|
HC PYRUVATE
|
Facility
OP
|
$41.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910251
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$90.89 |
| Rate for Payer: Adventist Health Commercial |
$8.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$31.57
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$28.17
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$90.89
|
| Rate for Payer: Blue Shield of California Commercial |
$84.80
|
| Rate for Payer: Blue Shield of California EPN |
$66.29
|
| Rate for Payer: Cash Price |
$18.45
|
| Rate for Payer: Cash Price |
$18.45
|
| Rate for Payer: Cigna of CA HMO/PPO |
$26.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Senior |
$14.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$26.65
|
| Rate for Payer: EPIC Health Plan Medicare |
$14.48
|
| Rate for Payer: Heritage Provider Network Commercial |
$25.38
|
| Rate for Payer: Heritage Provider Network Senior |
$25.38
|
| Rate for Payer: Humana Medicare |
$14.48
|
| Rate for Payer: IEHP Medi-Cal |
$18.06
|
| Rate for Payer: IEHP Medicare Advantage |
$14.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$27.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18.24
|
| Rate for Payer: Multiplan Commercial |
$30.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$14.48
|
| Rate for Payer: TriValley Medical Group Senior |
$14.48
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$15.64
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$15.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
|
|
HC PYRUVATE
|
Facility
IP
|
$253.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910251
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$45.79 |
| Max. Negotiated Rate |
$189.75 |
| Rate for Payer: Adventist Health Commercial |
$50.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$173.81
|
| Rate for Payer: Cash Price |
$113.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$171.28
|
| Rate for Payer: Heritage Provider Network Senior |
$171.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$45.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$63.25
|
| Rate for Payer: Multiplan Commercial |
$189.75
|
|
|
HC PYRUVATE CSF
|
Facility
IP
|
$253.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910344
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$45.79 |
| Max. Negotiated Rate |
$189.75 |
| Rate for Payer: Adventist Health Commercial |
$50.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$173.81
|
| Rate for Payer: Cash Price |
$113.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$171.28
|
| Rate for Payer: Heritage Provider Network Senior |
$171.28
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$45.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$63.25
|
| Rate for Payer: Multiplan Commercial |
$189.75
|
|
|
HC PYRUVATE CSF
|
Facility
OP
|
$41.00
|
|
|
Service Code
|
CPT 84210
|
| Hospital Charge Code |
900910344
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$90.89 |
| Rate for Payer: Adventist Health Commercial |
$8.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$31.57
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$28.17
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$14.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$90.89
|
| Rate for Payer: Blue Shield of California Commercial |
$84.80
|
| Rate for Payer: Blue Shield of California EPN |
$66.29
|
| Rate for Payer: Cash Price |
$18.45
|
| Rate for Payer: Cash Price |
$18.45
|
| Rate for Payer: Cigna of CA HMO/PPO |
$26.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$15.93
|
| Rate for Payer: Dignity Health Senior |
$14.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$26.65
|
| Rate for Payer: EPIC Health Plan Medicare |
$14.48
|
| Rate for Payer: Heritage Provider Network Commercial |
$25.38
|
| Rate for Payer: Heritage Provider Network Senior |
$25.38
|
| Rate for Payer: Humana Medicare |
$14.48
|
| Rate for Payer: IEHP Medi-Cal |
$18.06
|
| Rate for Payer: IEHP Medicare Advantage |
$14.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$27.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$7.42
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$17.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18.24
|
| Rate for Payer: Multiplan Commercial |
$30.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$14.48
|
| Rate for Payer: TriValley Medical Group Senior |
$14.48
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$15.64
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$15.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15.93
|
| Rate for Payer: Vantage Medical Group Senior |
$14.48
|
|
|
HC QUAN MRI ANLYS BRN W/DX MRI
|
Facility
IP
|
$672.00
|
|
|
Service Code
|
CPT 0866T
|
| Hospital Charge Code |
908801866
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$121.63 |
| Max. Negotiated Rate |
$929.00 |
| Rate for Payer: Adventist Health Commercial |
$134.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$461.66
