|
HC PROCTOSIGMOIDOSCOPY RIGID/DIL
|
Facility
OP
|
$1,886.00
|
|
|
Service Code
|
CPT 45303
|
| Hospital Charge Code |
906745303
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$377.20 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,131.60
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$848.70
|
| Rate for Payer: Cash Price |
$848.70
|
| Rate for Payer: Cash Price |
$848.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,508.80
|
| Rate for Payer: Cigna of CA PPO |
$1,395.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,603.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,131.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,697.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,414.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: IEHP medi-cal |
$2,432.79
|
| Rate for Payer: IEHP Medicare Advantage |
$1,474.42
|
| Rate for Payer: Innovage PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,257.96
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$377.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,414.50
|
| Rate for Payer: Networks By Design Commercial |
$1,225.90
|
| Rate for Payer: Prime Health Services Commercial |
$1,603.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,621.86
|
| Rate for Payer: Riverside University Health MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,131.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC PROCTOSIGMOIDOSCOPY RIGID/DIL
|
Facility
IP
|
$2,969.00
|
|
|
Service Code
|
CPT 45303
|
| Hospital Charge Code |
906745303
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$593.80 |
| Max. Negotiated Rate |
$2,672.10 |
| Rate for Payer: Cash Price |
$1,336.05
|
| Rate for Payer: Central Health Plan Commercial |
$2,375.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,187.60
|
| Rate for Payer: Galaxy Health WC |
$2,523.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,781.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,672.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,980.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$593.80
|
| Rate for Payer: Multiplan Commercial |
$2,226.75
|
| Rate for Payer: Networks By Design Commercial |
$1,929.85
|
| Rate for Payer: Prime Health Services Commercial |
$2,523.65
|
|
|
HC PROCTOSIGMOIDOSCOPY RIGID/DIL
|
Facility
IP
|
$2,969.00
|
|
|
Service Code
|
CPT 45303
|
| Hospital Charge Code |
906745303
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$593.80 |
| Max. Negotiated Rate |
$2,672.10 |
| Rate for Payer: Cash Price |
$1,336.05
|
| Rate for Payer: Central Health Plan Commercial |
$2,375.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,187.60
|
| Rate for Payer: Galaxy Health WC |
$2,523.65
|
| Rate for Payer: Global Benefits Group Commercial |
$1,781.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,672.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,980.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$593.80
|
| Rate for Payer: Multiplan Commercial |
$2,226.75
|
| Rate for Payer: Networks By Design Commercial |
$1,929.85
|
| Rate for Payer: Prime Health Services Commercial |
$2,523.65
|
|
|
HC PROCTOSIGMOIDOSCOPY W FB RMVL
|
Facility
IP
|
$8,643.00
|
|
|
Service Code
|
CPT 45307
|
| Hospital Charge Code |
906745307
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,728.60 |
| Max. Negotiated Rate |
$7,778.70 |
| Rate for Payer: Cash Price |
$3,889.35
|
| Rate for Payer: Central Health Plan Commercial |
$6,914.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,457.20
|
| Rate for Payer: Galaxy Health WC |
$7,346.55
|
| Rate for Payer: Global Benefits Group Commercial |
$5,185.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,778.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,764.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,728.60
|
| Rate for Payer: Multiplan Commercial |
$6,482.25
|
| Rate for Payer: Networks By Design Commercial |
$5,617.95
|
| Rate for Payer: Prime Health Services Commercial |
$7,346.55
|
|
|
HC PROCTOSIGMOIDOSCOPY W FB RMVL
|
Facility
OP
|
$4,390.00
|
|
|
Service Code
|
CPT 45307
|
| Hospital Charge Code |
906745307
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$878.00 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$3,508.15
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3,508.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$2,634.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$3,508.15
|
| Rate for Payer: Cash Price |
$1,975.50
|
| Rate for Payer: Cash Price |
$1,975.50
|
| Rate for Payer: Cash Price |
$1,975.50
|
| Rate for Payer: Central Health Plan Commercial |
$3,512.00
|
| Rate for Payer: Cigna of CA PPO |
$3,248.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,262.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,736.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$3,508.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,508.15
|
| Rate for Payer: Galaxy Health WC |
$3,731.50
|
| Rate for Payer: Global Benefits Group Commercial |
$2,634.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,951.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3,292.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,753.37
|
| Rate for Payer: IEHP medi-cal |
$5,788.45
|
| Rate for Payer: IEHP Medicare Advantage |
$3,508.15
|
| Rate for Payer: Innovage PACE Commercial |
$5,262.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,928.13
