|
HC PERC BILIARY DRAIN INT & EX
|
Facility
IP
|
$10,290.00
|
|
|
Service Code
|
CPT 47534
|
| Hospital Charge Code |
909000146
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,862.49 |
| Max. Negotiated Rate |
$7,717.50 |
| Rate for Payer: Adventist Health Commercial |
$2,058.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$7,069.23
|
| Rate for Payer: Cash Price |
$4,630.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,966.33
|
| Rate for Payer: Heritage Provider Network Senior |
$6,966.33
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,862.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,572.50
|
| Rate for Payer: Multiplan Commercial |
$7,717.50
|
|
|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
IP
|
$7,477.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,353.34 |
| Max. Negotiated Rate |
$5,607.75 |
| Rate for Payer: Adventist Health Commercial |
$1,495.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,136.70
|
| Rate for Payer: Cash Price |
$3,364.65
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,061.93
|
| Rate for Payer: Heritage Provider Network Senior |
$5,061.93
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,353.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,869.25
|
| Rate for Payer: Multiplan Commercial |
$5,607.75
|
|
|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
OP
|
$7,477.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,353.34 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$1,495.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$2,869.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,136.70
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,474.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,547.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,706.95
|
| Rate for Payer: Blue Shield of California EPN |
$4,045.41
|
| Rate for Payer: Cash Price |
$3,364.65
|
| Rate for Payer: Cash Price |
$3,364.65
|
| Rate for Payer: Cash Price |
$3,364.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$4,860.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,621.86
|
| Rate for Payer: Dignity Health Senior |
$1,474.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,474.42
|
| Rate for Payer: Heritage Provider Network Commercial |
$4,628.26
|
| Rate for Payer: Heritage Provider Network Senior |
$1,813.54
|
| Rate for Payer: Humana Medicare |
$1,474.42
|
| Rate for Payer: IEHP Medi-Cal |
$1,390.41
|
| Rate for Payer: IEHP Medicare Advantage |
$1,474.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$2,801.40
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,353.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,739.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,869.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,857.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,857.77
|
| Rate for Payer: Multiplan Commercial |
$5,607.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,621.86
|
| Rate for Payer: TriValley Medical Group Senior |
$1,621.86
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,374.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,841.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,211.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,621.86
|
| Rate for Payer: Vantage Medical Group Senior |
$1,474.42
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
OP
|
$1,826.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$163.05 |
| Max. Negotiated Rate |
$1,552.10 |
| Rate for Payer: Adventist Health Commercial |
$365.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,024.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,254.46
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,552.10
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,004.30
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,369.50
|
| Rate for Payer: Blue Shield of California Commercial |
$645.50
|
| Rate for Payer: Blue Shield of California EPN |
$367.08
|
| Rate for Payer: Cash Price |
$821.70
|
| Rate for Payer: Cash Price |
$821.70
|
| Rate for Payer: Cash Price |
$821.70
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,186.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,552.10
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,552.10
|
| Rate for Payer: Dignity Health Senior |
$1,552.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,186.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,130.29
|
| Rate for Payer: Heritage Provider Network Senior |
$1,130.29
|
| Rate for Payer: IEHP Medi-Cal |
$163.05
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$880.13
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$330.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$456.50
|
| Rate for Payer: Multiplan Commercial |
$1,369.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,552.10
|
| Rate for Payer: Vantage Medical Group Senior |
$1,552.10
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
IP
|
$1,826.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$330.51 |
| Max. Negotiated Rate |
$1,369.50 |
| Rate for Payer: Adventist Health Commercial |
$365.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,254.46
|
| Rate for Payer: Cash Price |
$821.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,236.20
|
| Rate for Payer: Heritage Provider Network Senior |
$1,236.20
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$330.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$456.50
|
| Rate for Payer: Multiplan Commercial |
$1,369.50
|
|
|
HC PERC IMP NRSTML ELCTD ARRAY PN
|
Facility
IP
|
$17,236.00
|
|
|
Service Code
|
CPT 64555
|
| Hospital Charge Code |
909004555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,119.72 |
| Max. Negotiated Rate |
$12,927.00 |
| Rate for Payer: Adventist Health Commercial |
$3,447.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$11,841.13
|
| Rate for Payer: Cash Price |
