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Service Code CPT 43237
Hospital Charge Code 906743237
Hospital Revenue Code 750
Min. Negotiated Rate $195.19
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $374.60
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,286.75
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $3,517.28
Rate for Payer: Blue Shield of California EPN $3,022.94
Rate for Payer: Cash Price $842.85
Rate for Payer: Cash Price $842.85
Rate for Payer: Cash Price $842.85
Rate for Payer: Cigna of CA HMO/PPO $1,217.45
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,159.39
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $195.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $339.01
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $468.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,404.75
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44366
Hospital Charge Code 906744366
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44366
Hospital Charge Code 906744366
Hospital Revenue Code 750
Min. Negotiated Rate $366.48
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $366.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44361
Hospital Charge Code 906744361
Hospital Revenue Code 750
Min. Negotiated Rate $278.77
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $911.60
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $3,131.35
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cigna of CA HMO/PPO $2,962.70
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $2,821.40
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $278.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $825.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $1,139.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $3,418.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44361
Hospital Charge Code 906744361
Hospital Revenue Code 750
Min. Negotiated Rate $451.78
Max. Negotiated Rate $1,872.00
Rate for Payer: Adventist Health Commercial $499.20
Rate for Payer: Aetna of CA Non-Gatekeeper $1,714.75
Rate for Payer: Cash Price $1,123.20
Rate for Payer: Heritage Provider Network Commercial $1,689.79
Rate for Payer: Heritage Provider Network Senior $1,689.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $451.78
Rate for Payer: LLUH Dept of Risk Management WC $624.00
Rate for Payer: Multiplan Commercial $1,872.00
Service Code CPT 44360
Hospital Charge Code 906744360
Hospital Revenue Code 750
Min. Negotiated Rate $451.78
Max. Negotiated Rate $1,872.00
Rate for Payer: Adventist Health Commercial $499.20
Rate for Payer: Aetna of CA Non-Gatekeeper $1,714.75
Rate for Payer: Cash Price $1,123.20
Rate for Payer: Heritage Provider Network Commercial $1,689.79
Rate for Payer: Heritage Provider Network Senior $1,689.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $451.78
Rate for Payer: LLUH Dept of Risk Management WC $624.00
Rate for Payer: Multiplan Commercial $1,872.00
Service Code CPT 44360
Hospital Charge Code 906744360
Hospital Revenue Code 750
Min. Negotiated Rate $237.54
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $911.60
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $3,131.35
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cigna of CA HMO/PPO $2,962.70
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $2,821.40
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $237.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $825.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $1,139.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $3,418.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44376
Hospital Charge Code 906744376
Hospital Revenue Code 750
Min. Negotiated Rate $1,078.76
Max. Negotiated Rate $4,470.00
Rate for Payer: Adventist Health Commercial $1,192.00
Rate for Payer: Aetna of CA Non-Gatekeeper $4,094.52
Rate for Payer: Cash Price $2,682.00
Rate for Payer: Heritage Provider Network Commercial $4,034.92
Rate for Payer: Heritage Provider Network Senior $4,034.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,078.76
Rate for Payer: LLUH Dept of Risk Management WC $1,490.00
Rate for Payer: Multiplan Commercial $4,470.00
Service Code CPT 44376
Hospital Charge Code 906744376
Hospital Revenue Code 750
Min. Negotiated Rate $393.78
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $949.00
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $3,259.82
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $2,135.25
Rate for Payer: Cash Price $2,135.25
Rate for Payer: Cash Price $2,135.25
Rate for Payer: Cigna of CA HMO/PPO $3,084.25
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $2,937.16
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $393.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $858.84
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $1,186.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $3,558.75
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44377
Hospital Charge Code 906744377
Hospital Revenue Code 750
Min. Negotiated Rate $451.78
Max. Negotiated Rate $1,872.00
Rate for Payer: Adventist Health Commercial $499.20
Rate for Payer: Aetna of CA Non-Gatekeeper $1,714.75
Rate for Payer: Cash Price $1,123.20
Rate for Payer: Heritage Provider Network Commercial $1,689.79
Rate for Payer: Heritage Provider Network Senior $1,689.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $451.78
Rate for Payer: LLUH Dept of Risk Management WC $624.00
Rate for Payer: Multiplan Commercial $1,872.00
Service Code CPT 44377
Hospital Charge Code 906744377
Hospital Revenue Code 750
Min. Negotiated Rate $416.43
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $416.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44378
Hospital Charge Code 906744378
Hospital Revenue Code 750
Min. Negotiated Rate $425.00
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $543.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44378
Hospital Charge Code 906744378
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44379
Hospital Charge Code 906744379
Hospital Revenue Code 750
Min. Negotiated Rate $425.00
Max. Negotiated Rate $14,131.19
Rate for Payer: Adventist Health Commercial $1,438.40
Rate for Payer: Aetna of CA Gatekeeper $5,088.00
Rate for Payer: Aetna of CA Non-Gatekeeper $4,940.90
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $10,681.24
Rate for Payer: Alpha Care Medical Group Medi-Cal $7,832.91
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $7,120.83
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $14,131.19
Rate for Payer: Blue Shield of California EPN $12,145.11
Rate for Payer: Cash Price $3,236.40
Rate for Payer: Cash Price $3,236.40
Rate for Payer: Cash Price $3,236.40
Rate for Payer: Cigna of CA HMO/PPO $4,674.80
Rate for Payer: Dignity Health Commercial/Exchange $10,681.24
Rate for Payer: Dignity Health Medi-Cal $7,832.91
