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Service Code CPT 80307
Hospital Charge Code 900910325
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900911101
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900911101
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900911238
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900911238
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900910390
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900910390
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900911145
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900911145
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900911147
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900911147
Hospital Revenue Code 301
Min. Negotiated Rate $21.90
Max. Negotiated Rate $90.75
Rate for Payer: Adventist Health Commercial $24.20
Rate for Payer: Aetna of CA Non-Gatekeeper $83.13
Rate for Payer: Cash Price $54.45
Rate for Payer: Heritage Provider Network Commercial $81.92
Rate for Payer: Heritage Provider Network Senior $81.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $21.90
Rate for Payer: LLUH Dept of Risk Management WC $30.25
Rate for Payer: Multiplan Commercial $90.75
Service Code CPT 80307
Hospital Charge Code 900912158
Hospital Revenue Code 301
Min. Negotiated Rate $154.03
Max. Negotiated Rate $638.25
Rate for Payer: Adventist Health Commercial $170.20
Rate for Payer: Aetna of CA Non-Gatekeeper $584.64
Rate for Payer: Cash Price $382.95
Rate for Payer: Heritage Provider Network Commercial $576.13
Rate for Payer: Heritage Provider Network Senior $576.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $154.03
Rate for Payer: LLUH Dept of Risk Management WC $212.75
Rate for Payer: Multiplan Commercial $638.25
Service Code CPT 80307
Hospital Charge Code 900912158
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900912160
Hospital Revenue Code 301
Min. Negotiated Rate $110.05
Max. Negotiated Rate $456.00
Rate for Payer: Adventist Health Commercial $121.60
Rate for Payer: Aetna of CA Non-Gatekeeper $417.70
Rate for Payer: Cash Price $273.60
Rate for Payer: Heritage Provider Network Commercial $411.62
Rate for Payer: Heritage Provider Network Senior $411.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $110.05
Rate for Payer: LLUH Dept of Risk Management WC $152.00
Rate for Payer: Multiplan Commercial $456.00
Service Code CPT 80307
Hospital Charge Code 900912160
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 80307
Hospital Charge Code 900912161
Hospital Revenue Code 301
Min. Negotiated Rate $154.03
Max. Negotiated Rate $638.25
Rate for Payer: Adventist Health Commercial $170.20
Rate for Payer: Aetna of CA Non-Gatekeeper $584.64
Rate for Payer: Cash Price $382.95
Rate for Payer: Heritage Provider Network Commercial $576.13
Rate for Payer: Heritage Provider Network Senior $576.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal $154.03
Rate for Payer: LLUH Dept of Risk Management WC $212.75
Rate for Payer: Multiplan Commercial $638.25
Service Code CPT 80307
Hospital Charge Code 900912161
Hospital Revenue Code 301
Min. Negotiated Rate $19.00
Max. Negotiated Rate $515.78
Rate for Payer: Adventist Health Commercial $21.00
Rate for Payer: Aetna of CA Gatekeeper $165.01
Rate for Payer: Aetna of CA Non-Gatekeeper $72.14
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $93.21
Rate for Payer: AlphaCare Medical Group Medi-Cal $68.35
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $62.14
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $515.78
Rate for Payer: Blue Shield of California Commercial $446.14
Rate for Payer: Blue Shield of California EPN $348.77
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna of CA HMO/PPO $68.25
Rate for Payer: Dignity Health Commercial/Exchange $93.21
Rate for Payer: Dignity Health Medi-Cal $68.35
Rate for Payer: Dignity Health Senior $62.14
Rate for Payer: EPIC Health Plan Commercial $68.25
Rate for Payer: EPIC Health Plan Medicare $62.14
Rate for Payer: Heritage Provider Network Commercial $65.00
Rate for Payer: Heritage Provider Network Senior $65.00
Rate for Payer: Humana Medicare $62.14
Rate for Payer: IEHP Medi-Cal $67.86
Rate for Payer: IEHP Medicare Advantage $62.14
Rate for Payer: Kaiser Permanente of CA Commercial $118.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19.00
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $73.33
Rate for Payer: LLUH Dept of Risk Management WC $26.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $78.30
Rate for Payer: Molina Healthcare of CA Medicare $78.30
Rate for Payer: Multiplan Commercial $78.75
Rate for Payer: TriValley Medical Group Commercial $62.14
Rate for Payer: TriValley Medical Group Senior $62.14
Rate for Payer: United Healthcare All Other HMO/non HMO $67.12
Rate for Payer: United Healthcare Navigate/Select/Select+ $67.12
Rate for Payer: Vantage Medical Group Commercial/Exchange $93.21
Rate for Payer: Vantage Medical Group Medi-Cal $68.35
