|
HC RIB BELT CUSTOM FITTED
|
Facility
|
IP
|
$156.00
|
|
| Hospital Charge Code |
905350210
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$140.40 |
| Rate for Payer: Adventist Health Commercial |
$31.20
|
| Rate for Payer: Blue Shield of California Commercial |
$125.11
|
| Rate for Payer: Blue Shield of California EPN |
$78.62
|
| Rate for Payer: Cash Price |
$70.20
|
| Rate for Payer: Central Health Plan Commercial |
$124.80
|
| Rate for Payer: Cigna of CA HMO |
$109.20
|
| Rate for Payer: Cigna of CA PPO |
$109.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$109.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$62.40
|
| Rate for Payer: EPIC Health Plan Senior |
$62.40
|
| Rate for Payer: Galaxy Health WC |
$132.60
|
| Rate for Payer: Global Benefits Group Commercial |
$93.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$140.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$99.06
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$92.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$31.20
|
| Rate for Payer: Multiplan Commercial |
$117.00
|
| Rate for Payer: Networks By Design Commercial |
$101.40
|
| Rate for Payer: Prime Health Services Commercial |
$132.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$58.55
|
| Rate for Payer: United Healthcare All Other HMO |
$56.99
|
| Rate for Payer: United Healthcare HMO Rider |
$55.75
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$51.09
|
|
|
HC RIBOPIGG
|
Facility
|
IP
|
$22.00
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
900913708
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$19.80 |
| Rate for Payer: Adventist Health Commercial |
$4.40
|
| Rate for Payer: Cash Price |
$9.90
|
| Rate for Payer: Central Health Plan Commercial |
$17.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$15.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.80
|
| Rate for Payer: EPIC Health Plan Senior |
$8.80
|
| Rate for Payer: Galaxy Health WC |
$18.70
|
| Rate for Payer: Global Benefits Group Commercial |
$13.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$13.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$12.98
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.40
|
| Rate for Payer: Multiplan Commercial |
$16.50
|
| Rate for Payer: Networks By Design Commercial |
$14.30
|
| Rate for Payer: Prime Health Services Commercial |
$18.70
|
|
|
HC RIBOPIGG
|
Facility
|
OP
|
$18.00
|
|
|
Service Code
|
CPT 86235
|
| Hospital Charge Code |
900913708
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$154.02 |
| Rate for Payer: Adventist Health Commercial |
$3.60
|
| Rate for Payer: Adventist Health Commercial |
$4.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$17.93
|
| Rate for Payer: Adventist Health Medi-Cal |
$17.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$120.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$120.14
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$26.89
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$26.89
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$19.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$19.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$17.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$17.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$110.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$110.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$154.02
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$154.02
|
| Rate for Payer: Blue Shield of California Commercial |
$13.86
|
| Rate for Payer: Blue Shield of California Commercial |
$11.34
|
| Rate for Payer: Blue Shield of California EPN |
$8.73
|
| Rate for Payer: Blue Shield of California EPN |
$7.15
|
| Rate for Payer: Cash Price |
$9.90
|
| Rate for Payer: Cash Price |
$9.90
|
| Rate for Payer: Cash Price |
$8.10
|
| Rate for Payer: Cash Price |
$8.10
|
| Rate for Payer: Central Health Plan Commercial |
$14.40
|
| Rate for Payer: Central Health Plan Commercial |
$17.60
|
| Rate for Payer: Cigna of CA HMO |
$14.08
|
| Rate for Payer: Cigna of CA HMO |
$11.52
|
| Rate for Payer: Cigna of CA PPO |
$16.28
|
| Rate for Payer: Cigna of CA PPO |
$13.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$26.89
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$26.89
|
| Rate for Payer: Dignity Health Medi-Cal |
$19.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$19.72
|
| Rate for Payer: Dignity Health Medicare Advantage |
$17.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$17.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$12.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$15.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$29.58
|
| Rate for Payer: EPIC Health Plan Commercial |
$29.58
|
| Rate for Payer: EPIC Health Plan Senior |
$19.72
|
| Rate for Payer: EPIC Health Plan Senior |
$19.72
|
| Rate for Payer: Galaxy Health WC |
$18.70
|
| Rate for Payer: Galaxy Health WC |
$15.30
|
| Rate for Payer: Global Benefits Group Commercial |
$13.20
|
| Rate for Payer: Global Benefits Group Commercial |
$10.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$16.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29.41
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$29.41
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$25.09
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$17.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$11.43
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$13.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$27.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$27.72
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$25.10
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$25.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$24.03
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$24.03
|
| Rate for Payer: Multiplan Commercial |
$16.50
|
| Rate for Payer: Multiplan Commercial |
$13.50
|
| Rate for Payer: Networks By Design Commercial |
$11.70
|
| Rate for Payer: Networks By Design Commercial |
$14.30
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17.93
