|
HC PERC PULM ART STENT ABN BI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33903
|
| Hospital Charge Code |
906811903
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$12,913.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,731.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
IP
|
$38,563.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906811902
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$7,712.60 |
| Max. Negotiated Rate |
$34,706.70 |
| Rate for Payer: Adventist Health Commercial |
$7,712.60
|
| Rate for Payer: Cash Price |
$21,209.65
|
| Rate for Payer: Central Health Plan Commercial |
$30,850.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$15,425.20
|
| Rate for Payer: EPIC Health Plan Senior |
$15,425.20
|
| Rate for Payer: Galaxy Health WC |
$32,778.55
|
| Rate for Payer: Global Benefits Group Commercial |
$23,137.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$34,706.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25,721.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14,692.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$23,870.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,712.60
|
| Rate for Payer: Multiplan Commercial |
$28,922.25
|
| Rate for Payer: Networks By Design Commercial |
$25,065.95
|
| Rate for Payer: Prime Health Services Commercial |
$32,778.55
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
OP
|
$45,368.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906820322
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$9,073.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$22,815.81
|
| Rate for Payer: Aetna of CA HMO/PPO |
$12,913.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$24,952.40
|
| Rate for Payer: Cash Price |
$24,952.40
|
| Rate for Payer: Cash Price |
$24,952.40
|
| Rate for Payer: Central Health Plan Commercial |
$36,294.40
|
| Rate for Payer: Cigna of CA HMO |
$29,035.52
|
| Rate for Payer: Cigna of CA PPO |
$33,572.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,801.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22,815.81
|
| Rate for Payer: Galaxy Health WC |
$38,562.80
|
| Rate for Payer: Global Benefits Group Commercial |
$27,220.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$40,831.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$37,417.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: InnovAge PACE Commercial |
$34,223.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$30,260.46
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,815.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9,073.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,573.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,573.19
|
| Rate for Payer: Multiplan Commercial |
$34,026.00
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$29,489.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$38,562.80
|
| Rate for Payer: Prime Health Services Medicare |
$24,184.76
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,097.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$27,220.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$22,815.81
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
OP
|
$38,563.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906811902
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$7,712.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$22,815.81
|
| Rate for Payer: Aetna of CA HMO/PPO |
$12,913.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$36,352.92
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$21,209.65
|
| Rate for Payer: Cash Price |
$21,209.65
|
| Rate for Payer: Cash Price |
$21,209.65
|
| Rate for Payer: Central Health Plan Commercial |
$30,850.40
|
| Rate for Payer: Cigna of CA HMO |
$24,680.32
|
| Rate for Payer: Cigna of CA PPO |
$28,536.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$30,801.34
|
| Rate for Payer: EPIC Health Plan Senior |
$22,815.81
|
| Rate for Payer: Galaxy Health WC |
$32,778.55
|
| Rate for Payer: Global Benefits Group Commercial |
$23,137.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$34,706.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$37,417.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: InnovAge PACE Commercial |
$34,223.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$25,721.52
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$22,815.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,712.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,573.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,573.19
|
| Rate for Payer: Multiplan Commercial |
$28,922.25
|
| Rate for Payer: Multiplan WC |
$36,352.92
|
| Rate for Payer: Networks By Design Commercial |
$25,065.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Preferred Health Network WC |
$37,094.82
|
| Rate for Payer: Prime Health Services Commercial |
$32,778.55
|
| Rate for Payer: Prime Health Services Medicare |
$24,184.76
|
| Rate for Payer: Prime Health Services WC |
$35,981.98
|
| Rate for Payer: Riverside University Health System MISP |
$25,097.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$23,137.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$22,815.81
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
|
IP
|
$45,368.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906820322
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$9,073.60 |
| Max. Negotiated Rate |
$40,831.20 |
| Rate for Payer: Adventist Health Commercial |
$9,073.60
|
| Rate for Payer: Cash Price |
$24,952.40
|
| Rate for Payer: Central Health Plan Commercial |
$36,294.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,147.20
|
| Rate for Payer: EPIC Health Plan Senior |
