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Service Code CPT 86622
Hospital Charge Code 900911628
Hospital Revenue Code 302
Min. Negotiated Rate $3.75
Max. Negotiated Rate $68.09
Rate for Payer: Adventist Health Commercial $4.15
Rate for Payer: Aetna of CA Gatekeeper $25.98
Rate for Payer: Aetna of CA Non-Gatekeeper $14.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $13.40
Rate for Payer: Alpha Care Medical Group Medi-Cal $9.82
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $8.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $67.51
Rate for Payer: Blue Shield of California Commercial $68.09
Rate for Payer: Blue Shield of California EPN $53.23
Rate for Payer: Cash Price $9.33
Rate for Payer: Cash Price $9.33
Rate for Payer: Cigna of CA HMO/PPO $13.48
Rate for Payer: Dignity Health Commercial/Exchange $13.40
Rate for Payer: Dignity Health Medi-Cal $9.82
Rate for Payer: Dignity Health Senior $8.93
Rate for Payer: EPIC Health Plan Commercial $13.48
Rate for Payer: EPIC Health Plan Medicare $8.93
Rate for Payer: Heritage Provider Network Commercial $12.84
Rate for Payer: Heritage Provider Network Senior $12.84
Rate for Payer: Humana Medicare $8.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $12.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8.93
Rate for Payer: Kaiser Permanente of CA Commercial $16.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.75
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $10.54
Rate for Payer: LLUH Dept of Risk Management WC $5.18
Rate for Payer: Molina Healthcare of CA Medi-Cal $11.25
Rate for Payer: Molina Healthcare of CA Medicare $11.25
Rate for Payer: Multiplan Commercial $15.56
Rate for Payer: TriValley Medical Group Commercial $8.93
Rate for Payer: TriValley Medical Group Senior $8.93
Rate for Payer: United Healthcare All Other HMO/non HMO $9.65
Rate for Payer: United Healthcare Navigate/Select/Select+ $9.65
Rate for Payer: Vantage Medical Group Commercial/Exchange $13.40
Rate for Payer: Vantage Medical Group Medi-Cal $9.82
Rate for Payer: Vantage Medical Group Senior $8.93
Service Code CPT 86622
Hospital Charge Code 900912667
Hospital Revenue Code 302
Min. Negotiated Rate $3.75
Max. Negotiated Rate $68.09
Rate for Payer: Adventist Health Commercial $4.15
Rate for Payer: Aetna of CA Gatekeeper $25.98
Rate for Payer: Aetna of CA Non-Gatekeeper $14.25
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $13.40
Rate for Payer: Alpha Care Medical Group Medi-Cal $9.82
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $8.93
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $67.51
Rate for Payer: Blue Shield of California Commercial $68.09
Rate for Payer: Blue Shield of California EPN $53.23
Rate for Payer: Cash Price $9.33
Rate for Payer: Cash Price $9.33
Rate for Payer: Cigna of CA HMO/PPO $13.48
Rate for Payer: Dignity Health Commercial/Exchange $13.40
Rate for Payer: Dignity Health Medi-Cal $9.82
Rate for Payer: Dignity Health Senior $8.93
Rate for Payer: EPIC Health Plan Commercial $13.48
Rate for Payer: EPIC Health Plan Medicare $8.93
Rate for Payer: Heritage Provider Network Commercial $12.84
Rate for Payer: Heritage Provider Network Senior $12.84
Rate for Payer: Humana Medicare $8.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $12.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $8.93
Rate for Payer: Kaiser Permanente of CA Commercial $16.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.75
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $10.54
Rate for Payer: LLUH Dept of Risk Management WC $5.18
Rate for Payer: Molina Healthcare of CA Medi-Cal $11.25
Rate for Payer: Molina Healthcare of CA Medicare $11.25
Rate for Payer: Multiplan Commercial $15.56
Rate for Payer: TriValley Medical Group Commercial $8.93
Rate for Payer: TriValley Medical Group Senior $8.93
Rate for Payer: United Healthcare All Other HMO/non HMO $9.65
Rate for Payer: United Healthcare Navigate/Select/Select+ $9.65
Rate for Payer: Vantage Medical Group Commercial/Exchange $13.40
Rate for Payer: Vantage Medical Group Medi-Cal $9.82
Rate for Payer: Vantage Medical Group Senior $8.93
Service Code CPT 86622
