|
HC SIGMDSCPY W DECMPRS
|
Facility
|
IP
|
$6,810.00
|
|
|
Service Code
|
CPT 45337
|
| Hospital Charge Code |
906745337
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,362.00 |
| Max. Negotiated Rate |
$6,129.00 |
| Rate for Payer: Adventist Health Commercial |
$1,362.00
|
| Rate for Payer: Cash Price |
$3,064.50
|
| Rate for Payer: Central Health Plan Commercial |
$5,448.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,724.00
|
| Rate for Payer: EPIC Health Plan Senior |
$2,724.00
|
| Rate for Payer: Galaxy Health WC |
$5,788.50
|
| Rate for Payer: Global Benefits Group Commercial |
$4,086.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,129.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,542.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,594.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,215.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,362.00
|
| Rate for Payer: Multiplan Commercial |
$5,107.50
|
| Rate for Payer: Networks By Design Commercial |
$4,426.50
|
| Rate for Payer: Prime Health Services Commercial |
$5,788.50
|
|
|
HC SIGMDSCPY W DECMPRS
|
Facility
|
OP
|
$4,324.00
|
|
|
Service Code
|
CPT 45337
|
| Hospital Charge Code |
906745337
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$214.52 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$864.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,158.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,158.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,945.80
|
| Rate for Payer: Cash Price |
$1,945.80
|
| Rate for Payer: Cash Price |
$1,945.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,459.20
|
| Rate for Payer: Cigna of CA HMO |
$2,767.36
|
| Rate for Payer: Cigna of CA PPO |
$3,199.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,274.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,158.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,563.87
|
| Rate for Payer: EPIC Health Plan Senior |
$1,158.42
|
| Rate for Payer: Galaxy Health WC |
$3,675.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,594.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,891.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$214.52
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,158.42
|
| Rate for Payer: InnovAge PACE Commercial |
$1,737.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,884.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$236.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$864.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,552.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,552.28
|
| Rate for Payer: Multiplan Commercial |
$3,243.00
|
| Rate for Payer: Networks By Design Commercial |
$2,810.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$3,675.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,227.93
|
| Rate for Payer: Riverside University Health System MISP |
$1,274.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,594.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,390.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,158.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Vantage Medical Group Senior |
$1,158.42
|
|
|
HC SIGMDSCPY W ENDO US
|
Facility
|
IP
|
$5,276.00
|
|
|
Service Code
|
CPT 45341
|
| Hospital Charge Code |
906745341
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,055.20 |
| Max. Negotiated Rate |
$4,748.40 |
| Rate for Payer: Adventist Health Commercial |
$1,055.20
|
| Rate for Payer: Cash Price |
$2,374.20
|
| Rate for Payer: Central Health Plan Commercial |
$4,220.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,110.40
|
| Rate for Payer: EPIC Health Plan Senior |
$2,110.40
|
| Rate for Payer: Galaxy Health WC |
$4,484.60
|
| Rate for Payer: Global Benefits Group Commercial |
$3,165.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,748.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,519.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,010.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,265.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,055.20
|
| Rate for Payer: Multiplan Commercial |
$3,957.00
|
| Rate for Payer: Networks By Design Commercial |
$3,429.40
|
| Rate for Payer: Prime Health Services Commercial |
$4,484.60
|
|
|
HC SIGMDSCPY W ENDO US
|
Facility
|
OP
|
$2,864.00
|
|
|
Service Code
|
CPT 45341
|
| Hospital Charge Code |
906745341
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$297.13 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$572.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,158.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,158.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Central Health Plan Commercial |
$2,291.20
|
| Rate for Payer: Cigna of CA HMO |
$1,832.96
|
| Rate for Payer: Cigna of CA PPO |
$2,119.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,274.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,158.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,563.87
|
| Rate for Payer: EPIC Health Plan Senior |
$1,158.42
|
| Rate for Payer: Galaxy Health WC |
$2,434.40
|
| Rate for Payer: Global Benefits Group Commercial |
$1,718.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,577.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$297.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,158.42
|
| Rate for Payer: InnovAge PACE Commercial |
$1,737.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,910.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$328.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$572.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,552.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,552.28