$18,147.20
|
| Rate for Payer: Galaxy Health WC |
$38,562.80
|
| Rate for Payer: Global Benefits Group Commercial |
$27,220.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$40,831.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$30,260.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17,285.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$28,082.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9,073.60
|
| Rate for Payer: Multiplan Commercial |
$34,026.00
|
| Rate for Payer: Networks By Design Commercial |
$29,489.20
|
| Rate for Payer: Prime Health Services Commercial |
$38,562.80
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
IP
|
$12,542.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906811904
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,508.40 |
| Max. Negotiated Rate |
$11,287.80 |
| Rate for Payer: Adventist Health Commercial |
$2,508.40
|
| Rate for Payer: Cash Price |
$6,898.10
|
| Rate for Payer: Central Health Plan Commercial |
$10,033.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,016.80
|
| Rate for Payer: EPIC Health Plan Senior |
$5,016.80
|
| Rate for Payer: Galaxy Health WC |
$10,660.70
|
| Rate for Payer: Global Benefits Group Commercial |
$7,525.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,287.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,365.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,778.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,763.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,508.40
|
| Rate for Payer: Multiplan Commercial |
$9,406.50
|
| Rate for Payer: Networks By Design Commercial |
$8,152.30
|
| Rate for Payer: Prime Health Services Commercial |
$10,660.70
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
OP
|
$14,755.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906820327
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$13,279.50 |
| Rate for Payer: Adventist Health Commercial |
$2,951.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12,541.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,115.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$11,066.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$7,144.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,665.61
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$8,115.25
|
| Rate for Payer: Cash Price |
$8,115.25
|
| Rate for Payer: Central Health Plan Commercial |
$11,804.00
|
| Rate for Payer: Cigna of CA HMO |
$9,443.20
|
| Rate for Payer: Cigna of CA PPO |
$10,918.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12,541.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$12,541.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$12,541.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,902.00
|
| Rate for Payer: EPIC Health Plan Senior |
$5,902.00
|
| Rate for Payer: Galaxy Health WC |
$12,541.75
|
| Rate for Payer: Global Benefits Group Commercial |
$8,853.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,279.50
|
| Rate for Payer: InnovAge PACE Commercial |
$7,377.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,841.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,133.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,951.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,328.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,328.50
|
| Rate for Payer: Multiplan Commercial |
$11,066.25
|
| Rate for Payer: Networks By Design Commercial |
$9,590.75
|
| Rate for Payer: Prime Health Services Commercial |
$12,541.75
|
| Rate for Payer: Riverside University Health System MISP |
$5,902.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,853.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12,541.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$12,541.75
|
| Rate for Payer: Vantage Medical Group Senior |
$12,541.75
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
OP
|
$12,542.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906811904
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$11,287.80 |
| Rate for Payer: Adventist Health Commercial |
$2,508.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,898.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,406.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,072.84
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,365.92
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$6,898.10
|
| Rate for Payer: Cash Price |
$6,898.10
|
| Rate for Payer: Central Health Plan Commercial |
$10,033.60
|
| Rate for Payer: Cigna of CA HMO |
$8,026.88
|
| Rate for Payer: Cigna of CA PPO |
$9,281.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,660.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,660.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,016.80
|
| Rate for Payer: EPIC Health Plan Senior |
$5,016.80
|
| Rate for Payer: Galaxy Health WC |
$10,660.70
|
| Rate for Payer: Global Benefits Group Commercial |
$7,525.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,287.80
|
| Rate for Payer: InnovAge PACE Commercial |
$6,271.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,365.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,763.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,508.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,779.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,779.40
|
| Rate for Payer: Multiplan Commercial |
$9,406.50
|
| Rate for Payer: Networks By Design Commercial |
$8,152.30
|
| Rate for Payer: Prime Health Services Commercial |
$10,660.70
|
| Rate for Payer: Riverside University Health System MISP |