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$17.93
|
| Rate for Payer: Prime Health Services Commercial |
$18.70
|
| Rate for Payer: Prime Health Services Commercial |
$15.30
|
| Rate for Payer: Prime Health Services Medicare |
$19.01
|
| Rate for Payer: Prime Health Services Medicare |
$19.01
|
| Rate for Payer: Riverside University Health System MISP |
$19.72
|
| Rate for Payer: Riverside University Health System MISP |
$19.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$13.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$14.53
|
| Rate for Payer: United Healthcare All Other Commercial |
$14.53
|
| Rate for Payer: United Healthcare All Other HMO |
$14.53
|
| Rate for Payer: United Healthcare All Other HMO |
$14.53
|
| Rate for Payer: United Healthcare HMO Rider |
$14.53
|
| Rate for Payer: United Healthcare HMO Rider |
$14.53
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14.53
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14.53
|
| Rate for Payer: Upland Medical Group Pediatric |
$17.93
|
| Rate for Payer: Upland Medical Group Pediatric |
$17.93
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$26.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$26.89
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.72
|
| Rate for Payer: Vantage Medical Group Senior |
$17.93
|
| Rate for Payer: Vantage Medical Group Senior |
$17.93
|
|
|
HC RIBS BILATERAL
|
Facility
|
IP
|
$1,577.00
|
|
|
Service Code
|
CPT 71110
|
| Hospital Charge Code |
909001425
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$315.40 |
| Max. Negotiated Rate |
$1,419.30 |
| Rate for Payer: Adventist Health Commercial |
$315.40
|
| Rate for Payer: Cash Price |
$709.65
|
| Rate for Payer: Central Health Plan Commercial |
$1,261.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,103.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$630.80
|
| Rate for Payer: EPIC Health Plan Senior |
$630.80
|
| Rate for Payer: Galaxy Health WC |
$1,340.45
|
| Rate for Payer: Global Benefits Group Commercial |
$946.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,419.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,001.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$930.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$315.40
|
| Rate for Payer: Multiplan Commercial |
$1,182.75
|
| Rate for Payer: Networks By Design Commercial |
$1,025.05
|
| Rate for Payer: Prime Health Services Commercial |
$1,340.45
|
|
|
HC RIBS BILATERAL
|
Facility
|
OP
|
$1,577.00
|
|
|
Service Code
|
CPT 71110
|
| Hospital Charge Code |
909001425
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$57.29 |
| Max. Negotiated Rate |
$1,419.30 |
| Rate for Payer: Adventist Health Commercial |
$315.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$134.46
|
| Rate for Payer: Aetna of CA HMO/PPO |
$176.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$201.69
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$147.91
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$134.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$164.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$228.58
|
| Rate for Payer: Blue Shield of California Commercial |
$993.51
|
| Rate for Payer: Blue Shield of California EPN |
$626.07
|
| Rate for Payer: Cash Price |
$709.65
|
| Rate for Payer: Cash Price |
$709.65
|
| Rate for Payer: Central Health Plan Commercial |
$1,261.60
|
| Rate for Payer: Cigna of CA HMO |
$1,009.28
|
| Rate for Payer: Cigna of CA PPO |
$1,166.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$201.69
|
| Rate for Payer: Dignity Health Medi-Cal |
$147.91
|
| Rate for Payer: Dignity Health Medicare Advantage |
$134.46
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,103.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$221.86
|
| Rate for Payer: EPIC Health Plan Senior |
$147.91
|
| Rate for Payer: Galaxy Health WC |
$1,340.45
|
| Rate for Payer: Global Benefits Group Commercial |
$946.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,419.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$220.51
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$57.29
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$134.46
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,001.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$63.29
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$188.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$315.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$180.18
|
| Rate for Payer: Multiplan Commercial |
$1,182.75
|
| Rate for Payer: Networks By Design Commercial |
$1,025.05
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$134.46
|
| Rate for Payer: Prime Health Services Commercial |
$1,340.45
|
| Rate for Payer: Prime Health Services Medicare |
$142.53
|
| Rate for Payer: Riverside University Health System MISP |
$147.91
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$946.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$946.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$114.69
|
| Rate for Payer: United Healthcare All Other HMO |
$114.69
|
| Rate for Payer: United Healthcare HMO Rider |
$114.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$114.69
|
| Rate for Payer: Upland Medical Group Pediatric |
$134.46
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$201.69
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$147.91
|
| Rate for Payer: Vantage Medical Group Senior |
$134.46
|
|
|
HC RIBS UNILATERAL
|
Facility
|
OP
|
$1,240.00
|
|
|
Service Code
|
CPT 71100
|
| Hospital Charge Code |
909001376
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$46.72 |
| Max. Negotiated Rate |
$1,116.00 |
| Rate for Payer: Adventist Health Commercial |
$248.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$111.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$137.50
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$167.90
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$123.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$111.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$119.31
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$165.87
|
