|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
|
OP
|
$8,168.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,478.41 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$1,633.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,047.82
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,539.08
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,158.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$3,675.60
|
| Rate for Payer: Cash Price |
$3,675.60
|
| Rate for Payer: Cash Price |
$3,675.60
|
| Rate for Payer: Cigna of CA HMO/PPO |
$5,309.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,692.99
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,539.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,539.08
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,055.99
|
| Rate for Payer: Heritage Provider Network Senior |
$1,893.07
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,539.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$2,924.25
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,478.41
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,769.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,042.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,062.37
|
| Rate for Payer: Multiplan Commercial |
$6,126.00
|
| Rate for Payer: Multiplan WC |
$2,387.03
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,692.99
|
| Rate for Payer: TriValley Medical Group Senior |
$1,692.99
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,544.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,984.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,308.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,692.99
|
| Rate for Payer: Vantage Medical Group Senior |
$1,539.08
|
|
|
HC PERC CECOSTOMY TUBE PLACEMENT
|
Facility
|
IP
|
$8,168.00
|
|
|
Service Code
|
CPT 49442
|
| Hospital Charge Code |
909000215
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,478.41 |
| Max. Negotiated Rate |
$6,126.00 |
| Rate for Payer: Adventist Health Commercial |
$1,633.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,260.19
|
| Rate for Payer: Cash Price |
$3,675.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,529.74
|
| Rate for Payer: Heritage Provider Network Senior |
$5,529.74
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,478.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,042.00
|
| Rate for Payer: Multiplan Commercial |
$6,126.00
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
|
OP
|
$1,995.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$361.10 |
| Max. Negotiated Rate |
$1,695.75 |
| Rate for Payer: Adventist Health Commercial |
$399.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,232.91
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,695.75
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,097.25
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,496.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$997.90
|
| Rate for Payer: Blue Shield of California Commercial |
$664.90
|
| Rate for Payer: Blue Shield of California EPN |
$534.69
|
| Rate for Payer: Cash Price |
$897.75
|
| Rate for Payer: Cash Price |
$897.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,296.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,695.75
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,695.75
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,695.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,177.05
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,234.90
|
| Rate for Payer: Heritage Provider Network Senior |
$1,234.90
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$951.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$361.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$498.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,396.50
|
| Rate for Payer: Multiplan Commercial |
$1,496.25
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$997.50
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$997.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,695.75
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,695.75
|
| Rate for Payer: Vantage Medical Group Senior |
$1,695.75
|
|
|
HC PERC DRAINAGE W CATH PLACEMENT
|
Facility
|
IP
|
$1,995.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
906601707
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$361.10 |
| Max. Negotiated Rate |
$1,496.25 |
| Rate for Payer: Adventist Health Commercial |
$399.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,284.78
|
| Rate for Payer: Cash Price |
$897.75
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,350.62
|
| Rate for Payer: Heritage Provider Network Senior |
$1,350.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$361.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$498.75
|
| Rate for Payer: Multiplan Commercial |
$1,496.25
|
|
|
HC PERC IMP NRSTML ELCTD ARRAY PN
|
Facility
|
OP
|
$18,830.00
|
|
|
Service Code
|
CPT 64555
|
| Hospital Charge Code |
909004555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,408.23 |
| Max. Negotiated Rate |
$15,573.81 |
| Rate for Payer: Adventist Health Commercial |
$3,766.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$11,636.94
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$12,295.11
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$9,016.41