Hospital Charge Code 900912667
Hospital Revenue Code 302
Min. Negotiated Rate $3.75
Max. Negotiated Rate $15.56
Rate for Payer: Adventist Health Commercial $4.15
Rate for Payer: Aetna of CA Non-Gatekeeper $14.25
Rate for Payer: Cash Price $9.33
Rate for Payer: Heritage Provider Network Commercial $14.04
Rate for Payer: Heritage Provider Network Senior $14.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.75
Rate for Payer: LLUH Dept of Risk Management WC $5.18
Rate for Payer: Multiplan Commercial $15.56
Service Code CPT 83883
Hospital Charge Code 900911175
Hospital Revenue Code 301
Min. Negotiated Rate $3.26
Max. Negotiated Rate $13.50
Rate for Payer: Adventist Health Commercial $3.60
Rate for Payer: Aetna of CA Non-Gatekeeper $12.37
Rate for Payer: Cash Price $8.10
Rate for Payer: Heritage Provider Network Commercial $12.19
Rate for Payer: Heritage Provider Network Senior $12.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.26
Rate for Payer: LLUH Dept of Risk Management WC $4.50
Rate for Payer: Multiplan Commercial $13.50
Service Code CPT 83883
Hospital Charge Code 900911175
Hospital Revenue Code 301
Min. Negotiated Rate $3.26
Max. Negotiated Rate $113.94
Rate for Payer: Adventist Health Commercial $3.60
Rate for Payer: Aetna of CA Gatekeeper $39.55
Rate for Payer: Aetna of CA Non-Gatekeeper $12.37
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $20.40
Rate for Payer: Alpha Care Medical Group Medi-Cal $14.96
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $13.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $113.94
Rate for Payer: Blue Shield of California Commercial $106.21
Rate for Payer: Blue Shield of California EPN $83.03
Rate for Payer: Cash Price $8.10
Rate for Payer: Cash Price $8.10
Rate for Payer: Cigna of CA HMO/PPO $11.70
Rate for Payer: Dignity Health Commercial/Exchange $20.40
Rate for Payer: Dignity Health Medi-Cal $14.96
Rate for Payer: Dignity Health Senior $13.60
Rate for Payer: EPIC Health Plan Commercial $11.70
Rate for Payer: EPIC Health Plan Medicare $13.60
Rate for Payer: Heritage Provider Network Commercial $11.14
Rate for Payer: Heritage Provider Network Senior $11.14
Rate for Payer: Humana Medicare $13.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $18.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $13.60
Rate for Payer: Kaiser Permanente of CA Commercial $25.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3.26
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $16.05
Rate for Payer: LLUH Dept of Risk Management WC $4.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $17.14
Rate for Payer: Molina Healthcare of CA Medicare $17.14
Rate for Payer: Multiplan Commercial $13.50
Rate for Payer: TriValley Medical Group Commercial $13.60
Rate for Payer: TriValley Medical Group Senior $13.60
Rate for Payer: United Healthcare All Other HMO/non HMO $14.69
Rate for Payer: United Healthcare Navigate/Select/Select+ $14.69
Rate for Payer: Vantage Medical Group Commercial/Exchange $20.40
Rate for Payer: Vantage Medical Group Medi-Cal $14.96
Rate for Payer: Vantage Medical Group Senior $13.60
Service Code CPT 83520
Hospital Charge Code 900912844
Hospital Revenue Code 302
Min. Negotiated Rate $5.43
Max. Negotiated Rate $108.36
Rate for Payer: Adventist Health Commercial $6.00
Rate for Payer: Aetna of CA Gatekeeper $37.68
Rate for Payer: Aetna of CA Non-Gatekeeper $20.61
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $25.90
Rate for Payer: Alpha Care Medical Group Medi-Cal $19.00
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $17.27
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $108.36
Rate for Payer: Blue Shield of California Commercial $101.12
Rate for Payer: Blue Shield of California EPN $79.05
Rate for Payer: Cash Price $13.50
Rate for Payer: Cash Price $13.50
Rate for Payer: Cigna of CA HMO/PPO $19.50
Rate for Payer: Dignity Health Commercial/Exchange $25.90
Rate for Payer: Dignity Health Medi-Cal $19.00
Rate for Payer: Dignity Health Senior $17.27
Rate for Payer: EPIC Health Plan Commercial $19.50
Rate for Payer: EPIC Health Plan Medicare $17.27
Rate for Payer: Heritage Provider Network Commercial $18.57