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,508.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$878.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,700.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,700.92
|
| Rate for Payer: Multiplan Commercial |
$3,292.50
|
| Rate for Payer: Networks By Design Commercial |
$2,853.50
|
| Rate for Payer: Prime Health Services Commercial |
$3,731.50
|
| Rate for Payer: Prime Health Services Medicare |
$3,718.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,858.96
|
| Rate for Payer: Riverside University Health MISP |
$3,858.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,634.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,209.78
|
| Rate for Payer: United Healthcare All Other Commercial |
$11,375.00
|
| Rate for Payer: United Healthcare All Other HMO |
$15,354.00
|
| Rate for Payer: United Healthcare HMO Rider |
$9,681.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8,852.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,508.15
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
OP
|
$3,205.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
906745300
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$641.00 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,141.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,923.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,141.93
|
| Rate for Payer: Cash Price |
$1,442.25
|
| Rate for Payer: Cash Price |
$1,442.25
|
| Rate for Payer: Cash Price |
$1,442.25
|
| Rate for Payer: Central Health Plan Commercial |
$2,564.00
|
| Rate for Payer: Cigna of CA PPO |
$2,371.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$2,724.25
|
| Rate for Payer: Global Benefits Group Commercial |
$1,923.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,884.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,403.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,872.77
|
| Rate for Payer: IEHP medi-cal |
$1,884.18
|
| Rate for Payer: IEHP Medicare Advantage |
$1,141.93
|
| Rate for Payer: Innovage PACE Commercial |
$1,712.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,137.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$641.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,530.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$2,403.75
|
| Rate for Payer: Networks By Design Commercial |
$2,083.25
|
| Rate for Payer: Prime Health Services Commercial |
$2,724.25
|
| Rate for Payer: Prime Health Services Medicare |
$1,210.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,256.12
|
| Rate for Payer: Riverside University Health MISP |
$1,256.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,923.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,370.32
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
OP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$1,141.93 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,141.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,786.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,968.99
|
| Rate for Payer: Blue Shield of California EPN |
$3,085.59
|
| Rate for Payer: Caremore Medicare Advantage |
$1,141.93
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: Cigna of CA HMO |
$4,038.40
|
| Rate for Payer: Cigna of CA PPO |
$4,669.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,732.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,872.77
|
| Rate for Payer: IEHP medi-cal |
$1,884.18
|
| Rate for Payer: IEHP Medicare Advantage |
$1,141.93
|
| Rate for Payer: Innovage PACE Commercial |
$1,712.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,530.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
| Rate for Payer: Prime Health Services Medicare |
$1,210.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,786.00
|
| Rate for Payer: Riverside University Health MISP |
$1,256.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,786.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,786.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,155.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,155.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,155.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,155.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
OP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,141.93 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,141.93
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,786.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,968.99
|
| Rate for Payer: Blue Shield of California EPN |
$3,085.59
|
| Rate for Payer: Caremore Medicare Advantage |
$1,141.93
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: Cigna of CA HMO |
$4,038.40
|
| Rate for Payer: Cigna of CA PPO |
$4,669.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,732.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,872.77
|
| Rate for Payer: IEHP medi-cal |
$1,884.18
|
| Rate for Payer: IEHP Medicare Advantage |
$1,141.93
|
| Rate for Payer: Innovage PACE Commercial |
$1,712.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,530.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
| Rate for Payer: Prime Health Services Medicare |
$1,210.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,786.00
|
| Rate for Payer: Riverside University Health MISP |