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$8,196.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,914.00
|
| Rate for Payer: Blue Shield of California Commercial |
$14,574.13
|
| Rate for Payer: Blue Shield of California EPN |
$11,673.59
|
| Rate for Payer: Cash Price |
$8,473.50
|
| Rate for Payer: Cash Price |
$8,473.50
|
| Rate for Payer: Cash Price |
$8,473.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$12,239.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12,295.11
|
| Rate for Payer: Dignity Health Medi-Cal |
$9,016.41
|
| Rate for Payer: Dignity Health Medicare Advantage |
$8,196.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,298.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$8,196.74
|
| Rate for Payer: Heritage Provider Network Commercial |
$11,655.77
|
| Rate for Payer: Heritage Provider Network Senior |
$10,081.99
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$8,196.74
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$15,573.81
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$3,408.23
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$9,426.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,707.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,983.63
|
| Rate for Payer: Multiplan Commercial |
$14,122.50
|
| Rate for Payer: Multiplan WC |
$13,286.43
|
| Rate for Payer: TriValley Medical Group Commercial |
$9,016.41
|
| Rate for Payer: TriValley Medical Group Senior |
$9,016.41
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12,295.11
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9,016.41
|
| Rate for Payer: Vantage Medical Group Senior |
$8,196.74
|
|
|
HC PERC IMP NRSTML ELCTD ARRAY PN
|
Facility
|
IP
|
$18,830.00
|
|
|
Service Code
|
CPT 64555
|
| Hospital Charge Code |
909004555
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,408.23 |
| Max. Negotiated Rate |
$14,122.50 |
| Rate for Payer: Adventist Health Commercial |
$3,766.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$12,126.52
|
| Rate for Payer: Cash Price |
$8,473.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$12,747.91
|
| Rate for Payer: Heritage Provider Network Senior |
$12,747.91
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$3,408.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,707.50
|
| Rate for Payer: Multiplan Commercial |
$14,122.50
|
|
|
HC PERC INJ W FL GDNC;1ST LVL
|
Facility
|
OP
|
$62,192.00
|
|
|
Service Code
|
CPT 0627T
|
| Hospital Charge Code |
909080627
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,245.00 |
| Max. Negotiated Rate |
$46,644.00 |
| Rate for Payer: Adventist Health Commercial |
$12,438.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$38,434.66
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$24,769.03
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$18,163.96
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$16,512.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,245.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$27,986.40
|
| Rate for Payer: Cash Price |
$27,986.40
|
| Rate for Payer: Cash Price |
$27,986.40
|
| Rate for Payer: Cigna of CA HMO/PPO |
$40,424.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24,769.03
|
| Rate for Payer: Dignity Health Medi-Cal |
$18,163.96
|
| Rate for Payer: Dignity Health Medicare Advantage |
$16,512.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$16,512.69
|
| Rate for Payer: Heritage Provider Network Commercial |
$38,496.85
|
| Rate for Payer: Heritage Provider Network Senior |
$20,310.61
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16,512.69
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$31,374.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$11,256.75
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$18,989.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,548.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$22,127.00
|
| Rate for Payer: Multiplan Commercial |
$46,644.00
|
| Rate for Payer: Multiplan WC |
$26,048.55
|
| Rate for Payer: TriValley Medical Group Commercial |
$18,163.96
|
| Rate for Payer: TriValley Medical Group Senior |
$18,163.96
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24,769.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18,163.96
|
| Rate for Payer: Vantage Medical Group Senior |
$16,512.69
|
|
|
HC PERC INJ W FL GDNC;1ST LVL
|
Facility
|
IP
|
$62,192.00
|
|
|
Service Code
|
CPT 0627T
|
| Hospital Charge Code |
909080627
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11,256.75 |
| Max. Negotiated Rate |
$46,644.00 |
| Rate for Payer: Adventist Health Commercial |
$12,438.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$40,051.65
|
| Rate for Payer: Cash Price |
$27,986.40
|
| Rate for Payer: Heritage Provider Network Commercial |
$42,103.98
|
| Rate for Payer: Heritage Provider Network Senior |
$42,103.98
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$11,256.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,548.00
|
| Rate for Payer: Multiplan Commercial |
$46,644.00
|
|
|
HC PERC INJ W FL GDNC; EA ADDL LVL
|
Facility
|
IP
|
$27,040.00
|
|
|
Service Code
|
CPT 0628T
|
| Hospital Charge Code |
909080628
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,894.24 |
| Max. Negotiated Rate |
$20,280.00 |
| Rate for Payer: Adventist Health Commercial |
$5,408.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17,413.76
|
| Rate for Payer: Cash Price |
