|
HC ECHO-F FETAL 2D F/U
|
Facility
OP
|
$1,745.00
|
|
|
Service Code
|
CPT 76826
|
| Hospital Charge Code |
900200232
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$83.16 |
| Max. Negotiated Rate |
$1,308.75 |
| Rate for Payer: Adventist Health Commercial |
$349.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$188.94
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,198.82
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$306.16
|
| Rate for Payer: Blue Shield of California Commercial |
$146.23
|
| Rate for Payer: Blue Shield of California EPN |
$83.16
|
| Rate for Payer: Cash Price |
$785.25
|
| Rate for Payer: Cash Price |
$785.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,134.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$459.24
|
| Rate for Payer: Dignity Health Medi-Cal |
$336.78
|
| Rate for Payer: Dignity Health Senior |
$306.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,134.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$306.16
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,080.16
|
| Rate for Payer: Heritage Provider Network Senior |
$1,080.16
|
| Rate for Payer: Humana Medicare |
$306.16
|
| Rate for Payer: IEHP Medi-Cal |
$231.93
|
| Rate for Payer: IEHP Medicare Advantage |
$306.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$581.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$315.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$361.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$436.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$385.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$385.76
|
| Rate for Payer: Multiplan Commercial |
$1,308.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$306.16
|
| Rate for Payer: TriValley Medical Group Senior |
$306.16
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$353.87
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$353.87
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: Vantage Medical Group Senior |
$306.16
|
|
|
HC ECHO-F FETAL DOPPLER F/U
|
Facility
OP
|
$1,578.00
|
|
|
Service Code
|
CPT 76828
|
| Hospital Charge Code |
900200234
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$47.33 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Adventist Health Commercial |
$315.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$47.33
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,084.09
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$137.36
|
| Rate for Payer: Blue Shield of California Commercial |
$230.86
|
| Rate for Payer: Blue Shield of California EPN |
$131.28
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,025.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$206.04
|
| Rate for Payer: Dignity Health Medi-Cal |
$151.10
|
| Rate for Payer: Dignity Health Senior |
$137.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,025.70
|
| Rate for Payer: EPIC Health Plan Medicare |
$137.36
|
| Rate for Payer: Heritage Provider Network Commercial |
$976.78
|
| Rate for Payer: Heritage Provider Network Senior |
$976.78
|
| Rate for Payer: Humana Medicare |
$137.36
|
| Rate for Payer: IEHP Medi-Cal |
$71.40
|
| Rate for Payer: IEHP Medicare Advantage |
$137.36
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$260.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$285.62
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$162.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$394.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$173.07
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$173.07
|
| Rate for Payer: Multiplan Commercial |
$1,183.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$137.36
|
| Rate for Payer: TriValley Medical Group Senior |
$137.36
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$100.67
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$100.67
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: Vantage Medical Group Senior |
$137.36
|
|
|
HC ECHO-F FETAL DOPPLER F/U
|
Facility
IP
|
$1,578.00
|
|
|
Service Code
|
CPT 76828
|
| Hospital Charge Code |
900200234
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$285.62 |
| Max. Negotiated Rate |
$1,183.50 |
| Rate for Payer: Adventist Health Commercial |
$315.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,084.09
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,068.31
|
| Rate for Payer: Heritage Provider Network Senior |
$1,068.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$285.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$394.50
|
| Rate for Payer: Multiplan Commercial |
$1,183.50
|
|
|
HC ECHO PLACEMENT TEE PROBE ONLY
|
Facility
OP
|
$1,449.00
|
|
|
Service Code
|
CPT 93313
|
| Hospital Charge Code |
906813313
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$28.20 |
| Max. Negotiated Rate |
$1,309.63 |
| Rate for Payer: Adventist Health Commercial |
$289.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$92.67
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$995.46
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,033.92
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$758.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$689.28
|
| Rate for Payer: Blue Shield of California Commercial |
$49.58
|
| Rate for Payer: Blue Shield of California EPN |
$28.20
|
| Rate for Payer: Cash Price |
$652.05
|
| Rate for Payer: Cash Price |
$652.05
|
| Rate for Payer: Cash Price |
$652.05
|
| Rate for Payer: Cigna of CA HMO/PPO |
$941.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,033.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$758.21
|
| Rate for Payer: Dignity Health Senior |
$689.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$941.85
|
| Rate for Payer: EPIC Health Plan Medicare |
$689.28
|
| Rate for Payer: Heritage Provider Network Commercial |
$896.93
|
| Rate for Payer: Heritage Provider Network Senior |
$896.93
|
| Rate for Payer: Humana Medicare |
$689.28
|
| Rate for Payer: IEHP Medicare Advantage |
$689.28
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,309.63
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$262.27
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$813.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$362.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$868.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$868.49
|
| Rate for Payer: Multiplan Commercial |
