|
HC PACER GENERATOR REMOVAL
|
Facility
IP
|
$9,779.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
906820115
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,955.80 |
| Max. Negotiated Rate |
$8,801.10 |
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,823.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,911.60
|
| Rate for Payer: Galaxy Health WC |
$8,312.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,867.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,801.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,522.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.80
|
| Rate for Payer: Multiplan Commercial |
$7,334.25
|
| Rate for Payer: Networks By Design Commercial |
$6,356.35
|
| Rate for Payer: Prime Health Services Commercial |
$8,312.15
|
|
|
HC PACER GENERATOR REMOVAL
|
Facility
OP
|
$9,779.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
906820115
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,955.80 |
| Max. Negotiated Rate |
$19,907.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$5,867.40
|
| Rate for Payer: Blue Shield of California Commercial |
$4,710.35
|
| Rate for Payer: Blue Shield of California EPN |
$3,383.18
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,823.20
|
| Rate for Payer: Cigna of CA PPO |
$7,236.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$8,312.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,867.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,801.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7,334.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,522.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$7,334.25
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$6,356.35
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$8,312.15
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5,867.40
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,867.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$13,537.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$12,444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,379.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC PACER GENERATOR REMOVAL
|
Facility
OP
|
$9,779.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
906811358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,955.80 |
| Max. Negotiated Rate |
$19,907.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$5,867.40
|
| Rate for Payer: Blue Shield of California Commercial |
$4,710.35
|
| Rate for Payer: Blue Shield of California EPN |
$3,383.18
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,823.20
|
| Rate for Payer: Cigna of CA PPO |
$7,236.46
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$8,312.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,867.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,801.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$7,334.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,522.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$7,334.25
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$6,356.35
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$8,312.15
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5,867.40
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,867.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$13,537.00
|
| Rate for Payer: United Healthcare All Other HMO |
$19,907.00
|
| Rate for Payer: United Healthcare HMO Rider |
$12,444.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11,379.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC PACER GENERATOR REMOVAL
|
Facility
IP
|
$9,779.00
|
|
|
Service Code
|
CPT 33233
|
| Hospital Charge Code |
906811358
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,955.80 |
| Max. Negotiated Rate |
$8,801.10 |
| Rate for Payer: Cash Price |
$4,400.55
|
| Rate for Payer: Central Health Plan Commercial |
$7,823.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,911.60
|
| Rate for Payer: Galaxy Health WC |
$8,312.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,867.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$8,801.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6,522.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.80
|
| Rate for Payer: Multiplan Commercial |
$7,334.25
|
| Rate for Payer: Networks By Design Commercial |
$6,356.35
|
| Rate for Payer: Prime Health Services Commercial |
$8,312.15
|
|
|
HC PACER INSERT/RPL ONLY, DUAL
|
Facility
OP
|
$27,343.00
|
|
|
Service Code
|
CPT 33213
|
| Hospital Charge Code |
906820116
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,468.60 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$16,405.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Central Health Plan Commercial |
$21,874.40
|
| Rate for Payer: Cigna of CA PPO |
$20,233.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$23,241.55
|
| Rate for Payer: Global Benefits Group Commercial |
$16,405.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,608.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$20,507.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,237.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,468.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$20,507.25
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$17,772.95
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$23,241.55
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$16,405.80
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,405.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL ONLY, DUAL
|
Facility
IP
|
$27,343.00
|
|
|
Service Code
|
CPT 33213
|
| Hospital Charge Code |
906820116
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,468.60 |
| Max. Negotiated Rate |
$24,608.70 |
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Central Health Plan Commercial |
$21,874.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,937.20
|
| Rate for Payer: Galaxy Health WC |
$23,241.55
|
| Rate for Payer: Global Benefits Group Commercial |
$16,405.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,608.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,237.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,468.60
|
| Rate for Payer: Multiplan Commercial |
$20,507.25
|
| Rate for Payer: Networks By Design Commercial |
$17,772.95
|
| Rate for Payer: Prime Health Services Commercial |
$23,241.55
|
|
|
HC PACER INSERT/RPL ONLY, DUAL
|
Facility
IP
|
$27,343.00
|
|
|
Service Code
|
CPT 33213
|
| Hospital Charge Code |
906811359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,468.60 |
| Max. Negotiated Rate |
$24,608.70 |
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Central Health Plan Commercial |
$21,874.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,937.20