$5,016.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,525.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,932.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,093.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,000.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,660.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,660.70
|
| Rate for Payer: Vantage Medical Group Senior |
$10,660.70
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
|
IP
|
$14,755.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906820327
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,951.00 |
| Max. Negotiated Rate |
$13,279.50 |
| Rate for Payer: Adventist Health Commercial |
$2,951.00
|
| Rate for Payer: Cash Price |
$8,115.25
|
| Rate for Payer: Central Health Plan Commercial |
$11,804.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,902.00
|
| Rate for Payer: EPIC Health Plan Senior |
$5,902.00
|
| Rate for Payer: Galaxy Health WC |
$12,541.75
|
| Rate for Payer: Global Benefits Group Commercial |
$8,853.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,279.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,841.58
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,621.65
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,133.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,951.00
|
| Rate for Payer: Multiplan Commercial |
$11,066.25
|
| Rate for Payer: Networks By Design Commercial |
$9,590.75
|
| Rate for Payer: Prime Health Services Commercial |
$12,541.75
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
IP
|
$25,085.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906811901
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,017.00 |
| Max. Negotiated Rate |
$22,576.50 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,034.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10,034.00
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,731.69
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,557.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,527.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906811901
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,731.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
IP
|
$29,512.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906820325
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,902.40 |
| Max. Negotiated Rate |
$26,560.80 |
| Rate for Payer: Adventist Health Commercial |
$5,902.40
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Central Health Plan Commercial |
$23,609.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,804.80
|
| Rate for Payer: EPIC Health Plan Senior |
$11,804.80
|
| Rate for Payer: Galaxy Health WC |
$25,085.20
|
| Rate for Payer: Global Benefits Group Commercial |
$17,707.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,560.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,684.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,244.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,267.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,902.40
|
| Rate for Payer: Multiplan Commercial |
$22,134.00
|
| Rate for Payer: Networks By Design Commercial |
$19,182.80
|
| Rate for Payer: Prime Health Services Commercial |
$25,085.20
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
|
OP
|
$29,512.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906820325
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,902.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Central Health Plan Commercial |
$23,609.60
|
| Rate for Payer: Cigna of CA HMO |
$18,887.68
|
| Rate for Payer: Cigna of CA PPO |
$21,838.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$25,085.20
|
| Rate for Payer: Global Benefits Group Commercial |
$17,707.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,560.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,684.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,902.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$22,134.00
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$19,182.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$25,085.20
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,707.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
|
OP
|
$29,512.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906820324
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,902.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Central Health Plan Commercial |
$23,609.60
|
| Rate for Payer: Cigna of CA HMO |
$18,887.68
|
| Rate for Payer: Cigna of CA PPO |
$21,838.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$25,085.20
|
| Rate for Payer: Global Benefits Group Commercial |
$17,707.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,560.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,684.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,902.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$22,134.00
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$19,182.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$25,085.20
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,707.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
|
IP
|
$29,512.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906820324
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,902.40 |
| Max. Negotiated Rate |
$26,560.80 |
| Rate for Payer: Adventist Health Commercial |
$5,902.40
|
| Rate for Payer: Cash Price |
$16,231.60
|
| Rate for Payer: Central Health Plan Commercial |
$23,609.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,804.80
|
| Rate for Payer: EPIC Health Plan Senior |
$11,804.80
|
| Rate for Payer: Galaxy Health WC |
$25,085.20
|
| Rate for Payer: Global Benefits Group Commercial |
$17,707.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,560.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,684.50