Rate for Payer: Vantage Medical Group Senior $62.14
Service Code CPT 85613
Hospital Charge Code 900912008
Hospital Revenue Code 305
Min. Negotiated Rate $39.28
Max. Negotiated Rate $162.75
Rate for Payer: Adventist Health Commercial $43.40
Rate for Payer: Aetna of CA Non-Gatekeeper $149.08
Rate for Payer: Cash Price $97.65
Rate for Payer: Heritage Provider Network Commercial $146.91
Rate for Payer: Heritage Provider Network Senior $146.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal $39.28
Rate for Payer: LLUH Dept of Risk Management WC $54.25
Rate for Payer: Multiplan Commercial $162.75
Service Code CPT 85613
Hospital Charge Code 900912008
Hospital Revenue Code 305
Min. Negotiated Rate $6.70
Max. Negotiated Rate $80.07
Rate for Payer: Adventist Health Commercial $7.40
Rate for Payer: Aetna of CA Gatekeeper $27.85
Rate for Payer: Aetna of CA Non-Gatekeeper $25.42
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $14.37
Rate for Payer: AlphaCare Medical Group Medi-Cal $10.54
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $9.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $80.07
Rate for Payer: Blue Shield of California Commercial $74.74
Rate for Payer: Blue Shield of California EPN $58.43
Rate for Payer: Cash Price $16.65
Rate for Payer: Cash Price $16.65
Rate for Payer: Cigna of CA HMO/PPO $24.05
Rate for Payer: Dignity Health Commercial/Exchange $14.37
Rate for Payer: Dignity Health Medi-Cal $10.54
Rate for Payer: Dignity Health Senior $9.58
Rate for Payer: EPIC Health Plan Commercial $24.05
Rate for Payer: EPIC Health Plan Medicare $9.58
Rate for Payer: Heritage Provider Network Commercial $22.90
Rate for Payer: Heritage Provider Network Senior $22.90
Rate for Payer: Humana Medicare $9.58
Rate for Payer: IEHP Medi-Cal $13.18
Rate for Payer: IEHP Medicare Advantage $9.58
Rate for Payer: Kaiser Permanente of CA Commercial $18.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6.70
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11.30
Rate for Payer: LLUH Dept of Risk Management WC $9.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $12.07
Rate for Payer: Molina Healthcare of CA Medicare $12.07
Rate for Payer: Multiplan Commercial $27.75
Rate for Payer: TriValley Medical Group Commercial $9.58
Rate for Payer: TriValley Medical Group Senior $9.58
Rate for Payer: United Healthcare All Other HMO/non HMO $10.34
Rate for Payer: United Healthcare Navigate/Select/Select+ $10.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $14.37
Rate for Payer: Vantage Medical Group Medi-Cal $10.54
Rate for Payer: Vantage Medical Group Senior $9.58
Service Code CPT 85613
Hospital Charge Code 900912009
Hospital Revenue Code 305
Min. Negotiated Rate $6.70
Max. Negotiated Rate $80.07
Rate for Payer: Adventist Health Commercial $7.40
Rate for Payer: Aetna of CA Gatekeeper $27.85
Rate for Payer: Aetna of CA Non-Gatekeeper $25.42
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $14.37
Rate for Payer: AlphaCare Medical Group Medi-Cal $10.54
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $9.58
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $80.07
Rate for Payer: Blue Shield of California Commercial $74.74
Rate for Payer: Blue Shield of California EPN $58.43
Rate for Payer: Cash Price $16.65
Rate for Payer: Cash Price $16.65
Rate for Payer: Cigna of CA HMO/PPO $24.05
Rate for Payer: Dignity Health Commercial/Exchange $14.37
Rate for Payer: Dignity Health Medi-Cal $10.54
Rate for Payer: Dignity Health Senior $9.58
Rate for Payer: EPIC Health Plan Commercial $24.05
Rate for Payer: EPIC Health Plan Medicare $9.58
Rate for Payer: Heritage Provider Network Commercial $22.90
Rate for Payer: Heritage Provider Network Senior $22.90
Rate for Payer: Humana Medicare $9.58
Rate for Payer: IEHP Medi-Cal $13.18
Rate for Payer: IEHP Medicare Advantage $9.58
Rate for Payer: Kaiser Permanente of CA Commercial $18.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $6.70
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $11.30
Rate for Payer: LLUH Dept of Risk Management WC $9.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $12.07
Rate for Payer: Molina Healthcare of CA Medicare $12.07
Rate for Payer: Multiplan Commercial $27.75
Rate for Payer: TriValley Medical Group Commercial $9.58
Rate for Payer: TriValley Medical Group Senior $9.58
Rate for Payer: United Healthcare All Other HMO/non HMO $10.34
Rate for Payer: United Healthcare Navigate/Select/Select+ $10.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $14.37
Rate for Payer: Vantage Medical Group Medi-Cal $10.54
Rate for Payer: Vantage Medical Group Senior $9.58
Service Code CPT 85613
Hospital Charge Code 900912009
Hospital Revenue Code 305
Min. Negotiated Rate $37.47
Max. Negotiated Rate $155.25
Rate for Payer: Adventist Health Commercial $41.40
Rate for Payer: Aetna of CA Non-Gatekeeper $142.21
Rate for Payer: Cash Price $93.15
Rate for Payer: Heritage Provider Network Commercial $140.14