Rate for Payer: Heritage Provider Network Senior $18.57
Rate for Payer: Humana Medicare $17.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $15.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $17.27
Rate for Payer: Kaiser Permanente of CA Commercial $32.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.43
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $20.38
Rate for Payer: LLUH Dept of Risk Management WC $7.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $21.76
Rate for Payer: Molina Healthcare of CA Medicare $21.76
Rate for Payer: Multiplan Commercial $22.50
Rate for Payer: TriValley Medical Group Commercial $17.27
Rate for Payer: TriValley Medical Group Senior $17.27
Rate for Payer: United Healthcare All Other HMO/non HMO $18.65
Rate for Payer: United Healthcare Navigate/Select/Select+ $18.65
Rate for Payer: Vantage Medical Group Commercial/Exchange $25.90
Rate for Payer: Vantage Medical Group Medi-Cal $19.00
Rate for Payer: Vantage Medical Group Senior $17.27
Service Code CPT 83520
Hospital Charge Code 900912844
Hospital Revenue Code 302
Min. Negotiated Rate $5.43
Max. Negotiated Rate $22.50
Rate for Payer: Adventist Health Commercial $6.00
Rate for Payer: Aetna of CA Non-Gatekeeper $20.61
Rate for Payer: Cash Price $13.50
Rate for Payer: Heritage Provider Network Commercial $20.31
Rate for Payer: Heritage Provider Network Senior $20.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.43
Rate for Payer: LLUH Dept of Risk Management WC $7.50
Rate for Payer: Multiplan Commercial $22.50
Service Code CPT 86300
Hospital Charge Code 900911430
Hospital Revenue Code 302
Min. Negotiated Rate $2.67
Max. Negotiated Rate $174.07
Rate for Payer: Adventist Health Commercial $2.95
Rate for Payer: Aetna of CA Gatekeeper $60.56
Rate for Payer: Aetna of CA Non-Gatekeeper $10.13
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $31.22
Rate for Payer: Alpha Care Medical Group Medi-Cal $22.89
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $20.81
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $174.07
Rate for Payer: Blue Shield of California Commercial $162.50
Rate for Payer: Blue Shield of California EPN $127.04
Rate for Payer: Cash Price $6.64
Rate for Payer: Cash Price $6.64
Rate for Payer: Cigna of CA HMO/PPO $9.59
Rate for Payer: Dignity Health Commercial/Exchange $31.22
Rate for Payer: Dignity Health Medi-Cal $22.89
Rate for Payer: Dignity Health Senior $20.81
Rate for Payer: EPIC Health Plan Commercial $9.59
Rate for Payer: EPIC Health Plan Medicare $20.81
Rate for Payer: Heritage Provider Network Commercial $9.13
Rate for Payer: Heritage Provider Network Senior $9.13
Rate for Payer: Humana Medicare $20.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $28.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $20.81
Rate for Payer: Kaiser Permanente of CA Commercial $39.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $24.56
Rate for Payer: LLUH Dept of Risk Management WC $3.69
Rate for Payer: Molina Healthcare of CA Medi-Cal $26.22
Rate for Payer: Molina Healthcare of CA Medicare $26.22
Rate for Payer: Multiplan Commercial $11.06
Rate for Payer: TriValley Medical Group Commercial $20.81
Rate for Payer: TriValley Medical Group Senior $20.81
Rate for Payer: United Healthcare All Other HMO/non HMO $22.48
Rate for Payer: United Healthcare Navigate/Select/Select+ $22.48
Rate for Payer: Vantage Medical Group Commercial/Exchange $31.22
Rate for Payer: Vantage Medical Group Medi-Cal $22.89
Rate for Payer: Vantage Medical Group Senior $20.81
Service Code CPT 86300
Hospital Charge Code 900911430
Hospital Revenue Code 302
Min. Negotiated Rate $2.67
Max. Negotiated Rate $11.06
Rate for Payer: Adventist Health Commercial $2.95
Rate for Payer: Aetna of CA Non-Gatekeeper $10.13
Rate for Payer: Cash Price $6.64
Rate for Payer: Heritage Provider Network Commercial $9.99
Rate for Payer: Heritage Provider Network Senior $9.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.67
Rate for Payer: LLUH Dept of Risk Management WC $3.69
Rate for Payer: Multiplan Commercial $11.06
Service Code CPT 82300
Hospital Charge Code 900911051
Hospital Revenue Code 301