| Rate for Payer: Blue Shield of California Commercial |
$781.20
|
| Rate for Payer: Blue Shield of California EPN |
$492.28
|
| Rate for Payer: Cash Price |
$558.00
|
| Rate for Payer: Cash Price |
$558.00
|
| Rate for Payer: Central Health Plan Commercial |
$992.00
|
| Rate for Payer: Cigna of CA HMO |
$793.60
|
| Rate for Payer: Cigna of CA PPO |
$917.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$167.90
|
| Rate for Payer: Dignity Health Medi-Cal |
$123.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$111.93
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$868.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$184.68
|
| Rate for Payer: EPIC Health Plan Senior |
$123.12
|
| Rate for Payer: Galaxy Health WC |
$1,054.00
|
| Rate for Payer: Global Benefits Group Commercial |
$744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,116.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$183.57
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$46.72
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$111.93
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$787.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$51.60
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$156.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$248.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$149.99
|
| Rate for Payer: Multiplan Commercial |
$930.00
|
| Rate for Payer: Networks By Design Commercial |
$806.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$111.93
|
| Rate for Payer: Prime Health Services Commercial |
$1,054.00
|
| Rate for Payer: Prime Health Services Medicare |
$118.65
|
| Rate for Payer: Riverside University Health System MISP |
$123.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$744.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$744.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$114.69
|
| Rate for Payer: United Healthcare All Other HMO |
$114.69
|
| Rate for Payer: United Healthcare HMO Rider |
$114.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$114.69
|
| Rate for Payer: Upland Medical Group Pediatric |
$111.93
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$167.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$123.12
|
| Rate for Payer: Vantage Medical Group Senior |
$111.93
|
|
|
HC RIBS UNILATERAL
|
Facility
|
IP
|
$1,240.00
|
|
|
Service Code
|
CPT 71100
|
| Hospital Charge Code |
909001376
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$248.00 |
| Max. Negotiated Rate |
$1,116.00 |
| Rate for Payer: Adventist Health Commercial |
$248.00
|
| Rate for Payer: Cash Price |
$558.00
|
| Rate for Payer: Central Health Plan Commercial |
$992.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$868.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$496.00
|
| Rate for Payer: EPIC Health Plan Senior |
$496.00
|
| Rate for Payer: Galaxy Health WC |
$1,054.00
|
| Rate for Payer: Global Benefits Group Commercial |
$744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,116.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$787.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$731.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$248.00
|
| Rate for Payer: Multiplan Commercial |
$930.00
|
| Rate for Payer: Networks By Design Commercial |
$806.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,054.00
|
|
|
HC RIGHT HEART CATH
|
Facility
|
OP
|
$12,006.00
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
906811398
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,201.64 |
| Max. Negotiated Rate |
$26,788.00 |
| Rate for Payer: Adventist Health Commercial |
$2,401.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,169.67
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,254.51
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,586.64
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,169.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Blue Shield of California Commercial |
$9,831.25
|
| Rate for Payer: Blue Shield of California EPN |
$6,179.04
|
| Rate for Payer: Cash Price |
$5,402.70
|
| Rate for Payer: Cash Price |
$5,402.70
|
| Rate for Payer: Cash Price |
$5,402.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,604.80
|
| Rate for Payer: Cigna of CA HMO |
$7,803.90
|
| Rate for Payer: Cigna of CA PPO |
$8,884.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,254.51
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,586.64
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,169.67
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,404.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,879.96
|
| Rate for Payer: EPIC Health Plan Senior |
$4,586.64
|
| Rate for Payer: Galaxy Health WC |
$10,205.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,203.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,805.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,838.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,201.64
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,169.67
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,623.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,327.40
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,837.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,401.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,587.36
|
| Rate for Payer: Multiplan Commercial |
$9,004.50
|
| Rate for Payer: Networks By Design Commercial |
$7,803.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,169.67
|
| Rate for Payer: Prime Health Services Commercial |
$10,205.10
|
| Rate for Payer: Prime Health Services Medicare |
$4,419.85
|
| Rate for Payer: Riverside University Health System MISP |
$4,586.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,203.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,800.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,003.00
|
| Rate for Payer: United Healthcare All Other HMO |
$26,788.00
|
| Rate for Payer: United Healthcare HMO Rider |
$16,872.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,456.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,169.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,254.51