$12,168.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$18,306.08
|
| Rate for Payer: Heritage Provider Network Senior |
$18,306.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4,894.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,760.00
|
| Rate for Payer: Multiplan Commercial |
$20,280.00
|
|
|
HC PERC INJ W FL GDNC; EA ADDL LVL
|
Facility
|
OP
|
$27,040.00
|
|
|
Service Code
|
CPT 0628T
|
| Hospital Charge Code |
909080628
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$22,984.00 |
| Rate for Payer: Adventist Health Commercial |
$5,408.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16,710.72
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$22,984.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$14,872.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$20,280.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,245.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$12,168.00
|
| Rate for Payer: Cash Price |
$12,168.00
|
| Rate for Payer: Cigna of CA HMO/PPO |
$17,576.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22,984.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$22,984.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$22,984.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$16,737.76
|
| Rate for Payer: Heritage Provider Network Senior |
$16,737.76
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$12,898.08
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4,894.24
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,760.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$18,928.00
|
| Rate for Payer: Multiplan Commercial |
$20,280.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,093.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22,984.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$22,984.00
|
| Rate for Payer: Vantage Medical Group Senior |
$22,984.00
|
|
|
HC PERC LAMOT/LMNCTMY LUMBAR
|
Facility
|
IP
|
$28,660.00
|
|
|
Service Code
|
CPT 0275T
|
| Hospital Charge Code |
909003968
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,187.46 |
| Max. Negotiated Rate |
$21,495.00 |
| Rate for Payer: Adventist Health Commercial |
$5,732.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$18,457.04
|
| Rate for Payer: Cash Price |
$12,897.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,402.82
|
| Rate for Payer: Heritage Provider Network Senior |
$19,402.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$5,187.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,165.00
|
| Rate for Payer: Multiplan Commercial |
$21,495.00
|
|
|
HC PERC LAMOT/LMNCTMY LUMBAR
|
Facility
|
OP
|
$28,660.00
|
|
|
Service Code
|
CPT 0275T
|
| Hospital Charge Code |
909003968
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,158.00 |
| Max. Negotiated Rate |
$24,361.00 |
| Rate for Payer: Adventist Health Commercial |
$5,732.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17,711.88
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$24,361.00
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,763.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$21,495.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,158.00
|
| Rate for Payer: Blue Shield of California Commercial |
$10,829.24
|
| Rate for Payer: Blue Shield of California EPN |
$8,674.01
|
| Rate for Payer: Cash Price |
$12,897.00
|
| Rate for Payer: Cash Price |
$12,897.00
|
| Rate for Payer: Cash Price |
$12,897.00
|
| Rate for Payer: Cigna of CA HMO/PPO |
$18,629.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24,361.00
|
| Rate for Payer: Dignity Health Medi-Cal |
$24,361.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$24,361.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,196.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$17,740.54
|
| Rate for Payer: Heritage Provider Network Senior |
$17,740.54
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$13,670.82
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$5,187.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,165.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$20,062.00
|
| Rate for Payer: Multiplan Commercial |
$21,495.00
|
| Rate for Payer: Multiplan WC |
$14,462.30
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24,361.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$24,361.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,361.00
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
|
OP
|
$3,248.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$587.89 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$649.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,007.26
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,958.24
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,780.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$3,672.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$1,461.60
|
| Rate for Payer: Cash Price |
$1,461.60
|
| Rate for Payer: Cash Price |
$1,461.60
|
| Rate for Payer: Cigna of CA HMO/PPO |
$2,111.20
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,958.24
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,780.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,780.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,010.51
|
| Rate for Payer: Heritage Provider Network Senior |
$2,189.67
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,780.22