Min. Negotiated Rate $5.43
Max. Negotiated Rate $22.50
Rate for Payer: Adventist Health Commercial $6.00
Rate for Payer: Aetna of CA Non-Gatekeeper $20.61
Rate for Payer: Cash Price $13.50
Rate for Payer: Heritage Provider Network Commercial $20.31
Rate for Payer: Heritage Provider Network Senior $20.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.43
Rate for Payer: LLUH Dept of Risk Management WC $7.50
Rate for Payer: Multiplan Commercial $22.50
Service Code CPT 82300
Hospital Charge Code 900911051
Hospital Revenue Code 301
Min. Negotiated Rate $5.43
Max. Negotiated Rate $193.62
Rate for Payer: Adventist Health Commercial $6.00
Rate for Payer: Aetna of CA Gatekeeper $67.33
Rate for Payer: Aetna of CA Non-Gatekeeper $20.61
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $35.46
Rate for Payer: Alpha Care Medical Group Medi-Cal $26.00
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $23.64
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $193.62
Rate for Payer: Blue Shield of California Commercial $180.72
Rate for Payer: Blue Shield of California EPN $141.28
Rate for Payer: Cash Price $13.50
Rate for Payer: Cash Price $13.50
Rate for Payer: Cigna of CA HMO/PPO $19.50
Rate for Payer: Dignity Health Commercial/Exchange $35.46
Rate for Payer: Dignity Health Medi-Cal $26.00
Rate for Payer: Dignity Health Senior $23.64
Rate for Payer: EPIC Health Plan Commercial $19.50
Rate for Payer: EPIC Health Plan Medicare $23.64
Rate for Payer: Heritage Provider Network Commercial $18.57
Rate for Payer: Heritage Provider Network Senior $18.57
Rate for Payer: Humana Medicare $23.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $32.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $23.64
Rate for Payer: Kaiser Permanente of CA Commercial $44.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal $5.43
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $27.90
Rate for Payer: LLUH Dept of Risk Management WC $7.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $29.79
Rate for Payer: Molina Healthcare of CA Medicare $29.79
Rate for Payer: Multiplan Commercial $22.50
Rate for Payer: TriValley Medical Group Commercial $23.64
Rate for Payer: TriValley Medical Group Senior $23.64
Rate for Payer: United Healthcare All Other HMO/non HMO $25.54
Rate for Payer: United Healthcare Navigate/Select/Select+ $25.54
Rate for Payer: Vantage Medical Group Commercial/Exchange $35.46
Rate for Payer: Vantage Medical Group Medi-Cal $26.00
Rate for Payer: Vantage Medical Group Senior $23.64
Service Code CPT 82634
Hospital Charge Code 900912775
Hospital Revenue Code 301
Min. Negotiated Rate $13.93
Max. Negotiated Rate $244.96
Rate for Payer: Adventist Health Commercial $15.39
Rate for Payer: Aetna of CA Gatekeeper $85.18
Rate for Payer: Aetna of CA Non-Gatekeeper $52.87
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $43.92
Rate for Payer: Alpha Care Medical Group Medi-Cal $32.21
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $29.28
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $244.96
Rate for Payer: Blue Shield of California Commercial $228.63
Rate for Payer: Blue Shield of California EPN $178.73
Rate for Payer: Cash Price $34.63
Rate for Payer: Cash Price $34.63
Rate for Payer: Cigna of CA HMO/PPO $50.02
Rate for Payer: Dignity Health Commercial/Exchange $43.92
Rate for Payer: Dignity Health Medi-Cal $32.21
Rate for Payer: Dignity Health Senior $29.28
Rate for Payer: EPIC Health Plan Commercial $50.02
Rate for Payer: EPIC Health Plan Medicare $29.28
Rate for Payer: Heritage Provider Network Commercial $47.64
Rate for Payer: Heritage Provider Network Senior $47.64
Rate for Payer: Humana Medicare $29.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $40.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $29.28
Rate for Payer: Kaiser Permanente of CA Commercial $55.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13.93
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $34.55
Rate for Payer: LLUH Dept of Risk Management WC $19.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $36.89
Rate for Payer: Molina Healthcare of CA Medicare $36.89
