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Service Code NDC 0065-0817-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $2.90
Max. Negotiated Rate $13.06
Rate for Payer: Adventist Health Commercial $2.90
Rate for Payer: Aetna of CA HMO/PPO $8.81
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $12.33
Rate for Payer: Alpha Care Medical Group Medi-Cal $7.98
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $10.88
Rate for Payer: Anthem Blue Cross of CA Exchange $7.03
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8.52
Rate for Payer: Blue Shield of California Commercial $8.87
Rate for Payer: Blue Shield of California EPN $5.79
Rate for Payer: Cash Price $7.98
Rate for Payer: Central Health Plan Commercial $11.61
Rate for Payer: Cigna of CA HMO $10.16
Rate for Payer: Cigna of CA PPO $10.16
Rate for Payer: Dignity Health Commercial/Exchange $12.33
Rate for Payer: Dignity Health Medi-Cal $12.33
Rate for Payer: Dignity Health Medicare Advantage $12.33
Rate for Payer: EPIC Health Plan Commercial $5.80
Rate for Payer: EPIC Health Plan Senior $5.80
Rate for Payer: Galaxy Health WC $12.33
Rate for Payer: Global Benefits Group Commercial $8.71
Rate for Payer: Health Management Network EPO/PPO $13.06
Rate for Payer: InnovAge PACE Commercial $7.25
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.53
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8.98
Rate for Payer: LLUH Dept of Risk Management WC $2.90
Rate for Payer: Molina Healthcare of CA Medi-Cal $10.16
Rate for Payer: Molina Healthcare of CA Medicare $10.16
Rate for Payer: Multiplan Commercial $10.88
Rate for Payer: Networks By Design Commercial $9.43
Rate for Payer: Prime Health Services Commercial $12.33
Rate for Payer: Riverside University Health System MISP $5.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $8.71
Rate for Payer: TriValley Medical Group Commercial/Senior $8.71
Rate for Payer: United Healthcare All Other Commercial $7.25
Rate for Payer: United Healthcare All Other HMO $7.25
Rate for Payer: United Healthcare HMO Rider $7.25
Rate for Payer: United Healthcare Select/Navigate/Core $7.25
Rate for Payer: Vantage Medical Group Commercial/Exchange $12.33
Rate for Payer: Vantage Medical Group Medi-Cal $12.33
Rate for Payer: Vantage Medical Group Senior $12.33
Service Code NDC 0065-0817-01
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $2.90
Max. Negotiated Rate $13.06
Rate for Payer: Adventist Health Commercial $2.90
Rate for Payer: Blue Shield of California Commercial $11.22
Rate for Payer: Blue Shield of California EPN $7.31
Rate for Payer: Cash Price $7.98
Rate for Payer: Central Health Plan Commercial $11.61
Rate for Payer: Cigna of CA HMO $10.16
Rate for Payer: Cigna of CA PPO $10.16
Rate for Payer: EPIC Health Plan Commercial $5.80
Rate for Payer: EPIC Health Plan Senior $5.80
Rate for Payer: Galaxy Health WC $12.33
Rate for Payer: Global Benefits Group Commercial $8.71
Rate for Payer: Health Management Network EPO/PPO $13.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $9.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.53
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8.98
Rate for Payer: LLUH Dept of Risk Management WC $2.90
Rate for Payer: Multiplan Commercial $10.88
Rate for Payer: Networks By Design Commercial $9.43
Rate for Payer: Prime Health Services Commercial $12.33
Service Code NDC 60505-6226-0
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $4.36
Max. Negotiated Rate $19.64
Rate for Payer: Adventist Health Commercial $4.36
Rate for Payer: Aetna of CA HMO/PPO $13.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $18.55
Rate for Payer: Alpha Care Medical Group Medi-Cal $12.00
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $16.36
Rate for Payer: Anthem Blue Cross of CA Exchange $10.57
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12.81
Rate for Payer: Blue Shield of California Commercial $13.33
Rate for Payer: Blue Shield of California EPN $8.71
Rate for Payer: Cash Price $12.00
Rate for Payer: Central Health Plan Commercial $17.46
Rate for Payer: Cigna of CA HMO $13.96
Rate for Payer: Cigna of CA PPO $16.15
Rate for Payer: Dignity Health Commercial/Exchange $18.55
Rate for Payer: Dignity Health Medi-Cal $18.55
Rate for Payer: Dignity Health Medicare Advantage $18.55
Rate for Payer: EPIC Health Plan Commercial $8.73
Rate for Payer: EPIC Health Plan Senior $8.73
Rate for Payer: Galaxy Health WC $18.55
Rate for Payer: Global Benefits Group Commercial $13.09
Rate for Payer: Health Management Network EPO/PPO $19.64
Rate for Payer: InnovAge PACE Commercial $10.91
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $14.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $8.31
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13.51
Rate for Payer: LLUH Dept of Risk Management WC $4.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $15.27
Rate for Payer: Molina Healthcare of CA Medicare $15.27
Rate for Payer: Multiplan Commercial $16.36
Rate for Payer: Networks By Design Commercial $14.18
Rate for Payer: Prime Health Services Commercial $18.55
Rate for Payer: Riverside University Health System MISP $8.73
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $13.09
Rate for Payer: TriValley Medical Group Commercial/Senior $13.09
Rate for Payer: United Healthcare All Other Commercial $10.91
Rate for Payer: United Healthcare All Other HMO $10.91
Rate for Payer: United Healthcare HMO Rider $10.91
Rate for Payer: United Healthcare Select/Navigate/Core $10.91
Rate for Payer: Vantage Medical Group Commercial/Exchange $18.55
Rate for Payer: Vantage Medical Group Medi-Cal $18.55
Rate for Payer: Vantage Medical Group Senior $18.55
Service Code NDC 60505-6226-0
Hospital Charge Code 901700004
Hospital Revenue Code 250
Min. Negotiated Rate $4.36
Max. Negotiated Rate $19.64
Rate for Payer: Adventist Health Commercial $4.36
Rate for Payer: Blue Shield of California Commercial $16.87
Rate for Payer: Blue Shield of California EPN $11.00
Rate for Payer: Cash Price $12.00
Rate for Payer: Central Health Plan Commercial $17.46
Rate for Payer: EPIC Health Plan Commercial $8.73
Rate for Payer: EPIC Health Plan Senior $8.73
Rate for Payer: Galaxy Health WC $18.55
Rate for Payer: Global Benefits Group Commercial $13.09
Rate for Payer: Health Management Network EPO/PPO $19.64
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $14.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal $8.31
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $13.51
Rate for Payer: LLUH Dept of Risk Management WC $4.36
Rate for Payer: Multiplan Commercial $16.36
Rate for Payer: Networks By Design Commercial $14.18
Rate for Payer: Prime Health Services Commercial $18.55
Service Code HCPCS J9023
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $50.26
Max. Negotiated Rate $226.15
Rate for Payer: Adventist Health Commercial $50.26