|
| Rate for Payer: Multiplan Commercial |
$2,148.00
|
| Rate for Payer: Networks By Design Commercial |
$1,861.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$2,434.40
|
| Rate for Payer: Prime Health Services Medicare |
$1,227.93
|
| Rate for Payer: Riverside University Health System MISP |
$1,274.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,718.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,390.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,158.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Vantage Medical Group Senior |
$1,158.42
|
|
|
HC SIGMDSCPY W FB RMVL
|
Facility
|
OP
|
$2,773.00
|
|
|
Service Code
|
CPT 45332
|
| Hospital Charge Code |
906745332
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$161.37 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$554.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,247.85
|
| Rate for Payer: Cash Price |
$1,247.85
|
| Rate for Payer: Cash Price |
$1,247.85
|
| Rate for Payer: Central Health Plan Commercial |
$2,218.40
|
| Rate for Payer: Cigna of CA HMO |
$1,774.72
|
| Rate for Payer: Cigna of CA PPO |
$2,052.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$2,357.05
|
| Rate for Payer: Global Benefits Group Commercial |
$1,663.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,495.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$161.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,849.59
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$178.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$554.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$2,079.75
|
| Rate for Payer: Networks By Design Commercial |
$1,802.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,357.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,663.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC SIGMDSCPY W FB RMVL
|
Facility
|
IP
|
$5,458.00
|
|
|
Service Code
|
CPT 45332
|
| Hospital Charge Code |
906745332
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,091.60 |
| Max. Negotiated Rate |
$4,912.20 |
| Rate for Payer: Adventist Health Commercial |
$1,091.60
|
| Rate for Payer: Cash Price |
$2,456.10
|
| Rate for Payer: Central Health Plan Commercial |
$4,366.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,183.20
|
| Rate for Payer: EPIC Health Plan Senior |
$2,183.20
|
| Rate for Payer: Galaxy Health WC |
$4,639.30
|
| Rate for Payer: Global Benefits Group Commercial |
$3,274.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$4,912.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$3,640.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,079.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,378.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,091.60
|
| Rate for Payer: Multiplan Commercial |
$4,093.50
|
| Rate for Payer: Networks By Design Commercial |
$3,547.70
|
| Rate for Payer: Prime Health Services Commercial |
$4,639.30
|
|
|
HC SIGMDSCPY W TRNS-EN US
|
Facility
|
OP
|
$2,606.00
|
|
|
Service Code
|
CPT 45342
|
| Hospital Charge Code |
906745342
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$341.32 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$521.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: Cash Price |
$1,172.70
|
| Rate for Payer: Central Health Plan Commercial |
$2,084.80
|
| Rate for Payer: Cigna of CA HMO |
$1,667.84
|
| Rate for Payer: Cigna of CA PPO |
$1,928.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$2,215.10
|
| Rate for Payer: Global Benefits Group Commercial |
$1,563.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,345.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$341.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,738.20
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$377.04
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$521.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,954.50
|
| Rate for Payer: Networks By Design Commercial |
$1,693.90
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,215.10
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,563.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC SIGMDSCPY W TRNS-EN US
|
Facility
|
IP
|
$4,287.00
|
|
|
Service Code
|
CPT 45342
|
| Hospital Charge Code |
906745342
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$857.40 |
| Max. Negotiated Rate |
$3,858.30 |
| Rate for Payer: Adventist Health Commercial |
$857.40
|
| Rate for Payer: Cash Price |
$1,929.15
|
| Rate for Payer: Central Health Plan Commercial |
$3,429.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,714.80
|
| Rate for Payer: EPIC Health Plan Senior |
$1,714.80
|
| Rate for Payer: Galaxy Health WC |
$3,643.95
|
| Rate for Payer: Global Benefits Group Commercial |
$2,572.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,858.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,859.43
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,633.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,653.65
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$857.40
|
| Rate for Payer: Multiplan Commercial |
$3,215.25
|
| Rate for Payer: Networks By Design Commercial |
$2,786.55
|
| Rate for Payer: Prime Health Services Commercial |
$3,643.95
|
|
|
HC SIGMDSCPY W TUMOR ABLATION
|
Facility
|
OP
|
$2,243.00
|
|
|
Service Code
|
CPT 45339
|
| Hospital Charge Code |
906745339
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$448.60 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$448.60
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,906.55