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$3,382.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$587.89
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,047.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,385.49
|
| Rate for Payer: Multiplan Commercial |
$2,436.00
|
| Rate for Payer: Multiplan WC |
$2,770.01
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,958.24
|
| Rate for Payer: TriValley Medical Group Senior |
$1,958.24
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,544.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,984.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,670.33
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,958.24
|
| Rate for Payer: Vantage Medical Group Senior |
$1,780.22
|
|
|
HC PERC PLCMNT FIDUCIAL MRKR
|
Facility
|
IP
|
$3,248.00
|
|
|
Service Code
|
CPT 32553
|
| Hospital Charge Code |
900832553
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$587.89 |
| Max. Negotiated Rate |
$2,436.00 |
| Rate for Payer: Adventist Health Commercial |
$649.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,091.71
|
| Rate for Payer: Cash Price |
$1,461.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,198.90
|
| Rate for Payer: Heritage Provider Network Senior |
$2,198.90
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$587.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.00
|
| Rate for Payer: Multiplan Commercial |
$2,436.00
|
|
|
HC PERC RF ABLATION, LUNG
|
Facility
|
IP
|
$27,189.00
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
909081840
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,921.21 |
| Max. Negotiated Rate |
$20,391.75 |
| Rate for Payer: Adventist Health Commercial |
$5,437.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17,509.72
|
| Rate for Payer: Cash Price |
$12,235.05
|
| Rate for Payer: Heritage Provider Network Commercial |
$18,406.95
|
| Rate for Payer: Heritage Provider Network Senior |
$18,406.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4,921.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,797.25
|
| Rate for Payer: Multiplan Commercial |
$20,391.75
|
|
|
HC PERC RF ABLATION, LUNG
|
Facility
|
OP
|
$27,189.00
|
|
|
Service Code
|
CPT 32998
|
| Hospital Charge Code |
909081840
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,921.21 |
| Max. Negotiated Rate |
$20,391.75 |
| Rate for Payer: Adventist Health Commercial |
$5,437.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16,802.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,553.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,775.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,728.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$12,235.05
|
| Rate for Payer: Cash Price |
$12,235.05
|
| Rate for Payer: Cash Price |
$12,235.05
|
| Rate for Payer: Cigna of CA HMO/PPO |
$17,672.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,553.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,775.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,775.56
|
| Rate for Payer: Heritage Provider Network Commercial |
$16,829.99
|
| Rate for Payer: Heritage Provider Network Senior |
$9,563.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,775.56
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$14,773.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$4,921.21
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,941.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,797.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,419.25
|
| Rate for Payer: Multiplan Commercial |
$20,391.75
|
| Rate for Payer: Multiplan WC |
$11,811.52
|
| Rate for Payer: TriValley Medical Group Commercial |
$8,553.12
|
| Rate for Payer: TriValley Medical Group Senior |
$8,553.12
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,553.12
|
| Rate for Payer: Vantage Medical Group Senior |
$7,775.56
|
|
|
HC PERC RF ABLATION, RENAL TUMOR
|
Facility
|
IP
|
$13,046.00
|
|
|
Service Code
|
CPT 50592
|
| Hospital Charge Code |
909081854
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,361.33 |
| Max. Negotiated Rate |
$9,784.50 |
| Rate for Payer: Adventist Health Commercial |
$2,609.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$8,401.62
|
| Rate for Payer: Cash Price |
$5,870.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,832.14
|
| Rate for Payer: Heritage Provider Network Senior |
$8,832.14
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,361.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,261.50
|
| Rate for Payer: Multiplan Commercial |
$9,784.50
|
|
|
HC PERC RF ABLATION, RENAL TUMOR
|
Facility
|
OP
|
$13,046.00
|
|
|
Service Code
|
CPT 50592
|
| Hospital Charge Code |
909081854
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,361.33 |
| Max. Negotiated Rate |
$14,773.56 |
| Rate for Payer: Cigna of CA HMO/PPO |
$8,479.90
|
| Rate for Payer: Adventist Health Commercial |
$2,609.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$8,062.43
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,553.12
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,775.56
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,728.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$5,870.70
|
| Rate for Payer: Cash Price |
$5,870.70
|
| Rate for Payer: Cash Price |
$5,870.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,553.12
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,775.56