Rate for Payer: Adventist Health Medi-Cal $100.30
Rate for Payer: Aetna of CA HMO/PPO $152.60
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $150.45
Rate for Payer: Alpha Care Medical Group Medi-Cal $110.33
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $100.30
Rate for Payer: Anthem Blue Cross of CA Exchange $221.38
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $67.94
Rate for Payer: Blue Shield of California Commercial $127.78
Rate for Payer: Blue Shield of California EPN $116.16
Rate for Payer: Cash Price $138.21
Rate for Payer: Cash Price $138.21
Rate for Payer: Central Health Plan Commercial $201.02
Rate for Payer: Cigna of CA HMO $175.90
Rate for Payer: Cigna of CA PPO $175.90
Rate for Payer: Dignity Health Commercial/Exchange $125.37
Rate for Payer: Dignity Health Medi-Cal $110.33
Rate for Payer: Dignity Health Medicare Advantage $110.33
Rate for Payer: EPIC Health Plan Commercial $135.40
Rate for Payer: EPIC Health Plan Senior $100.30
Rate for Payer: Galaxy Health WC $213.59
Rate for Payer: Global Benefits Group Commercial $150.77
Rate for Payer: Health Management Network EPO/PPO $226.15
Rate for Payer: Heritage Provider Network Commercial/Senior $164.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $97.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $100.30
Rate for Payer: InnovAge PACE Commercial $150.45
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $167.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal $184.21
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $100.30
Rate for Payer: LLUH Dept of Risk Management WC $50.26
Rate for Payer: Molina Healthcare of CA Medi-Cal $134.40
Rate for Payer: Molina Healthcare of CA Medicare $134.40
Rate for Payer: Multiplan Commercial $188.46
Rate for Payer: Networks By Design Commercial $125.64
Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage $100.30
Rate for Payer: Prime Health Services Commercial $213.59
Rate for Payer: Prime Health Services Medicare $106.32
Rate for Payer: Riverside University Health System MISP $110.33
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $150.77
Rate for Payer: TriValley Medical Group Commercial/Senior $150.77
Rate for Payer: United Healthcare All Other Commercial $94.31
Rate for Payer: United Healthcare All Other HMO $91.79
Rate for Payer: United Healthcare HMO Rider $89.81
Rate for Payer: United Healthcare Select/Navigate/Core $82.29
Rate for Payer: Upland Medical Group Pediatric $100.30
Rate for Payer: Vantage Medical Group Commercial/Exchange $125.37
Rate for Payer: Vantage Medical Group Medi-Cal $110.33
Rate for Payer: Vantage Medical Group Senior $110.33
Service Code HCPCS J9023
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $50.26
Max. Negotiated Rate $226.15
Rate for Payer: Adventist Health Commercial $50.26
Rate for Payer: Blue Shield of California Commercial $194.24
Rate for Payer: Blue Shield of California EPN $126.65
Rate for Payer: Cash Price $138.21
Rate for Payer: Central Health Plan Commercial $201.02
Rate for Payer: Cigna of CA HMO $175.90
Rate for Payer: Cigna of CA PPO $175.90
Rate for Payer: EPIC Health Plan Commercial $100.51
Rate for Payer: EPIC Health Plan Senior $100.51
Rate for Payer: Galaxy Health WC $213.59
Rate for Payer: Global Benefits Group Commercial $150.77
Rate for Payer: Health Management Network EPO/PPO $226.15
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $167.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal $95.74
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $155.54
Rate for Payer: LLUH Dept of Risk Management WC $50.26
Rate for Payer: Multiplan Commercial $188.46
Rate for Payer: Networks By Design Commercial $125.64
Rate for Payer: Prime Health Services Commercial $213.59
Rate for Payer: United Healthcare All Other Commercial $94.31
Rate for Payer: United Healthcare All Other HMO $91.79
Rate for Payer: United Healthcare HMO Rider $89.81
Rate for Payer: United Healthcare Select/Navigate/Core $82.29
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $140.46
Max. Negotiated Rate $632.06
Rate for Payer: Adventist Health Commercial $140.46
Rate for Payer: Blue Shield of California Commercial $542.87
Rate for Payer: Blue Shield of California EPN $353.95
Rate for Payer: Cash Price $386.26
Rate for Payer: Central Health Plan Commercial $561.83
Rate for Payer: Cigna of CA HMO $491.60
Rate for Payer: Cigna of CA PPO $491.60
Rate for Payer: EPIC Health Plan Commercial $280.92
Rate for Payer: EPIC Health Plan Senior $280.92
Rate for Payer: Galaxy Health WC $596.95
Rate for Payer: Global Benefits Group Commercial $421.37
Rate for Payer: Health Management Network EPO/PPO $632.06
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $468.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $267.57
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $434.72
Rate for Payer: LLUH Dept of Risk Management WC $140.46
Rate for Payer: Multiplan Commercial $526.72
Rate for Payer: Networks By Design Commercial $351.14
Rate for Payer: Prime Health Services Commercial $596.95
Rate for Payer: United Healthcare All Other Commercial $263.57
Rate for Payer: United Healthcare All Other HMO $256.55
Rate for Payer: United Healthcare HMO Rider $251.00
Rate for Payer: United Healthcare Select/Navigate/Core $230.00
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.32
Max. Negotiated Rate $632.06
Rate for Payer: Adventist Health Commercial $140.46
Rate for Payer: Aetna of CA HMO/PPO $426.50
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $596.95
Rate for Payer: Alpha Care Medical Group Medi-Cal $386.26
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $526.72
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Cash Price $386.26
Rate for Payer: Cash Price $386.26
Rate for Payer: Central Health Plan Commercial $561.83
Rate for Payer: Cigna of CA HMO $491.60
Rate for Payer: Cigna of CA PPO $491.60
Rate for Payer: Dignity Health Commercial/Exchange $596.95
Rate for Payer: Dignity Health Medi-Cal $596.95
Rate for Payer: Dignity Health Medicare Advantage $596.95
Rate for Payer: EPIC Health Plan Commercial $280.92
Rate for Payer: EPIC Health Plan Senior $280.92
Rate for Payer: Galaxy Health WC $596.95
Rate for Payer: Global Benefits Group Commercial $421.37
Rate for Payer: Health Management Network EPO/PPO $632.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: InnovAge PACE Commercial $351.14
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $468.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $434.72
Rate for Payer: LLUH Dept of Risk Management WC $140.46
Rate for Payer: Molina Healthcare of CA Medi-Cal $491.60
Rate for Payer: Molina Healthcare of CA Medicare $491.60
Rate for Payer: Multiplan Commercial $526.72
Rate for Payer: Networks By Design Commercial $351.14
Rate for Payer: Prime Health Services Commercial $596.95
Rate for Payer: Riverside University Health System MISP $280.92