Rate for Payer: Dignity Health Senior $7,120.83
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $7,120.83
Rate for Payer: Heritage Provider Network Commercial $4,451.85
Rate for Payer: Heritage Provider Network Senior $8,758.62
Rate for Payer: Humana Medicare $7,120.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $501.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $7,120.83
Rate for Payer: Kaiser Permanente of CA Commercial $13,529.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,301.75
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,402.58
Rate for Payer: LLUH Dept of Risk Management WC $1,798.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $8,972.25
Rate for Payer: Molina Healthcare of CA Medicare $8,972.25
Rate for Payer: Multiplan Commercial $5,394.00
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $9,520.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $8,039.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,681.24
Rate for Payer: Vantage Medical Group Medi-Cal $7,832.91
Rate for Payer: Vantage Medical Group Senior $7,120.83
Service Code CPT 44379
Hospital Charge Code 906744379
Hospital Revenue Code 750
Min. Negotiated Rate $1,273.52
Max. Negotiated Rate $5,277.00
Rate for Payer: Adventist Health Commercial $1,407.20
Rate for Payer: Aetna of CA Non-Gatekeeper $4,833.73
Rate for Payer: Cash Price $3,166.20
Rate for Payer: Heritage Provider Network Commercial $4,763.37
Rate for Payer: Heritage Provider Network Senior $4,763.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,273.52
Rate for Payer: LLUH Dept of Risk Management WC $1,759.00
Rate for Payer: Multiplan Commercial $5,277.00
Service Code CPT 44369
Hospital Charge Code 906744369
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44369
Hospital Charge Code 906744369
Hospital Revenue Code 750
Min. Negotiated Rate $411.20
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $411.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44373
Hospital Charge Code 906744373
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44373
Hospital Charge Code 906744373
Hospital Revenue Code 750
Min. Negotiated Rate $330.47
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $910.20
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $3,126.54
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $2,047.95
Rate for Payer: Cash Price $2,047.95
Rate for Payer: Cash Price $2,047.95
Rate for Payer: Cigna of CA HMO/PPO $2,958.15
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $2,817.07
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $330.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $823.73
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $1,137.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $3,413.25
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44365
Hospital Charge Code 906744365
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44365
Hospital Charge Code 906744365
Hospital Revenue Code 750
Min. Negotiated Rate $405.40
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $405.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44372
Hospital Charge Code 906744372
Hospital Revenue Code 750
Min. Negotiated Rate $666.98
Max. Negotiated Rate $2,763.75
Rate for Payer: Adventist Health Commercial $737.00
Rate for Payer: Aetna of CA Non-Gatekeeper $2,531.60
Rate for Payer: Cash Price $1,658.25
Rate for Payer: Heritage Provider Network Commercial $2,494.74
Rate for Payer: Heritage Provider Network Senior $2,494.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal $666.98
Rate for Payer: LLUH Dept of Risk Management WC $921.25
Rate for Payer: Multiplan Commercial $2,763.75
Service Code CPT 44372
Hospital Charge Code 906744372
Hospital Revenue Code 750
Min. Negotiated Rate $374.03
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $911.60
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $3,131.35
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cash Price $2,051.10
Rate for Payer: Cigna of CA HMO/PPO $2,962.70
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $2,821.40
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $374.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $825.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $1,139.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $3,418.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44363
Hospital Charge Code 906744363
Hospital Revenue Code 750
Min. Negotiated Rate $263.67
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $524.40
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,801.31
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Alpha Care Medical Group Medi-Cal $2,615.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $2,377.45
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $4,706.95
Rate for Payer: Blue Shield of California EPN $4,045.41
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cash Price $1,179.90
Rate for Payer: Cigna of CA HMO/PPO $1,704.30
Rate for Payer: Dignity Health Commercial/Exchange $3,566.18
Rate for Payer: Dignity Health Medi-Cal $2,615.20
Rate for Payer: Dignity Health Senior $2,377.45
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $2,377.45
Rate for Payer: Heritage Provider Network Commercial $1,623.02
Rate for Payer: Heritage Provider Network Senior $2,924.26
Rate for Payer: Humana Medicare $2,377.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $263.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $2,377.45
Rate for Payer: Kaiser Permanente of CA Commercial $4,517.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal $474.58
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $2,805.39
Rate for Payer: LLUH Dept of Risk Management WC $655.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $2,995.59
Rate for Payer: Molina Healthcare of CA Medicare $2,995.59
Rate for Payer: Multiplan Commercial $1,966.50
Rate for Payer: TriValley Medical Group Commercial $425.00
Rate for Payer: TriValley Medical Group Senior $425.00
Rate for Payer: United Healthcare All Other HMO/non HMO $3,374.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,841.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $3,566.18
Rate for Payer: Vantage Medical Group Medi-Cal $2,615.20
Rate for Payer: Vantage Medical Group Senior $2,377.45
Service Code CPT 44363
Hospital Charge Code 906744363
Hospital Revenue Code 750
Min. Negotiated Rate $451.78
Max. Negotiated Rate $1,872.00
Rate for Payer: Adventist Health Commercial $499.20
Rate for Payer: Aetna of CA Non-Gatekeeper $1,714.75
Rate for Payer: Cash Price $1,123.20
Rate for Payer: Heritage Provider Network Commercial $1,689.79
Rate for Payer: Heritage Provider Network Senior $1,689.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal $451.78
Rate for Payer: LLUH Dept of Risk Management WC $624.00
Rate for Payer: Multiplan Commercial $1,872.00