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Service Code NDC 51079-685-20
Hospital Charge Code 1710706
Hospital Revenue Code 259
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.20
Rate for Payer: Adventist Health Commercial $0.05
Rate for Payer: Aetna of CA Non-Gatekeeper $0.18
Rate for Payer: Cash Price $0.12
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Heritage Provider Network Commercial $0.18
Rate for Payer: Heritage Provider Network Senior $0.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.07
Rate for Payer: Multiplan Commercial $0.20
Service Code NDC 0378-0757-01
Hospital Charge Code 1710706
Hospital Revenue Code 259
Min. Negotiated Rate $0.03
Max. Negotiated Rate $0.12
Rate for Payer: Adventist Health Commercial $0.03
Rate for Payer: Aetna of CA Non-Gatekeeper $0.11
Rate for Payer: Cash Price $0.07
Rate for Payer: EPIC Health Plan Commercial $0.09
Rate for Payer: Heritage Provider Network Commercial $0.11
Rate for Payer: Heritage Provider Network Senior $0.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.03
Rate for Payer: LLUH Dept of Risk Management WC $0.04
Rate for Payer: Multiplan Commercial $0.12
Service Code NDC 51079-685-01
Hospital Charge Code 1710706
Hospital Revenue Code 259
Min. Negotiated Rate $0.05
Max. Negotiated Rate $0.20
Rate for Payer: Adventist Health Commercial $0.05
Rate for Payer: Aetna of CA Non-Gatekeeper $0.18
Rate for Payer: Cash Price $0.12
Rate for Payer: EPIC Health Plan Commercial $0.14
Rate for Payer: Heritage Provider Network Commercial $0.18
Rate for Payer: Heritage Provider Network Senior $0.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.05
Rate for Payer: LLUH Dept of Risk Management WC $0.07
Rate for Payer: Multiplan Commercial $0.20
Service Code NDC 68382-022-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Non-Gatekeeper $0.06
Rate for Payer: Cash Price $0.04
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: Heritage Provider Network Commercial $0.06
Rate for Payer: Heritage Provider Network Senior $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Service Code NDC 0378-0218-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.06
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Non-Gatekeeper $0.05
Rate for Payer: Cash Price $0.04
Rate for Payer: EPIC Health Plan Commercial $0.04
Rate for Payer: Heritage Provider Network Commercial $0.05
Rate for Payer: Heritage Provider Network Senior $0.05
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 $0.06
Service Code NDC 51079-759-20
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.16
Rate for Payer: Adventist Health Commercial $0.04
Rate for Payer: Aetna of CA Non-Gatekeeper $0.14
Rate for Payer: Cash Price $0.09
Rate for Payer: EPIC Health Plan Commercial $0.11
Rate for Payer: Heritage Provider Network Commercial $0.14
Rate for Payer: Heritage Provider Network Senior $0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.05
Rate for Payer: Multiplan Commercial $0.16
Service Code NDC 0093-0787-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
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 0093-0787-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
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 60687-605-11
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.26
Rate for Payer: Adventist Health Commercial $0.06
Rate for Payer: Aetna of CA Gatekeeper $0.17
Rate for Payer: Aetna of CA Non-Gatekeeper $0.21
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.17
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.23
Rate for Payer: Blue Shield of California Commercial $0.19
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.14
Rate for Payer: Cigna of CA HMO/PPO $0.20
Rate for Payer: Dignity Health Commercial/Exchange $0.26
Rate for Payer: Dignity Health Medi-Cal $0.26
Rate for Payer: Dignity Health Senior $0.26
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: Heritage Provider Network Commercial $0.19
Rate for Payer: Heritage Provider Network Senior $0.19
Rate for Payer: Kaiser Permanente of CA Commercial $0.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.23
Rate for Payer: Vantage Medical Group Medi-Cal $0.26
Rate for Payer: Vantage Medical Group Senior $0.26
Service Code NDC 65862-168-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
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 68382-022-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Gatekeeper $0.05
Rate for Payer: Aetna of CA Non-Gatekeeper $0.06
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.08
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.05
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.07
Rate for Payer: Blue Shield of California Commercial $0.06
