Price Transparency.

Search and browse your out-of-pocket costs for provider care & services.

search

All Charges

Charge Type Price  
Service Code CPT 90736
Hospital Charge Code 1726022
Hospital Revenue Code 636
Min. Negotiated Rate $48.46
Max. Negotiated Rate $200.80
Rate for Payer: Adventist Health Commercial $53.55
Rate for Payer: Aetna of CA Non-Gatekeeper $183.94
Rate for Payer: Cash Price $120.48
Rate for Payer: Cigna of CA HMO/PPO $123.16
Rate for Payer: EPIC Health Plan Commercial $144.58
Rate for Payer: Heritage Provider Network Commercial $181.26
Rate for Payer: Heritage Provider Network Senior $181.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal $48.46
Rate for Payer: LLUH Dept of Risk Management WC $66.94
Rate for Payer: Multiplan Commercial $200.80
Rate for Payer: United Healthcare All Other HMO/non HMO $97.62
Rate for Payer: United Healthcare Navigate/Select/Select+ $89.45