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Service Code CPT 51702
Hospital Charge Code 906811256
Hospital Revenue Code 450
Min. Negotiated Rate $121.45
Max. Negotiated Rate $503.25
Rate for Payer: Adventist Health Commercial $134.20
Rate for Payer: Aetna of CA Non-Gatekeeper $460.98
Rate for Payer: Cash Price $301.95
Rate for Payer: Heritage Provider Network Commercial $454.27
Rate for Payer: Heritage Provider Network Senior $454.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal $121.45
Rate for Payer: LLUH Dept of Risk Management WC $167.75
Rate for Payer: Multiplan Commercial $503.25
Service Code CPT 51702
Hospital Charge Code 906811256
Hospital Revenue Code 230
Min. Negotiated Rate $121.45
Max. Negotiated Rate $503.25
Rate for Payer: Adventist Health Commercial $134.20
Rate for Payer: Aetna of CA Non-Gatekeeper $460.98
Rate for Payer: Cash Price $301.95
Rate for Payer: Heritage Provider Network Commercial $454.27
Rate for Payer: Heritage Provider Network Senior $454.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal $121.45
Rate for Payer: LLUH Dept of Risk Management WC $167.75
Rate for Payer: Multiplan Commercial $503.25
Service Code CPT 51702
Hospital Charge Code 906811256
Hospital Revenue Code 230
Min. Negotiated Rate $121.45
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $134.20
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $460.98
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $239.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $175.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $159.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
Rate for Payer: Blue Shield of California Commercial $416.69
Rate for Payer: Blue Shield of California EPN $393.88
Rate for Payer: Cash Price $301.95
Rate for Payer: Cash Price $301.95
Rate for Payer: Cash Price $301.95
Rate for Payer: Cigna of CA HMO/PPO $436.15
Rate for Payer: Dignity Health Commercial/Exchange $239.40
Rate for Payer: Dignity Health Medi-Cal $175.56
Rate for Payer: Dignity Health Senior $159.60
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $159.60
Rate for Payer: Heritage Provider Network Commercial $415.35
Rate for Payer: Heritage Provider Network Senior $415.35
Rate for Payer: Humana Medicare $159.60
Rate for Payer: IEHP Medi-Cal $155.16
Rate for Payer: IEHP Medicare Advantage $159.60
Rate for Payer: Kaiser Permanente of CA Commercial $303.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal $121.45
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $188.33
Rate for Payer: LLUH Dept of Risk Management WC $167.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $201.10
Rate for Payer: Molina Healthcare of CA Medicare $201.10
Rate for Payer: Multiplan Commercial $503.25
Rate for Payer: TriValley Medical Group Commercial $175.56
Rate for Payer: TriValley Medical Group Senior $159.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $239.40
Rate for Payer: Vantage Medical Group Medi-Cal $175.56
Rate for Payer: Vantage Medical Group Senior $159.60
Service Code CPT 51702
Hospital Charge Code 906820336
Hospital Revenue Code 230
Min. Negotiated Rate $174.48
Max. Negotiated Rate $723.00
Rate for Payer: Adventist Health Commercial $192.80
Rate for Payer: Aetna of CA Non-Gatekeeper $662.27
Rate for Payer: Cash Price $433.80
Rate for Payer: Heritage Provider Network Commercial $652.63
Rate for Payer: Heritage Provider Network Senior $652.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal $174.48
Rate for Payer: LLUH Dept of Risk Management WC $241.00
Rate for Payer: Multiplan Commercial $723.00
Service Code CPT 51702
Hospital Charge Code 906820336
Hospital Revenue Code 230
Min. Negotiated Rate $155.16
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $192.80
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $662.27
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $239.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $175.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $159.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
Rate for Payer: Blue Shield of California Commercial $598.64
Rate for Payer: Blue Shield of California EPN $565.87
Rate for Payer: Cash Price $433.80