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,586.64
|
| Rate for Payer: Vantage Medical Group Senior |
$4,169.67
|
|
|
HC RIGHT HEART CATH
|
Facility
|
IP
|
$12,006.00
|
|
|
Service Code
|
CPT 93451
|
| Hospital Charge Code |
906811398
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,401.20 |
| Max. Negotiated Rate |
$10,805.40 |
| Rate for Payer: Adventist Health Commercial |
$2,401.20
|
| Rate for Payer: Cash Price |
$5,402.70
|
| Rate for Payer: Central Health Plan Commercial |
$9,604.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,404.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,802.40
|
| Rate for Payer: EPIC Health Plan Senior |
$4,802.40
|
| Rate for Payer: Galaxy Health WC |
$10,205.10
|
| Rate for Payer: Global Benefits Group Commercial |
$7,203.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,805.40
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,623.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,083.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,401.20
|
| Rate for Payer: Multiplan Commercial |
$9,004.50
|
| Rate for Payer: Networks By Design Commercial |
$7,803.90
|
| Rate for Payer: Prime Health Services Commercial |
$10,205.10
|
|
|
HC RIGIFLEX OTW BALLOON DILATOR
|
Facility
|
OP
|
$2,730.00
|
|
|
Service Code
|
CPT C1726
|
| Hospital Charge Code |
900803802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$431.40 |
| Max. Negotiated Rate |
$2,457.00 |
| Rate for Payer: Adventist Health Commercial |
$546.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$431.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,501.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,047.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,321.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,588.04
|
| Rate for Payer: Blue Shield of California Commercial |
$1,730.82
|
| Rate for Payer: Blue Shield of California EPN |
$1,089.27
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Central Health Plan Commercial |
$2,184.00
|
| Rate for Payer: Cigna of CA HMO |
$1,747.20
|
| Rate for Payer: Cigna of CA PPO |
$2,020.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,320.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,320.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,911.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,092.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,092.00
|
| Rate for Payer: Galaxy Health WC |
$2,320.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,457.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,733.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$990.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,610.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$546.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,911.00
|
| Rate for Payer: Multiplan Commercial |
$2,047.50
|
| Rate for Payer: Networks By Design Commercial |
$1,774.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,320.50
|
| Rate for Payer: Riverside University Health System MISP |
$1,092.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,638.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,638.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,365.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,365.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,365.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,365.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,320.50
|
| Rate for Payer: Vantage Medical Group Senior |
$2,320.50
|
|
|
HC RIGIFLEX OTW BALLOON DILATOR
|
Facility
|
IP
|
$2,730.00
|
|
|
Service Code
|
CPT C1726
|
| Hospital Charge Code |
900803802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$546.00 |
| Max. Negotiated Rate |
$2,457.00 |
| Rate for Payer: Adventist Health Commercial |
$546.00
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Central Health Plan Commercial |
$2,184.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,911.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,092.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,092.00
|
| Rate for Payer: Galaxy Health WC |
$2,320.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,457.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,733.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,610.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$546.00
|
| Rate for Payer: Multiplan Commercial |
$2,047.50
|
| Rate for Payer: Networks By Design Commercial |
$1,774.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,320.50
|
|
|
HC RIGIFLEX TTS BALLOON DILATOR
|
Facility
|
OP
|
$2,730.00
|
|
|
Service Code
|
CPT C1726
|
| Hospital Charge Code |
900803801
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$431.40 |
| Max. Negotiated Rate |
$2,457.00 |
| Rate for Payer: Adventist Health Commercial |
$546.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$431.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,501.50
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,047.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,321.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,588.04
|
| Rate for Payer: Blue Shield of California Commercial |
$1,730.82
|
| Rate for Payer: Blue Shield of California EPN |
$1,089.27
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Central Health Plan Commercial |
$2,184.00
|
| Rate for Payer: Cigna of CA HMO |
$1,747.20
|
| Rate for Payer: Cigna of CA PPO |
$2,020.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,320.50
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,320.50
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,911.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,092.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,092.00
|
| Rate for Payer: Galaxy Health WC |
$2,320.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,457.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,733.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$990.99
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,610.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$546.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,911.00
|