$1,256.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,786.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,786.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,155.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,155.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,155.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,155.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
IP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
906745300
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,262.00 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,524.00
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
IP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,262.00 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,524.00
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
IP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$1,262.00 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,524.00
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
IP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,262.00 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,524.00
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
|
|
HC PROCTOSIGMOIDOSCOPY W WO COLL
|
Facility
OP
|
$6,310.00
|
|
|
Service Code
|
CPT 45300
|
| Hospital Charge Code |
900501380
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,679.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,141.93
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,786.00
|
| Rate for Payer: Caremore Medicare Advantage |
$1,141.93
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Cash Price |
$2,839.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,048.00
|
| Rate for Payer: Cigna of CA PPO |
$4,669.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,712.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,541.61
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,141.93
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,141.93
|
| Rate for Payer: Galaxy Health WC |
$5,363.50
|
| Rate for Payer: Global Benefits Group Commercial |
$3,786.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,679.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,732.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,872.77
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$1,141.93
|
| Rate for Payer: Innovage PACE Commercial |
$1,712.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,208.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,141.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,262.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,530.19
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,530.19
|
| Rate for Payer: Multiplan Commercial |
$4,732.50
|
| Rate for Payer: Networks By Design Commercial |
$4,101.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,363.50
|
| Rate for Payer: Prime Health Services Medicare |
$1,210.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,786.00
|
| Rate for Payer: Riverside University Health MISP |
$1,256.12
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,786.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,155.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,155.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,155.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,155.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,712.90
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,256.12
|
| Rate for Payer: Vantage Medical Group Senior |
$1,141.93
|
|
|
HC PROCTOSIGMOIDOSCPY RIG W/BX
|
Facility
OP
|
$1,716.00
|
|
|
Service Code
|
CPT 45305
|
| Hospital Charge Code |
906745305
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$343.20 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,029.60
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Central Health Plan Commercial |
$1,372.80
|
| Rate for Payer: Cigna of CA PPO |
$1,269.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,458.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,029.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,544.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,287.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: IEHP medi-cal |
$2,432.79
|
| Rate for Payer: IEHP Medicare Advantage |
$1,474.42
|
| Rate for Payer: Innovage PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,144.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$343.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,287.00
|
| Rate for Payer: Networks By Design Commercial |
$1,115.40
|
| Rate for Payer: Prime Health Services Commercial |
$1,458.60
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,621.86
|
| Rate for Payer: Riverside University Health MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,029.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,769.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,893.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,027.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,217.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC PROCTOSIGMOIDOSCPY RIG W/BX
|
Facility
OP
|
$1,716.00
|
|
|
Service Code
|
CPT 45305
|
| Hospital Charge Code |
906745305
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$343.20 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,474.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,029.60
|
| Rate for Payer: Blue Shield of California Commercial |