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,775.56
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,075.47
|
| Rate for Payer: Heritage Provider Network Senior |
$9,563.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,775.56
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$14,773.56
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,361.33
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,941.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,261.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$10,419.25
|
| Rate for Payer: Multiplan Commercial |
$9,784.50
|
| Rate for Payer: Multiplan WC |
$11,811.52
|
| Rate for Payer: TriValley Medical Group Commercial |
$8,553.12
|
| Rate for Payer: TriValley Medical Group Senior |
$8,553.12
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$11,663.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,553.12
|
| Rate for Payer: Vantage Medical Group Senior |
$7,775.56
|
|
|
HC PERC SKEL FIX OF FEM FRAC
|
Facility
|
OP
|
$11,682.00
|
|
|
Service Code
|
CPT 27509
|
| Hospital Charge Code |
900501086
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,114.44 |
| Max. Negotiated Rate |
$14,462.30 |
| Rate for Payer: Adventist Health Commercial |
$2,336.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$7,219.48
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,265.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,332.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6,245.00
|
| Rate for Payer: Blue Shield of California Commercial |
$5,548.95
|
| Rate for Payer: Blue Shield of California EPN |
$4,415.80
|
| Rate for Payer: Cash Price |
$5,256.90
|
| Rate for Payer: Cash Price |
$5,256.90
|
| Rate for Payer: Cash Price |
$5,256.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,593.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,265.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,332.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$9,332.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$7,908.71
|
| Rate for Payer: Heritage Provider Network Senior |
$7,908.71
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,332.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$5,572.31
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,114.44
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,732.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,920.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,505.82
|
| Rate for Payer: Multiplan Commercial |
$8,761.50
|
| Rate for Payer: Multiplan WC |
$14,462.30
|
| Rate for Payer: TriValley Medical Group Commercial |
$7,009.20
|
| Rate for Payer: TriValley Medical Group Senior |
$7,009.20
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,265.97
|
| Rate for Payer: Vantage Medical Group Senior |
$9,332.70
|
|
|
HC PERC SKEL FIX OF FEM FRAC
|
Facility
|
IP
|
$11,682.00
|
|
|
Service Code
|
CPT 27509
|
| Hospital Charge Code |
900501086
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,114.44 |
| Max. Negotiated Rate |
$8,761.50 |
| Rate for Payer: Adventist Health Commercial |
$2,336.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$7,523.21
|
| Rate for Payer: Cash Price |
$5,256.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$7,908.71
|
| Rate for Payer: Heritage Provider Network Senior |
$7,908.71
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$2,114.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,920.50
|
| Rate for Payer: Multiplan Commercial |
$8,761.50
|
|
|
HC PERC SKEL FIX OF FEM FRAC PROX
|
Facility
|
IP
|
$9,053.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
900501082
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,638.59 |
| Max. Negotiated Rate |
$6,789.75 |
| Rate for Payer: Adventist Health Commercial |
$1,810.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,830.13
|
| Rate for Payer: Cash Price |
$4,073.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,128.88
|
| Rate for Payer: Heritage Provider Network Senior |
$6,128.88
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,638.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,263.25
|
| Rate for Payer: Multiplan Commercial |
$6,789.75
|
|
|
HC PERC SKEL FIX OF FEM FRAC PROX
|
Facility
|
OP
|
$9,053.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
900501082
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,638.59 |
| Max. Negotiated Rate |
$14,462.30 |
| Rate for Payer: Adventist Health Commercial |
$1,810.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,594.75
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,265.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,332.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,136.00
|
| Rate for Payer: Blue Shield of California Commercial |
$4,300.18
|
| Rate for Payer: Blue Shield of California EPN |
$3,422.03
|
| Rate for Payer: Cash Price |
$4,073.85
|
| Rate for Payer: Cash Price |
$4,073.85
|
| Rate for Payer: Cash Price |
$4,073.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$5,884.45
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,265.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$9,332.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$9,332.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,128.88
|
| Rate for Payer: Heritage Provider Network Senior |
$6,128.88