| Rate for Payer: Multiplan Commercial |
$2,047.50
|
| Rate for Payer: Networks By Design Commercial |
$1,774.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,320.50
|
| Rate for Payer: Riverside University Health System MISP |
$1,092.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,638.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,638.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,365.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,365.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,365.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,365.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,320.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,320.50
|
| Rate for Payer: Vantage Medical Group Senior |
$2,320.50
|
|
|
HC RIGIFLEX TTS BALLOON DILATOR
|
Facility
|
IP
|
$2,730.00
|
|
|
Service Code
|
CPT C1726
|
| Hospital Charge Code |
900803801
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$546.00 |
| Max. Negotiated Rate |
$2,457.00 |
| Rate for Payer: Adventist Health Commercial |
$546.00
|
| Rate for Payer: Cash Price |
$1,228.50
|
| Rate for Payer: Central Health Plan Commercial |
$2,184.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,911.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,092.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,092.00
|
| Rate for Payer: Galaxy Health WC |
$2,320.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,638.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,457.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,733.55
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,610.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$546.00
|
| Rate for Payer: Multiplan Commercial |
$2,047.50
|
| Rate for Payer: Networks By Design Commercial |
$1,774.50
|
| Rate for Payer: Prime Health Services Commercial |
$2,320.50
|
|
|
HC RI RED CELL UTILIZAT
|
Facility
|
OP
|
$827.00
|
|
| Hospital Charge Code |
909301338
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$165.40 |
| Max. Negotiated Rate |
$744.30 |
| Rate for Payer: Adventist Health Commercial |
$165.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$502.24
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$702.95
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$454.85
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$620.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$400.43
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$481.07
|
| Rate for Payer: Blue Shield of California Commercial |
$521.01
|
| Rate for Payer: Blue Shield of California EPN |
$328.32
|
| Rate for Payer: Cash Price |
$372.15
|
| Rate for Payer: Central Health Plan Commercial |
$661.60
|
| Rate for Payer: Cigna of CA HMO |
$529.28
|
| Rate for Payer: Cigna of CA PPO |
$611.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$702.95
|
| Rate for Payer: Dignity Health Medi-Cal |
$702.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$702.95
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$578.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$330.80
|
| Rate for Payer: EPIC Health Plan Senior |
$330.80
|
| Rate for Payer: Galaxy Health WC |
$702.95
|
| Rate for Payer: Global Benefits Group Commercial |
$496.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$744.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$525.14
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$300.20
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$487.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$165.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$578.90
|
| Rate for Payer: Multiplan Commercial |
$620.25
|
| Rate for Payer: Networks By Design Commercial |
$537.55
|
| Rate for Payer: Prime Health Services Commercial |
$702.95
|
| Rate for Payer: Riverside University Health System MISP |
$330.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$496.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$496.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$413.50
|
| Rate for Payer: United Healthcare All Other HMO |
$413.50
|
| Rate for Payer: United Healthcare HMO Rider |
$413.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$413.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$702.95
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$702.95
|
| Rate for Payer: Vantage Medical Group Senior |
$702.95
|
|
|
HC RI RED CELL UTILIZAT
|
Facility
|
IP
|
$827.00
|
|
| Hospital Charge Code |
909301338
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$165.40 |
| Max. Negotiated Rate |
$744.30 |
| Rate for Payer: Adventist Health Commercial |
$165.40
|
| Rate for Payer: Cash Price |
$372.15
|
| Rate for Payer: Central Health Plan Commercial |
$661.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$578.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$330.80
|
| Rate for Payer: EPIC Health Plan Senior |
$330.80
|
| Rate for Payer: Galaxy Health WC |
$702.95
|
| Rate for Payer: Global Benefits Group Commercial |
$496.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$744.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$525.14
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$487.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$165.40
|
| Rate for Payer: Multiplan Commercial |
$620.25
|
| Rate for Payer: Networks By Design Commercial |
$537.55
|
| Rate for Payer: Prime Health Services Commercial |
$702.95
|
|
|
HC RLCJ SKIN POCKET CCM DFIB PG
|
Facility
|
IP
|
$4,995.00
|
|
|
Service Code
|
CPT 0925T
|
| Hospital Charge Code |
906811513
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$999.00 |
| Max. Negotiated Rate |
$4,495.50 |
| Rate for Payer: Adventist Health Commercial |
$999.00
|
| Rate for Payer: Cash Price |
$2,247.75
|
| Rate for Payer: Central Health Plan Commercial |
$3,996.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,496.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,998.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,998.00
|
| Rate for Payer: Galaxy Health WC |
$4,245.75
|
| Rate for Payer: Global Benefits Group Commercial |