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11,244.07
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18,267.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,902.40
|
| Rate for Payer: Multiplan Commercial |
$22,134.00
|
| Rate for Payer: Networks By Design Commercial |
$19,182.80
|
| Rate for Payer: Prime Health Services Commercial |
$25,085.20
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
|
IP
|
$25,085.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906811900
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,017.00 |
| Max. Negotiated Rate |
$22,576.50 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,034.00
|
| Rate for Payer: EPIC Health Plan Senior |
$10,034.00
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,731.69
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,557.39
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,527.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
|
OP
|
$25,085.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906811900
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,069.82 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$5,017.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Cash Price |
$13,796.75
|
| Rate for Payer: Central Health Plan Commercial |
$20,068.00
|
| Rate for Payer: Cigna of CA HMO |
$16,054.40
|
| Rate for Payer: Cigna of CA PPO |
$18,562.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$21,322.25
|
| Rate for Payer: Global Benefits Group Commercial |
$15,051.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,576.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,731.69
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,017.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$18,813.75
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,305.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$21,322.25
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,051.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC PERC RF ABLATION, LUNG
|
Facility
|
IP
|
$27,189.00
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
909081840
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,437.80 |
| Max. Negotiated Rate |
$24,470.10 |
| Rate for Payer: Adventist Health Commercial |
$5,437.80
|
| Rate for Payer: Cash Price |
$14,953.95
|
| Rate for Payer: Central Health Plan Commercial |
$21,751.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,875.60
|
| Rate for Payer: EPIC Health Plan Senior |
$10,875.60
|
| Rate for Payer: Galaxy Health WC |
$23,110.65
|
| Rate for Payer: Global Benefits Group Commercial |
$16,313.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,470.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,135.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,359.01
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,829.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,437.80
|
| Rate for Payer: Multiplan Commercial |
$20,391.75
|
| Rate for Payer: Networks By Design Commercial |
$17,672.85
|
| Rate for Payer: Prime Health Services Commercial |
$23,110.65
|
|
|
HC PERC RF ABLATION, LUNG
|
Facility
|
OP
|
$27,189.00
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
909081840
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,165.61 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$5,437.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,413.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,413.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,333.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,811.52
|
| Rate for Payer: Blue Shield of California Commercial |
$4,245.30
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$14,953.95
|
| Rate for Payer: Cash Price |
$14,953.95
|
| Rate for Payer: Cash Price |
$14,953.95
|
| Rate for Payer: Central Health Plan Commercial |
$21,751.20
|
| Rate for Payer: Cigna of CA HMO |
$17,400.96
|
| Rate for Payer: Cigna of CA PPO |
$20,119.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,154.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,413.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,007.74
|
| Rate for Payer: EPIC Health Plan Senior |
$7,413.14
|
| Rate for Payer: Galaxy Health WC |
$23,110.65
|
| Rate for Payer: Global Benefits Group Commercial |
$16,313.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,470.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,157.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$4,454.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,413.14
|
| Rate for Payer: InnovAge PACE Commercial |
$11,119.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,135.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,920.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,413.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,437.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,933.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,933.61
|
| Rate for Payer: Multiplan Commercial |
$20,391.75
|
| Rate for Payer: Multiplan WC |
$11,811.52
|
| Rate for Payer: Networks By Design Commercial |
$17,672.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,413.14
|
| Rate for Payer: Preferred Health Network WC |
$12,052.57
|
| Rate for Payer: Prime Health Services Commercial |
$23,110.65
|
| Rate for Payer: Prime Health Services Medicare |
$7,857.93
|
| Rate for Payer: Prime Health Services WC |
$11,690.99
|
| Rate for Payer: Riverside University Health System MISP |
$8,154.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,313.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| 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 |
$7,413.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Vantage Medical Group Senior |