Rate for Payer: Multiplan Commercial $57.72
Rate for Payer: TriValley Medical Group Commercial $29.28
Rate for Payer: TriValley Medical Group Senior $29.28
Rate for Payer: United Healthcare All Other HMO/non HMO $31.62
Rate for Payer: United Healthcare Navigate/Select/Select+ $31.62
Rate for Payer: Vantage Medical Group Commercial/Exchange $43.92
Rate for Payer: Vantage Medical Group Medi-Cal $32.21
Rate for Payer: Vantage Medical Group Senior $29.28
Service Code CPT 82634
Hospital Charge Code 900912775
Hospital Revenue Code 301
Min. Negotiated Rate $13.93
Max. Negotiated Rate $57.72
Rate for Payer: Adventist Health Commercial $15.39
Rate for Payer: Aetna of CA Non-Gatekeeper $52.87
Rate for Payer: Cash Price $34.63
Rate for Payer: Heritage Provider Network Commercial $52.10
Rate for Payer: Heritage Provider Network Senior $52.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13.93
Rate for Payer: LLUH Dept of Risk Management WC $19.24
Rate for Payer: Multiplan Commercial $57.72
Service Code CPT 83498
Hospital Charge Code 900912778
Hospital Revenue Code 301
Min. Negotiated Rate $12.93
Max. Negotiated Rate $227.38
Rate for Payer: Adventist Health Commercial $14.28
Rate for Payer: Aetna of CA Gatekeeper $79.05
Rate for Payer: Aetna of CA Non-Gatekeeper $49.06
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $40.76
Rate for Payer: Alpha Care Medical Group Medi-Cal $29.89
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $27.17
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $227.38
Rate for Payer: Blue Shield of California Commercial $212.14
Rate for Payer: Blue Shield of California EPN $165.84
Rate for Payer: Cash Price $32.13
Rate for Payer: Cash Price $32.13
Rate for Payer: Cigna of CA HMO/PPO $46.42
Rate for Payer: Dignity Health Commercial/Exchange $40.76
Rate for Payer: Dignity Health Medi-Cal $29.89
Rate for Payer: Dignity Health Senior $27.17
Rate for Payer: EPIC Health Plan Commercial $46.42
Rate for Payer: EPIC Health Plan Medicare $27.17
Rate for Payer: Heritage Provider Network Commercial $44.20
Rate for Payer: Heritage Provider Network Senior $44.20
Rate for Payer: Humana Medicare $27.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $37.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $27.17
Rate for Payer: Kaiser Permanente of CA Commercial $51.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.93
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $32.06
Rate for Payer: LLUH Dept of Risk Management WC $17.85
Rate for Payer: Molina Healthcare of CA Medi-Cal $34.23
Rate for Payer: Molina Healthcare of CA Medicare $34.23
Rate for Payer: Multiplan Commercial $53.56
Rate for Payer: TriValley Medical Group Commercial $27.17
Rate for Payer: TriValley Medical Group Senior $27.17
Rate for Payer: United Healthcare All Other HMO/non HMO $29.34
Rate for Payer: United Healthcare Navigate/Select/Select+ $29.34
Rate for Payer: Vantage Medical Group Commercial/Exchange $40.76
Rate for Payer: Vantage Medical Group Medi-Cal $29.89
Rate for Payer: Vantage Medical Group Senior $27.17
Service Code CPT 83498
Hospital Charge Code 900912778
Hospital Revenue Code 301
Min. Negotiated Rate $12.93
Max. Negotiated Rate $53.56
Rate for Payer: Adventist Health Commercial $14.28
Rate for Payer: Aetna of CA Non-Gatekeeper $49.06
Rate for Payer: Cash Price $32.13
Rate for Payer: Heritage Provider Network Commercial $48.34
Rate for Payer: Heritage Provider Network Senior $48.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.93
Rate for Payer: LLUH Dept of Risk Management WC $17.85
Rate for Payer: Multiplan Commercial $53.56
Service Code CPT 84143
Hospital Charge Code 900912776
Hospital Revenue Code 301
Min. Negotiated Rate $10.85
Max. Negotiated Rate $191.03
Rate for Payer: Adventist Health Commercial $11.99
Rate for Payer: Aetna of CA Gatekeeper $66.40
Rate for Payer: Aetna of CA Non-Gatekeeper $41.19
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $34.22
Rate for Payer: Alpha Care Medical Group Medi-Cal $25.09
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $22.81
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $191.03
Rate for Payer: Blue Shield of California Commercial $178.27