Rate for Payer: Cash Price $433.80
Rate for Payer: Cash Price $433.80
Rate for Payer: Cigna of CA HMO/PPO $626.60
Rate for Payer: Dignity Health Commercial/Exchange $239.40
Rate for Payer: Dignity Health Medi-Cal $175.56
Rate for Payer: Dignity Health Senior $159.60
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $159.60
Rate for Payer: Heritage Provider Network Commercial $596.72
Rate for Payer: Heritage Provider Network Senior $596.72
Rate for Payer: Humana Medicare $159.60
Rate for Payer: IEHP Medi-Cal $155.16
Rate for Payer: IEHP Medicare Advantage $159.60
Rate for Payer: Kaiser Permanente of CA Commercial $303.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal $174.48
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $188.33
Rate for Payer: LLUH Dept of Risk Management WC $241.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $201.10
Rate for Payer: Molina Healthcare of CA Medicare $201.10
Rate for Payer: Multiplan Commercial $723.00
Rate for Payer: TriValley Medical Group Commercial $175.56
Rate for Payer: TriValley Medical Group Senior $159.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $239.40
Rate for Payer: Vantage Medical Group Medi-Cal $175.56
Rate for Payer: Vantage Medical Group Senior $159.60
Service Code CPT 51702
Hospital Charge Code 906811256
Hospital Revenue Code 450
Min. Negotiated Rate $121.45
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $134.20
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $460.98
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $239.40
Rate for Payer: AlphaCare Medical Group Medi-Cal $175.56
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $159.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
Rate for Payer: Cash Price $301.95
Rate for Payer: Cash Price $301.95
Rate for Payer: Cash Price $301.95
Rate for Payer: Cigna of CA HMO/PPO $436.15
Rate for Payer: Dignity Health Commercial/Exchange $239.40
Rate for Payer: Dignity Health Medi-Cal $175.56
Rate for Payer: Dignity Health Senior $159.60
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $159.60
Rate for Payer: Heritage Provider Network Commercial $454.27
Rate for Payer: Heritage Provider Network Senior $454.27
Rate for Payer: Humana Medicare $159.60
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medicare Advantage $159.60
Rate for Payer: Kaiser Permanente of CA Commercial $323.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $121.45
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $188.33
Rate for Payer: LLUH Dept of Risk Management WC $167.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $201.10
Rate for Payer: Molina Healthcare of CA Medicare $201.10
Rate for Payer: Multiplan Commercial $503.25
Rate for Payer: United Healthcare All Other HMO/non HMO $243.64
Rate for Payer: United Healthcare Navigate/Select/Select+ $224.18
Rate for Payer: Vantage Medical Group Commercial/Exchange $239.40
Rate for Payer: Vantage Medical Group Medi-Cal $175.56
Rate for Payer: Vantage Medical Group Senior $159.60
Service Code CPT 49421
Hospital Charge Code 902100045
Hospital Revenue Code 361
Min. Negotiated Rate $408.30
Max. Negotiated Rate $9,798.75
Rate for Payer: Adventist Health Commercial $2,613.00
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $8,975.66
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $6,483.93
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,754.88
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $4,322.62
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 $5,879.25
Rate for Payer: Cash Price $5,879.25
Rate for Payer: Cash Price $5,879.25
Rate for Payer: Cigna of CA HMO/PPO $8,492.25
Rate for Payer: Dignity Health Commercial/Exchange $6,483.93
Rate for Payer: Dignity Health Medi-Cal $4,754.88
Rate for Payer: Dignity Health Senior $4,322.62
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $4,322.62
Rate for Payer: Heritage Provider Network Commercial $8,087.24
Rate for Payer: Heritage Provider Network Senior $5,316.82
Rate for Payer: Humana Medicare $4,322.62
Rate for Payer: IEHP Medi-Cal $408.30
Rate for Payer: IEHP Medicare Advantage $4,322.62
Rate for Payer: Kaiser Permanente of CA Commercial $8,212.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,364.76