$7,756.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$11,668.77
|
| Rate for Payer: Heritage Provider Network Senior |
$11,668.77
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,119.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,309.00
|
| Rate for Payer: Multiplan Commercial |
$12,927.00
|
|
|
HC PERC IMP NRSTML ELCTD ARRAY PN
|
Facility
OP
|
$17,236.00
|
|
|
Service Code
|
CPT 64555
|
| Hospital Charge Code |
909004555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,335.00 |
| Max. Negotiated Rate |
$16,235.61 |
| Rate for Payer: Adventist Health Commercial |
$3,447.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,335.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$11,841.13
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$12,817.59
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$9,399.57
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$8,545.06
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12,266.00
|
| Rate for Payer: Blue Shield of California Commercial |
$14,131.19
|
| Rate for Payer: Blue Shield of California EPN |
$12,145.11
|
| Rate for Payer: Cash Price |
$7,756.20
|
| Rate for Payer: Cash Price |
$7,756.20
|
| Rate for Payer: Cash Price |
$7,756.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$11,203.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12,817.59
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,399.57
|
| Rate for Payer: Dignity Health Senior |
$8,545.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,341.60
|
| Rate for Payer: EPIC Health Plan Medicare |
$8,545.06
|
| Rate for Payer: Heritage Provider Network Commercial |
$10,669.08
|
| Rate for Payer: Heritage Provider Network Senior |
$10,510.42
|
| Rate for Payer: Humana Medicare |
$8,545.06
|
| Rate for Payer: IEHP Medicare Advantage |
$8,545.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$16,235.61
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,119.72
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,083.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,309.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10,766.78
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10,766.78
|
| Rate for Payer: Multiplan Commercial |
$12,927.00
|
| Rate for Payer: Multiplan WC |
$11,682.32
|
| Rate for Payer: TriValley Medical Group Commercial |
$9,399.57
|
| Rate for Payer: TriValley Medical Group Senior |
$9,399.57
|
| 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 |
$12,817.59
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,399.57
|
| Rate for Payer: Vantage Medical Group Senior |
$8,545.06
|
|
|
HC PERC INJ W FL GDNC;1ST LVL
|
Facility
IP
|
$47,026.00
|
|
|
Service Code
|
CPT 0627T
|
| Hospital Charge Code |
909080627
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,511.71 |
| Max. Negotiated Rate |
$35,269.50 |
| Rate for Payer: Adventist Health Commercial |
$9,405.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$32,306.86
|
| Rate for Payer: Cash Price |
$21,161.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$31,836.60
|
| Rate for Payer: Heritage Provider Network Senior |
$31,836.60
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,511.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,756.50
|
| Rate for Payer: Multiplan Commercial |
$35,269.50
|
|
|
HC PERC INJ W FL GDNC;1ST LVL
|
Facility
OP
|
$47,026.00
|
|
|
Service Code
|
CPT 0627T
|
| Hospital Charge Code |
909080627
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$933.56 |
| Max. Negotiated Rate |
$35,269.50 |
| Rate for Payer: Adventist Health Commercial |
$9,405.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,335.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$32,306.86
|
| 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 |
$5,505.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,086.22
|
| Rate for Payer: Blue Shield of California EPN |
$933.56
|
| Rate for Payer: Cash Price |
$21,161.70
|
| Rate for Payer: Cash Price |
$21,161.70
|
| Rate for Payer: Cash Price |
$21,161.70
|
| Rate for Payer: Cigna of CA HMO/PPO |
$30,566.90
|
| 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 |
$29,109.09
|
| Rate for Payer: Heritage Provider Network Senior |
$20,226.08
|
| Rate for Payer: Humana Medicare |
$16,443.97
|
| 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 |
$8,511.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19,403.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,756.50
|
| 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 |
$35,269.50
|
| 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
|
|
|
HC PERC INJ W FL GDNC; EA ADDL LVL
|
Facility
OP
|
$20,446.00
|
|
|
Service Code
|
CPT 0628T
|
| Hospital Charge Code |
909080628
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$874.00 |
| Max. Negotiated Rate |
$17,379.10 |
| Rate for Payer: Adventist Health Commercial |
$4,089.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,335.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$14,046.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17,379.10
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,245.30
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$15,334.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,505.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,086.22
|
| Rate for Payer: Blue Shield of California EPN |
$933.56
|
| Rate for Payer: Cash Price |
$9,200.70
|
| Rate for Payer: Cash Price |
$9,200.70
|
| Rate for Payer: Cash Price |
$9,200.70
|
| Rate for Payer: Cigna of CA HMO/PPO |
$13,289.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17,379.10
|
| Rate for Payer: Dignity Health Medi-Cal |
$17,379.10
|
| Rate for Payer: Dignity Health Senior |
$17,379.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$12,656.07
|
| Rate for Payer: Heritage Provider Network Senior |