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$9,332.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$4,318.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,638.59
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$10,732.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,263.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$12,505.82
|
| Rate for Payer: Multiplan Commercial |
$6,789.75
|
| Rate for Payer: Multiplan WC |
$14,462.30
|
| Rate for Payer: TriValley Medical Group Commercial |
$5,431.80
|
| Rate for Payer: TriValley Medical Group Senior |
$5,431.80
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$13,999.05
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,265.97
|
| Rate for Payer: Vantage Medical Group Senior |
$9,332.70
|
|
|
HC PERC THROMB DIALYSIS CRCT
|
Facility
|
OP
|
$10,834.00
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
909036904
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,960.95 |
| Max. Negotiated Rate |
$14,574.13 |
| Rate for Payer: Adventist Health Commercial |
$2,166.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$6,695.41
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,980.45
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$8,052.33
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,320.30
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,158.00
|
| Rate for Payer: Blue Shield of California Commercial |
$14,574.13
|
| Rate for Payer: Blue Shield of California EPN |
$11,673.59
|
| Rate for Payer: Cash Price |
$4,875.30
|
| Rate for Payer: Cash Price |
$4,875.30
|
| Rate for Payer: Cash Price |
$4,875.30
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,042.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,980.45
|
| Rate for Payer: Dignity Health Medi-Cal |
$8,052.33
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,320.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,320.30
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,706.25
|
| Rate for Payer: Heritage Provider Network Senior |
$9,003.97
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,320.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$13,908.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,960.95
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$8,418.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,708.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$9,809.20
|
| Rate for Payer: Multiplan Commercial |
$8,125.50
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: TriValley Medical Group Commercial |
$8,052.33
|
| Rate for Payer: TriValley Medical Group Senior |
$8,052.33
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,980.45
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$8,052.33
|
| Rate for Payer: Vantage Medical Group Senior |
$7,320.30
|
|
|
HC PERC THROMB DIALYSIS CRCT
|
Facility
|
IP
|
$10,834.00
|
|
|
Service Code
|
CPT 36904
|
| Hospital Charge Code |
909036904
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,960.95 |
| Max. Negotiated Rate |
$8,125.50 |
| Rate for Payer: Adventist Health Commercial |
$2,166.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$6,977.10
|
| Rate for Payer: Cash Price |
$4,875.30
|
| Rate for Payer: Heritage Provider Network Commercial |
$7,334.62
|
| Rate for Payer: Heritage Provider Network Senior |
$7,334.62
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,960.95
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,708.50
|
| Rate for Payer: Multiplan Commercial |
$8,125.50
|
|
|
HC PERCT PLCMNT DUODENAL/JEJUNOST
|
Facility
|
OP
|
$6,157.00
|
|
|
Service Code
|
CPT 49441
|
| Hospital Charge Code |
909020003
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,114.42 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$1,231.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,805.03
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,714.84
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,468.04
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,158.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$2,770.65
|
| Rate for Payer: Cash Price |
$2,770.65
|
| Rate for Payer: Cash Price |
$2,770.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$4,002.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,714.84
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,468.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$2,468.04
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,811.18
|
| Rate for Payer: Heritage Provider Network Senior |
$3,035.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,468.04
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial |
$4,689.28
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$1,114.42
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,838.25
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,539.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$3,307.17
|
| Rate for Payer: Multiplan Commercial |
$4,617.75
|
| Rate for Payer: Multiplan WC |
$3,840.40
|
| Rate for Payer: TriValley Medical Group Commercial |
$2,714.84
|
| Rate for Payer: TriValley Medical Group Senior |
$2,714.84
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,544.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,984.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,702.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,714.84
|
| Rate for Payer: Vantage Medical Group Senior |
$2,468.04
|
|