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $5,100.69
Rate for Payer: LLUH Dept of Risk Management WC $3,266.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,446.50
Rate for Payer: Molina Healthcare of CA Medicare $5,446.50
Rate for Payer: Multiplan Commercial $9,798.75
Rate for Payer: TriValley Medical Group Commercial $4,754.88
Rate for Payer: TriValley Medical Group Senior $4,754.88
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 $6,483.93
Rate for Payer: Vantage Medical Group Medi-Cal $4,754.88
Rate for Payer: Vantage Medical Group Senior $4,322.62
Service Code CPT 49421
Hospital Charge Code 902100045
Hospital Revenue Code 361
Min. Negotiated Rate $2,364.76
Max. Negotiated Rate $9,798.75
Rate for Payer: Adventist Health Commercial $2,613.00
Rate for Payer: Aetna of CA Non-Gatekeeper $8,975.66
Rate for Payer: Cash Price $5,879.25
Rate for Payer: Heritage Provider Network Commercial $8,845.00
Rate for Payer: Heritage Provider Network Senior $8,845.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,364.76
Rate for Payer: LLUH Dept of Risk Management WC $3,266.25
Rate for Payer: Multiplan Commercial $9,798.75
Service Code CPT 51703
Hospital Charge Code 902400104
Hospital Revenue Code 450
Min. Negotiated Rate $119.64
Max. Negotiated Rate $495.75
Rate for Payer: Adventist Health Commercial $132.20
Rate for Payer: Aetna of CA Non-Gatekeeper $454.11
Rate for Payer: Cash Price $297.45
Rate for Payer: Heritage Provider Network Commercial $447.50
Rate for Payer: Heritage Provider Network Senior $447.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $119.64
Rate for Payer: LLUH Dept of Risk Management WC $165.25
Rate for Payer: Multiplan Commercial $495.75
Service Code CPT 51703
Hospital Charge Code 902400104
Hospital Revenue Code 230
Min. Negotiated Rate $119.64
Max. Negotiated Rate $495.75
Rate for Payer: Adventist Health Commercial $132.20
Rate for Payer: Aetna of CA Non-Gatekeeper $454.11
Rate for Payer: Cash Price $297.45
Rate for Payer: Heritage Provider Network Commercial $447.50
Rate for Payer: Heritage Provider Network Senior $447.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $119.64
Rate for Payer: LLUH Dept of Risk Management WC $165.25
Rate for Payer: Multiplan Commercial $495.75
Service Code CPT 51703
Hospital Charge Code 902400104
Hospital Revenue Code 450
Min. Negotiated Rate $119.64
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $132.20
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $454.11
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $292.76
Rate for Payer: AlphaCare Medical Group Medi-Cal $214.69
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $195.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
Rate for Payer: Cash Price $297.45
Rate for Payer: Cash Price $297.45
Rate for Payer: Cash Price $297.45
Rate for Payer: Cigna of CA HMO/PPO $429.65
Rate for Payer: Dignity Health Commercial/Exchange $292.76
Rate for Payer: Dignity Health Medi-Cal $214.69
Rate for Payer: Dignity Health Senior $195.17
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $195.17
Rate for Payer: Heritage Provider Network Commercial $447.50
Rate for Payer: Heritage Provider Network Senior $447.50
Rate for Payer: Humana Medicare $195.17
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medicare Advantage $195.17
Rate for Payer: Kaiser Permanente of CA Commercial $318.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal $119.64
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $230.30
Rate for Payer: LLUH Dept of Risk Management WC $165.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $245.91
Rate for Payer: Molina Healthcare of CA Medicare $245.91
Rate for Payer: Multiplan Commercial $495.75
Rate for Payer: United Healthcare All Other HMO/non HMO $240.01
Rate for Payer: United Healthcare Navigate/Select/Select+ $220.84
Rate for Payer: Vantage Medical Group Commercial/Exchange $292.76
Rate for Payer: Vantage Medical Group Medi-Cal $214.69
Rate for Payer: Vantage Medical Group Senior $195.17
Service Code CPT 51703
Hospital Charge Code 902400104
Hospital Revenue Code 230
Min. Negotiated Rate $119.64
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $132.20