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,233.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,682.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,086.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,317.31
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$1,009.35
|
| Rate for Payer: Cash Price |
$1,009.35
|
| Rate for Payer: Central Health Plan Commercial |
$1,794.40
|
| Rate for Payer: Cigna of CA HMO |
$1,435.52
|
| Rate for Payer: Cigna of CA PPO |
$1,659.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,906.55
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,906.55
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,906.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$897.20
|
| Rate for Payer: EPIC Health Plan Senior |
$897.20
|
| Rate for Payer: Galaxy Health WC |
$1,906.55
|
| Rate for Payer: Global Benefits Group Commercial |
$1,345.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,018.70
|
| Rate for Payer: InnovAge PACE Commercial |
$1,121.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,496.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$854.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,388.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$448.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,570.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,570.10
|
| Rate for Payer: Multiplan Commercial |
$1,682.25
|
| Rate for Payer: Networks By Design Commercial |
$1,457.95
|
| Rate for Payer: Prime Health Services Commercial |
$1,906.55
|
| Rate for Payer: Riverside University Health System MISP |
$897.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,345.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,345.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,121.50
|
| Rate for Payer: United Healthcare All Other HMO |
$1,121.50
|
| Rate for Payer: United Healthcare HMO Rider |
$1,121.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,121.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,906.55
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,906.55
|
| Rate for Payer: Vantage Medical Group Senior |
$1,906.55
|
|
|
HC SIGMDSCPY W TUMOR ABLATION
|
Facility
|
IP
|
$3,544.00
|
|
|
Service Code
|
CPT 45346
|
| Hospital Charge Code |
906745346
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$708.80 |
| Max. Negotiated Rate |
$3,189.60 |
| Rate for Payer: Adventist Health Commercial |
$708.80
|
| Rate for Payer: Cash Price |
$1,594.80
|
| Rate for Payer: Central Health Plan Commercial |
$2,835.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,417.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,417.60
|
| Rate for Payer: Galaxy Health WC |
$3,012.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,126.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,189.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,363.85
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,350.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,193.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$708.80
|
| Rate for Payer: Multiplan Commercial |
$2,658.00
|
| Rate for Payer: Networks By Design Commercial |
$2,303.60
|
| Rate for Payer: Prime Health Services Commercial |
$3,012.40
|
|
|
HC SIGMDSCPY W TUMOR ABLATION
|
Facility
|
OP
|
$2,250.00
|
|
|
Service Code
|
CPT 45346
|
| Hospital Charge Code |
906745346
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$450.00 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$450.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,012.50
|
| Rate for Payer: Cash Price |
$1,012.50
|
| Rate for Payer: Cash Price |
$1,012.50
|
| Rate for Payer: Central Health Plan Commercial |
$1,800.00
|
| Rate for Payer: Cigna of CA HMO |
$1,440.00
|
| Rate for Payer: Cigna of CA PPO |
$1,665.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$1,912.50
|
| Rate for Payer: Global Benefits Group Commercial |
$1,350.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,025.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,500.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$450.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,687.50
|
| Rate for Payer: Networks By Design Commercial |
$1,462.50
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,912.50
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,350.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC SIGMDSCPY W TUMOR SNARE RMVL
|
Facility
|
IP
|
$3,894.00
|
|
|
Service Code
|
CPT 45338
|
| Hospital Charge Code |
906745338
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$778.80 |
| Max. Negotiated Rate |
$3,504.60 |
| Rate for Payer: Adventist Health Commercial |
$778.80
|
| Rate for Payer: Cash Price |
$1,752.30
|
| Rate for Payer: Central Health Plan Commercial |
$3,115.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,557.60
|
| Rate for Payer: EPIC Health Plan Senior |
$1,557.60
|
| Rate for Payer: Galaxy Health WC |
$3,309.90
|
| Rate for Payer: Global Benefits Group Commercial |
$2,336.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,504.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,597.30
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,483.61
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,410.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$778.80
|
| Rate for Payer: Multiplan Commercial |
$2,920.50
|
| Rate for Payer: Networks By Design Commercial |
$2,531.10
|
| Rate for Payer: Prime Health Services Commercial |
$3,309.90
|
|
|
HC SIGMDSCPY W TUMOR SNARE RMVL
|
Facility
|
OP
|
$2,473.00
|
|
|
Service Code
|
CPT 45338
|
| Hospital Charge Code |
906745338