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $421.37
Rate for Payer: TriValley Medical Group Commercial/Senior $421.37
Rate for Payer: United Healthcare All Other Commercial $263.57
Rate for Payer: United Healthcare All Other HMO $256.55
Rate for Payer: United Healthcare HMO Rider $251.00
Rate for Payer: United Healthcare Select/Navigate/Core $230.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $596.95
Rate for Payer: Vantage Medical Group Medi-Cal $596.95
Rate for Payer: Vantage Medical Group Senior $596.95
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $10.80
Max. Negotiated Rate $48.60
Rate for Payer: Adventist Health Commercial $10.80
Rate for Payer: Adventist Health Commercial $42.00
Rate for Payer: Blue Shield of California Commercial $41.74
Rate for Payer: Blue Shield of California Commercial $162.33
Rate for Payer: Blue Shield of California EPN $105.84
Rate for Payer: Blue Shield of California EPN $27.22
Rate for Payer: Cash Price $29.70
Rate for Payer: Cash Price $115.50
Rate for Payer: Central Health Plan Commercial $43.20
Rate for Payer: Central Health Plan Commercial $168.00
Rate for Payer: Cigna of CA HMO $147.00
Rate for Payer: Cigna of CA HMO $37.80
Rate for Payer: Cigna of CA PPO $147.00
Rate for Payer: Cigna of CA PPO $37.80
Rate for Payer: EPIC Health Plan Commercial $84.00
Rate for Payer: EPIC Health Plan Commercial $21.60
Rate for Payer: EPIC Health Plan Senior $84.00
Rate for Payer: EPIC Health Plan Senior $21.60
Rate for Payer: Galaxy Health WC $178.50
Rate for Payer: Galaxy Health WC $45.90
Rate for Payer: Global Benefits Group Commercial $32.40
Rate for Payer: Global Benefits Group Commercial $126.00
Rate for Payer: Health Management Network EPO/PPO $189.00
Rate for Payer: Health Management Network EPO/PPO $48.60
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $140.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $36.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $20.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal $80.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $129.99
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $33.43
Rate for Payer: LLUH Dept of Risk Management WC $10.80
Rate for Payer: LLUH Dept of Risk Management WC $42.00
Rate for Payer: Multiplan Commercial $157.50
Rate for Payer: Multiplan Commercial $40.50
Rate for Payer: Networks By Design Commercial $105.00
Rate for Payer: Networks By Design Commercial $27.00
Rate for Payer: Prime Health Services Commercial $45.90
Rate for Payer: Prime Health Services Commercial $178.50
Rate for Payer: United Healthcare All Other Commercial $78.81
Rate for Payer: United Healthcare All Other Commercial $20.27
Rate for Payer: United Healthcare All Other HMO $19.73
Rate for Payer: United Healthcare All Other HMO $76.71
Rate for Payer: United Healthcare HMO Rider $75.05
Rate for Payer: United Healthcare HMO Rider $19.30
Rate for Payer: United Healthcare Select/Navigate/Core $68.78
Rate for Payer: United Healthcare Select/Navigate/Core $17.68
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.32
Max. Negotiated Rate $189.00
Rate for Payer: Adventist Health Commercial $42.00
Rate for Payer: Adventist Health Commercial $10.80
Rate for Payer: Aetna of CA HMO/PPO $32.79
Rate for Payer: Aetna of CA HMO/PPO $127.53
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $45.90
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $178.50
Rate for Payer: Alpha Care Medical Group Medi-Cal $29.70
Rate for Payer: Alpha Care Medical Group Medi-Cal $115.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $40.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $157.50
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Cash Price $115.50
Rate for Payer: Cash Price $115.50
Rate for Payer: Cash Price $29.70
Rate for Payer: Cash Price $29.70
Rate for Payer: Central Health Plan Commercial $168.00
Rate for Payer: Central Health Plan Commercial $43.20
Rate for Payer: Cigna of CA HMO $37.80
Rate for Payer: Cigna of CA HMO $147.00
Rate for Payer: Cigna of CA PPO $37.80
Rate for Payer: Cigna of CA PPO $147.00
Rate for Payer: Dignity Health Commercial/Exchange $178.50
Rate for Payer: Dignity Health Commercial/Exchange $45.90
Rate for Payer: Dignity Health Medi-Cal $45.90
Rate for Payer: Dignity Health Medi-Cal $178.50
Rate for Payer: Dignity Health Medicare Advantage $178.50
Rate for Payer: Dignity Health Medicare Advantage $45.90
Rate for Payer: EPIC Health Plan Commercial $21.60
Rate for Payer: EPIC Health Plan Commercial $84.00
Rate for Payer: EPIC Health Plan Senior $84.00
Rate for Payer: EPIC Health Plan Senior $21.60
Rate for Payer: Galaxy Health WC $45.90
Rate for Payer: Galaxy Health WC $178.50
Rate for Payer: Global Benefits Group Commercial $32.40
Rate for Payer: Global Benefits Group Commercial $126.00
Rate for Payer: Health Management Network EPO/PPO $48.60
Rate for Payer: Health Management Network EPO/PPO $189.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: InnovAge PACE Commercial $105.00
Rate for Payer: InnovAge PACE Commercial $27.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $140.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $36.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $33.43
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $129.99
Rate for Payer: LLUH Dept of Risk Management WC $42.00
Rate for Payer: LLUH Dept of Risk Management WC $10.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $147.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $37.80
Rate for Payer: Molina Healthcare of CA Medicare $37.80
Rate for Payer: Molina Healthcare of CA Medicare $147.00
Rate for Payer: Multiplan Commercial $157.50
Rate for Payer: Multiplan Commercial $40.50
Rate for Payer: Networks By Design Commercial $27.00
Rate for Payer: Networks By Design Commercial $105.00
Rate for Payer: Prime Health Services Commercial $45.90
Rate for Payer: Prime Health Services Commercial $178.50
Rate for Payer: Riverside University Health System MISP $84.00
Rate for Payer: Riverside University Health System MISP $21.60
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $32.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $126.00
Rate for Payer: TriValley Medical Group Commercial/Senior $126.00
Rate for Payer: TriValley Medical Group Commercial/Senior $32.40
Rate for Payer: United Healthcare All Other Commercial $20.27
Rate for Payer: United Healthcare All Other Commercial $78.81
Rate for Payer: United Healthcare All Other HMO $76.71
Rate for Payer: United Healthcare All Other HMO $19.73
Rate for Payer: United Healthcare HMO Rider $75.05
Rate for Payer: United Healthcare HMO Rider $19.30
Rate for Payer: United Healthcare Select/Navigate/Core $68.78
Rate for Payer: United Healthcare Select/Navigate/Core $17.68
Rate for Payer: Vantage Medical Group Commercial/Exchange $178.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $45.90