Rate for Payer: Aetna of CA Gatekeeper $1,335.00
Rate for Payer: Aetna of CA Non-Gatekeeper $454.11
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $292.76
Rate for Payer: AlphaCare Medical Group Medi-Cal $214.69
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $195.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,237.00
Rate for Payer: Blue Shield of California Commercial $410.48
Rate for Payer: Blue Shield of California EPN $388.01
Rate for Payer: Cash Price $297.45
Rate for Payer: Cash Price $297.45
Rate for Payer: Cash Price $297.45
Rate for Payer: Cigna of CA HMO/PPO $429.65
Rate for Payer: Dignity Health Commercial/Exchange $292.76
Rate for Payer: Dignity Health Medi-Cal $214.69
Rate for Payer: Dignity Health Senior $195.17
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $195.17
Rate for Payer: Heritage Provider Network Commercial $409.16
Rate for Payer: Heritage Provider Network Senior $409.16
Rate for Payer: Humana Medicare $195.17
Rate for Payer: IEHP Medi-Cal $168.65
Rate for Payer: IEHP Medicare Advantage $195.17
Rate for Payer: Kaiser Permanente of CA Commercial $370.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal $119.64
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $230.30
Rate for Payer: LLUH Dept of Risk Management WC $165.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $245.91
Rate for Payer: Molina Healthcare of CA Medicare $245.91
Rate for Payer: Multiplan Commercial $495.75
Rate for Payer: TriValley Medical Group Commercial $214.69
Rate for Payer: TriValley Medical Group Senior $195.17
Rate for Payer: Vantage Medical Group Commercial/Exchange $292.76
Rate for Payer: Vantage Medical Group Medi-Cal $214.69
Rate for Payer: Vantage Medical Group Senior $195.17
Service Code CPT 33990
Hospital Charge Code 906811429
Hospital Revenue Code 360
Min. Negotiated Rate $4,948.18
Max. Negotiated Rate $20,503.50
Rate for Payer: Adventist Health Commercial $5,467.60
Rate for Payer: Aetna of CA Non-Gatekeeper $18,781.21
Rate for Payer: Cash Price $12,302.10
Rate for Payer: Heritage Provider Network Commercial $18,507.83
Rate for Payer: Heritage Provider Network Senior $18,507.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,948.18
Rate for Payer: LLUH Dept of Risk Management WC $6,834.50
Rate for Payer: Multiplan Commercial $20,503.50
Service Code CPT 33990
Hospital Charge Code 906820232
Hospital Revenue Code 360
Min. Negotiated Rate $547.68
Max. Negotiated Rate $12,774.65
Rate for Payer: Adventist Health Commercial $3,005.80
Rate for Payer: Aetna of CA Gatekeeper $12,620.00
Rate for Payer: Aetna of CA Non-Gatekeeper $10,324.92
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $12,774.65
Rate for Payer: AlphaCare Medical Group Medi-Cal $8,265.95
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $11,271.75
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,742.00
Rate for Payer: Blue Shield of California Commercial $10,231.15
Rate for Payer: Blue Shield of California EPN $8,793.20
Rate for Payer: Cash Price $6,763.05
Rate for Payer: Cash Price $6,763.05
Rate for Payer: Cash Price $6,763.05
Rate for Payer: Cigna of CA HMO/PPO $9,768.85
Rate for Payer: Dignity Health Commercial/Exchange $12,774.65
Rate for Payer: Dignity Health Medi-Cal $12,774.65
Rate for Payer: Dignity Health Senior $12,774.65
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: Heritage Provider Network Commercial $9,302.95
Rate for Payer: Heritage Provider Network Senior $9,302.95
Rate for Payer: IEHP Medi-Cal $547.68
Rate for Payer: Kaiser Permanente of CA Commercial $7,243.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,720.25
Rate for Payer: LLUH Dept of Risk Management WC $3,757.25
Rate for Payer: Multiplan Commercial $11,271.75
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 Medi-Cal $12,774.65
Rate for Payer: Vantage Medical Group Senior $12,774.65
Service Code CPT 33990
Hospital Charge Code 906820232
Hospital Revenue Code 360
Min. Negotiated Rate $2,720.25
Max. Negotiated Rate $11,271.75
Rate for Payer: Adventist Health Commercial $3,005.80
Rate for Payer: Aetna of CA Non-Gatekeeper $10,324.92
Rate for Payer: Cash Price $6,763.05