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$246.54 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$494.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,112.85
|
| Rate for Payer: Cash Price |
$1,112.85
|
| Rate for Payer: Cash Price |
$1,112.85
|
| Rate for Payer: Central Health Plan Commercial |
$1,978.40
|
| Rate for Payer: Cigna of CA HMO |
$1,582.72
|
| Rate for Payer: Cigna of CA PPO |
$1,830.02
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$2,102.05
|
| Rate for Payer: Global Benefits Group Commercial |
$1,483.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,225.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$246.54
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,649.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$272.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$494.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,854.75
|
| Rate for Payer: Networks By Design Commercial |
$1,607.45
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$2,102.05
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,483.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC SIGMOIDOSCOPY W ENDO MCSL RESC
|
Facility
|
OP
|
$2,332.00
|
|
|
Service Code
|
CPT 45349
|
| Hospital Charge Code |
906745349
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$466.40 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$466.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,484.48
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,226.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$3,832.93
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,484.48
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,865.60
|
| Rate for Payer: Cigna of CA HMO |
$1,492.48
|
| Rate for Payer: Cigna of CA PPO |
$1,725.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,226.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,832.93
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,484.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,704.05
|
| Rate for Payer: EPIC Health Plan Senior |
$3,484.48
|
| Rate for Payer: Galaxy Health WC |
$1,982.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,399.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,098.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$5,714.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,484.48
|
| Rate for Payer: InnovAge PACE Commercial |
$5,226.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,555.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,484.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$466.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4,669.20
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4,669.20
|
| Rate for Payer: Multiplan Commercial |
$1,749.00
|
| Rate for Payer: Networks By Design Commercial |
$1,515.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,484.48
|
| Rate for Payer: Prime Health Services Commercial |
$1,982.20
|
| Rate for Payer: Prime Health Services Medicare |
$3,693.55
|
| Rate for Payer: Riverside University Health System MISP |
$3,832.93
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,399.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$4,181.38
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,484.48
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,226.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,832.93
|
| Rate for Payer: Vantage Medical Group Senior |
$3,484.48
|
|
|
HC SIGMOIDOSCOPY W ENDO MCSL RESC
|
Facility
|
IP
|
$2,332.00
|
|
|
Service Code
|
CPT 45349
|
| Hospital Charge Code |
906745349
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$466.40 |
| Max. Negotiated Rate |
$2,098.80 |
| Rate for Payer: Adventist Health Commercial |
$466.40
|
| Rate for Payer: Cash Price |
$1,049.40
|
| Rate for Payer: Central Health Plan Commercial |
$1,865.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$932.80
|
| Rate for Payer: EPIC Health Plan Senior |
$932.80
|
| Rate for Payer: Galaxy Health WC |
$1,982.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,399.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,098.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,555.44
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$888.49
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,443.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$466.40
|
| Rate for Payer: Multiplan Commercial |
$1,749.00
|
| Rate for Payer: Networks By Design Commercial |
$1,515.80
|
| Rate for Payer: Prime Health Services Commercial |
$1,982.20
|
|
|
HC SIGMOIDOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$4,424.00
|
|
|
Service Code
|
CPT 45347
|
| Hospital Charge Code |
906745347
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$884.80 |
| Max. Negotiated Rate |
$12,404.37 |
| Rate for Payer: Adventist Health Commercial |
$884.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,563.64
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,320.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,563.64
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$1,990.80
|
| Rate for Payer: Cash Price |
$1,990.80
|
| Rate for Payer: Cash Price |
$1,990.80
|
| Rate for Payer: Central Health Plan Commercial |
$3,539.20
|
| Rate for Payer: Cigna of CA HMO |
$2,831.36
|
| Rate for Payer: Cigna of CA PPO |
$3,273.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,320.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,563.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,210.91
|
| Rate for Payer: EPIC Health Plan Senior |
$7,563.64
|
| Rate for Payer: Galaxy Health WC |
$3,760.40
|
| Rate for Payer: Global Benefits Group Commercial |