$7,413.14
|
|
|
HC PERC RF ABLATION, RENAL TUMOR
|
Facility
|
IP
|
$21,080.00
|
|
|
Service Code
|
CPT 50592
|
| Hospital Charge Code |
909081854
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,216.00 |
| Max. Negotiated Rate |
$18,972.00 |
| Rate for Payer: Adventist Health Commercial |
$4,216.00
|
| Rate for Payer: Cash Price |
$11,594.00
|
| Rate for Payer: Central Health Plan Commercial |
$16,864.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,432.00
|
| Rate for Payer: EPIC Health Plan Senior |
$8,432.00
|
| Rate for Payer: Galaxy Health WC |
$17,918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$12,648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,972.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,060.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,031.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,048.52
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,216.00
|
| Rate for Payer: Multiplan Commercial |
$15,810.00
|
| Rate for Payer: Networks By Design Commercial |
$13,702.00
|
| Rate for Payer: Prime Health Services Commercial |
$17,918.00
|
|
|
HC PERC RF ABLATION, RENAL TUMOR
|
Facility
|
OP
|
$21,080.00
|
|
|
Service Code
|
CPT 50592
|
| Hospital Charge Code |
909081854
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,216.00 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$4,216.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,413.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,413.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,572.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,786.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$11,811.52
|
| Rate for Payer: Blue Shield of California Commercial |
$6,820.46
|
| Rate for Payer: Blue Shield of California EPN |
$4,450.12
|
| Rate for Payer: Cash Price |
$11,594.00
|
| Rate for Payer: Cash Price |
$11,594.00
|
| Rate for Payer: Cash Price |
$11,594.00
|
| Rate for Payer: Central Health Plan Commercial |
$16,864.00
|
| Rate for Payer: Cigna of CA HMO |
$13,491.20
|
| Rate for Payer: Cigna of CA PPO |
$15,599.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,154.45
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,413.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,007.74
|
| Rate for Payer: EPIC Health Plan Senior |
$7,413.14
|
| Rate for Payer: Galaxy Health WC |
$17,918.00
|
| Rate for Payer: Global Benefits Group Commercial |
$12,648.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$18,972.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,157.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,413.14
|
| Rate for Payer: InnovAge PACE Commercial |
$11,119.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,060.36
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,413.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,216.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,933.61
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,933.61
|
| Rate for Payer: Multiplan Commercial |
$15,810.00
|
| Rate for Payer: Multiplan WC |
$11,811.52
|
| Rate for Payer: Networks By Design Commercial |
$13,702.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,413.14
|
| Rate for Payer: Preferred Health Network WC |
$12,052.57
|
| Rate for Payer: Prime Health Services Commercial |
$17,918.00
|
| Rate for Payer: Prime Health Services Medicare |
$7,857.93
|
| Rate for Payer: Prime Health Services WC |
$11,690.99
|
| Rate for Payer: Riverside University Health System MISP |
$8,154.45
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12,648.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$17,712.00
|
| 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 |
$7,413.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,119.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,154.45
|
| Rate for Payer: Vantage Medical Group Senior |
$7,413.14
|
|
|
HC PERC SKEL FIX OF FEM FRAC
|
Facility
|
OP
|
$13,186.00
|
|
|
Service Code
|
CPT 27509
|
| Hospital Charge Code |
900501086
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$111.06 |
| Max. Negotiated Rate |
$14,885.98 |
| Rate for Payer: Adventist Health Commercial |
$2,637.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,076.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,764.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,462.30
|
| Rate for Payer: Cash Price |
$7,252.30
|
| Rate for Payer: Cash Price |
$7,252.30
|
| Rate for Payer: Cash Price |
$7,252.30
|
| Rate for Payer: Cash Price |
$7,252.30
|
| Rate for Payer: Central Health Plan Commercial |
$10,548.80
|
| Rate for Payer: Cigna of CA HMO |
$8,439.04
|
| Rate for Payer: Cigna of CA PPO |
$9,757.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,076.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,253.71
|
| Rate for Payer: EPIC Health Plan Senior |
$9,076.82
|
| Rate for Payer: Galaxy Health WC |
$11,208.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,911.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,867.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,885.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,076.82
|
| Rate for Payer: InnovAge PACE Commercial |
$13,615.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,795.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$111.06
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,076.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,637.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,162.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,162.94
|
| Rate for Payer: Multiplan Commercial |
$9,889.50
|
| Rate for Payer: Multiplan WC |
$14,462.30
|
| Rate for Payer: Networks By Design Commercial |