Rate for Payer: Heritage Provider Network Commercial $10,174.63
Rate for Payer: Heritage Provider Network Senior $10,174.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,720.25
Rate for Payer: LLUH Dept of Risk Management WC $3,757.25
Rate for Payer: Multiplan Commercial $11,271.75
Service Code CPT 33990
Hospital Charge Code 906811429
Hospital Revenue Code 360
Min. Negotiated Rate $547.68
Max. Negotiated Rate $23,237.30
Rate for Payer: Adventist Health Commercial $5,467.60
Rate for Payer: Aetna of CA Gatekeeper $12,620.00
Rate for Payer: Aetna of CA Non-Gatekeeper $18,781.21
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $23,237.30
Rate for Payer: AlphaCare Medical Group Medi-Cal $15,035.90
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $20,503.50
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,742.00
Rate for Payer: Blue Shield of California Commercial $10,231.15
Rate for Payer: Blue Shield of California EPN $8,793.20
Rate for Payer: Cash Price $12,302.10
Rate for Payer: Cash Price $12,302.10
Rate for Payer: Cash Price $12,302.10
Rate for Payer: Cigna of CA HMO/PPO $17,769.70
Rate for Payer: Dignity Health Commercial/Exchange $23,237.30
Rate for Payer: Dignity Health Medi-Cal $23,237.30
Rate for Payer: Dignity Health Senior $23,237.30
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: Heritage Provider Network Commercial $16,922.22
Rate for Payer: Heritage Provider Network Senior $16,922.22
Rate for Payer: IEHP Medi-Cal $547.68
Rate for Payer: Kaiser Permanente of CA Commercial $13,176.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $4,948.18
Rate for Payer: LLUH Dept of Risk Management WC $6,834.50
Rate for Payer: Multiplan Commercial $20,503.50
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 Medi-Cal $23,237.30
Rate for Payer: Vantage Medical Group Senior $23,237.30
Service Code CPT 36800
Hospital Charge Code 909036800
Hospital Revenue Code 361
Min. Negotiated Rate $197.46
Max. Negotiated Rate $13,479.00
Rate for Payer: Adventist Health Commercial $3,018.00
Rate for Payer: Aetna of CA Gatekeeper $3,728.00
Rate for Payer: Aetna of CA Non-Gatekeeper $10,366.83
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $10,299.10
Rate for Payer: AlphaCare Medical Group Medi-Cal $7,552.68
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $6,866.07
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,505.00
Rate for Payer: Blue Shield of California Commercial $5,379.37
Rate for Payer: Blue Shield of California EPN $4,623.32
Rate for Payer: Cash Price $6,790.50
Rate for Payer: Cash Price $6,790.50
Rate for Payer: Cash Price $6,790.50
Rate for Payer: Cigna of CA HMO/PPO $9,808.50
Rate for Payer: Dignity Health Commercial/Exchange $10,299.10
Rate for Payer: Dignity Health Medi-Cal $7,552.68
Rate for Payer: Dignity Health Senior $6,866.07
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $6,866.07
Rate for Payer: Heritage Provider Network Commercial $9,340.71
Rate for Payer: Heritage Provider Network Senior $8,445.27
Rate for Payer: Humana Medicare $6,866.07
Rate for Payer: IEHP Medi-Cal $197.46
Rate for Payer: IEHP Medicare Advantage $6,866.07
Rate for Payer: Kaiser Permanente of CA Commercial $13,045.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,731.29
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $8,101.96
Rate for Payer: LLUH Dept of Risk Management WC $3,772.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $8,651.25
Rate for Payer: Molina Healthcare of CA Medicare $8,651.25
Rate for Payer: Multiplan Commercial $11,317.50
Rate for Payer: TriValley Medical Group Commercial $7,552.68
Rate for Payer: TriValley Medical Group Senior $7,552.68
Rate for Payer: United Healthcare All Other HMO/non HMO $13,479.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $11,381.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $10,299.10
Rate for Payer: Vantage Medical Group Medi-Cal $7,552.68
Rate for Payer: Vantage Medical Group Senior $6,866.07
Service Code CPT 36800
Hospital Charge Code 909036800
Hospital Revenue Code 361
Min. Negotiated Rate $2,731.29
Max. Negotiated Rate $11,317.50
Rate for Payer: Adventist Health Commercial $3,018.00
Rate for Payer: Aetna of CA Non-Gatekeeper $10,366.83