$12,656.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$9,854.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,700.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,111.50
|
| Rate for Payer: Multiplan Commercial |
$15,334.50
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,040.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$874.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17,379.10
|
| Rate for Payer: Vantage Medical Group Senior |
$17,379.10
|
|
|
HC PERC INJ W FL GDNC; EA ADDL LVL
|
Facility
IP
|
$20,446.00
|
|
|
Service Code
|
CPT 0628T
|
| Hospital Charge Code |
909080628
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,700.73 |
| Max. Negotiated Rate |
$15,334.50 |
| Rate for Payer: Adventist Health Commercial |
$4,089.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$14,046.40
|
| Rate for Payer: Cash Price |
$9,200.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$13,841.94
|
| Rate for Payer: Heritage Provider Network Senior |
$13,841.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,700.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,111.50
|
| Rate for Payer: Multiplan Commercial |
$15,334.50
|
|
|
HC PERC LAMOT/LMNCTMY LUMBAR
|
Facility
IP
|
$21,671.00
|
|
|
Service Code
|
CPT 0275T
|
| Hospital Charge Code |
909003968
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,922.45 |
| Max. Negotiated Rate |
$16,253.25 |
| Rate for Payer: Adventist Health Commercial |
$4,334.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$14,887.98
|
| Rate for Payer: Cash Price |
$9,751.95
|
| Rate for Payer: Heritage Provider Network Commercial |
$14,671.27
|
| Rate for Payer: Heritage Provider Network Senior |
$14,671.27
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,922.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,417.75
|
| Rate for Payer: Multiplan Commercial |
$16,253.25
|
|
|
HC PERC LAMOT/LMNCTMY LUMBAR
|
Facility
OP
|
$21,671.00
|
|
|
Service Code
|
CPT 0275T
|
| Hospital Charge Code |
909003968
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,922.45 |
| Max. Negotiated Rate |
$16,983.21 |
| Rate for Payer: Adventist Health Commercial |
$4,334.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$14,887.98
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,407.80
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$9,832.38
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$8,938.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,547.00
|
| Rate for Payer: Blue Shield of California Commercial |
$10,500.11
|
| Rate for Payer: Blue Shield of California EPN |
$9,024.37
|
| Rate for Payer: Cash Price |
$9,751.95
|
| Rate for Payer: Cash Price |
$9,751.95
|
| Rate for Payer: Cash Price |
$9,751.95
|
| Rate for Payer: Cigna of CA HMO/PPO |
$14,086.15
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,407.80
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,832.38
|
| Rate for Payer: Dignity Health Senior |
$8,938.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$13,002.60
|
| Rate for Payer: EPIC Health Plan Medicare |
$8,938.53
|
| Rate for Payer: Heritage Provider Network Commercial |
$13,414.35
|
| Rate for Payer: Heritage Provider Network Senior |
$10,994.39
|
| Rate for Payer: Humana Medicare |
$8,938.53
|
| Rate for Payer: IEHP Medicare Advantage |
$8,938.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$16,983.21
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,922.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,547.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,417.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$11,262.55
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$11,262.55
|
| Rate for Payer: Multiplan Commercial |
$16,253.25
|
| Rate for Payer: Multiplan WC |
$12,220.24
|
| Rate for Payer: TriValley Medical Group Commercial |
$9,832.38
|
| Rate for Payer: TriValley Medical Group Senior |
$9,832.38
|
| 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 |
$13,407.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,832.38
|
| Rate for Payer: Vantage Medical Group Senior |
$8,938.53
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
OP
|
$3,119.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$564.54 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$623.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,335.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,142.75
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,596.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,904.36
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,731.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,237.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,086.22
|
| Rate for Payer: Blue Shield of California EPN |
$933.56
|
| Rate for Payer: Cash Price |
$1,403.55
|
| Rate for Payer: Cash Price |
$1,403.55
|
| Rate for Payer: Cash Price |
$1,403.55
|
| Rate for Payer: Cigna of CA HMO/PPO |
$2,027.35
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,596.86
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,904.36
|
| Rate for Payer: Dignity Health Senior |
$1,731.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,731.24
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,930.66
|
| Rate for Payer: Heritage Provider Network Senior |
$2,129.43
|
| Rate for Payer: Humana Medicare |
$1,731.24
|
| Rate for Payer: IEHP Medi-Cal |
$810.20
|
| Rate for Payer: IEHP Medicare Advantage |
$1,731.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$3,289.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.54
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,042.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$779.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,181.36
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,181.36
|
| Rate for Payer: Multiplan Commercial |
$2,339.25
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,904.36
|
| Rate for Payer: TriValley Medical Group Senior |