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$929.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$454.94
|
| Rate for Payer: Heritage Provider Network Senior |
$454.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$121.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$168.00
|
| Rate for Payer: Multiplan Commercial |
$504.00
|
|
|
HC QUAN MRI ANLYS BRN W/DX MRI
|
Facility
OP
|
$672.00
|
|
|
Service Code
|
CPT 0866T
|
| Hospital Charge Code |
908801866
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$121.63 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$134.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$359.18
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$461.66
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$306.16
|
| Rate for Payer: Blue Shield of California Commercial |
$417.31
|
| Rate for Payer: Blue Shield of California EPN |
$394.46
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,075.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$459.24
|
| Rate for Payer: Dignity Health Medi-Cal |
$336.78
|
| Rate for Payer: Dignity Health Senior |
$306.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$306.16
|
| Rate for Payer: Heritage Provider Network Commercial |
$955.00
|
| Rate for Payer: Heritage Provider Network Senior |
$869.00
|
| Rate for Payer: Humana Medicare |
$306.16
|
| Rate for Payer: IEHP Medicare Advantage |
$306.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$581.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$121.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$361.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$168.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$385.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$385.76
|
| Rate for Payer: Multiplan Commercial |
$504.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$325.00
|
| Rate for Payer: TriValley Medical Group Senior |
$325.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: Vantage Medical Group Senior |
$306.16
|
|
|
HC QUAN MRI ANLYS BRN W/O DX MRI
|
Facility
IP
|
$672.00
|
|
|
Service Code
|
CPT 0865T
|
| Hospital Charge Code |
908801865
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$121.63 |
| Max. Negotiated Rate |
$929.00 |
| Rate for Payer: Adventist Health Commercial |
$134.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$461.66
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$929.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$454.94
|
| Rate for Payer: Heritage Provider Network Senior |
$454.94
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$121.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$168.00
|
| Rate for Payer: Multiplan Commercial |
$504.00
|
|
|
HC QUAN MRI ANLYS BRN W/O DX MRI
|
Facility
OP
|
$672.00
|
|
|
Service Code
|
CPT 0865T
|
| Hospital Charge Code |
908801865
|
|
Hospital Revenue Code
|
611
|
| Min. Negotiated Rate |
$121.63 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$134.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$359.18
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$461.66
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$306.16
|
| Rate for Payer: Blue Shield of California Commercial |
$417.31
|
| Rate for Payer: Blue Shield of California EPN |
$394.46
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,075.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$459.24
|
| Rate for Payer: Dignity Health Medi-Cal |
$336.78
|
| Rate for Payer: Dignity Health Senior |
$306.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$306.16
|
| Rate for Payer: Heritage Provider Network Commercial |
$955.00
|
| Rate for Payer: Heritage Provider Network Senior |
$869.00
|
| Rate for Payer: Humana Medicare |
$306.16
|
| Rate for Payer: IEHP Medicare Advantage |
$306.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$581.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$121.63
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$361.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$168.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$385.76
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$385.76
|
| Rate for Payer: Multiplan Commercial |
$504.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$325.00
|
| Rate for Payer: TriValley Medical Group Senior |
$325.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$459.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$336.78
|
| Rate for Payer: Vantage Medical Group Senior |
$306.16
|
|
|
HC RA223 DICLORIDE INJECTION PER MICRO CURIE
|
Facility
OP
|
$390.00
|
|
|
Service Code
|
CPT A9606
|
| Hospital Charge Code |
909301550
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$70.59 |
| Max. Negotiated Rate |
$378.42 |
| Rate for Payer: Adventist Health Commercial |
$78.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$378.42
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$267.93
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$241.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$177.28