$2,997.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,495.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,171.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,947.05
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$999.00
|
| Rate for Payer: Multiplan Commercial |
$3,746.25
|
| Rate for Payer: Networks By Design Commercial |
$3,246.75
|
| Rate for Payer: Prime Health Services Commercial |
$4,245.75
|
|
|
HC RLCJ SKIN POCKET CCM DFIB PG
|
Facility
|
OP
|
$4,995.00
|
|
|
Service Code
|
CPT 0925T
|
| Hospital Charge Code |
906811513
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$6,587.00 |
| Rate for Payer: Adventist Health Commercial |
$999.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,653.72
|
| Rate for Payer: Aetna of CA HMO/PPO |
$3,033.46
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,919.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,653.72
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$2,247.75
|
| Rate for Payer: Cash Price |
$2,247.75
|
| Rate for Payer: Cash Price |
$2,247.75
|
| Rate for Payer: Cash Price |
$2,247.75
|
| Rate for Payer: Central Health Plan Commercial |
$3,996.00
|
| Rate for Payer: Cigna of CA HMO |
$3,196.80
|
| Rate for Payer: Cigna of CA PPO |
$3,696.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,919.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,653.72
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,496.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,378.64
|
| Rate for Payer: EPIC Health Plan Senior |
$2,919.09
|
| Rate for Payer: Galaxy Health WC |
$4,245.75
|
| Rate for Payer: Global Benefits Group Commercial |
$2,997.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,495.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$4,352.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,653.72
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,171.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,813.18
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,715.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$999.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,555.98
|
| Rate for Payer: Multiplan Commercial |
$3,746.25
|
| Rate for Payer: Networks By Design Commercial |
$3,246.75
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,653.72
|
| Rate for Payer: Prime Health Services Commercial |
$4,245.75
|
| Rate for Payer: Prime Health Services Medicare |
$2,812.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,919.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,997.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,997.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,653.72
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,980.58
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,919.09
|
| Rate for Payer: Vantage Medical Group Senior |
$2,653.72
|
|
|
HC RMV FOREIGN BDY,HIP SUBCU/DEEP
|
Facility
|
IP
|
$11,663.00
|
|
|
Service Code
|
CPT 27087
|
| Hospital Charge Code |
909020033
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,332.60 |
| Max. Negotiated Rate |
$10,496.70 |
| Rate for Payer: Adventist Health Commercial |
$2,332.60
|
| Rate for Payer: Cash Price |
$5,248.35
|
| Rate for Payer: Central Health Plan Commercial |
$9,330.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,164.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,665.20
|
| Rate for Payer: EPIC Health Plan Senior |
$4,665.20
|
| Rate for Payer: Galaxy Health WC |
$9,913.55
|
| Rate for Payer: Global Benefits Group Commercial |
$6,997.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,496.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,406.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,881.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.60
|
| Rate for Payer: Multiplan Commercial |
$8,747.25
|
| Rate for Payer: Networks By Design Commercial |
$7,580.95
|
| Rate for Payer: Prime Health Services Commercial |
$9,913.55
|
|
|
HC RMV FOREIGN BDY,HIP SUBCU/DEEP
|
Facility
|
OP
|
$11,663.00
|
|
|
Service Code
|
CPT 27087
|
| Hospital Charge Code |
909020033
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$927.87 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$2,332.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,208.34
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,629.17
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,208.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,568.63
|
| Rate for Payer: Blue Shield of California Commercial |
$5,036.70
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$5,248.35
|
| Rate for Payer: Cash Price |
$5,248.35
|
| Rate for Payer: Cash Price |
$5,248.35
|
| Rate for Payer: Central Health Plan Commercial |
$9,330.40
|
| Rate for Payer: Cigna of CA HMO |
$7,464.32
|
| Rate for Payer: Cigna of CA PPO |
$8,630.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,629.17
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,208.34
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,164.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,943.76
|
| Rate for Payer: EPIC Health Plan Senior |
$4,629.17
|
| Rate for Payer: Galaxy Health WC |
$9,913.55
|
| Rate for Payer: Global Benefits Group Commercial |
$6,997.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,496.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,901.68
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$927.87
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,208.34
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,406.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,024.97
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,891.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,332.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$5,639.18
|
| Rate for Payer: Multiplan Commercial |
$8,747.25
|
| Rate for Payer: Multiplan WC |
$6,568.63
|
| Rate for Payer: Networks By Design Commercial |
$7,580.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,208.34
|
| Rate for Payer: Preferred Health Network WC |
$6,702.68
|
| Rate for Payer: Prime Health Services Commercial |
$9,913.55
|
| Rate for Payer: Prime Health Services Medicare |
$4,460.84
|
| Rate for Payer: Prime Health Services WC |