$1,079.36
|
| Rate for Payer: Blue Shield of California EPN |
$839.12
|
| Rate for Payer: Caremore Medicare Advantage |
$1,474.42
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Cash Price |
$772.20
|
| Rate for Payer: Central Health Plan Commercial |
$1,372.80
|
| Rate for Payer: Cigna of CA HMO |
$1,098.24
|
| Rate for Payer: Cigna of CA PPO |
$1,269.84
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,990.47
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,474.42
|
| Rate for Payer: Galaxy Health WC |
$1,458.60
|
| Rate for Payer: Global Benefits Group Commercial |
$1,029.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,544.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,287.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,418.05
|
| Rate for Payer: IEHP medi-cal |
$2,432.79
|
| Rate for Payer: IEHP Medicare Advantage |
$1,474.42
|
| Rate for Payer: Innovage PACE Commercial |
$2,211.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,144.57
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,474.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$343.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,975.72
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,975.72
|
| Rate for Payer: Multiplan Commercial |
$1,287.00
|
| Rate for Payer: Networks By Design Commercial |
$1,115.40
|
| Rate for Payer: Prime Health Services Commercial |
$1,458.60
|
| Rate for Payer: Prime Health Services Medicare |
$1,562.89
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,029.60
|
| Rate for Payer: Riverside University Health MISP |
$1,621.86
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,029.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,029.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$858.00
|
| Rate for Payer: United Healthcare All Other HMO |
$858.00
|
| Rate for Payer: United Healthcare HMO Rider |
$858.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$858.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC PROCTOSIGMOIDOSCPY RIG W/BX
|
Facility
IP
|
$2,701.00
|
|
|
Service Code
|
CPT 45305
|
| Hospital Charge Code |
906745305
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$540.20 |
| Max. Negotiated Rate |
$2,430.90 |
| Rate for Payer: Cash Price |
$1,215.45
|
| Rate for Payer: Central Health Plan Commercial |
$2,160.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,080.40
|
| Rate for Payer: Galaxy Health WC |
$2,295.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,620.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,430.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,801.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$540.20
|
| Rate for Payer: Multiplan Commercial |
$2,025.75
|
| Rate for Payer: Networks By Design Commercial |
$1,755.65
|
| Rate for Payer: Prime Health Services Commercial |
$2,295.85
|
|
|
HC PROCTOSIGMOIDOSCPY RIG W/BX
|
Facility
IP
|
$2,701.00
|
|
|
Service Code
|
CPT 45305
|
| Hospital Charge Code |
906745305
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$540.20 |
| Max. Negotiated Rate |
$2,430.90 |
| Rate for Payer: Cash Price |
$1,215.45
|
| Rate for Payer: Central Health Plan Commercial |
$2,160.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,080.40
|
| Rate for Payer: Galaxy Health WC |
$2,295.85
|
| Rate for Payer: Global Benefits Group Commercial |
$1,620.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,430.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,801.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$540.20
|
| Rate for Payer: Multiplan Commercial |
$2,025.75
|
| Rate for Payer: Networks By Design Commercial |
$1,755.65
|
| Rate for Payer: Prime Health Services Commercial |
$2,295.85
|
|
|
HC PROCTOSIGMOIDOSCPY W DECOM
|
Facility
OP
|
$6,112.00
|
|
|
Service Code
|
CPT 45321
|
| Hospital Charge Code |
900501352
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$1,222.40 |
| Max. Negotiated Rate |
$5,788.45 |
| Rate for Payer: Adventist Health Medi-Cal |
$3,508.15
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3,508.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,667.20
|
| Rate for Payer: Blue Shield of California Commercial |
$3,844.45
|
| Rate for Payer: Blue Shield of California EPN |
$2,988.77
|
| Rate for Payer: Caremore Medicare Advantage |
$3,508.15
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: Cigna of CA HMO |
$3,911.68
|
| Rate for Payer: Cigna of CA PPO |
$4,522.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,262.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,736.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$3,508.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,508.15
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,584.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,753.37
|
| Rate for Payer: IEHP medi-cal |
$5,788.45
|
| Rate for Payer: IEHP Medicare Advantage |
$3,508.15
|
| Rate for Payer: Innovage PACE Commercial |
$5,262.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,076.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,508.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,700.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,700.92
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
| Rate for Payer: Prime Health Services Medicare |
$3,718.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,667.20
|