Rate for Payer: Cash Price $6,790.50
Rate for Payer: Heritage Provider Network Commercial $10,215.93
Rate for Payer: Heritage Provider Network Senior $10,215.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,731.29
Rate for Payer: LLUH Dept of Risk Management WC $3,772.50
Rate for Payer: Multiplan Commercial $11,317.50
Service Code CPT 36561
Hospital Charge Code 909080012
Hospital Revenue Code 361
Min. Negotiated Rate $405.60
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $2,504.20
Rate for Payer: Aetna of CA Gatekeeper $3,728.00
Rate for Payer: Aetna of CA Non-Gatekeeper $8,601.93
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5,973.82
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,380.80
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3,982.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Blue Shield of California Commercial $7,562.15
Rate for Payer: Blue Shield of California EPN $6,499.32
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cigna of CA HMO/PPO $8,138.65
Rate for Payer: Dignity Health Commercial/Exchange $5,973.82
Rate for Payer: Dignity Health Medi-Cal $4,380.80
Rate for Payer: Dignity Health Senior $3,982.55
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $3,982.55
Rate for Payer: Heritage Provider Network Commercial $7,750.50
Rate for Payer: Heritage Provider Network Senior $4,898.54
Rate for Payer: Humana Medicare $3,982.55
Rate for Payer: IEHP Medi-Cal $405.60
Rate for Payer: IEHP Medicare Advantage $3,982.55
Rate for Payer: Kaiser Permanente of CA Commercial $7,566.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,266.30
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,699.41
Rate for Payer: LLUH Dept of Risk Management WC $3,130.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,018.01
Rate for Payer: Molina Healthcare of CA Medicare $5,018.01
Rate for Payer: Multiplan Commercial $9,390.75
Rate for Payer: TriValley Medical Group Commercial $4,380.80
Rate for Payer: TriValley Medical Group Senior $4,380.80
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 $5,973.82
Rate for Payer: Vantage Medical Group Medi-Cal $4,380.80
Rate for Payer: Vantage Medical Group Senior $3,982.55
Service Code CPT 36561
Hospital Charge Code 909080012
Hospital Revenue Code 361
Min. Negotiated Rate $2,266.30
Max. Negotiated Rate $9,390.75
Rate for Payer: Adventist Health Commercial $2,504.20
Rate for Payer: Aetna of CA Non-Gatekeeper $8,601.93
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Heritage Provider Network Commercial $8,476.72
Rate for Payer: Heritage Provider Network Senior $8,476.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,266.30
Rate for Payer: LLUH Dept of Risk Management WC $3,130.25
Rate for Payer: Multiplan Commercial $9,390.75
Service Code CPT 36561
Hospital Charge Code 900501569
Hospital Revenue Code 450
Min. Negotiated Rate $936.00
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $2,504.20
Rate for Payer: Aetna of CA Gatekeeper $3,728.00
Rate for Payer: Aetna of CA Non-Gatekeeper $8,601.93
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $5,973.82
Rate for Payer: AlphaCare Medical Group Medi-Cal $4,380.80
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $3,982.55
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,547.00
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Cigna of CA HMO/PPO $8,138.65
Rate for Payer: Dignity Health Commercial/Exchange $5,973.82
Rate for Payer: Dignity Health Medi-Cal $4,380.80
Rate for Payer: Dignity Health Senior $3,982.55
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $3,982.55
Rate for Payer: Heritage Provider Network Commercial $8,476.72
Rate for Payer: Heritage Provider Network Senior $8,476.72
Rate for Payer: Humana Medicare $3,982.55
Rate for Payer: IEHP Medi-Cal $936.00
Rate for Payer: IEHP Medicare Advantage $3,982.55
Rate for Payer: Kaiser Permanente of CA Commercial $6,035.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,266.30
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,699.41
Rate for Payer: LLUH Dept of Risk Management WC $3,130.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,018.01
Rate for Payer: Molina Healthcare of CA Medicare $5,018.01