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$161.16
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$243.25
|
| Rate for Payer: Blue Shield of California Commercial |
$242.19
|
| Rate for Payer: Blue Shield of California EPN |
$228.93
|
| Rate for Payer: Cash Price |
$175.50
|
| Rate for Payer: Cash Price |
$175.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$253.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$241.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$177.28
|
| Rate for Payer: Dignity Health Senior |
$161.16
|
| Rate for Payer: EPIC Health Plan Commercial |
$249.60
|
| Rate for Payer: EPIC Health Plan Medicare |
$161.16
|
| Rate for Payer: Heritage Provider Network Commercial |
$241.41
|
| Rate for Payer: Heritage Provider Network Senior |
$241.41
|
| Rate for Payer: Humana Medicare |
$161.16
|
| Rate for Payer: IEHP Medi-Cal |
$250.63
|
| Rate for Payer: IEHP Medicare Advantage |
$161.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$306.21
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$70.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$190.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$97.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$203.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$203.06
|
| Rate for Payer: Multiplan Commercial |
$292.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$177.28
|
| Rate for Payer: TriValley Medical Group Senior |
$161.16
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$142.19
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$130.30
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$241.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$177.28
|
| Rate for Payer: Vantage Medical Group Senior |
$161.16
|
|
|
HC RA223 DICLORIDE INJECTION PER MICRO CURIE
|
Facility
IP
|
$390.00
|
|
|
Service Code
|
CPT A9606
|
| Hospital Charge Code |
909301550
|
|
Hospital Revenue Code
|
344
|
| Min. Negotiated Rate |
$70.59 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Adventist Health Commercial |
$78.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$267.93
|
| Rate for Payer: Cash Price |
$175.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$210.60
|
| Rate for Payer: Heritage Provider Network Commercial |
$264.03
|
| Rate for Payer: Heritage Provider Network Senior |
$264.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$70.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$97.50
|
| Rate for Payer: Multiplan Commercial |
$292.50
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$142.19
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$130.30
|
|
|
HC RADIATION TRT DEL COMPLEX
|
Facility
IP
|
$2,093.00
|
|
|
Service Code
|
CPT 77412
|
| Hospital Charge Code |
909100337
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$378.83 |
| Max. Negotiated Rate |
$1,569.75 |
| Rate for Payer: Adventist Health Commercial |
$418.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,437.89
|
| Rate for Payer: Cash Price |
$941.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,416.96
|
| Rate for Payer: Heritage Provider Network Senior |
$1,416.96
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$378.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$523.25
|
| Rate for Payer: Multiplan Commercial |
$1,569.75
|
|
|
HC RADIATION TRT DEL COMPLEX
|
Facility
OP
|
$2,093.00
|
|
|
Service Code
|
CPT 77412
|
| Hospital Charge Code |
909100337
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$67.39 |
| Max. Negotiated Rate |
$1,569.75 |
| Rate for Payer: Adventist Health Commercial |
$418.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$518.32
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,437.89
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$503.67
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$369.36
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$335.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$501.92
|
| Rate for Payer: Blue Shield of California Commercial |
$477.14
|
| Rate for Payer: Blue Shield of California EPN |
$271.33
|
| Rate for Payer: Cash Price |
$941.85
|
| Rate for Payer: Cash Price |
$941.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,360.45
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$503.67
|
| Rate for Payer: Dignity Health Medi-Cal |
$369.36
|
| Rate for Payer: Dignity Health Senior |
$335.78
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,360.45
|
| Rate for Payer: EPIC Health Plan Medicare |
$335.78
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,295.57
|
| Rate for Payer: Heritage Provider Network Senior |
$1,295.57
|
| Rate for Payer: Humana Medicare |
$335.78
|
| Rate for Payer: IEHP Medi-Cal |
$67.39
|
| Rate for Payer: IEHP Medicare Advantage |
$335.78
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$637.98
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$378.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$396.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$523.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$423.08