$1,904.36
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,374.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,841.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,596.86
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,904.36
|
| Rate for Payer: Vantage Medical Group Senior |
$1,731.24
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
IP
|
$3,119.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$564.54 |
| Max. Negotiated Rate |
$2,339.25 |
| Rate for Payer: Adventist Health Commercial |
$623.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,142.75
|
| Rate for Payer: Cash Price |
$1,403.55
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,111.56
|
| Rate for Payer: Heritage Provider Network Senior |
$2,111.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$564.54
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$779.75
|
| Rate for Payer: Multiplan Commercial |
$2,339.25
|
|
|
HC PERC PULM ART STENT ABN BI
|
Facility
IP
|
$31,065.00
|
|
|
Service Code
|
CPT 33903
|
| Hospital Charge Code |
906820326
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,622.76 |
| Max. Negotiated Rate |
$23,298.75 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$21,031.00
|
| Rate for Payer: Heritage Provider Network Senior |
$21,031.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
|
|
HC PERC PULM ART STENT ABN BI
|
Facility
OP
|
$31,065.00
|
|
|
Service Code
|
CPT 33903
|
| Hospital Charge Code |
906820326
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,022.94 |
| Max. Negotiated Rate |
$26,115.92 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$5,935.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,742.00
|
| 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 |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$20,192.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,119.74
|
| Rate for Payer: Dignity Health Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$13,745.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,229.24
|
| Rate for Payer: Heritage Provider Network Senior |
$16,906.62
|
| Rate for Payer: Humana Medicare |
$13,745.22
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$26,115.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,219.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,318.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,318.98
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$15,119.74
|
| Rate for Payer: TriValley Medical Group Senior |
$15,119.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17,002.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$14,303.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
IP
|
$47,756.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906820322
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$8,643.84 |
| Max. Negotiated Rate |
$35,817.00 |
| Rate for Payer: Adventist Health Commercial |
$9,551.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$32,808.37
|
| Rate for Payer: Cash Price |
$21,490.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$32,330.81
|
| Rate for Payer: Heritage Provider Network Senior |
$32,330.81
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,643.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,939.00
|
| Rate for Payer: Multiplan Commercial |
$35,817.00
|
|
|
HC PERC PULM ART STENT ABN UNI
|
Facility
OP
|
$47,756.00
|
|
|
Service Code
|
CPT 33902
|
| Hospital Charge Code |
906820322
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,022.94 |
| Max. Negotiated Rate |
$41,627.02 |
| Rate for Payer: Adventist Health Commercial |
$9,551.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$5,935.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$32,808.37
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$32,863.44
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$24,099.86
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$21,908.96
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,496.00
|
| 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 |
$21,490.20
|
| Rate for Payer: Cash Price |
$21,490.20
|
| Rate for Payer: Cash Price |
$21,490.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$31,041.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$32,863.44
|
| Rate for Payer: Dignity Health Medi-Cal |
$24,099.86
|
| Rate for Payer: Dignity Health Senior |
$21,908.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$21,908.96
|
| Rate for Payer: Heritage Provider Network Commercial |
$29,560.96
|
| Rate for Payer: Heritage Provider Network Senior |
$26,948.02
|
| Rate for Payer: Humana Medicare |
$21,908.96
|
| Rate for Payer: IEHP Medicare Advantage |
$21,908.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$41,627.02
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,643.84
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25,852.57
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,939.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$27,605.29
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$27,605.29
|
| Rate for Payer: Multiplan Commercial |
$35,817.00
|
| Rate for Payer: Multiplan WC |
$29,952.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$24,099.86
|
| Rate for Payer: TriValley Medical Group Senior |
$24,099.86
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17,002.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$14,303.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32,863.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$24,099.86
|
| Rate for Payer: Vantage Medical Group Senior |
$21,908.96
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
OP
|
$15,532.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906820327
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$874.00 |
| Max. Negotiated Rate |
$13,202.20 |
| Rate for Payer: Adventist Health Commercial |