|
| Rate for Payer: Galaxy Health WC |
$23,241.55
|
| Rate for Payer: Global Benefits Group Commercial |
$16,405.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,608.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,237.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,468.60
|
| Rate for Payer: Multiplan Commercial |
$20,507.25
|
| Rate for Payer: Networks By Design Commercial |
$17,772.95
|
| Rate for Payer: Prime Health Services Commercial |
$23,241.55
|
|
|
HC PACER INSERT/RPL ONLY, DUAL
|
Facility
OP
|
$27,343.00
|
|
|
Service Code
|
CPT 33213
|
| Hospital Charge Code |
906811359
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,468.60 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$16,405.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Cash Price |
$12,304.35
|
| Rate for Payer: Central Health Plan Commercial |
$21,874.40
|
| Rate for Payer: Cigna of CA PPO |
$20,233.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$23,241.55
|
| Rate for Payer: Global Benefits Group Commercial |
$16,405.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,608.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$20,507.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,237.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,468.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$20,507.25
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$17,772.95
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$23,241.55
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$16,405.80
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,405.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL ONLY, SINGLE
|
Facility
OP
|
$26,240.00
|
|
|
Service Code
|
CPT 33212
|
| Hospital Charge Code |
906820111
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,248.00 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$15,744.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Central Health Plan Commercial |
$20,992.00
|
| Rate for Payer: Cigna of CA PPO |
$19,417.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$22,304.00
|
| Rate for Payer: Global Benefits Group Commercial |
$15,744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$23,616.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,680.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,502.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,248.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$19,680.00
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$17,056.00
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$22,304.00
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,744.00
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,744.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC PACER INSERT/RPL ONLY, SINGLE
|
Facility
IP
|
$26,240.00
|
|
|
Service Code
|
CPT 33212
|
| Hospital Charge Code |
906820111
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,248.00 |
| Max. Negotiated Rate |
$23,616.00 |
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Central Health Plan Commercial |
$20,992.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,496.00
|
| Rate for Payer: Galaxy Health WC |
$22,304.00
|
| Rate for Payer: Global Benefits Group Commercial |
$15,744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$23,616.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,502.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,248.00
|
| Rate for Payer: Multiplan Commercial |
$19,680.00
|
| Rate for Payer: Networks By Design Commercial |
$17,056.00
|
| Rate for Payer: Prime Health Services Commercial |
$22,304.00
|
|
|
HC PACER INSERT/RPL ONLY, SINGLE
|
Facility
IP
|
$26,240.00
|
|
|
Service Code
|
CPT 33212
|
| Hospital Charge Code |
906811353
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,248.00 |
| Max. Negotiated Rate |
$23,616.00 |
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Central Health Plan Commercial |
$20,992.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,496.00
|
| Rate for Payer: Galaxy Health WC |
$22,304.00
|
| Rate for Payer: Global Benefits Group Commercial |
$15,744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$23,616.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,502.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,248.00
|
| Rate for Payer: Multiplan Commercial |
$19,680.00
|
| Rate for Payer: Networks By Design Commercial |
$17,056.00
|
| Rate for Payer: Prime Health Services Commercial |
$22,304.00
|
|
|
HC PACER INSERT/RPL ONLY, SINGLE
|
Facility
OP
|
$26,240.00
|
|
|
Service Code
|
CPT 33212
|
| Hospital Charge Code |
906811353
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,248.00 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$15,744.00
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Cash Price |
$11,808.00
|
| Rate for Payer: Central Health Plan Commercial |
$20,992.00
|
| Rate for Payer: Cigna of CA PPO |
$19,417.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$22,304.00
|
| Rate for Payer: Global Benefits Group Commercial |
$15,744.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$23,616.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,680.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,502.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,248.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$19,680.00
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$17,056.00
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$22,304.00
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,744.00
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,744.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC PACER INSERT/RPL, W A & V LEAD
|
Facility
OP
|
$28,753.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
906811352
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,750.60 |
| Max. Negotiated Rate |
$51,156.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$17,251.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Central Health Plan Commercial |
$23,002.40
|
| Rate for Payer: Cigna of CA PPO |
$21,277.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$24,440.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,251.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,877.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$21,564.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,178.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,750.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$21,564.75
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$18,689.45
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$24,440.05
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,251.80
