate for Payer: Multiplan Commercial |
$4,753.50
|
| Rate for Payer: Networks By Design Commercial |
$4,119.70
|
| Rate for Payer: Prime Health Services Commercial |
$5,387.30
|
|
|
HC RADIAL ARM SUPPORT,ADJT RANCHO
|
Facility
|
OP
|
$6,338.00
|
|
|
Service Code
|
CPT L3965
|
| Hospital Charge Code |
903203965
|
|
Hospital Revenue Code
|
290
|
| Min. Negotiated Rate |
$1,267.60 |
| Max. Negotiated Rate |
$5,704.20 |
| Rate for Payer: Adventist Health Commercial |
$1,267.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,849.07
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,387.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,485.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,753.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,068.86
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,686.81
|
| Rate for Payer: Blue Shield of California Commercial |
$4,018.29
|
| Rate for Payer: Blue Shield of California EPN |
$2,528.86
|
| Rate for Payer: Cash Price |
$2,852.10
|
| Rate for Payer: Central Health Plan Commercial |
$5,070.40
|
| Rate for Payer: Cigna of CA HMO |
$4,056.32
|
| Rate for Payer: Cigna of CA PPO |
$4,690.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,387.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,387.30
|
| Rate for Payer: Dignity Health Medicare Advantage |
$5,387.30
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$4,436.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,535.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,535.20
|
| Rate for Payer: Galaxy Health WC |
$5,387.30
|
| Rate for Payer: Global Benefits Group Commercial |
$3,802.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,704.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$4,024.63
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,300.69
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,739.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,267.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$4,436.60
|
| Rate for Payer: Multiplan Commercial |
$4,753.50
|
| Rate for Payer: Networks By Design Commercial |
$4,119.70
|
| Rate for Payer: Prime Health Services Commercial |
$5,387.30
|
| Rate for Payer: Riverside University Health System MISP |
$2,535.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,802.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,802.80
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,387.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,387.30
|
| Rate for Payer: Vantage Medical Group Senior |
$5,387.30
|
|
|
HC RADIAL ARTERY CATH KIT 20G 4FR
|
Facility
|
OP
|
$183.89
|
|
| Hospital Charge Code |
901698976
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.78 |
| Max. Negotiated Rate |
$165.50 |
| Rate for Payer: Adventist Health Commercial |
$36.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$111.68
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$156.31
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$101.14
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$137.92
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$89.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$106.97
|
| Rate for Payer: Blue Shield of California Commercial |
$116.59
|
| Rate for Payer: Blue Shield of California EPN |
$73.37
|
| Rate for Payer: Cash Price |
$82.75
|
| Rate for Payer: Central Health Plan Commercial |
$147.11
|
| Rate for Payer: Cigna of CA HMO |
$117.69
|
| Rate for Payer: Cigna of CA PPO |
$136.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$156.31
|
| Rate for Payer: Dignity Health Medi-Cal |
$156.31
|
| Rate for Payer: Dignity Health Medicare Advantage |
$156.31
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$128.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$73.56
|
| Rate for Payer: EPIC Health Plan Senior |
$73.56
|
| Rate for Payer: Galaxy Health WC |
$156.31
|
| Rate for Payer: Global Benefits Group Commercial |
$110.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$165.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$116.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$66.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$108.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$36.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$128.72
|
| Rate for Payer: Multiplan Commercial |
$137.92
|
| Rate for Payer: Networks By Design Commercial |
$119.53
|
| Rate for Payer: Prime Health Services Commercial |
$156.31
|
| Rate for Payer: Riverside University Health System MISP |
$73.56
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$110.33
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$110.33
|
| Rate for Payer: United Healthcare All Other Commercial |
$91.94
|
| Rate for Payer: United Healthcare All Other HMO |
$91.94
|
| Rate for Payer: United Healthcare HMO Rider |
$91.94
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$91.94
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$156.31
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$156.31