$3,106.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1,335.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$10,670.48
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13,202.20
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8,542.60
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11,649.00
|
| Rate for Payer: Blue Shield of California Commercial |
$1,086.22
|
| Rate for Payer: Blue Shield of California EPN |
$933.56
|
| Rate for Payer: Cash Price |
$6,989.40
|
| Rate for Payer: Cash Price |
$6,989.40
|
| Rate for Payer: Cash Price |
$6,989.40
|
| Rate for Payer: Cigna of CA HMO/PPO |
$10,095.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,202.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$13,202.20
|
| Rate for Payer: Dignity Health Senior |
$13,202.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$9,614.31
|
| Rate for Payer: Heritage Provider Network Senior |
$9,614.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$7,486.42
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,811.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,883.00
|
| Rate for Payer: Multiplan Commercial |
$11,649.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,040.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$874.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$13,202.20
|
| Rate for Payer: Vantage Medical Group Senior |
$13,202.20
|
|
|
HC PERC PULM ART STENT EA ADD ABN OR NRM
|
Facility
IP
|
$15,532.00
|
|
|
Service Code
|
CPT 33904
|
| Hospital Charge Code |
906820327
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,811.29 |
| Max. Negotiated Rate |
$11,649.00 |
| Rate for Payer: Adventist Health Commercial |
$3,106.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$10,670.48
|
| Rate for Payer: Cash Price |
$6,989.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$10,515.16
|
| Rate for Payer: Heritage Provider Network Senior |
$10,515.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,811.29
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,883.00
|
| Rate for Payer: Multiplan Commercial |
$11,649.00
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
OP
|
$31,065.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906820325
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,022.94 |
| Max. Negotiated Rate |
$26,115.92 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$4,420.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,742.00
|
| 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 |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$20,192.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,119.74
|
| Rate for Payer: Dignity Health Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$13,745.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,229.24
|
| Rate for Payer: Heritage Provider Network Senior |
$16,906.62
|
| Rate for Payer: Humana Medicare |
$13,745.22
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$26,115.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,219.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,318.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,318.98
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$15,119.74
|
| Rate for Payer: TriValley Medical Group Senior |
$15,119.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17,002.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$14,303.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC PERC PULM ART STENT NRM BI
|
Facility
IP
|
$31,065.00
|
|
|
Service Code
|
CPT 33901
|
| Hospital Charge Code |
906820325
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,622.76 |
| Max. Negotiated Rate |
$23,298.75 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$21,031.00
|
| Rate for Payer: Heritage Provider Network Senior |
$21,031.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
IP
|
$31,065.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906820324
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,622.76 |
| Max. Negotiated Rate |
$23,298.75 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Heritage Provider Network Commercial |
$21,031.00
|
| Rate for Payer: Heritage Provider Network Senior |
$21,031.00
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
|
|
HC PERC PULM ART STENT NRM UNI
|
Facility
OP
|
$31,065.00
|
|
|
Service Code
|
CPT 33900
|
| Hospital Charge Code |
906820324
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,022.94 |
| Max. Negotiated Rate |
$26,115.92 |
| Rate for Payer: Adventist Health Commercial |
$6,213.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$4,420.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$21,341.66
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,742.00
|
| 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 |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cash Price |
$13,979.25
|
| Rate for Payer: Cigna of CA HMO/PPO |
$20,192.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,119.74
|
| Rate for Payer: Dignity Health Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$13,745.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,229.24
|
| Rate for Payer: Heritage Provider Network Senior |
$16,906.62
|
| Rate for Payer: Humana Medicare |
$13,745.22
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$26,115.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,622.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$16,219.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,766.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$17,318.98
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$17,318.98
|
| Rate for Payer: Multiplan Commercial |
$23,298.75
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$15,119.74
|
| Rate for Payer: TriValley Medical Group Senior |
$15,119.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17,002.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$14,303.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