Rate for Payer: Blue Shield of California EPN $139.36
Rate for Payer: Cash Price $26.98
Rate for Payer: Cash Price $26.98
Rate for Payer: Cigna of CA HMO/PPO $38.97
Rate for Payer: Dignity Health Commercial/Exchange $34.22
Rate for Payer: Dignity Health Medi-Cal $25.09
Rate for Payer: Dignity Health Senior $22.81
Rate for Payer: EPIC Health Plan Commercial $38.97
Rate for Payer: EPIC Health Plan Medicare $22.81
Rate for Payer: Heritage Provider Network Commercial $37.11
Rate for Payer: Heritage Provider Network Senior $37.11
Rate for Payer: Humana Medicare $22.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $31.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $22.81
Rate for Payer: Kaiser Permanente of CA Commercial $43.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.85
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $26.92
Rate for Payer: LLUH Dept of Risk Management WC $14.99
Rate for Payer: Molina Healthcare of CA Medi-Cal $28.74
Rate for Payer: Molina Healthcare of CA Medicare $28.74
Rate for Payer: Multiplan Commercial $44.96
Rate for Payer: TriValley Medical Group Commercial $22.81
Rate for Payer: TriValley Medical Group Senior $22.81
Rate for Payer: United Healthcare All Other HMO/non HMO $24.64
Rate for Payer: United Healthcare Navigate/Select/Select+ $24.64
Rate for Payer: Vantage Medical Group Commercial/Exchange $34.22
Rate for Payer: Vantage Medical Group Medi-Cal $25.09
Rate for Payer: Vantage Medical Group Senior $22.81
Service Code CPT 84143
Hospital Charge Code 900912776
Hospital Revenue Code 301
Min. Negotiated Rate $10.85
Max. Negotiated Rate $44.96
Rate for Payer: Adventist Health Commercial $11.99
Rate for Payer: Aetna of CA Non-Gatekeeper $41.19
Rate for Payer: Cash Price $26.98
Rate for Payer: Heritage Provider Network Commercial $40.59
Rate for Payer: Heritage Provider Network Senior $40.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal $10.85
Rate for Payer: LLUH Dept of Risk Management WC $14.99
Rate for Payer: Multiplan Commercial $44.96
Service Code CPT 82157
Hospital Charge Code 900912771
Hospital Revenue Code 301
Min. Negotiated Rate $13.93
Max. Negotiated Rate $244.96
Rate for Payer: Adventist Health Commercial $15.39
Rate for Payer: Aetna of CA Gatekeeper $85.18
Rate for Payer: Aetna of CA Non-Gatekeeper $52.86
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $43.92
Rate for Payer: Alpha Care Medical Group Medi-Cal $32.21
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $29.28
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $244.96
Rate for Payer: Blue Shield of California Commercial $228.63
Rate for Payer: Blue Shield of California EPN $178.73
Rate for Payer: Cash Price $34.63
Rate for Payer: Cash Price $34.63
Rate for Payer: Cigna of CA HMO/PPO $50.02
Rate for Payer: Dignity Health Commercial/Exchange $43.92
Rate for Payer: Dignity Health Medi-Cal $32.21
Rate for Payer: Dignity Health Senior $29.28
Rate for Payer: EPIC Health Plan Commercial $50.02
Rate for Payer: EPIC Health Plan Medicare $29.28
Rate for Payer: Heritage Provider Network Commercial $47.63
Rate for Payer: Heritage Provider Network Senior $47.63
Rate for Payer: Humana Medicare $29.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $40.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $29.28
Rate for Payer: Kaiser Permanente of CA Commercial $55.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13.93
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $34.55
Rate for Payer: LLUH Dept of Risk Management WC $19.24
Rate for Payer: Molina Healthcare of CA Medi-Cal $36.89
Rate for Payer: Molina Healthcare of CA Medicare $36.89
Rate for Payer: Multiplan Commercial $57.71
Rate for Payer: TriValley Medical Group Commercial $29.28
Rate for Payer: TriValley Medical Group Senior $29.28
Rate for Payer: United Healthcare All Other HMO/non HMO $31.62
Rate for Payer: United Healthcare Navigate/Select/Select+ $31.62
Rate for Payer: Vantage Medical Group Commercial/Exchange $43.92
Rate for Payer: Vantage Medical Group Medi-Cal $32.21
Rate for Payer: Vantage Medical Group Senior $29.28
Service Code CPT 82157
Hospital Charge Code 900912771