Rate for Payer: Vantage Medical Group Medi-Cal $178.50
Rate for Payer: Vantage Medical Group Medi-Cal $45.90
Rate for Payer: Vantage Medical Group Senior $178.50
Rate for Payer: Vantage Medical Group Senior $45.90
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.32
Max. Negotiated Rate $216.00
Rate for Payer: Adventist Health Commercial $48.00
Rate for Payer: Adventist Health Commercial $10.80
Rate for Payer: Adventist Health Commercial $42.00
Rate for Payer: Aetna of CA HMO/PPO $32.79
Rate for Payer: Aetna of CA HMO/PPO $127.53
Rate for Payer: Aetna of CA HMO/PPO $145.75
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $204.00
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $45.90
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $178.50
Rate for Payer: Alpha Care Medical Group Medi-Cal $132.00
Rate for Payer: Alpha Care Medical Group Medi-Cal $115.50
Rate for Payer: Alpha Care Medical Group Medi-Cal $29.70
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $157.50
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $180.00
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $40.50
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA Exchange $2.20
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.67
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California Commercial $1.32
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Blue Shield of California EPN $1.20
Rate for Payer: Cash Price $29.70
Rate for Payer: Cash Price $115.50
Rate for Payer: Cash Price $115.50
Rate for Payer: Cash Price $132.00
Rate for Payer: Cash Price $132.00
Rate for Payer: Cash Price $29.70
Rate for Payer: Central Health Plan Commercial $43.20
Rate for Payer: Central Health Plan Commercial $192.00
Rate for Payer: Central Health Plan Commercial $168.00
Rate for Payer: Cigna of CA HMO $37.80
Rate for Payer: Cigna of CA HMO $168.00
Rate for Payer: Cigna of CA HMO $147.00
Rate for Payer: Cigna of CA PPO $147.00
Rate for Payer: Cigna of CA PPO $37.80
Rate for Payer: Cigna of CA PPO $168.00
Rate for Payer: Dignity Health Commercial/Exchange $45.90
Rate for Payer: Dignity Health Commercial/Exchange $178.50
Rate for Payer: Dignity Health Commercial/Exchange $204.00
Rate for Payer: Dignity Health Medi-Cal $178.50
Rate for Payer: Dignity Health Medi-Cal $204.00
Rate for Payer: Dignity Health Medi-Cal $45.90
Rate for Payer: Dignity Health Medicare Advantage $204.00
Rate for Payer: Dignity Health Medicare Advantage $178.50
Rate for Payer: Dignity Health Medicare Advantage $45.90
Rate for Payer: EPIC Health Plan Commercial $84.00
Rate for Payer: EPIC Health Plan Commercial $96.00
Rate for Payer: EPIC Health Plan Commercial $21.60
Rate for Payer: EPIC Health Plan Senior $84.00
Rate for Payer: EPIC Health Plan Senior $96.00
Rate for Payer: EPIC Health Plan Senior $21.60
Rate for Payer: Galaxy Health WC $45.90
Rate for Payer: Galaxy Health WC $178.50
Rate for Payer: Galaxy Health WC $204.00
Rate for Payer: Global Benefits Group Commercial $126.00
Rate for Payer: Global Benefits Group Commercial $32.40
Rate for Payer: Global Benefits Group Commercial $144.00
Rate for Payer: Health Management Network EPO/PPO $48.60
Rate for Payer: Health Management Network EPO/PPO $189.00
Rate for Payer: Health Management Network EPO/PPO $216.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $0.32
Rate for Payer: InnovAge PACE Commercial $27.00
Rate for Payer: InnovAge PACE Commercial $120.00
Rate for Payer: InnovAge PACE Commercial $105.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $160.08
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $140.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $36.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $9.03
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $33.43
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $129.99
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $148.56
Rate for Payer: LLUH Dept of Risk Management WC $10.80
Rate for Payer: LLUH Dept of Risk Management WC $42.00
Rate for Payer: LLUH Dept of Risk Management WC $48.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $37.80
Rate for Payer: Molina Healthcare of CA Medi-Cal $168.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $147.00
Rate for Payer: Molina Healthcare of CA Medicare $147.00
Rate for Payer: Molina Healthcare of CA Medicare $168.00
Rate for Payer: Molina Healthcare of CA Medicare $37.80
Rate for Payer: Multiplan Commercial $40.50
Rate for Payer: Multiplan Commercial $157.50
Rate for Payer: Multiplan Commercial $180.00
Rate for Payer: Networks By Design Commercial $105.00
Rate for Payer: Networks By Design Commercial $27.00
Rate for Payer: Networks By Design Commercial $120.00
Rate for Payer: Prime Health Services Commercial $204.00
Rate for Payer: Prime Health Services Commercial $45.90
Rate for Payer: Prime Health Services Commercial $178.50
Rate for Payer: Riverside University Health System MISP $21.60
Rate for Payer: Riverside University Health System MISP $96.00
Rate for Payer: Riverside University Health System MISP $84.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $144.00
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $32.40
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $126.00
Rate for Payer: TriValley Medical Group Commercial/Senior $144.00
Rate for Payer: TriValley Medical Group Commercial/Senior $32.40
Rate for Payer: TriValley Medical Group Commercial/Senior $126.00
Rate for Payer: United Healthcare All Other Commercial $20.27
Rate for Payer: United Healthcare All Other Commercial $90.07
Rate for Payer: United Healthcare All Other Commercial $78.81
Rate for Payer: United Healthcare All Other HMO $76.71
Rate for Payer: United Healthcare All Other HMO $87.67
Rate for Payer: United Healthcare All Other HMO $19.73
Rate for Payer: United Healthcare HMO Rider $85.78
Rate for Payer: United Healthcare HMO Rider $75.05
Rate for Payer: United Healthcare HMO Rider $19.30
Rate for Payer: United Healthcare Select/Navigate/Core $17.68
Rate for Payer: United Healthcare Select/Navigate/Core $68.78
Rate for Payer: United Healthcare Select/Navigate/Core $78.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $204.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $178.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $45.90
Rate for Payer: Vantage Medical Group Medi-Cal $178.50
Rate for Payer: Vantage Medical Group Medi-Cal $45.90
Rate for Payer: Vantage Medical Group Medi-Cal $204.00
Rate for Payer: Vantage Medical Group Senior $204.00
Rate for Payer: Vantage Medical Group Senior $178.50
Rate for Payer: Vantage Medical Group Senior $45.90
Service Code HCPCS J9025
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $10.80
Max. Negotiated Rate $48.60
Rate for Payer: Adventist Health Commercial $10.80
Rate for Payer: Adventist Health Commercial $48.00