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,251.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,597.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,783.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,722.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL, W A & V LEAD
|
Facility
IP
|
$28,753.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
906820110
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,750.60 |
| Max. Negotiated Rate |
$25,877.70 |
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Central Health Plan Commercial |
$23,002.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,501.20
|
| Rate for Payer: Galaxy Health WC |
$24,440.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,251.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,877.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,178.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,750.60
|
| Rate for Payer: Multiplan Commercial |
$21,564.75
|
| Rate for Payer: Networks By Design Commercial |
$18,689.45
|
| Rate for Payer: Prime Health Services Commercial |
$24,440.05
|
|
|
HC PACER INSERT/RPL, W A & V LEAD
|
Facility
IP
|
$28,753.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
906811352
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,750.60 |
| Max. Negotiated Rate |
$25,877.70 |
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Central Health Plan Commercial |
$23,002.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,501.20
|
| Rate for Payer: Galaxy Health WC |
$24,440.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,251.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,877.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,178.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,750.60
|
| Rate for Payer: Multiplan Commercial |
$21,564.75
|
| Rate for Payer: Networks By Design Commercial |
$18,689.45
|
| Rate for Payer: Prime Health Services Commercial |
$24,440.05
|
|
|
HC PACER INSERT/RPL, W A & V LEAD
|
Facility
OP
|
$28,753.00
|
|
|
Service Code
|
CPT 33208
|
| Hospital Charge Code |
906820110
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,750.60 |
| Max. Negotiated Rate |
$51,156.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$17,251.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Cash Price |
$12,938.85
|
| Rate for Payer: Central Health Plan Commercial |
$23,002.40
|
| Rate for Payer: Cigna of CA PPO |
$21,277.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$24,440.05
|
| Rate for Payer: Global Benefits Group Commercial |
$17,251.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$25,877.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$21,564.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,178.25
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,750.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$21,564.75
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$18,689.45
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$24,440.05
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,251.80
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,251.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$41,597.00
|
| Rate for Payer: United Healthcare All Other HMO |
$51,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$35,783.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$32,722.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL, WITH A-LEAD
|
Facility
OP
|
$29,667.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
906820108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,933.40 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$17,800.20
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,733.60
|
| Rate for Payer: Cigna of CA PPO |
$21,953.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$25,216.95
|
| Rate for Payer: Global Benefits Group Commercial |
$17,800.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,700.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,250.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,787.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,933.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$22,250.25
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$19,283.55
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$25,216.95
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,800.20
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,800.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL, WITH A-LEAD
|
Facility
OP
|
$29,667.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
906811350
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,933.40 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$17,800.20
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,733.60
|
| Rate for Payer: Cigna of CA PPO |
$21,953.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$25,216.95
|
| Rate for Payer: Global Benefits Group Commercial |
$17,800.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,700.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,250.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,787.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,933.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$22,250.25
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$19,283.55
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$25,216.95
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,800.20
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,800.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL, WITH A-LEAD
|
Facility
IP
|
$29,667.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
906820108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,933.40 |
| Max. Negotiated Rate |
$26,700.30 |
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,733.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,866.80
|
| Rate for Payer: Galaxy Health WC |
$25,216.95
|
| Rate for Payer: Global Benefits Group Commercial |
$17,800.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,700.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,787.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,933.40
|
| Rate for Payer: Multiplan Commercial |
$22,250.25
|
| Rate for Payer: Networks By Design Commercial |
$19,283.55
|
| Rate for Payer: Prime Health Services Commercial |
$25,216.95
|
|
|
HC PACER INSERT/RPL, WITH A-LEAD
|
Facility
IP
|
$29,667.00
|
|
|
Service Code
|
CPT 33206
|
| Hospital Charge Code |
906811350
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,933.40 |
| Max. Negotiated Rate |
$26,700.30 |
| Rate for Payer: Cash Price |
$13,350.15
|
| Rate for Payer: Central Health Plan Commercial |
$23,733.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,866.80
|
| Rate for Payer: Galaxy Health WC |