Rate for Payer: Heritage Provider Network Senior $140.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal $37.47
Rate for Payer: LLUH Dept of Risk Management WC $51.75
Rate for Payer: Multiplan Commercial $155.25
Service Code CPT 98960
Hospital Charge Code 900898960
Hospital Revenue Code 410
Min. Negotiated Rate $17.01
Max. Negotiated Rate $70.50
Rate for Payer: Adventist Health Commercial $18.80
Rate for Payer: Aetna of CA Non-Gatekeeper $64.58
Rate for Payer: Cash Price $42.30
Rate for Payer: Heritage Provider Network Commercial $63.64
Rate for Payer: Heritage Provider Network Senior $63.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal $17.01
Rate for Payer: LLUH Dept of Risk Management WC $23.50
Rate for Payer: Multiplan Commercial $70.50
Service Code CPT 98960
Hospital Charge Code 900898960
Hospital Revenue Code 410
Min. Negotiated Rate $17.01
Max. Negotiated Rate $358.00
Rate for Payer: Adventist Health Commercial $18.80
Rate for Payer: Aetna of CA Gatekeeper $62.70
Rate for Payer: Aetna of CA Non-Gatekeeper $64.58
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $79.90
Rate for Payer: AlphaCare Medical Group Medi-Cal $51.70
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $70.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $306.00
Rate for Payer: Blue Shield of California Commercial $343.00
Rate for Payer: Blue Shield of California EPN $295.00
Rate for Payer: Cash Price $42.30
Rate for Payer: Cash Price $42.30
Rate for Payer: Cash Price $42.30
Rate for Payer: Cigna of CA HMO/PPO $61.10
Rate for Payer: Dignity Health Commercial/Exchange $79.90
Rate for Payer: Dignity Health Medi-Cal $79.90
Rate for Payer: Dignity Health Senior $79.90
Rate for Payer: EPIC Health Plan Commercial $61.10
Rate for Payer: Heritage Provider Network Commercial $58.19
Rate for Payer: Heritage Provider Network Senior $58.19
Rate for Payer: IEHP Medi-Cal $42.96
Rate for Payer: Kaiser Permanente of CA Commercial $45.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $17.01
Rate for Payer: LLUH Dept of Risk Management WC $23.50
Rate for Payer: Multiplan Commercial $70.50
Rate for Payer: TriValley Medical Group Commercial $100.00
Rate for Payer: TriValley Medical Group Senior $100.00
Rate for Payer: United Healthcare All Other HMO/non HMO $358.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $304.00
Rate for Payer: Vantage Medical Group Medi-Cal $79.90
Rate for Payer: Vantage Medical Group Senior $79.90
Service Code CPT 64600
Hospital Charge Code 909004600
Hospital Revenue Code 361
Min. Negotiated Rate $409.42
Max. Negotiated Rate $1,696.50
Rate for Payer: Adventist Health Commercial $452.40
Rate for Payer: Aetna of CA Non-Gatekeeper $1,553.99
Rate for Payer: Cash Price $1,017.90
Rate for Payer: Heritage Provider Network Commercial $1,531.37
Rate for Payer: Heritage Provider Network Senior $1,531.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $409.42
Rate for Payer: LLUH Dept of Risk Management WC $565.50
Rate for Payer: Multiplan Commercial $1,696.50
Service Code CPT 64600
Hospital Charge Code 909004600
Hospital Revenue Code 361
Min. Negotiated Rate $177.14
Max. Negotiated Rate $3,517.28
Rate for Payer: Adventist Health Commercial $452.40
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,553.99
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $1,708.24
Rate for Payer: AlphaCare Medical Group Medi-Cal $1,252.71
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $1,138.83
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
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 $1,017.90
Rate for Payer: Cash Price $1,017.90
Rate for Payer: Cash Price $1,017.90
Rate for Payer: Cigna of CA HMO/PPO $1,470.30
Rate for Payer: Dignity Health Commercial/Exchange $1,708.24
Rate for Payer: Dignity Health Medi-Cal $1,252.71
Rate for Payer: Dignity Health Senior $1,138.83
Rate for Payer: EPIC Health Plan Commercial $1,357.20
Rate for Payer: EPIC Health Plan Medicare $1,138.83
Rate for Payer: Heritage Provider Network Commercial $1,400.18
Rate for Payer: Heritage Provider Network Senior $1,400.76
Rate for Payer: Humana Medicare $1,138.83
Rate for Payer: IEHP Medi-Cal $177.14
Rate for Payer: IEHP Medicare Advantage $1,138.83
Rate for Payer: Kaiser Permanente of CA Commercial $2,163.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal $409.42
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,343.82
Rate for Payer: LLUH Dept of Risk Management WC $565.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $1,434.93
Rate for Payer: Molina Healthcare of CA Medicare $1,434.93
Rate for Payer: Multiplan Commercial $1,696.50
Rate for Payer: TriValley Medical Group Commercial $1,252.71
Rate for Payer: TriValley Medical Group Senior $1,252.71
Rate for Payer: United Healthcare All Other HMO/non HMO $2,600.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $2,188.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $1,708.24
Rate for Payer: Vantage Medical Group Medi-Cal $1,252.71
Rate for Payer: Vantage Medical Group Senior $1,138.83