|
| Rate for Payer: Vantage Medical Group Senior |
$156.31
|
|
|
HC RADIAL ARTERY CATH KIT 20G 4FR
|
Facility
|
IP
|
$183.89
|
|
| Hospital Charge Code |
901698976
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.78 |
| Max. Negotiated Rate |
$165.50 |
| Rate for Payer: Adventist Health Commercial |
$36.78
|
| Rate for Payer: Cash Price |
$82.75
|
| Rate for Payer: Central Health Plan Commercial |
$147.11
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$128.72
|
| Rate for Payer: EPIC Health Plan Commercial |
$73.56
|
| Rate for Payer: EPIC Health Plan Senior |
$73.56
|
| Rate for Payer: Galaxy Health WC |
$156.31
|
| Rate for Payer: Global Benefits Group Commercial |
$110.33
|
| Rate for Payer: Health Management Network EPO/PPO |
$165.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$116.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$108.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$36.78
|
| Rate for Payer: Multiplan Commercial |
$137.92
|
| Rate for Payer: Networks By Design Commercial |
$119.53
|
| Rate for Payer: Prime Health Services Commercial |
$156.31
|
|
|
HC RADIANT SKINCARE KIT-CSTM BRST
|
Facility
|
IP
|
$135.00
|
|
|
Service Code
|
CPT L8499
|
| Hospital Charge Code |
915380009
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$121.50 |
| Rate for Payer: Adventist Health Commercial |
$27.00
|
| Rate for Payer: Blue Shield of California Commercial |
$108.27
|
| Rate for Payer: Blue Shield of California EPN |
$68.04
|
| Rate for Payer: Cash Price |
$60.75
|
| Rate for Payer: Central Health Plan Commercial |
$108.00
|
| Rate for Payer: Cigna of CA HMO |
$94.50
|
| Rate for Payer: Cigna of CA PPO |
$94.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$94.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.00
|
| Rate for Payer: EPIC Health Plan Senior |
$54.00
|
| Rate for Payer: Galaxy Health WC |
$114.75
|
| Rate for Payer: Global Benefits Group Commercial |
$81.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$121.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$85.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$79.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$27.00
|
| Rate for Payer: Multiplan Commercial |
$101.25
|
| Rate for Payer: Networks By Design Commercial |
$87.75
|
| Rate for Payer: Prime Health Services Commercial |
$114.75
|
| Rate for Payer: United Healthcare All Other Commercial |
$50.67
|
| Rate for Payer: United Healthcare All Other HMO |
$49.32
|
| Rate for Payer: United Healthcare HMO Rider |
$48.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$44.21
|
|
|
HC RADIANT SKINCARE KIT-CSTM BRST
|
Facility
|
OP
|
$135.00
|
|
|
Service Code
|
CPT L8499
|
| Hospital Charge Code |
905380009
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$44.21 |
| Max. Negotiated Rate |
$121.50 |
| Rate for Payer: Adventist Health Commercial |
$55.35
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$114.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$74.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$101.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$78.53
|
| Rate for Payer: Blue Shield of California Commercial |
$108.27
|
| Rate for Payer: Blue Shield of California EPN |
$68.04
|
| Rate for Payer: Cash Price |
$60.75
|
| Rate for Payer: Central Health Plan Commercial |
$108.00
|
| Rate for Payer: Cigna of CA HMO |
$94.50
|
| Rate for Payer: Cigna of CA PPO |
$94.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$114.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$114.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$114.75
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$94.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$54.00
|
| Rate for Payer: EPIC Health Plan Senior |
$54.00
|
| Rate for Payer: Galaxy Health WC |
$114.75
|
| Rate for Payer: Global Benefits Group Commercial |
$81.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$121.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$85.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$49.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$79.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$55.35
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$94.50
|
| Rate for Payer: Multiplan Commercial |
$101.25
|
| Rate for Payer: Networks By Design Commercial |
$67.50
|
| Rate for Payer: Prime Health Services Commercial |
$114.75
|
| Rate for Payer: Riverside University Health System MISP |
$54.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$81.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$81.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$50.67
|
| Rate for Payer: United Healthcare All Other HMO |
$49.32
|
| Rate for Payer: United Healthcare HMO Rider |
$48.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$44.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$114.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$114.75
|
| Rate for Payer: Vantage Medical Group Senior |
$114.75
|
|