Rate for Payer: Adventist Health Commercial $42.00
Rate for Payer: Blue Shield of California Commercial $41.74
Rate for Payer: Blue Shield of California Commercial $185.52
Rate for Payer: Blue Shield of California Commercial $162.33
Rate for Payer: Blue Shield of California EPN $105.84
Rate for Payer: Blue Shield of California EPN $27.22
Rate for Payer: Blue Shield of California EPN $120.96
Rate for Payer: Cash Price $29.70
Rate for Payer: Cash Price $115.50
Rate for Payer: Cash Price $132.00
Rate for Payer: Central Health Plan Commercial $192.00
Rate for Payer: Central Health Plan Commercial $168.00
Rate for Payer: Central Health Plan Commercial $43.20
Rate for Payer: Cigna of CA HMO $37.80
Rate for Payer: Cigna of CA HMO $147.00
Rate for Payer: Cigna of CA HMO $168.00
Rate for Payer: Cigna of CA PPO $37.80
Rate for Payer: Cigna of CA PPO $168.00
Rate for Payer: Cigna of CA PPO $147.00
Rate for Payer: EPIC Health Plan Commercial $21.60
Rate for Payer: EPIC Health Plan Commercial $96.00
Rate for Payer: EPIC Health Plan Commercial $84.00
Rate for Payer: EPIC Health Plan Senior $96.00
Rate for Payer: EPIC Health Plan Senior $84.00
Rate for Payer: EPIC Health Plan Senior $21.60
Rate for Payer: Galaxy Health WC $204.00
Rate for Payer: Galaxy Health WC $178.50
Rate for Payer: Galaxy Health WC $45.90
Rate for Payer: Global Benefits Group Commercial $144.00
Rate for Payer: Global Benefits Group Commercial $126.00
Rate for Payer: Global Benefits Group Commercial $32.40
Rate for Payer: Health Management Network EPO/PPO $48.60
Rate for Payer: Health Management Network EPO/PPO $216.00
Rate for Payer: Health Management Network EPO/PPO $189.00
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $36.02
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $140.07
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $160.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal $80.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $20.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal $91.44
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $33.43
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $148.56
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $129.99
Rate for Payer: LLUH Dept of Risk Management WC $10.80
Rate for Payer: LLUH Dept of Risk Management WC $48.00
Rate for Payer: LLUH Dept of Risk Management WC $42.00
Rate for Payer: Multiplan Commercial $40.50
Rate for Payer: Multiplan Commercial $180.00
Rate for Payer: Multiplan Commercial $157.50
Rate for Payer: Networks By Design Commercial $27.00
Rate for Payer: Networks By Design Commercial $105.00
Rate for Payer: Networks By Design Commercial $120.00
Rate for Payer: Prime Health Services Commercial $204.00
Rate for Payer: Prime Health Services Commercial $45.90
Rate for Payer: Prime Health Services Commercial $178.50
Rate for Payer: United Healthcare All Other Commercial $78.81
Rate for Payer: United Healthcare All Other Commercial $20.27
Rate for Payer: United Healthcare All Other Commercial $90.07
Rate for Payer: United Healthcare All Other HMO $87.67
Rate for Payer: United Healthcare All Other HMO $76.71
Rate for Payer: United Healthcare All Other HMO $19.73
Rate for Payer: United Healthcare HMO Rider $75.05
Rate for Payer: United Healthcare HMO Rider $85.78
Rate for Payer: United Healthcare HMO Rider $19.30
Rate for Payer: United Healthcare Select/Navigate/Core $78.60
Rate for Payer: United Healthcare Select/Navigate/Core $17.68
Rate for Payer: United Healthcare Select/Navigate/Core $68.78
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $7.51
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Adventist Health Commercial $0.08
Rate for Payer: Aetna of CA HMO/PPO $0.49
Rate for Payer: Aetna of CA HMO/PPO $0.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.69
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.35
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.45
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.23
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.61
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.31
Rate for Payer: Anthem Blue Cross of CA Exchange $7.51
Rate for Payer: Anthem Blue Cross of CA Exchange $7.51
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Blue Shield of California Commercial $4.51
Rate for Payer: Blue Shield of California Commercial $4.51
Rate for Payer: Blue Shield of California EPN $4.10
Rate for Payer: Blue Shield of California EPN $4.10
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.22
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Central Health Plan Commercial $0.33
Rate for Payer: Cigna of CA HMO $0.29
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: Cigna of CA PPO $0.29
Rate for Payer: Dignity Health Commercial/Exchange $0.69
Rate for Payer: Dignity Health Commercial/Exchange $0.35
Rate for Payer: Dignity Health Medi-Cal $0.35
Rate for Payer: Dignity Health Medi-Cal $0.69
Rate for Payer: Dignity Health Medicare Advantage $0.35
Rate for Payer: Dignity Health Medicare Advantage $0.69
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Commercial $0.16
Rate for Payer: EPIC Health Plan Senior $0.16
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Galaxy Health WC $0.35
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Global Benefits Group Commercial $0.25
Rate for Payer: Health Management Network EPO/PPO $0.37
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.01
Rate for Payer: InnovAge PACE Commercial $0.21
Rate for Payer: InnovAge PACE Commercial $0.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.25
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.29
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.57
Rate for Payer: Molina Healthcare of CA Medicare $0.29
Rate for Payer: Molina Healthcare of CA Medicare $0.57
Rate for Payer: Multiplan Commercial $0.31
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: Prime Health Services Commercial $0.35
Rate for Payer: Riverside University Health System MISP $0.16
Rate for Payer: Riverside University Health System MISP $0.32
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.49
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.25
Rate for Payer: TriValley Medical Group Commercial/Senior $0.25
Rate for Payer: TriValley Medical Group Commercial/Senior $0.49
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other Commercial $0.15
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare All Other HMO $0.15
Rate for Payer: United Healthcare HMO Rider $0.15
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.13
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.35
Rate for Payer: Vantage Medical Group Medi-Cal $0.35
Rate for Payer: Vantage Medical Group Medi-Cal $0.69
Rate for Payer: Vantage Medical Group Senior $0.69
Rate for Payer: Vantage Medical Group Senior $0.35
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.73