$2,654.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,981.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$12,404.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,563.64
|
| Rate for Payer: InnovAge PACE Commercial |
$11,345.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,950.81
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,563.64
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$884.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,135.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,135.28
|
| Rate for Payer: Multiplan Commercial |
$3,318.00
|
| Rate for Payer: Networks By Design Commercial |
$2,875.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,563.64
|
| Rate for Payer: Prime Health Services Commercial |
$3,760.40
|
| Rate for Payer: Prime Health Services Medicare |
$8,017.46
|
| Rate for Payer: Riverside University Health System MISP |
$8,320.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,654.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,076.37
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,563.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,345.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,320.00
|
| Rate for Payer: Vantage Medical Group Senior |
$7,563.64
|
|
|
HC SIGMOIDOSCOPY W STENT PLCMNT
|
Facility
|
IP
|
$6,969.00
|
|
|
Service Code
|
CPT 45347
|
| Hospital Charge Code |
906745347
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,393.80 |
| Max. Negotiated Rate |
$6,272.10 |
| Rate for Payer: Adventist Health Commercial |
$1,393.80
|
| Rate for Payer: Cash Price |
$3,136.05
|
| Rate for Payer: Central Health Plan Commercial |
$5,575.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,787.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,787.60
|
| Rate for Payer: Galaxy Health WC |
$5,923.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,181.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,272.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,648.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,655.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,313.81
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,393.80
|
| Rate for Payer: Multiplan Commercial |
$5,226.75
|
| Rate for Payer: Networks By Design Commercial |
$4,529.85
|
| Rate for Payer: Prime Health Services Commercial |
$5,923.65
|
|
|
HC SIGMOIDOSCOPY W STENT PLCMNT
|
Facility
|
OP
|
$4,411.00
|
|
|
Service Code
|
CPT 45345
|
| Hospital Charge Code |
906745345
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$882.20 |
| Max. Negotiated Rate |
$27,467.00 |
| Rate for Payer: Adventist Health Commercial |
$882.20
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,749.35
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,426.05
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,308.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$2,135.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,590.58
|
| Rate for Payer: Blue Shield of California Commercial |
$7,837.47
|
| Rate for Payer: Blue Shield of California EPN |
$5,113.68
|
| Rate for Payer: Cash Price |
$1,984.95
|
| Rate for Payer: Cash Price |
$1,984.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,528.80
|
| Rate for Payer: Cigna of CA HMO |
$2,823.04
|
| Rate for Payer: Cigna of CA PPO |
$3,264.14
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,749.35
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,749.35
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,749.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,764.40
|
| Rate for Payer: EPIC Health Plan Senior |
$1,764.40
|
| Rate for Payer: Galaxy Health WC |
$3,749.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,646.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,969.90
|
| Rate for Payer: InnovAge PACE Commercial |
$2,205.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,942.14
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,680.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,730.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$882.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,087.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,087.70
|
| Rate for Payer: Multiplan Commercial |
$3,308.25
|
| Rate for Payer: Networks By Design Commercial |
$2,867.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,749.35
|
| Rate for Payer: Riverside University Health System MISP |
$1,764.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,646.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,646.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,205.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,205.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,205.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,205.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,749.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,749.35
|
| Rate for Payer: Vantage Medical Group Senior |
$3,749.35
|
|
|
HC SIGMOIDOSCOPY W SUBMUC INJ
|
Facility
|
OP
|
$1,388.00
|
|
|
Service Code
|
CPT 45335
|
| Hospital Charge Code |
906745335
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$263.83 |
| Max. Negotiated Rate |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$277.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,158.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,158.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$848.07
|
| Rate for Payer: Blue Shield of California EPN |
$553.81
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Central Health Plan Commercial |
$1,110.40
|
| Rate for Payer: Cigna of CA HMO |
$888.32
|