$6,501.60
|
| Rate for Payer: Riverside University Health System MISP |
$4,629.17
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6,997.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,831.50
|
| Rate for Payer: United Healthcare All Other HMO |
$16,122.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10,165.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,312.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,208.34
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$6,312.51
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,629.17
|
| Rate for Payer: Vantage Medical Group Senior |
$4,208.34
|
|
|
HC RMVL AND RPLCMT PERM CCM DFIB PG
|
Facility
|
OP
|
$61,298.00
|
|
|
Service Code
|
CPT 0923T
|
| Hospital Charge Code |
906811511
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$55,168.20 |
| Rate for Payer: Adventist Health Commercial |
$12,259.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$28,608.96
|
| Rate for Payer: Aetna of CA HMO/PPO |
$37,226.28
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$28,608.96
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$15,933.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,017.03
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$27,584.10
|
| Rate for Payer: Cash Price |
$27,584.10
|
| Rate for Payer: Cash Price |
$27,584.10
|
| Rate for Payer: Cash Price |
$27,584.10
|
| Rate for Payer: Central Health Plan Commercial |
$49,038.40
|
| Rate for Payer: Cigna of CA HMO |
$39,230.72
|
| Rate for Payer: Cigna of CA PPO |
$45,360.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$31,469.86
|
| Rate for Payer: Dignity Health Medicare Advantage |
$28,608.96
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$42,908.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$47,204.78
|
| Rate for Payer: EPIC Health Plan Senior |
$31,469.86
|
| Rate for Payer: Galaxy Health WC |
$52,103.30
|
| Rate for Payer: Global Benefits Group Commercial |
$36,778.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$55,168.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$46,918.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$38,924.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$22,251.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$40,052.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,259.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$38,336.01
|
| Rate for Payer: Multiplan Commercial |
$45,973.50
|
| Rate for Payer: Networks By Design Commercial |
$39,843.70
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$28,608.96
|
| Rate for Payer: Prime Health Services Commercial |
$52,103.30
|
| Rate for Payer: Prime Health Services Medicare |
$30,325.50
|
| Rate for Payer: Riverside University Health System MISP |
$31,469.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$36,778.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$36,778.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,136.00
|
| Rate for Payer: United Healthcare All Other HMO |
$868.00
|
| Rate for Payer: United Healthcare HMO Rider |
$737.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$676.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$28,608.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$42,913.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$31,469.86
|
| Rate for Payer: Vantage Medical Group Senior |
$28,608.96
|
|
|
HC RMVL AND RPLCMT PERM CCM DFIB PG
|
Facility
|
IP
|
$61,298.00
|
|
|
Service Code
|
CPT 0923T
|
| Hospital Charge Code |
906811511
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$12,259.60 |
| Max. Negotiated Rate |
$55,168.20 |
| Rate for Payer: Adventist Health Commercial |
$12,259.60
|
| Rate for Payer: Cash Price |
$27,584.10
|
| Rate for Payer: Central Health Plan Commercial |
$49,038.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$42,908.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$24,519.20
|
| Rate for Payer: EPIC Health Plan Senior |
$24,519.20
|
| Rate for Payer: Galaxy Health WC |
$52,103.30
|
| Rate for Payer: Global Benefits Group Commercial |
$36,778.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$55,168.20
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$38,924.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$36,165.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,259.60
|
| Rate for Payer: Multiplan Commercial |
$45,973.50
|
| Rate for Payer: Networks By Design Commercial |
$39,843.70
|
| Rate for Payer: Prime Health Services Commercial |
$52,103.30
|
|
|
HC RMVL BRONCH VALVE ADDL LOBES
|
Facility
|
OP
|
$4,761.00
|
|
|
Service Code
|
CPT 31649
|
| Hospital Charge Code |
900531649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$106.30 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$952.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$2,289.25
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,289.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,491.15
|
| Rate for Payer: Blue Shield of California Commercial |
$8,136.21
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$2,142.45
|
| Rate for Payer: Cash Price |
$2,142.45
|
| Rate for Payer: Cash Price |
$2,142.45
|
| Rate for Payer: Central Health Plan Commercial |
$3,808.80
|
| Rate for Payer: Cigna of CA HMO |
$3,047.04
|
| Rate for Payer: Cigna of CA PPO |
$3,523.14
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,518.18
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,289.25
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,332.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,777.26
|
| Rate for Payer: EPIC Health Plan Senior |
$2,518.18
|
| Rate for Payer: Galaxy Health WC |
$4,046.85
|
| Rate for Payer: Global Benefits Group Commercial |
$2,856.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,284.90
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,754.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$106.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,023.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$117.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,204.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$952.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,067.59