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Adventist Health Commercial $0.08
Rate for Payer: Blue Shield of California Commercial $0.63
Rate for Payer: Blue Shield of California Commercial $0.32
Rate for Payer: Blue Shield of California EPN $0.21
Rate for Payer: Blue Shield of California EPN $0.41
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Central Health Plan Commercial $0.33
Rate for Payer: Cigna of CA HMO $0.29
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.29
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: EPIC Health Plan Commercial $0.16
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Senior $0.16
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.35
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Global Benefits Group Commercial $0.25
Rate for Payer: Health Management Network EPO/PPO $0.37
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.25
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.31
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: Prime Health Services Commercial $0.35
Rate for Payer: United Healthcare All Other Commercial $0.15
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare All Other HMO $0.15
Rate for Payer: United Healthcare HMO Rider $0.15
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.13
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.73
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Adventist Health Commercial $0.08
Rate for Payer: Blue Shield of California Commercial $0.63
Rate for Payer: Blue Shield of California Commercial $0.32
Rate for Payer: Blue Shield of California EPN $0.21
Rate for Payer: Blue Shield of California EPN $0.41
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Central Health Plan Commercial $0.33
Rate for Payer: Cigna of CA HMO $0.29
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.29
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: EPIC Health Plan Commercial $0.16
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Senior $0.16
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.35
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Global Benefits Group Commercial $0.25
Rate for Payer: Health Management Network EPO/PPO $0.37
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.25
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.31
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: Prime Health Services Commercial $0.35
Rate for Payer: United Healthcare All Other Commercial $0.15
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare All Other HMO $0.15
Rate for Payer: United Healthcare HMO Rider $0.15
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.13
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $7.51
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Adventist Health Commercial $0.08
Rate for Payer: Aetna of CA HMO/PPO $0.49
Rate for Payer: Aetna of CA HMO/PPO $0.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.69
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.35
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.45
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.23
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.61
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.31
Rate for Payer: Anthem Blue Cross of CA Exchange $7.51
Rate for Payer: Anthem Blue Cross of CA Exchange $7.51
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Blue Shield of California Commercial $4.51
Rate for Payer: Blue Shield of California Commercial $4.51
Rate for Payer: Blue Shield of California EPN $4.10
Rate for Payer: Blue Shield of California EPN $4.10
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.22
Rate for Payer: Cash Price $0.22
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Central Health Plan Commercial $0.33
Rate for Payer: Cigna of CA HMO $0.29
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: Cigna of CA PPO $0.29
Rate for Payer: Dignity Health Commercial/Exchange $0.69
Rate for Payer: Dignity Health Commercial/Exchange $0.35
Rate for Payer: Dignity Health Medi-Cal $0.35
Rate for Payer: Dignity Health Medi-Cal $0.69
Rate for Payer: Dignity Health Medicare Advantage $0.35
Rate for Payer: Dignity Health Medicare Advantage $0.69
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Commercial $0.16
Rate for Payer: EPIC Health Plan Senior $0.16
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Galaxy Health WC $0.35
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Global Benefits Group Commercial $0.25
Rate for Payer: Health Management Network EPO/PPO $0.37
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.01
Rate for Payer: InnovAge PACE Commercial $0.21
Rate for Payer: InnovAge PACE Commercial $0.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.27
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.16
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.25
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.29
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.57
Rate for Payer: Molina Healthcare of CA Medicare $0.29
Rate for Payer: Molina Healthcare of CA Medicare $0.57
Rate for Payer: Multiplan Commercial $0.31
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.21
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: Prime Health Services Commercial $0.35
Rate for Payer: Riverside University Health System MISP $0.16
Rate for Payer: Riverside University Health System MISP $0.32
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.49
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.25
Rate for Payer: TriValley Medical Group Commercial/Senior $0.25
Rate for Payer: TriValley Medical Group Commercial/Senior $0.49
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other Commercial $0.15
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare All Other HMO $0.15
Rate for Payer: United Healthcare HMO Rider $0.15
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.13
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.35
Rate for Payer: Vantage Medical Group Medi-Cal $0.35
Rate for Payer: Vantage Medical Group Medi-Cal $0.69
Rate for Payer: Vantage Medical Group Senior $0.69
Rate for Payer: Vantage Medical Group Senior $0.35
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $0.73
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Blue Shield of California Commercial $0.63
Rate for Payer: Blue Shield of California EPN $0.41
Rate for Payer: Cash Price $0.45
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Service Code HCPCS J7500
Hospital Charge Code 901700025
Hospital Revenue Code 636
Min. Negotiated Rate $0.16
Max. Negotiated Rate $7.51
Rate for Payer: Adventist Health Commercial $0.16
Rate for Payer: Aetna of CA HMO/PPO $0.49
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.69
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.45
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.61