| Rate for Payer: Cigna of CA PPO |
$1,027.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,274.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,158.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,563.87
|
| Rate for Payer: EPIC Health Plan Senior |
$1,158.42
|
| Rate for Payer: Galaxy Health WC |
$1,179.80
|
| Rate for Payer: Global Benefits Group Commercial |
$832.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,249.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$263.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,158.42
|
| Rate for Payer: InnovAge PACE Commercial |
$1,737.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$925.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$291.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$277.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,552.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,552.28
|
| Rate for Payer: Multiplan Commercial |
$1,041.00
|
| Rate for Payer: Networks By Design Commercial |
$902.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$1,179.80
|
| Rate for Payer: Prime Health Services Medicare |
$1,227.93
|
| Rate for Payer: Riverside University Health System MISP |
$1,274.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$832.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$832.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$694.00
|
| Rate for Payer: United Healthcare All Other HMO |
$694.00
|
| Rate for Payer: United Healthcare HMO Rider |
$694.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$694.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,158.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Vantage Medical Group Senior |
$1,158.42
|
|
|
HC SIGMOIDOSCOPY W SUBMUC INJ
|
Facility
|
IP
|
$2,700.00
|
|
|
Service Code
|
CPT 45335
|
| Hospital Charge Code |
906745335
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$540.00 |
| Max. Negotiated Rate |
$2,430.00 |
| Rate for Payer: Adventist Health Commercial |
$540.00
|
| Rate for Payer: Cash Price |
$1,215.00
|
| Rate for Payer: Central Health Plan Commercial |
$2,160.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,080.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,080.00
|
| Rate for Payer: Galaxy Health WC |
$2,295.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,620.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,430.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,800.90
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,028.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,671.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$540.00
|
| Rate for Payer: Multiplan Commercial |
$2,025.00
|
| Rate for Payer: Networks By Design Commercial |
$1,755.00
|
| Rate for Payer: Prime Health Services Commercial |
$2,295.00
|
|
|
HC SIGMOIDOSCOPY W SUBMUC INJ
|
Facility
|
OP
|
$1,388.00
|
|
|
Service Code
|
CPT 45335
|
| Hospital Charge Code |
906745335
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$263.83 |
| Max. Negotiated Rate |
$5,311.00 |
| Rate for Payer: Adventist Health Commercial |
$277.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,158.42
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,158.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Cash Price |
$624.60
|
| Rate for Payer: Central Health Plan Commercial |
$1,110.40
|
| Rate for Payer: Cigna of CA HMO |
$888.32
|
| Rate for Payer: Cigna of CA PPO |
$1,027.12
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,274.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,158.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,563.87
|
| Rate for Payer: EPIC Health Plan Senior |
$1,158.42
|
| Rate for Payer: Galaxy Health WC |
$1,179.80
|
| Rate for Payer: Global Benefits Group Commercial |
$832.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,249.20
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,899.81
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$263.83
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,158.42
|
| Rate for Payer: InnovAge PACE Commercial |
$1,737.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$925.80
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$291.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,158.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$277.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,552.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,552.28
|
| Rate for Payer: Multiplan Commercial |
$1,041.00
|
| Rate for Payer: Networks By Design Commercial |
$902.20
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,158.42
|
| Rate for Payer: Prime Health Services Commercial |
$1,179.80
|
| Rate for Payer: Prime Health Services Medicare |
$1,227.93
|
| Rate for Payer: Riverside University Health System MISP |
$1,274.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$832.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,390.10
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,341.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,460.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,374.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,158.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,737.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,274.26
|
| Rate for Payer: Vantage Medical Group Senior |
$1,158.42
|
|
|
HC SIGMOIDOSCOPY W SUBMUC INJ
|
Facility
|
IP
|
$2,700.00
|
|
|
Service Code
|
CPT 45335
|
| Hospital Charge Code |
906745335
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$540.00 |
| Max. Negotiated Rate |
$2,430.00 |
| Rate for Payer: Adventist Health Commercial |
$540.00
|