$8,570.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,076.82
|
| Rate for Payer: Preferred Health Network WC |
$14,757.45
|
| Rate for Payer: Prime Health Services Commercial |
$11,208.10
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.43
|
| Rate for Payer: Prime Health Services WC |
$14,314.73
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,911.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,593.00
|
| Rate for Payer: United Healthcare All Other HMO |
$6,593.00
|
| Rate for Payer: United Healthcare HMO Rider |
$6,593.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,593.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,076.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.50
|
| Rate for Payer: Vantage Medical Group Senior |
$9,076.82
|
|
|
HC PERC SKEL FIX OF FEM FRAC
|
Facility
|
IP
|
$13,186.00
|
|
|
Service Code
|
CPT 27509
|
| Hospital Charge Code |
900501086
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,637.20 |
| Max. Negotiated Rate |
$11,867.40 |
| Rate for Payer: Adventist Health Commercial |
$2,637.20
|
| Rate for Payer: Cash Price |
$7,252.30
|
| Rate for Payer: Central Health Plan Commercial |
$10,548.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,274.40
|
| Rate for Payer: EPIC Health Plan Senior |
$5,274.40
|
| Rate for Payer: Galaxy Health WC |
$11,208.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,911.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,867.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,795.06
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,023.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,162.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,637.20
|
| Rate for Payer: Multiplan Commercial |
$9,889.50
|
| Rate for Payer: Networks By Design Commercial |
$8,570.90
|
| Rate for Payer: Prime Health Services Commercial |
$11,208.10
|
|
|
HC PERC SKEL FIX OF FEM FRAC PROX
|
Facility
|
IP
|
$9,053.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
900501082
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,810.60 |
| Max. Negotiated Rate |
$8,147.70 |
| Rate for Payer: Adventist Health Commercial |
$1,810.60
|
| Rate for Payer: Cash Price |
$4,979.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,242.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,621.20
|
| Rate for Payer: EPIC Health Plan Senior |
$3,621.20
|
| Rate for Payer: Galaxy Health WC |
$7,695.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,431.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,147.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,038.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,449.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$5,603.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,810.60
|
| Rate for Payer: Multiplan Commercial |
$6,789.75
|
| Rate for Payer: Networks By Design Commercial |
$5,884.45
|
| Rate for Payer: Prime Health Services Commercial |
$7,695.05
|
|
|
HC PERC SKEL FIX OF FEM FRAC PROX
|
Facility
|
OP
|
$9,053.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
900501082
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$14,885.98 |
| Rate for Payer: Adventist Health Commercial |
$1,810.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,984.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,076.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,462.30
|
| Rate for Payer: Cash Price |
$4,979.15
|
| Rate for Payer: Cash Price |
$4,979.15
|
| Rate for Payer: Cash Price |
$4,979.15
|
| Rate for Payer: Cash Price |
$4,979.15
|
| Rate for Payer: Central Health Plan Commercial |
$7,242.40
|
| Rate for Payer: Cigna of CA HMO |
$5,793.92
|
| Rate for Payer: Cigna of CA PPO |
$6,699.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,984.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,076.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,253.71
|
| Rate for Payer: EPIC Health Plan Senior |
$9,076.82
|
| Rate for Payer: Galaxy Health WC |
$7,695.05
|
| Rate for Payer: Global Benefits Group Commercial |
$5,431.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,147.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$14,885.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,076.82
|
| Rate for Payer: InnovAge PACE Commercial |
$13,615.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,038.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,556.21
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9,076.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,810.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,162.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,162.94
|
| Rate for Payer: Multiplan Commercial |
$6,789.75
|
| Rate for Payer: Multiplan WC |
$14,462.30
|
| Rate for Payer: Networks By Design Commercial |
$5,884.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$9,076.82
|
| Rate for Payer: Preferred Health Network WC |
$14,757.45
|
| Rate for Payer: Prime Health Services Commercial |
$7,695.05
|
| Rate for Payer: Prime Health Services Medicare |
$9,621.43
|
| Rate for Payer: Prime Health Services WC |
$14,314.73
|
| Rate for Payer: Riverside University Health System MISP |
$9,984.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,431.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,526.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,526.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,526.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,526.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$9,076.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,615.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,984.50
|
| Rate for Payer: Vantage Medical Group Senior |
$9,076.82
|
|