Rate for Payer: Anthem Blue Cross of CA Exchange $7.51
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $2.31
Rate for Payer: Blue Shield of California Commercial $4.51
Rate for Payer: Blue Shield of California EPN $4.10
Rate for Payer: Cash Price $0.45
Rate for Payer: Cash Price $0.45
Rate for Payer: Central Health Plan Commercial $0.65
Rate for Payer: Cigna of CA HMO $0.57
Rate for Payer: Cigna of CA PPO $0.57
Rate for Payer: Dignity Health Commercial/Exchange $0.69
Rate for Payer: Dignity Health Medi-Cal $0.69
Rate for Payer: Dignity Health Medicare Advantage $0.69
Rate for Payer: EPIC Health Plan Commercial $0.32
Rate for Payer: EPIC Health Plan Senior $0.32
Rate for Payer: Galaxy Health WC $0.69
Rate for Payer: Global Benefits Group Commercial $0.49
Rate for Payer: Health Management Network EPO/PPO $0.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal $1.01
Rate for Payer: InnovAge PACE Commercial $0.41
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.31
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.50
Rate for Payer: LLUH Dept of Risk Management WC $0.16
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.57
Rate for Payer: Molina Healthcare of CA Medicare $0.57
Rate for Payer: Multiplan Commercial $0.61
Rate for Payer: Networks By Design Commercial $0.41
Rate for Payer: Prime Health Services Commercial $0.69
Rate for Payer: Riverside University Health System MISP $0.32
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.49
Rate for Payer: TriValley Medical Group Commercial/Senior $0.49
Rate for Payer: United Healthcare All Other Commercial $0.30
Rate for Payer: United Healthcare All Other HMO $0.30
Rate for Payer: United Healthcare HMO Rider $0.29
Rate for Payer: United Healthcare Select/Navigate/Core $0.27
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.69
Rate for Payer: Vantage Medical Group Medi-Cal $0.69
Rate for Payer: Vantage Medical Group Senior $0.69
Service Code NDC 61314-308-02
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $1.40
Max. Negotiated Rate $6.30
Rate for Payer: Adventist Health Commercial $1.40
Rate for Payer: Blue Shield of California Commercial $5.41
Rate for Payer: Blue Shield of California EPN $3.53
Rate for Payer: Cash Price $3.85
Rate for Payer: Central Health Plan Commercial $5.60
Rate for Payer: Cigna of CA HMO $4.90
Rate for Payer: Cigna of CA PPO $4.90
Rate for Payer: EPIC Health Plan Commercial $2.80
Rate for Payer: EPIC Health Plan Senior $2.80
Rate for Payer: Galaxy Health WC $5.95
Rate for Payer: Global Benefits Group Commercial $4.20
Rate for Payer: Health Management Network EPO/PPO $6.30
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4.33
Rate for Payer: LLUH Dept of Risk Management WC $1.40
Rate for Payer: Multiplan Commercial $5.25
Rate for Payer: Networks By Design Commercial $4.55
Rate for Payer: Prime Health Services Commercial $5.95
Service Code NDC 61314-308-02
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $1.40
Max. Negotiated Rate $6.30
Rate for Payer: Adventist Health Commercial $1.40
Rate for Payer: Aetna of CA HMO/PPO $4.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5.95
Rate for Payer: Alpha Care Medical Group Medi-Cal $3.85
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $5.25
Rate for Payer: Anthem Blue Cross of CA Exchange $3.39
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4.11
Rate for Payer: Blue Shield of California Commercial $4.28
Rate for Payer: Blue Shield of California EPN $2.79
Rate for Payer: Cash Price $3.85
Rate for Payer: Central Health Plan Commercial $5.60
Rate for Payer: Cigna of CA HMO $4.90
Rate for Payer: Cigna of CA PPO $4.90
Rate for Payer: Dignity Health Commercial/Exchange $5.95
Rate for Payer: Dignity Health Medi-Cal $5.95
Rate for Payer: Dignity Health Medicare Advantage $5.95
Rate for Payer: EPIC Health Plan Commercial $2.80
Rate for Payer: EPIC Health Plan Senior $2.80
Rate for Payer: Galaxy Health WC $5.95
Rate for Payer: Global Benefits Group Commercial $4.20
Rate for Payer: Health Management Network EPO/PPO $6.30
Rate for Payer: InnovAge PACE Commercial $3.50
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $4.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4.33
Rate for Payer: LLUH Dept of Risk Management WC $1.40
Rate for Payer: Molina Healthcare of CA Medi-Cal $4.90
Rate for Payer: Molina Healthcare of CA Medicare $4.90
Rate for Payer: Multiplan Commercial $5.25
Rate for Payer: Networks By Design Commercial $4.55
Rate for Payer: Prime Health Services Commercial $5.95
Rate for Payer: Riverside University Health System MISP $2.80
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $4.20
Rate for Payer: TriValley Medical Group Commercial/Senior $4.20
Rate for Payer: United Healthcare All Other Commercial $3.50
Rate for Payer: United Healthcare All Other HMO $3.50
Rate for Payer: United Healthcare HMO Rider $3.50
Rate for Payer: United Healthcare Select/Navigate/Core $3.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $5.95
Rate for Payer: Vantage Medical Group Medi-Cal $5.95
Rate for Payer: Vantage Medical Group Senior $5.95
Service Code NDC 47335-779-91
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.78
Rate for Payer: Adventist Health Commercial $0.17
Rate for Payer: Aetna of CA HMO/PPO $0.53
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.74
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.48
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.65
Rate for Payer: Anthem Blue Cross of CA Exchange $0.42
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.51
Rate for Payer: Blue Shield of California Commercial $0.53
Rate for Payer: Blue Shield of California EPN $0.35
Rate for Payer: Cash Price $0.48
Rate for Payer: Central Health Plan Commercial $0.70
Rate for Payer: Cigna of CA HMO $0.61
Rate for Payer: Cigna of CA PPO $0.61
Rate for Payer: Dignity Health Commercial/Exchange $0.74
Rate for Payer: Dignity Health Medi-Cal $0.74
Rate for Payer: Dignity Health Medicare Advantage $0.74
Rate for Payer: EPIC Health Plan Commercial $0.35
Rate for Payer: EPIC Health Plan Senior $0.35
Rate for Payer: Galaxy Health WC $0.74
Rate for Payer: Global Benefits Group Commercial $0.52
Rate for Payer: Health Management Network EPO/PPO $0.78
Rate for Payer: InnovAge PACE Commercial $0.44
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.33
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.54
Rate for Payer: LLUH Dept of Risk Management WC $0.17
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.61
Rate for Payer: Molina Healthcare of CA Medicare $0.61
Rate for Payer: Multiplan Commercial $0.65
Rate for Payer: Networks By Design Commercial $0.57
Rate for Payer: Prime Health Services Commercial $0.74
Rate for Payer: Riverside University Health System MISP $0.35
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.52
Rate for Payer: TriValley Medical Group Commercial/Senior $0.52