| Rate for Payer: Cash Price |
$1,215.00
|
| Rate for Payer: Central Health Plan Commercial |
$2,160.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,080.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,080.00
|
| Rate for Payer: Galaxy Health WC |
$2,295.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,620.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,430.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,800.90
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,028.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,671.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$540.00
|
| Rate for Payer: Multiplan Commercial |
$2,025.00
|
| Rate for Payer: Networks By Design Commercial |
$1,755.00
|
| Rate for Payer: Prime Health Services Commercial |
$2,295.00
|
|
|
HC SIGMOIDSCPY FLX DIAG W BND LIG
|
Facility
|
OP
|
$2,200.00
|
|
|
Service Code
|
CPT 45350
|
| Hospital Charge Code |
906745350
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$440.00 |
| Max. Negotiated Rate |
$7,378.00 |
| Rate for Payer: Adventist Health Commercial |
$440.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$1,498.14
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,498.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,172.31
|
| Rate for Payer: Blue Shield of California EPN |
$2,069.82
|
| Rate for Payer: Cash Price |
$990.00
|
| Rate for Payer: Cash Price |
$990.00
|
| Rate for Payer: Cash Price |
$990.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,760.00
|
| Rate for Payer: Cigna of CA HMO |
$1,408.00
|
| Rate for Payer: Cigna of CA PPO |
$1,628.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,647.95
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,498.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,022.49
|
| Rate for Payer: EPIC Health Plan Senior |
$1,498.14
|
| Rate for Payer: Galaxy Health WC |
$1,870.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,320.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,980.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,456.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,498.14
|
| Rate for Payer: InnovAge PACE Commercial |
$2,247.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,467.40
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,498.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$440.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,007.51
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,007.51
|
| Rate for Payer: Multiplan Commercial |
$1,650.00
|
| Rate for Payer: Networks By Design Commercial |
$1,430.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,498.14
|
| Rate for Payer: Prime Health Services Commercial |
$1,870.00
|
| Rate for Payer: Prime Health Services Medicare |
$1,588.03
|
| Rate for Payer: Riverside University Health System MISP |
$1,647.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,320.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,797.77
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,208.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,378.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,428.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,122.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,498.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,247.21
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,647.95
|
| Rate for Payer: Vantage Medical Group Senior |
$1,498.14
|
|
|
HC SIGMOIDSCPY FLX DIAG W BND LIG
|
Facility
|
IP
|
$2,200.00
|
|
|
Service Code
|
CPT 45350
|
| Hospital Charge Code |
906745350
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$440.00 |
| Max. Negotiated Rate |
$1,980.00 |
| Rate for Payer: Adventist Health Commercial |
$440.00
|
| Rate for Payer: Cash Price |
$990.00
|
| Rate for Payer: Central Health Plan Commercial |
$1,760.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$880.00
|
| Rate for Payer: EPIC Health Plan Senior |
$880.00
|
| Rate for Payer: Galaxy Health WC |
$1,870.00
|
| Rate for Payer: Global Benefits Group Commercial |
$1,320.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,980.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,467.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$838.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,361.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$440.00
|
| Rate for Payer: Multiplan Commercial |
$1,650.00
|
| Rate for Payer: Networks By Design Commercial |
$1,430.00
|
| Rate for Payer: Prime Health Services Commercial |
$1,870.00
|
|
|
HC SILVERHAWK THROMB CATH
|
Facility
|
IP
|
$4,125.00
|
|
|
Service Code
|
CPT C1714
|
| Hospital Charge Code |
909080046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$825.00 |
| Max. Negotiated Rate |
$3,712.50 |
| Rate for Payer: Adventist Health Commercial |
$825.00
|
| Rate for Payer: Cash Price |
$1,856.25
|
| Rate for Payer: Central Health Plan Commercial |
$3,300.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,650.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,650.00
|
| Rate for Payer: Galaxy Health WC |
$3,506.25
|
| Rate for Payer: Global Benefits Group Commercial |
$2,475.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,712.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,751.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,571.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,553.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$825.00
|
| Rate for Payer: Multiplan Commercial |
$3,093.75
|
| Rate for Payer: Networks By Design Commercial |
$2,681.25
|
| Rate for Payer: Prime Health Services Commercial |
$3,506.25
|
|