| Rate for Payer: Riverside University Health MISP |
$3,858.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,667.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,667.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,056.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,056.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,056.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,056.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,508.15
|
|
|
HC PROCTOSIGMOIDOSCPY W DECOM
|
Facility
IP
|
$6,112.00
|
|
|
Service Code
|
CPT 45321
|
| Hospital Charge Code |
900501352
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,222.40 |
| Max. Negotiated Rate |
$5,500.80 |
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,444.80
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,076.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
|
|
HC PROCTOSIGMOIDOSCPY W DECOM
|
Facility
OP
|
$6,112.00
|
|
|
Service Code
|
CPT 45321
|
| Hospital Charge Code |
900501352
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,753.37 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3,508.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$3,667.20
|
| Rate for Payer: Caremore Medicare Advantage |
$3,508.15
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: Cigna of CA PPO |
$4,522.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,262.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,736.00
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$3,508.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$3,508.15
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$4,584.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,753.37
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$3,508.15
|
| Rate for Payer: Innovage PACE Commercial |
$5,262.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,076.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,508.15
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,700.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,700.92
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
| Rate for Payer: Prime Health Services Medicare |
$3,718.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$3,667.20
|
| Rate for Payer: Riverside University Health MISP |
$3,858.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,667.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,056.00
|
| Rate for Payer: United Healthcare All Other HMO |
$3,056.00
|
| Rate for Payer: United Healthcare HMO Rider |
$3,056.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,056.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,262.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,858.96
|
| Rate for Payer: Vantage Medical Group Senior |
$3,508.15
|
|
|
HC PROCTOSIGMOIDOSCPY W DECOM
|
Facility
IP
|
$6,112.00
|
|
|
Service Code
|
CPT 45321
|
| Hospital Charge Code |
900501352
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$1,222.40 |
| Max. Negotiated Rate |
$5,500.80 |
| Rate for Payer: Cash Price |
$2,750.40
|
| Rate for Payer: Central Health Plan Commercial |
$4,889.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,444.80
|
| Rate for Payer: Galaxy Health WC |
$5,195.20
|
| Rate for Payer: Global Benefits Group Commercial |
$3,667.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,500.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,076.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,222.40
|
| Rate for Payer: Multiplan Commercial |
$4,584.00
|
| Rate for Payer: Networks By Design Commercial |
$3,972.80
|
| Rate for Payer: Prime Health Services Commercial |
$5,195.20
|
|
|
HC PROGESTERONE
|
Facility
OP
|
$43.00
|
|
|
Service Code
|
CPT 84144
|
| Hospital Charge Code |
900912132
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.60 |
| Max. Negotiated Rate |
$185.13 |
| Rate for Payer: Adventist Health Medi-Cal |
$20.86
|
| Rate for Payer: Aetna of CA HMO/PPO |
$153.15
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$31.29
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$22.95
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$20.86
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$151.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$185.13
|
| Rate for Payer: BCBS Transplant Transplant |
$25.80
|
| Rate for Payer: Blue Shield of California Commercial |
$26.57
|
| Rate for Payer: Blue Shield of California EPN |
$20.90
|
| Rate for Payer: Caremore Medicare Advantage |
$20.86
|
| Rate for Payer: Cash Price |
$19.35
|
| Rate for Payer: Cash Price |
$19.35
|
| Rate for Payer: Central Health Plan Commercial |
$34.40
|
| Rate for Payer: Cigna of CA HMO |
$27.52
|
| Rate for Payer: Cigna of CA PPO |
$31.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$31.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$28.16
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$20.86
|
| Rate for Payer: EPIC Health Plan Transplant |
$20.86
|
| Rate for Payer: Galaxy Health WC |
$36.55
|
| Rate for Payer: Global Benefits Group Commercial |
$25.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$38.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$32.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$34.21
|
| Rate for Payer: IEHP medi-cal |
$34.42
|
| Rate for Payer: IEHP Medicare Advantage |
$20.86
|
| Rate for Payer: Innovage PACE Commercial |
$31.29
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$28.68