Hospital Revenue Code 301
Min. Negotiated Rate $13.93
Max. Negotiated Rate $57.71
Rate for Payer: Adventist Health Commercial $15.39
Rate for Payer: Aetna of CA Non-Gatekeeper $52.86
Rate for Payer: Cash Price $34.63
Rate for Payer: Heritage Provider Network Commercial $52.10
Rate for Payer: Heritage Provider Network Senior $52.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13.93
Rate for Payer: LLUH Dept of Risk Management WC $19.24
Rate for Payer: Multiplan Commercial $57.71
Service Code CPT 82533
Hospital Charge Code 900912772
Hospital Revenue Code 301
Min. Negotiated Rate $7.75
Max. Negotiated Rate $136.59
Rate for Payer: Adventist Health Commercial $8.57
Rate for Payer: Aetna of CA Gatekeeper $47.45
Rate for Payer: Aetna of CA Non-Gatekeeper $29.43
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $24.45
Rate for Payer: Alpha Care Medical Group Medi-Cal $17.93
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $16.30
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $136.59
Rate for Payer: Blue Shield of California Commercial $127.34
Rate for Payer: Blue Shield of California EPN $99.55
Rate for Payer: Cash Price $19.28
Rate for Payer: Cash Price $19.28
Rate for Payer: Cigna of CA HMO/PPO $27.85
Rate for Payer: Dignity Health Commercial/Exchange $24.45
Rate for Payer: Dignity Health Medi-Cal $17.93
Rate for Payer: Dignity Health Senior $16.30
Rate for Payer: EPIC Health Plan Commercial $27.85
Rate for Payer: EPIC Health Plan Medicare $16.30
Rate for Payer: Heritage Provider Network Commercial $26.52
Rate for Payer: Heritage Provider Network Senior $26.52
Rate for Payer: Humana Medicare $16.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $22.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $16.30
Rate for Payer: Kaiser Permanente of CA Commercial $30.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal $7.75
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $19.23
Rate for Payer: LLUH Dept of Risk Management WC $10.71
Rate for Payer: Molina Healthcare of CA Medi-Cal $20.54
Rate for Payer: Molina Healthcare of CA Medicare $20.54
Rate for Payer: Multiplan Commercial $32.13
Rate for Payer: TriValley Medical Group Commercial $16.30
Rate for Payer: TriValley Medical Group Senior $16.30
Rate for Payer: United Healthcare All Other HMO/non HMO $17.60
Rate for Payer: United Healthcare Navigate/Select/Select+ $17.60
Rate for Payer: Vantage Medical Group Commercial/Exchange $24.45
Rate for Payer: Vantage Medical Group Medi-Cal $17.93
Rate for Payer: Vantage Medical Group Senior $16.30
Service Code CPT 82533
Hospital Charge Code 900912772
Hospital Revenue Code 301
Min. Negotiated Rate $7.75
Max. Negotiated Rate $32.13
Rate for Payer: Adventist Health Commercial $8.57
Rate for Payer: Aetna of CA Non-Gatekeeper $29.43
Rate for Payer: Cash Price $19.28
Rate for Payer: Heritage Provider Network Commercial $29.00
Rate for Payer: Heritage Provider Network Senior $29.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $7.75
Rate for Payer: LLUH Dept of Risk Management WC $10.71
Rate for Payer: Multiplan Commercial $32.13
Service Code CPT 82626
Hospital Charge Code 900912774
Hospital Revenue Code 301
Min. Negotiated Rate $12.02
Max. Negotiated Rate $49.81
Rate for Payer: Adventist Health Commercial $13.28
Rate for Payer: Aetna of CA Non-Gatekeeper $45.62
Rate for Payer: Cash Price $29.88
Rate for Payer: Heritage Provider Network Commercial $44.96
Rate for Payer: Heritage Provider Network Senior $44.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.02
Rate for Payer: LLUH Dept of Risk Management WC $16.60
Rate for Payer: Multiplan Commercial $49.81
Service Code CPT 82626
Hospital Charge Code 900912774
Hospital Revenue Code 301
Min. Negotiated Rate $12.02
Max. Negotiated Rate $211.54
Rate for Payer: Adventist Health Commercial $13.28
Rate for Payer: Aetna of CA Gatekeeper $73.53
Rate for Payer: Aetna of CA Non-Gatekeeper $45.62
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $37.90
Rate for Payer: Alpha Care Medical Group Medi-Cal $27.80
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $25.27
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $211.54