$1,086.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$758.21
|
| Rate for Payer: TriValley Medical Group Senior |
$689.28
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,033.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$758.21
|
| Rate for Payer: Vantage Medical Group Senior |
$689.28
|
|
|
HC ECHO PLACEMENT TEE PROBE ONLY
|
Facility
IP
|
$1,449.00
|
|
|
Service Code
|
CPT 93313
|
| Hospital Charge Code |
906813313
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$262.27 |
| Max. Negotiated Rate |
$1,086.75 |
| Rate for Payer: Adventist Health Commercial |
$289.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$995.46
|
| Rate for Payer: Cash Price |
$652.05
|
| Rate for Payer: Heritage Provider Network Commercial |
$980.97
|
| Rate for Payer: Heritage Provider Network Senior |
$980.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$262.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$362.25
|
| Rate for Payer: Multiplan Commercial |
$1,086.75
|
|
|
HC ECHO STRESS TTE COMPLETE
|
Facility
OP
|
$2,397.00
|
|
|
Service Code
|
CPT 93351
|
| Hospital Charge Code |
900200249
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$1,797.75 |
| Rate for Payer: Adventist Health Commercial |
$479.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$374.99
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,646.74
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,033.92
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$758.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$689.28
|
| Rate for Payer: Blue Shield of California Commercial |
$1,488.54
|
| Rate for Payer: Blue Shield of California EPN |
$1,407.04
|
| Rate for Payer: Cash Price |
$1,078.65
|
| Rate for Payer: Cash Price |
$1,078.65
|
| Rate for Payer: Cash Price |
$1,078.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,558.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,033.92
|
| Rate for Payer: Dignity Health Medi-Cal |
$758.21
|
| Rate for Payer: Dignity Health Senior |
$689.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,558.05
|
| Rate for Payer: EPIC Health Plan Medicare |
$689.28
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,483.74
|
| Rate for Payer: Heritage Provider Network Senior |
$1,483.74
|
| Rate for Payer: Humana Medicare |
$689.28
|
| Rate for Payer: IEHP Medi-Cal |
$385.77
|
| Rate for Payer: IEHP Medicare Advantage |
$689.28
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,309.63
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$433.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$813.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$599.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$868.49
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$868.49
|
| Rate for Payer: Multiplan Commercial |
$1,797.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$758.21
|
| Rate for Payer: TriValley Medical Group Senior |
$689.28
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,033.92
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$758.21
|
| Rate for Payer: Vantage Medical Group Senior |
$689.28
|
|
|
HC ECHO STRESS TTE COMPLETE
|
Facility
IP
|
$2,397.00
|
|
|
Service Code
|
CPT 93351
|
| Hospital Charge Code |
900200249
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$433.86 |
| Max. Negotiated Rate |
$1,797.75 |
| Rate for Payer: Adventist Health Commercial |
$479.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,646.74
|
| Rate for Payer: Cash Price |
$1,078.65
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,622.77
|
| Rate for Payer: Heritage Provider Network Senior |
$1,622.77
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$433.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$599.25
|
| Rate for Payer: Multiplan Commercial |
$1,797.75
|
|
|
HC ECHO TEE W/CON 2D INT/RPT
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8925
|
| Hospital Charge Code |
900200244
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$2,765.26 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$2,765.26
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TEE W/CON 2D INT/RPT
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8925
|
| Hospital Charge Code |
900200244
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TEE W/CON CONGEN INT/RPT
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8926
|
| Hospital Charge Code |
900200245
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$9,363.28 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$9,363.28
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TEE W/CON CONGEN INT/RPT
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8926
|
| Hospital Charge Code |
900200245
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TEE W/CON MONITOR 2D
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8927
|
| Hospital Charge Code |
900200246
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$1,900.76 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,079.24
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TEE W/CON MONITOR 2D
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8927
|
| Hospital Charge Code |
900200246
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSESOPHAGEAL (TEE)
|
Facility
OP
|
$8,876.00
|
|
|
Service Code
|
CPT 93355
|
| Hospital Charge Code |
900293355
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$7,544.60 |
| Rate for Payer: Adventist Health Commercial |
$1,775.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$525.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$6,097.81
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7,544.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4,881.80
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6,657.00
|
| Rate for Payer: Blue Shield of California Commercial |
$5,512.00
|
| Rate for Payer: Blue Shield of California EPN |
$5,210.21
|
| Rate for Payer: Cash Price |
$3,994.20
|
| Rate for Payer: Cash Price |
$3,994.20
|
| Rate for Payer: Cash Price |
$3,994.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$5,769.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,544.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,544.60
|
| Rate for Payer: Dignity Health Senior |
$7,544.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,769.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,494.24
|