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$20.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27.95
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27.95
|
| Rate for Payer: Multiplan Commercial |
$32.25
|
| Rate for Payer: Networks By Design Commercial |
$27.95
|
| Rate for Payer: Prime Health Services Commercial |
$36.55
|
| Rate for Payer: Prime Health Services Medicare |
$22.11
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$25.80
|
| Rate for Payer: Riverside University Health MISP |
$22.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$25.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$25.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$16.89
|
| Rate for Payer: United Healthcare All Other HMO |
$16.89
|
| Rate for Payer: United Healthcare HMO Rider |
$16.89
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.89
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$31.29
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$22.95
|
| Rate for Payer: Vantage Medical Group Senior |
$20.86
|
|
|
HC PROGESTERONE
|
Facility
IP
|
$268.00
|
|
|
Service Code
|
CPT 84144
|
| Hospital Charge Code |
900912132
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.60 |
| Max. Negotiated Rate |
$241.20 |
| Rate for Payer: Cash Price |
$120.60
|
| Rate for Payer: Central Health Plan Commercial |
$214.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$107.20
|
| Rate for Payer: Galaxy Health WC |
$227.80
|
| Rate for Payer: Global Benefits Group Commercial |
$160.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$241.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$178.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.60
|
| Rate for Payer: Multiplan Commercial |
$201.00
|
| Rate for Payer: Networks By Design Commercial |
$174.20
|
| Rate for Payer: Prime Health Services Commercial |
$227.80
|
|
|
HC PROLACTIN
|
Facility
IP
|
$398.00
|
|
|
Service Code
|
CPT 84146
|
| Hospital Charge Code |
900910808
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$79.60 |
| Max. Negotiated Rate |
$358.20 |
| Rate for Payer: Cash Price |
$179.10
|
| Rate for Payer: Central Health Plan Commercial |
$318.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$159.20
|
| Rate for Payer: Galaxy Health WC |
$338.30
|
| Rate for Payer: Global Benefits Group Commercial |
$238.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$358.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$265.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$79.60
|
| Rate for Payer: Multiplan Commercial |
$298.50
|
| Rate for Payer: Networks By Design Commercial |
$258.70
|
| Rate for Payer: Prime Health Services Commercial |
$338.30
|
|
|
HC PROLACTIN
|
Facility
OP
|
$32.00
|
|
|
Service Code
|
CPT 84146
|
| Hospital Charge Code |
900910808
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.40 |
| Max. Negotiated Rate |
$171.93 |
| Rate for Payer: Adventist Health Medi-Cal |
$19.38
|
| Rate for Payer: Aetna of CA HMO/PPO |
$142.23
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$29.07
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$21.32
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$19.38
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$140.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$171.93
|
| Rate for Payer: BCBS Transplant Transplant |
$19.20
|
| Rate for Payer: Blue Shield of California Commercial |
$19.78
|
| Rate for Payer: Blue Shield of California EPN |
$15.55
|
| Rate for Payer: Caremore Medicare Advantage |
$19.38
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Central Health Plan Commercial |
$25.60
|
| Rate for Payer: Cigna of CA HMO |
$20.48
|
| Rate for Payer: Cigna of CA PPO |
$23.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$29.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$26.16
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$19.38
|
| Rate for Payer: EPIC Health Plan Transplant |
$19.38
|
| Rate for Payer: Galaxy Health WC |
$27.20
|
| Rate for Payer: Global Benefits Group Commercial |
$19.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$28.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$24.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$31.78
|
| Rate for Payer: IEHP medi-cal |
$31.98
|
| Rate for Payer: IEHP Medicare Advantage |
$19.38
|
| Rate for Payer: Innovage PACE Commercial |
$29.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$25.97
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$25.97
|
| Rate for Payer: Multiplan Commercial |
$24.00
|
| Rate for Payer: Networks By Design Commercial |
$20.80
|
| Rate for Payer: Prime Health Services Commercial |
$27.20
|
| Rate for Payer: Prime Health Services Medicare |
$20.54
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$19.20
|
| Rate for Payer: Riverside University Health MISP |
$21.32
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$19.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$19.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.70
|
| Rate for Payer: United Healthcare All Other HMO |
$15.70
|
| Rate for Payer: United Healthcare HMO Rider |
$15.70
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.70
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$29.07
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$21.32
|
| Rate for Payer: Vantage Medical Group Senior |
$19.38
|
|