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.04
Rate for Payer: Cigna of CA HMO/PPO $0.06
Rate for Payer: Dignity Health Commercial/Exchange $0.08
Rate for Payer: Dignity Health Medi-Cal $0.08
Rate for Payer: Dignity Health Senior $0.08
Rate for Payer: EPIC Health Plan Commercial $0.06
Rate for Payer: Heritage Provider Network Commercial $0.06
Rate for Payer: Heritage Provider Network Senior $0.06
Rate for Payer: Kaiser Permanente of CA Commercial $0.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Rate for Payer: Vantage Medical Group Medi-Cal $0.08
Rate for Payer: Vantage Medical Group Senior $0.08
Service Code NDC 51079-759-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.16
Rate for Payer: Adventist Health Commercial $0.04
Rate for Payer: Aetna of CA Non-Gatekeeper $0.14
Rate for Payer: Cash Price $0.09
Rate for Payer: EPIC Health Plan Commercial $0.11
Rate for Payer: Heritage Provider Network Commercial $0.14
Rate for Payer: Heritage Provider Network Senior $0.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.05
Rate for Payer: Multiplan Commercial $0.16
Service Code NDC 60687-605-11
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.23
Rate for Payer: Adventist Health Commercial $0.06
Rate for Payer: Aetna of CA Non-Gatekeeper $0.21
Rate for Payer: Cash Price $0.14
Rate for Payer: EPIC Health Plan Commercial $0.17
Rate for Payer: Heritage Provider Network Commercial $0.21
Rate for Payer: Heritage Provider Network Senior $0.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.23
Service Code NDC 51079-759-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Adventist Health Commercial $0.04
Rate for Payer: Aetna of CA Gatekeeper $0.11
Rate for Payer: Aetna of CA Non-Gatekeeper $0.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.18
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.12
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.16
Rate for Payer: Blue Shield of California Commercial $0.13
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.09
Rate for Payer: Cigna of CA HMO/PPO $0.14
Rate for Payer: Dignity Health Commercial/Exchange $0.18
Rate for Payer: Dignity Health Medi-Cal $0.18
Rate for Payer: Dignity Health Senior $0.18
Rate for Payer: EPIC Health Plan Commercial $0.13
Rate for Payer: Heritage Provider Network Commercial $0.13
Rate for Payer: Heritage Provider Network Senior $0.13
Rate for Payer: Kaiser Permanente of CA Commercial $0.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.05
Rate for Payer: Multiplan Commercial $0.16
Rate for Payer: Vantage Medical Group Medi-Cal $0.18
Rate for Payer: Vantage Medical Group Senior $0.18
Service Code NDC 65862-168-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
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 0378-0218-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.01
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Gatekeeper $0.04
Rate for Payer: Aetna of CA Non-Gatekeeper $0.05
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.07
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.04
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.06
Rate for Payer: Blue Shield of California Commercial $0.05
Rate for Payer: Blue Shield of California EPN $0.05
Rate for Payer: Cash Price $0.04
Rate for Payer: Cigna of CA HMO/PPO $0.05
Rate for Payer: Dignity Health Commercial/Exchange $0.07
Rate for Payer: Dignity Health Medi-Cal $0.07
Rate for Payer: Dignity Health Senior $0.07
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: Heritage Provider Network Commercial $0.05
Rate for Payer: Heritage Provider Network Senior $0.05
Rate for Payer: Kaiser Permanente of CA Commercial $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 $0.06
Rate for Payer: Vantage Medical Group Medi-Cal $0.07
Rate for Payer: Vantage Medical Group Senior $0.07
Service Code NDC 51079-759-20
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.04
Max. Negotiated Rate $0.18
Rate for Payer: Adventist Health Commercial $0.04
Rate for Payer: Aetna of CA Gatekeeper $0.11
Rate for Payer: Aetna of CA Non-Gatekeeper $0.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.18
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.12
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.16
Rate for Payer: Blue Shield of California Commercial $0.13
Rate for Payer: Blue Shield of California EPN $0.12
Rate for Payer: Cash Price $0.09
Rate for Payer: Cigna of CA HMO/PPO $0.14
Rate for Payer: Dignity Health Commercial/Exchange $0.18
Rate for Payer: Dignity Health Medi-Cal $0.18
Rate for Payer: Dignity Health Senior $0.18
Rate for Payer: EPIC Health Plan Commercial $0.13