Rate for Payer: United Healthcare All Other Commercial $0.44
Rate for Payer: United Healthcare All Other HMO $0.44
Rate for Payer: United Healthcare HMO Rider $0.44
Rate for Payer: United Healthcare Select/Navigate/Core $0.44
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.74
Rate for Payer: Vantage Medical Group Medi-Cal $0.74
Rate for Payer: Vantage Medical Group Senior $0.74
Service Code NDC 59651-214-30
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.14
Max. Negotiated Rate $0.65
Rate for Payer: Adventist Health Commercial $0.14
Rate for Payer: Aetna of CA HMO/PPO $0.44
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.61
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.40
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.54
Rate for Payer: Anthem Blue Cross of CA Exchange $0.35
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.42
Rate for Payer: Blue Shield of California Commercial $0.44
Rate for Payer: Blue Shield of California EPN $0.29
Rate for Payer: Cash Price $0.40
Rate for Payer: Central Health Plan Commercial $0.58
Rate for Payer: Cigna of CA HMO $0.50
Rate for Payer: Cigna of CA PPO $0.50
Rate for Payer: Dignity Health Commercial/Exchange $0.61
Rate for Payer: Dignity Health Medi-Cal $0.61
Rate for Payer: Dignity Health Medicare Advantage $0.61
Rate for Payer: EPIC Health Plan Commercial $0.29
Rate for Payer: EPIC Health Plan Senior $0.29
Rate for Payer: Galaxy Health WC $0.61
Rate for Payer: Global Benefits Group Commercial $0.43
Rate for Payer: Health Management Network EPO/PPO $0.65
Rate for Payer: InnovAge PACE Commercial $0.36
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.27
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.45
Rate for Payer: LLUH Dept of Risk Management WC $0.14
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.50
Rate for Payer: Molina Healthcare of CA Medicare $0.50
Rate for Payer: Multiplan Commercial $0.54
Rate for Payer: Networks By Design Commercial $0.47
Rate for Payer: Prime Health Services Commercial $0.61
Rate for Payer: Riverside University Health System MISP $0.29
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.43
Rate for Payer: TriValley Medical Group Commercial/Senior $0.43
Rate for Payer: United Healthcare All Other Commercial $0.36
Rate for Payer: United Healthcare All Other HMO $0.36
Rate for Payer: United Healthcare HMO Rider $0.36
Rate for Payer: United Healthcare Select/Navigate/Core $0.36
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.61
Rate for Payer: Vantage Medical Group Medi-Cal $0.61
Rate for Payer: Vantage Medical Group Senior $0.61
Service Code NDC 60505-0833-5
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.78
Rate for Payer: Adventist Health Commercial $0.17
Rate for Payer: Aetna of CA HMO/PPO $0.53
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $0.74
Rate for Payer: Alpha Care Medical Group Medi-Cal $0.48
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $0.65
Rate for Payer: Anthem Blue Cross of CA Exchange $0.42
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $0.51
Rate for Payer: Blue Shield of California Commercial $0.53
Rate for Payer: Blue Shield of California EPN $0.35
Rate for Payer: Cash Price $0.48
Rate for Payer: Central Health Plan Commercial $0.70
Rate for Payer: Cigna of CA HMO $0.61
Rate for Payer: Cigna of CA PPO $0.61
Rate for Payer: Dignity Health Commercial/Exchange $0.74
Rate for Payer: Dignity Health Medi-Cal $0.74
Rate for Payer: Dignity Health Medicare Advantage $0.74
Rate for Payer: EPIC Health Plan Commercial $0.35
Rate for Payer: EPIC Health Plan Senior $0.35
Rate for Payer: Galaxy Health WC $0.74
Rate for Payer: Global Benefits Group Commercial $0.52
Rate for Payer: Health Management Network EPO/PPO $0.78
Rate for Payer: InnovAge PACE Commercial $0.44
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.33
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.54
Rate for Payer: LLUH Dept of Risk Management WC $0.17
Rate for Payer: Molina Healthcare of CA Medi-Cal $0.61
Rate for Payer: Molina Healthcare of CA Medicare $0.61
Rate for Payer: Multiplan Commercial $0.65
Rate for Payer: Networks By Design Commercial $0.57
Rate for Payer: Prime Health Services Commercial $0.74
Rate for Payer: Riverside University Health System MISP $0.35
Rate for Payer: Temecula Valley Physicians Medical Group Commercial $0.52
Rate for Payer: TriValley Medical Group Commercial/Senior $0.52
Rate for Payer: United Healthcare All Other Commercial $0.44
Rate for Payer: United Healthcare All Other HMO $0.44
Rate for Payer: United Healthcare HMO Rider $0.44
Rate for Payer: United Healthcare Select/Navigate/Core $0.44
Rate for Payer: Vantage Medical Group Commercial/Exchange $0.74
Rate for Payer: Vantage Medical Group Medi-Cal $0.74
Rate for Payer: Vantage Medical Group Senior $0.74
Service Code NDC 47335-779-91
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.78
Rate for Payer: Adventist Health Commercial $0.17
Rate for Payer: Blue Shield of California Commercial $0.67
Rate for Payer: Blue Shield of California EPN $0.44
Rate for Payer: Cash Price $0.48
Rate for Payer: Central Health Plan Commercial $0.70
Rate for Payer: Cigna of CA HMO $0.61
Rate for Payer: Cigna of CA PPO $0.61
Rate for Payer: EPIC Health Plan Commercial $0.35
Rate for Payer: EPIC Health Plan Senior $0.35
Rate for Payer: Galaxy Health WC $0.74
Rate for Payer: Global Benefits Group Commercial $0.52
Rate for Payer: Health Management Network EPO/PPO $0.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.33
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.54
Rate for Payer: LLUH Dept of Risk Management WC $0.17
Rate for Payer: Multiplan Commercial $0.65
Rate for Payer: Networks By Design Commercial $0.57
Rate for Payer: Prime Health Services Commercial $0.74
Service Code NDC 60505-0833-5
Hospital Charge Code 901700029
Hospital Revenue Code 259
Min. Negotiated Rate $0.17
Max. Negotiated Rate $0.78
Rate for Payer: Adventist Health Commercial $0.17
Rate for Payer: Blue Shield of California Commercial $0.67
Rate for Payer: Blue Shield of California EPN $0.44
Rate for Payer: Cash Price $0.48
Rate for Payer: Central Health Plan Commercial $0.70
Rate for Payer: Cigna of CA HMO $0.61
Rate for Payer: Cigna of CA PPO $0.61
Rate for Payer: EPIC Health Plan Commercial $0.35
Rate for Payer: EPIC Health Plan Senior $0.35
Rate for Payer: Galaxy Health WC $0.74
Rate for Payer: Global Benefits Group Commercial $0.52
Rate for Payer: Health Management Network EPO/PPO $0.78
Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded $0.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.33
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $0.54
Rate for Payer: LLUH Dept of Risk Management WC $0.17
Rate for Payer: Multiplan Commercial $0.65
Rate for Payer: Networks By Design Commercial $0.57
Rate for Payer: Prime Health Services Commercial $0.74