$25,216.95
|
| Rate for Payer: Global Benefits Group Commercial |
$17,800.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,700.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,787.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,933.40
|
| Rate for Payer: Multiplan Commercial |
$22,250.25
|
| Rate for Payer: Networks By Design Commercial |
$19,283.55
|
| Rate for Payer: Prime Health Services Commercial |
$25,216.95
|
|
|
HC PACER INSERT/RPL, WITH V-LEAD
|
Facility
OP
|
$31,226.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
906820109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,245.20 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$18,735.60
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Central Health Plan Commercial |
$24,980.80
|
| Rate for Payer: Cigna of CA PPO |
$23,107.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$26,542.10
|
| Rate for Payer: Global Benefits Group Commercial |
$18,735.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$28,103.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$23,419.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,827.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,245.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$23,419.50
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$20,296.90
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$26,542.10
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$18,735.60
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18,735.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER INSERT/RPL, WITH V-LEAD
|
Facility
IP
|
$31,226.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
906811351
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,245.20 |
| Max. Negotiated Rate |
$28,103.40 |
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Central Health Plan Commercial |
$24,980.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,490.40
|
| Rate for Payer: Galaxy Health WC |
$26,542.10
|
| Rate for Payer: Global Benefits Group Commercial |
$18,735.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$28,103.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,827.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,245.20
|
| Rate for Payer: Multiplan Commercial |
$23,419.50
|
| Rate for Payer: Networks By Design Commercial |
$20,296.90
|
| Rate for Payer: Prime Health Services Commercial |
$26,542.10
|
|
|
HC PACER INSERT/RPL, WITH V-LEAD
|
Facility
IP
|
$31,226.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
906820109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,245.20 |
| Max. Negotiated Rate |
$28,103.40 |
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Central Health Plan Commercial |
$24,980.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,490.40
|
| Rate for Payer: Galaxy Health WC |
$26,542.10
|
| Rate for Payer: Global Benefits Group Commercial |
$18,735.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$28,103.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,827.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,245.20
|
| Rate for Payer: Multiplan Commercial |
$23,419.50
|
| Rate for Payer: Networks By Design Commercial |
$20,296.90
|
| Rate for Payer: Prime Health Services Commercial |
$26,542.10
|
|
|
HC PACER INSERT/RPL, WITH V-LEAD
|
Facility
OP
|
$31,226.00
|
|
|
Service Code
|
CPT 33207
|
| Hospital Charge Code |
906811351
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,245.20 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,341.78
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,341.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10,526.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,838.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,240.12
|
| Rate for Payer: BCBS Transplant Transplant |
$18,735.60
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$13,341.78
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Cash Price |
$14,051.70
|
| Rate for Payer: Central Health Plan Commercial |
$24,980.80
|
| Rate for Payer: Cigna of CA PPO |
$23,107.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,012.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,011.40
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,341.78
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,341.78
|
| Rate for Payer: Galaxy Health WC |
$26,542.10
|
| Rate for Payer: Global Benefits Group Commercial |
$18,735.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$28,103.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$23,419.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$21,880.52
|
| Rate for Payer: IEHP medi-cal |
$22,013.94
|
| Rate for Payer: IEHP Medicare Advantage |
$13,341.78
|
| Rate for Payer: Innovage PACE Commercial |
$20,012.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,827.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,341.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,245.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,877.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,877.99
|
| Rate for Payer: Multiplan Commercial |
$23,419.50
|
| Rate for Payer: Multiplan WC |
$18,240.12
|
| Rate for Payer: Networks By Design Commercial |
$20,296.90
|
| Rate for Payer: Preferred Health Network WC |
$18,612.37
|
| Rate for Payer: Prime Health Services Commercial |
$26,542.10
|
| Rate for Payer: Prime Health Services Medicare |
$14,142.29
|
| Rate for Payer: Prime Health Services WC |
$18,054.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$18,735.60
|
| Rate for Payer: Riverside University Health MISP |
$14,675.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18,735.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,012.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14,675.96
|
| Rate for Payer: Vantage Medical Group Senior |
$13,341.78
|
|
|
HC PACER LEAD REMOVE, DUAL A & V
|
Facility
IP
|
$5,957.00
|
|
|
Service Code
|
CPT 33235
|
| Hospital Charge Code |
906811364
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,191.40 |
| Max. Negotiated Rate |
$5,361.30 |
| Rate for Payer: Cash Price |
$2,680.65
|
| Rate for Payer: Central Health Plan Commercial |
$4,765.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,382.80
|
| Rate for Payer: Galaxy Health WC |
$5,063.45
|
| Rate for Payer: Global Benefits Group Commercial |
$3,574.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,361.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,973.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,191.40
|
| Rate for Payer: Multiplan Commercial |
$4,467.75
|
| Rate for Payer: Networks By Design Commercial |
$3,872.05
|
| Rate for Payer: Prime Health Services Commercial |
$5,063.45
|
|