Rate for Payer: Heritage Provider Network Commercial $0.13
Rate for Payer: Heritage Provider Network Senior $0.13
Rate for Payer: Kaiser Permanente of CA Commercial $0.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.04
Rate for Payer: LLUH Dept of Risk Management WC $0.05
Rate for Payer: Multiplan Commercial $0.16
Rate for Payer: Vantage Medical Group Medi-Cal $0.18
Rate for Payer: Vantage Medical Group Senior $0.18
Service Code NDC 60687-605-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.23
Rate for Payer: Adventist Health Commercial $0.06
Rate for Payer: Aetna of CA Non-Gatekeeper $0.21
Rate for Payer: Cash Price $0.14
Rate for Payer: EPIC Health Plan Commercial $0.17
Rate for Payer: Heritage Provider Network Commercial $0.21
Rate for Payer: Heritage Provider Network Senior $0.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.23
Service Code NDC 60687-605-01
Hospital Charge Code 1711547
Hospital Revenue Code 259
Min. Negotiated Rate $0.06
Max. Negotiated Rate $0.26
Rate for Payer: Adventist Health Commercial $0.06
Rate for Payer: Aetna of CA Gatekeeper $0.17
Rate for Payer: Aetna of CA Non-Gatekeeper $0.21
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.26
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.17
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.23
Rate for Payer: Blue Shield of California Commercial $0.19
Rate for Payer: Blue Shield of California EPN $0.18
Rate for Payer: Cash Price $0.14
Rate for Payer: Cigna of CA HMO/PPO $0.20
Rate for Payer: Dignity Health Commercial/Exchange $0.26
Rate for Payer: Dignity Health Medi-Cal $0.26
Rate for Payer: Dignity Health Senior $0.26
Rate for Payer: EPIC Health Plan Commercial $0.20
Rate for Payer: Heritage Provider Network Commercial $0.19
Rate for Payer: Heritage Provider Network Senior $0.19
Rate for Payer: Kaiser Permanente of CA Commercial $0.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.06
Rate for Payer: LLUH Dept of Risk Management WC $0.08
Rate for Payer: Multiplan Commercial $0.23
Rate for Payer: Vantage Medical Group Medi-Cal $0.26
Rate for Payer: Vantage Medical Group Senior $0.26
Service Code NDC 0378-0231-01
Hospital Charge Code 1710640
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.07
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Non-Gatekeeper $0.06
Rate for Payer: Cash Price $0.04
Rate for Payer: EPIC Health Plan Commercial $0.05
Rate for Payer: Heritage Provider Network Commercial $0.06
Rate for Payer: Heritage Provider Network Senior $0.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.02
Rate for Payer: Multiplan Commercial $0.07
Service Code NDC 0093-0752-01
Hospital Charge Code 1710640
Hospital Revenue Code 259
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 65862-169-01
Hospital Charge Code 1710640
Hospital Revenue Code 259
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 51079-684-01
Hospital Charge Code 1710640
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.09
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Gatekeeper $0.06
Rate for Payer: Aetna of CA Non-Gatekeeper $0.08
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $0.09
Rate for Payer: AlphaCare Medical Group Medi-Cal $0.06
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $0.08
Rate for Payer: Blue Shield of California Commercial $0.07
Rate for Payer: Blue Shield of California EPN $0.06
Rate for Payer: Cash Price $0.05
Rate for Payer: Cigna of CA HMO/PPO $0.07
Rate for Payer: Dignity Health Commercial/Exchange $0.09
Rate for Payer: Dignity Health Medi-Cal $0.09
Rate for Payer: Dignity Health Senior $0.09
Rate for Payer: EPIC Health Plan Commercial $0.07
Rate for Payer: Heritage Provider Network Commercial $0.07
Rate for Payer: Heritage Provider Network Senior $0.07
Rate for Payer: Kaiser Permanente of CA Commercial $0.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.03
Rate for Payer: Multiplan Commercial $0.08
Rate for Payer: Vantage Medical Group Medi-Cal $0.09
Rate for Payer: Vantage Medical Group Senior $0.09
Service Code NDC 0093-0752-01
Hospital Charge Code 1710640
Hospital Revenue Code 259
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 51079-684-20
Hospital Charge Code 1710640
Hospital Revenue Code 259
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.08
Rate for Payer: Adventist Health Commercial $0.02
Rate for Payer: Aetna of CA Non-Gatekeeper $0.08
Rate for Payer: Cash Price $0.05
Rate for Payer: EPIC Health Plan Commercial $0.06
Rate for Payer: Heritage Provider Network Commercial $0.07
Rate for Payer: Heritage Provider Network Senior $0.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $0.02
Rate for Payer: LLUH Dept of Risk Management WC $0.03
Rate for Payer: Multiplan Commercial $0.08