Rate for Payer: Blue Shield of California Commercial $197.38
Rate for Payer: Blue Shield of California EPN $154.30
Rate for Payer: Cash Price $29.88
Rate for Payer: Cash Price $29.88
Rate for Payer: Cigna of CA HMO/PPO $43.17
Rate for Payer: Dignity Health Commercial/Exchange $37.90
Rate for Payer: Dignity Health Medi-Cal $27.80
Rate for Payer: Dignity Health Senior $25.27
Rate for Payer: EPIC Health Plan Commercial $43.17
Rate for Payer: EPIC Health Plan Medicare $25.27
Rate for Payer: Heritage Provider Network Commercial $41.11
Rate for Payer: Heritage Provider Network Senior $41.11
Rate for Payer: Humana Medicare $25.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $35.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $25.27
Rate for Payer: Kaiser Permanente of CA Commercial $48.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal $12.02
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $29.82
Rate for Payer: LLUH Dept of Risk Management WC $16.60
Rate for Payer: Molina Healthcare of CA Medi-Cal $31.84
Rate for Payer: Molina Healthcare of CA Medicare $31.84
Rate for Payer: Multiplan Commercial $49.81
Rate for Payer: TriValley Medical Group Commercial $25.27
Rate for Payer: TriValley Medical Group Senior $25.27
Rate for Payer: United Healthcare All Other HMO/non HMO $27.29
Rate for Payer: United Healthcare Navigate/Select/Select+ $27.29
Rate for Payer: Vantage Medical Group Commercial/Exchange $37.90
Rate for Payer: Vantage Medical Group Medi-Cal $27.80
Rate for Payer: Vantage Medical Group Senior $25.27
Service Code CPT 82633
Hospital Charge Code 900912773
Hospital Revenue Code 301
Min. Negotiated Rate $14.74
Max. Negotiated Rate $250.87
Rate for Payer: Adventist Health Commercial $16.28
Rate for Payer: Aetna of CA Gatekeeper $90.12
Rate for Payer: Aetna of CA Non-Gatekeeper $55.94
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $46.47
Rate for Payer: Alpha Care Medical Group Medi-Cal $34.08
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $30.98
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $250.87
Rate for Payer: Blue Shield of California Commercial $241.94
Rate for Payer: Blue Shield of California EPN $189.13
Rate for Payer: Cash Price $36.64
Rate for Payer: Cash Price $36.64
Rate for Payer: Cigna of CA HMO/PPO $52.92
Rate for Payer: Dignity Health Commercial/Exchange $46.47
Rate for Payer: Dignity Health Medi-Cal $34.08
Rate for Payer: Dignity Health Senior $30.98
Rate for Payer: EPIC Health Plan Commercial $52.92
Rate for Payer: EPIC Health Plan Medicare $30.98
Rate for Payer: Heritage Provider Network Commercial $50.40
Rate for Payer: Heritage Provider Network Senior $50.40
Rate for Payer: Humana Medicare $30.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $42.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $30.98
Rate for Payer: Kaiser Permanente of CA Commercial $58.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.74
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $36.56
Rate for Payer: LLUH Dept of Risk Management WC $20.36
Rate for Payer: Molina Healthcare of CA Medi-Cal $39.03
Rate for Payer: Molina Healthcare of CA Medicare $39.03
Rate for Payer: Multiplan Commercial $61.06
Rate for Payer: TriValley Medical Group Commercial $30.98
Rate for Payer: TriValley Medical Group Senior $30.98
Rate for Payer: United Healthcare All Other HMO/non HMO $33.46
Rate for Payer: United Healthcare Navigate/Select/Select+ $33.46
Rate for Payer: Vantage Medical Group Commercial/Exchange $46.47
Rate for Payer: Vantage Medical Group Medi-Cal $34.08
Rate for Payer: Vantage Medical Group Senior $30.98
Service Code CPT 82633
Hospital Charge Code 900912773
Hospital Revenue Code 301
Min. Negotiated Rate $14.74
Max. Negotiated Rate $61.06
Rate for Payer: Adventist Health Commercial $16.28
Rate for Payer: Aetna of CA Non-Gatekeeper $55.94
Rate for Payer: Cash Price $36.64
Rate for Payer: Heritage Provider Network Commercial $55.12
Rate for Payer: Heritage Provider Network Senior $55.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.74
Rate for Payer: LLUH Dept of Risk Management WC $20.36
Rate for Payer: Multiplan Commercial $61.06