| Rate for Payer: Heritage Provider Network Senior |
$5,494.24
|
| Rate for Payer: IEHP Medi-Cal |
$301.49
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$4,278.23
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,606.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,219.00
|
| Rate for Payer: Multiplan Commercial |
$6,657.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,544.60
|
| Rate for Payer: Vantage Medical Group Senior |
$7,544.60
|
|
|
HC ECHO TRANSESOPHAGEAL (TEE)
|
Facility
IP
|
$8,876.00
|
|
|
Service Code
|
CPT 93355
|
| Hospital Charge Code |
900293355
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$1,606.56 |
| Max. Negotiated Rate |
$6,657.00 |
| Rate for Payer: Adventist Health Commercial |
$1,775.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$6,097.81
|
| Rate for Payer: Cash Price |
$3,994.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,009.05
|
| Rate for Payer: Heritage Provider Network Senior |
$6,009.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,606.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,219.00
|
| Rate for Payer: Multiplan Commercial |
$6,657.00
|
|
|
HC ECHO TRANSTHO W/CON 2D COMPLET
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8923
|
| Hospital Charge Code |
900200242
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSTHO W/CON 2D COMPLET
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8923
|
| Hospital Charge Code |
900200242
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$2,167.01 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$2,167.01
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TRANSTHO W/CON 2D STRESS
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8928
|
| Hospital Charge Code |
900200247
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$7,254.24 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$7,254.24
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TRANSTHO W/CON 2D STRESS
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8928
|
| Hospital Charge Code |
900200247
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSTHO W/CON CONGEN F/U
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8922
|
| Hospital Charge Code |
900200241
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSTHO W/CON CONGEN F/U
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8922
|
| Hospital Charge Code |
900200241
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$1,924.95 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,924.95
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
|
HC ECHO TRANSTHO W/CONT 2D/M-MODE
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8924
|
| Hospital Charge Code |
900200243
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSTHO W/CONT 2D/M-MODE
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8924
|
| Hospital Charge Code |
900200243
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,095.41
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$720.75
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$528.55
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$480.50
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$720.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$528.55
|
| Rate for Payer: Dignity Health Senior |
$480.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$480.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$480.50
|
| Rate for Payer: IEHP Medicare Advantage |
$480.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$912.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$566.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$605.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$605.43
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$528.55
|
| Rate for Payer: TriValley Medical Group Senior |
$480.50
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$720.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$528.55
|
| Rate for Payer: Vantage Medical Group Senior |
$480.50
|
|
|
HC ECHO TRANSTHO W/CONT COMPLETE
|
Facility
IP
|
$2,105.00
|
|
|
Service Code
|
CPT C8921
|
| Hospital Charge Code |
900200240
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$381.00 |
| Max. Negotiated Rate |
$1,578.75 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,425.08
|
| Rate for Payer: Heritage Provider Network Senior |
$1,425.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
|
|
HC ECHO TRANSTHO W/CONT COMPLETE
|
Facility
OP
|
$2,105.00
|
|
|
Service Code
|
CPT C8921
|
| Hospital Charge Code |
900200240
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$251.00 |
| Max. Negotiated Rate |
$8,054.22 |
| Rate for Payer: Adventist Health Commercial |
$421.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$8,054.22
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,446.14
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,000.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,307.20
|
| Rate for Payer: Blue Shield of California EPN |
$1,235.64
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cash Price |
$947.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,368.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,100.44
|
| Rate for Payer: Dignity Health Senior |
$1,000.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,368.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,000.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,303.00
|
| Rate for Payer: Heritage Provider Network Senior |
$1,303.00
|
| Rate for Payer: Humana Medicare |
$1,000.40
|
| Rate for Payer: IEHP Medicare Advantage |
$1,000.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$1,900.76
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$381.00
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,180.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$526.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,260.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,260.50
|
| Rate for Payer: Multiplan Commercial |
$1,578.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,100.44
|
| Rate for Payer: TriValley Medical Group Senior |
$1,000.40
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$298.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$251.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,500.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,100.44
|
| Rate for Payer: Vantage Medical Group Senior |
$1,000.40
|
|
