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Service Code NDC 0941-0413-07
Hospital Charge Code NDG27801A
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.01
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Senior $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0941-0413-01
Hospital Charge Code 1771281
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.01
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Senior $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0941-0413-05
Hospital Charge Code 1771149
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA Gatekeeper $0.03
Rate for Payer: Aetna of CA Non-Gatekeeper $0.04
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.05
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.03
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.05
Rate for Payer: Blue Shield of California Commercial $0.04
Rate for Payer: Blue Shield of California EPN $0.04
Rate for Payer: Cash Price $0.03
Rate for Payer: Cigna of CA HMO/PPO $0.04
Rate for Payer: Dignity Health Commercial/Exchange $0.05
Rate for Payer: Dignity Health Medi-Cal $0.05
Rate for Payer: Dignity Health Senior $0.05
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Heritage Provider Network Commercial $0.04
Rate for Payer: Heritage Provider Network Senior $0.04
Rate for Payer: Kaiser Permanente of CA Commercial $0.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.05
Rate for Payer: Vantage Medical Group Medi-Cal $0.05
Rate for Payer: Vantage Medical Group Senior $0.05
Service Code NDC 0941-0413-05
Hospital Charge Code 1771149
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.05
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.04
Rate for Payer: Cash Price $0.03
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: Heritage Provider Network Commercial $0.04
Rate for Payer: Heritage Provider Network Senior $0.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.05
Service Code NDC 0941-0413-07
Hospital Charge Code NDG27801A
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Service Code NDC 0941-0413-01
Hospital Charge Code 1771281
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Service Code NDC 0941-0415-01
Hospital Charge Code 1771282
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.01
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Senior $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0941-0415-07
Hospital Charge Code NDG27805A
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.01
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.01
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.01
Rate for Payer: Dignity Health Medi-Cal $0.01
Rate for Payer: Dignity Health Senior $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Rate for Payer: Vantage Medical Group Medi-Cal $0.01
Rate for Payer: Vantage Medical Group Senior $0.01
Service Code NDC 0941-0415-05
Hospital Charge Code 1771156
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA Gatekeeper $0.02
Rate for Payer: Aetna of CA Non-Gatekeeper $0.03
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.03
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.02
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.03
Rate for Payer: Blue Shield of California Commercial $0.02
Rate for Payer: Blue Shield of California EPN $0.02
Rate for Payer: Cash Price $0.02
Rate for Payer: Cigna of CA HMO/PPO $0.03
Rate for Payer: Dignity Health Commercial/Exchange $0.03
Rate for Payer: Dignity Health Medi-Cal $0.03
Rate for Payer: Dignity Health Senior $0.03
Rate for Payer: EPIC Health Plan Commercial $0.03
Rate for Payer: Heritage Provider Network Commercial $0.02
Rate for Payer: Heritage Provider Network Senior $0.02
Rate for Payer: Kaiser Permanente of CA Commercial $0.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.03
Rate for Payer: Vantage Medical Group Medi-Cal $0.03
Rate for Payer: Vantage Medical Group Senior $0.03
Service Code NDC 0941-0415-07
Hospital Charge Code NDG27805A
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Service Code NDC 0941-0429-52
Hospital Charge Code 1771289
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Service Code NDC 0941-0415-05
Hospital Charge Code 1771156
Hospital Revenue Code 250
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.03
Rate for Payer: Adventist Health Commercial $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.03
Rate for Payer: Cash Price $0.02
Rate for Payer: EPIC Health Plan Commercial $0.02
Rate for Payer: Heritage Provider Network Commercial $0.03
Rate for Payer: Heritage Provider Network Senior $0.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.01
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.03
Service Code NDC 0941-0415-06
Hospital Charge Code 1771289
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Service Code NDC 0941-0415-06
Hospital Charge Code 1771289
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.02
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Senior $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code NDC 0941-0429-52
Hospital Charge Code 1771289
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.02
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Senior $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code NDC 0941-0415-04
Hospital Charge Code NDG27805
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.02
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Senior $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code NDC 0941-0415-04
Hospital Charge Code NDG27805
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Service Code NDC 0941-0415-01
Hospital Charge Code 1771282
Hospital Revenue Code 250
Max. Negotiated Rate $0.01
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.00
Rate for Payer: Multiplan Commercial $0.01
Service Code NDC 0941-0409-05
Hospital Charge Code 1771265
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.02
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Senior $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code NDC 0941-0409-05
Hospital Charge Code 1771265
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Service Code NDC 0941-0459-02
Hospital Charge Code 1771267
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Service Code NDC 0941-0459-02
Hospital Charge Code 1771267
Hospital Revenue Code 250
Max. Negotiated Rate $0.02
Rate for Payer: Adventist Health Commercial $0.00
Rate for Payer: Aetna of CA Gatekeeper $0.01
Rate for Payer: Aetna of CA Non-Gatekeeper $0.01
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.02
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.01
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.02
Rate for Payer: Blue Shield of California Commercial $0.01
Rate for Payer: Blue Shield of California EPN $0.01
Rate for Payer: Cash Price $0.01
Rate for Payer: Cigna of CA HMO/PPO $0.01
Rate for Payer: Dignity Health Commercial/Exchange $0.02
Rate for Payer: Dignity Health Medi-Cal $0.02
Rate for Payer: Dignity Health Senior $0.02
Rate for Payer: EPIC Health Plan Commercial $0.01
Rate for Payer: Heritage Provider Network Commercial $0.01
Rate for Payer: Heritage Provider Network Senior $0.01
Rate for Payer: Kaiser Permanente of CA Commercial $0.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.00
Rate for Payer: LLUH Dept of Risk Management WC $0.01
Rate for Payer: Multiplan Commercial $0.02
Rate for Payer: Vantage Medical Group Medi-Cal $0.02
Rate for Payer: Vantage Medical Group Senior $0.02
Service Code APR-DRG 2241
Min. Negotiated Rate $11,085.13
Max. Negotiated Rate $11,085.13
Rate for Payer: IEHP Medi-Cal $11,085.13
Service Code APR-DRG 2243
Min. Negotiated Rate $19,477.08
Max. Negotiated Rate $19,477.08
Rate for Payer: IEHP Medi-Cal $19,477.08
Service Code APR-DRG 2244
Min. Negotiated Rate $33,368.81
Max. Negotiated Rate $33,368.81
Rate for Payer: IEHP Medi-Cal $33,368.81