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$423.08
|
| Rate for Payer: Multiplan Commercial |
$1,569.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$285.41
|
| Rate for Payer: TriValley Medical Group Senior |
$285.41
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$503.67
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$369.36
|
| Rate for Payer: Vantage Medical Group Senior |
$335.78
|
|
|
HC RADIOELEMENT HANDLING/LOADING
|
Facility
IP
|
$1,658.00
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
909100409
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$300.10 |
| Max. Negotiated Rate |
$1,243.50 |
| Rate for Payer: Adventist Health Commercial |
$331.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,139.05
|
| Rate for Payer: Cash Price |
$746.10
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,122.47
|
| Rate for Payer: Heritage Provider Network Senior |
$1,122.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$300.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$414.50
|
| Rate for Payer: Multiplan Commercial |
$1,243.50
|
|
|
HC RADIOELEMENT HANDLING/LOADING
|
Facility
OP
|
$1,658.00
|
|
|
Service Code
|
CPT 77790
|
| Hospital Charge Code |
909100409
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$22.00 |
| Max. Negotiated Rate |
$1,409.30 |
| Rate for Payer: Adventist Health Commercial |
$331.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$85.96
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,139.05
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,409.30
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$911.90
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,243.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$123.58
|
| Rate for Payer: Blue Shield of California Commercial |
$100.84
|
| Rate for Payer: Blue Shield of California EPN |
$57.35
|
| Rate for Payer: Cash Price |
$746.10
|
| Rate for Payer: Cash Price |
$746.10
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,077.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,409.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,409.30
|
| Rate for Payer: Dignity Health Senior |
$1,409.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,077.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,026.30
|
| Rate for Payer: Heritage Provider Network Senior |
$1,026.30
|
| Rate for Payer: IEHP Medi-Cal |
$22.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$799.16
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$300.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$414.50
|
| Rate for Payer: Multiplan Commercial |
$1,243.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,409.30
|
| Rate for Payer: Vantage Medical Group Senior |
$1,409.30
|
|
|
HC RADIOPHARM THERAPY IA ADMIN
|
Facility
IP
|
$5,609.00
|
|
|
Service Code
|
CPT 79445
|
| Hospital Charge Code |
909020038
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$1,015.23 |
| Max. Negotiated Rate |
$4,206.75 |
| Rate for Payer: Adventist Health Commercial |
$1,121.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,853.38
|
| Rate for Payer: Cash Price |
$2,524.05
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,797.29
|
| Rate for Payer: Heritage Provider Network Senior |
$3,797.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,015.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,402.25
|
| Rate for Payer: Multiplan Commercial |
$4,206.75
|
|
|
HC RADIOPHARM THERAPY IA ADMIN
|
Facility
OP
|
$5,609.00
|
|
|
Service Code
|
CPT 79445
|
| Hospital Charge Code |
909020038
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$214.75 |
| Max. Negotiated Rate |
$4,206.75 |
| Rate for Payer: Adventist Health Commercial |
$1,121.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$214.75
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,853.38
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$310.84
|
| Rate for Payer: Blue Shield of California Commercial |
$536.23
|
| Rate for Payer: Blue Shield of California EPN |
$304.94
|
| Rate for Payer: Cash Price |
$2,524.05
|
| Rate for Payer: Cash Price |
$2,524.05
|
| Rate for Payer: Cigna of CA HMO/PPO |
$3,645.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$466.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$341.92
|
| Rate for Payer: Dignity Health Senior |
$310.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,645.85
|
| Rate for Payer: EPIC Health Plan Medicare |
$310.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,471.97
|
| Rate for Payer: Heritage Provider Network Senior |
$3,471.97
|
| Rate for Payer: Humana Medicare |
$310.84
|
| Rate for Payer: IEHP Medi-Cal |
$312.78
|
| Rate for Payer: IEHP Medicare Advantage |
$310.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$590.60
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,015.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$366.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,402.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$391.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$391.66