Rate for Payer: Multiplan Commercial $9,390.75
Rate for Payer: United Healthcare All Other HMO/non HMO $4,546.38
Rate for Payer: United Healthcare Navigate/Select/Select+ $4,183.27
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,973.82
Rate for Payer: Vantage Medical Group Medi-Cal $4,380.80
Rate for Payer: Vantage Medical Group Senior $3,982.55
Service Code CPT 36561
Hospital Charge Code 900501569
Hospital Revenue Code 450
Min. Negotiated Rate $2,266.30
Max. Negotiated Rate $9,390.75
Rate for Payer: Adventist Health Commercial $2,504.20
Rate for Payer: Aetna of CA Non-Gatekeeper $8,601.93
Rate for Payer: Cash Price $5,634.45
Rate for Payer: Heritage Provider Network Commercial $8,476.72
Rate for Payer: Heritage Provider Network Senior $8,476.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,266.30
Rate for Payer: LLUH Dept of Risk Management WC $3,130.25
Rate for Payer: Multiplan Commercial $9,390.75
Service Code CPT 22869
Hospital Charge Code 900102190
Hospital Revenue Code 361
Min. Negotiated Rate $730.63
Max. Negotiated Rate $44,468.25
Rate for Payer: Adventist Health Commercial $11,858.20
Rate for Payer: Aetna of CA Gatekeeper $2,869.00
Rate for Payer: Aetna of CA Non-Gatekeeper $40,732.92
Rate for Payer: AlphaCare Medical Group Commercial/Exchange $24,665.96
Rate for Payer: AlphaCare Medical Group Medi-Cal $18,088.37
Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product $16,443.97
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $7,436.00
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 $26,680.95
Rate for Payer: Cash Price $26,680.95
Rate for Payer: Cash Price $26,680.95
Rate for Payer: Cigna of CA HMO/PPO $38,539.15
Rate for Payer: Dignity Health Commercial/Exchange $24,665.96
Rate for Payer: Dignity Health Medi-Cal $18,088.37
Rate for Payer: Dignity Health Senior $16,443.97
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $16,443.97
Rate for Payer: Heritage Provider Network Commercial $36,701.13
Rate for Payer: Heritage Provider Network Senior $20,226.08
Rate for Payer: Humana Medicare $16,443.97
Rate for Payer: IEHP Medi-Cal $730.63
Rate for Payer: IEHP Medicare Advantage $16,443.97
Rate for Payer: Kaiser Permanente of CA Commercial $31,243.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,731.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19,403.88
Rate for Payer: LLUH Dept of Risk Management WC $14,822.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $20,719.40
Rate for Payer: Molina Healthcare of CA Medicare $20,719.40
Rate for Payer: Multiplan Commercial $44,468.25
Rate for Payer: Multiplan WC $22,481.26
Rate for Payer: TriValley Medical Group Commercial $18,088.37
Rate for Payer: TriValley Medical Group Senior $18,088.37
Rate for Payer: United Healthcare All Other HMO/non HMO $13,479.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $11,381.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $24,665.96
Rate for Payer: Vantage Medical Group Medi-Cal $18,088.37
Rate for Payer: Vantage Medical Group Senior $16,443.97
Service Code CPT 22869
Hospital Charge Code 900102190
Hospital Revenue Code 361
Min. Negotiated Rate $10,731.67
Max. Negotiated Rate $44,468.25
Rate for Payer: Adventist Health Commercial $11,858.20
Rate for Payer: Aetna of CA Non-Gatekeeper $40,732.92
Rate for Payer: Cash Price $26,680.95
Rate for Payer: Heritage Provider Network Commercial $40,140.01
Rate for Payer: Heritage Provider Network Senior $40,140.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10,731.67
Rate for Payer: LLUH Dept of Risk Management WC $14,822.75
Rate for Payer: Multiplan Commercial $44,468.25
Service Code CPT 22870
Hospital Charge Code 909020154
Hospital Revenue Code 361
Min. Negotiated Rate $5,365.74
Max. Negotiated Rate $22,233.75
Rate for Payer: Adventist Health Commercial $5,929.00
Rate for Payer: Aetna of CA Non-Gatekeeper $20,366.12
Rate for Payer: Cash Price $13,340.25
Rate for Payer: Heritage Provider Network Commercial $20,069.66
Rate for Payer: Heritage Provider Network Senior $20,069.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5,365.74
Rate for Payer: LLUH Dept of Risk Management WC $7,411.25
Rate for Payer: Multiplan Commercial $22,233.75