|
| Rate for Payer: Multiplan Commercial |
$3,570.75
|
| Rate for Payer: Multiplan WC |
$3,491.15
|
| Rate for Payer: Networks By Design Commercial |
$3,094.65
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,289.25
|
| Rate for Payer: Preferred Health Network WC |
$3,562.40
|
| Rate for Payer: Prime Health Services Commercial |
$4,046.85
|
| Rate for Payer: Prime Health Services Medicare |
$2,426.61
|
| Rate for Payer: Prime Health Services WC |
$3,455.53
|
| Rate for Payer: Riverside University Health System MISP |
$2,518.18
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,856.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,380.50
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,289.25
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,433.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,518.18
|
| Rate for Payer: Vantage Medical Group Senior |
$2,289.25
|
|
|
HC RMVL BRONCH VALVE ADDL LOBES
|
Facility
|
IP
|
$4,761.00
|
|
|
Service Code
|
CPT 31649
|
| Hospital Charge Code |
900531649
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$952.20 |
| Max. Negotiated Rate |
$4,284.90 |
| Rate for Payer: Adventist Health Commercial |
$952.20
|
| Rate for Payer: Cash Price |
$2,142.45
|
| Rate for Payer: Central Health Plan Commercial |
$3,808.80
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,332.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,904.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,904.40
|
| Rate for Payer: Galaxy Health WC |
$4,046.85
|
| Rate for Payer: Global Benefits Group Commercial |
$2,856.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,284.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,023.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,808.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$952.20
|
| Rate for Payer: Multiplan Commercial |
$3,570.75
|
| Rate for Payer: Networks By Design Commercial |
$3,094.65
|
| Rate for Payer: Prime Health Services Commercial |
$4,046.85
|
|
|
HC RMVL BRONCH VALVE INIT LOBE
|
Facility
|
OP
|
$9,119.00
|
|
|
Service Code
|
CPT 31648
|
| Hospital Charge Code |
900531648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$335.55 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$1,823.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$4,795.28
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$5,274.81
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$4,795.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,587.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$7,464.14
|
| Rate for Payer: Blue Shield of California Commercial |
$4,407.11
|
| Rate for Payer: Blue Shield of California EPN |
$3,165.61
|
| Rate for Payer: Cash Price |
$4,103.55
|
| Rate for Payer: Cash Price |
$4,103.55
|
| Rate for Payer: Cash Price |
$4,103.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,295.20
|
| Rate for Payer: Cigna of CA HMO |
$5,836.16
|
| Rate for Payer: Cigna of CA PPO |
$6,748.06
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$5,274.81
|
| Rate for Payer: Dignity Health Medicare Advantage |
$4,795.28
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,383.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,912.21
|
| Rate for Payer: EPIC Health Plan Senior |
$5,274.81
|
| Rate for Payer: Galaxy Health WC |
$7,751.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,471.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,207.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$7,864.26
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$335.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$4,795.28
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,790.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$370.67
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,713.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,823.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$6,425.68
|
| Rate for Payer: Multiplan Commercial |
$6,839.25
|
| Rate for Payer: Multiplan WC |
$7,464.14
|
| Rate for Payer: Networks By Design Commercial |
$5,927.35
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$4,795.28
|
| Rate for Payer: Preferred Health Network WC |
$7,616.47
|
| Rate for Payer: Prime Health Services Commercial |
$7,751.15
|
| Rate for Payer: Prime Health Services Medicare |
$5,083.00
|
| Rate for Payer: Prime Health Services WC |
$7,387.98
|
| Rate for Payer: Riverside University Health System MISP |
$5,274.81
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,471.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,559.50
|
| Rate for Payer: United Healthcare All Other HMO |
$20,902.00
|
| Rate for Payer: United Healthcare HMO Rider |
$13,066.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,971.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$4,795.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,192.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5,274.81
|
| Rate for Payer: Vantage Medical Group Senior |
$4,795.28
|
|
|
HC RMVL BRONCH VALVE INIT LOBE
|
Facility
|
IP
|
$9,119.00
|
|
|
Service Code
|
CPT 31648
|
| Hospital Charge Code |
900531648
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,823.80 |
| Max. Negotiated Rate |
$8,207.10 |
| Rate for Payer: Adventist Health Commercial |
$1,823.80
|
| Rate for Payer: Cash Price |
$4,103.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,295.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,383.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,647.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,647.60
|
| Rate for Payer: Galaxy Health WC |
$7,751.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,471.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,207.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,790.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,380.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,823.80
|
| Rate for Payer: Multiplan Commercial |
$6,839.25
|
| Rate for Payer: Networks By Design Commercial |
$5,927.35
|
| Rate for Payer: Prime Health Services Commercial |
$7,751.15
|
|