|
| Rate for Payer: Multiplan Commercial |
$4,206.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$341.92
|
| Rate for Payer: TriValley Medical Group Senior |
$310.84
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: Vantage Medical Group Senior |
$310.84
|
|
|
HC RADIOPHARM THERAPY INTRACAVITARY ADMIN
|
Facility
OP
|
$1,611.00
|
|
|
Service Code
|
CPT 79200
|
| Hospital Charge Code |
909301456
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$150.32 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Adventist Health Commercial |
$322.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$150.32
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,106.76
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$310.84
|
| Rate for Payer: Blue Shield of California Commercial |
$533.43
|
| Rate for Payer: Blue Shield of California EPN |
$303.35
|
| Rate for Payer: Cash Price |
$724.95
|
| Rate for Payer: Cash Price |
$724.95
|
| Rate for Payer: Cigna of CA HMO/PPO |
$1,047.15
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$466.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$341.92
|
| Rate for Payer: Dignity Health Senior |
$310.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,047.15
|
| Rate for Payer: EPIC Health Plan Medicare |
$310.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$997.21
|
| Rate for Payer: Heritage Provider Network Senior |
$997.21
|
| Rate for Payer: Humana Medicare |
$310.84
|
| Rate for Payer: IEHP Medi-Cal |
$161.97
|
| Rate for Payer: IEHP Medicare Advantage |
$310.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$590.60
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$291.59
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$366.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$402.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$391.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$391.66
|
| Rate for Payer: Multiplan Commercial |
$1,208.25
|
| Rate for Payer: TriValley Medical Group Commercial |
$341.92
|
| Rate for Payer: TriValley Medical Group Senior |
$310.84
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: Vantage Medical Group Senior |
$310.84
|
|
|
HC RADIOPHARM THERAPY INTRACAVITARY ADMIN
|
Facility
IP
|
$1,611.00
|
|
|
Service Code
|
CPT 79200
|
| Hospital Charge Code |
909301456
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$291.59 |
| Max. Negotiated Rate |
$1,208.25 |
| Rate for Payer: Adventist Health Commercial |
$322.20
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$1,106.76
|
| Rate for Payer: Cash Price |
$724.95
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,090.65
|
| Rate for Payer: Heritage Provider Network Senior |
$1,090.65
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$291.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$402.75
|
| Rate for Payer: Multiplan Commercial |
$1,208.25
|
|
|
HC RADIOPHARM THERAPY INTRAVENOUS ADMIN
|
Facility
OP
|
$3,095.00
|
|
|
Service Code
|
CPT 79101
|
| Hospital Charge Code |
909301455
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$132.15 |
| Max. Negotiated Rate |
$2,321.25 |
| Rate for Payer: Adventist Health Commercial |
$619.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$132.15
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,126.26
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$310.84
|
| Rate for Payer: Blue Shield of California Commercial |
$533.43
|
| Rate for Payer: Blue Shield of California EPN |
$303.35
|
| Rate for Payer: Cash Price |
$1,392.75
|
| Rate for Payer: Cash Price |
$1,392.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$2,011.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$466.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$341.92
|
| Rate for Payer: Dignity Health Senior |
$310.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,011.75
|
| Rate for Payer: EPIC Health Plan Medicare |
$310.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$1,915.80
|
| Rate for Payer: Heritage Provider Network Senior |
$1,915.80
|
| Rate for Payer: Humana Medicare |
$310.84
|
| Rate for Payer: IEHP Medi-Cal |
$196.78
|
| Rate for Payer: IEHP Medicare Advantage |
$310.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$590.60
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$560.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$366.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$773.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$391.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$391.66
|
| Rate for Payer: Multiplan Commercial |
$2,321.25
|
| Rate for Payer: TriValley Medical Group Commercial |
$341.92
|
| Rate for Payer: TriValley Medical Group Senior |
$310.84
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: Vantage Medical Group Senior |
$310.84
|
|
|
HC RADIOPHARM THERAPY INTRAVENOUS ADMIN
|
Facility
IP
|
$3,095.00
|
|
|
Service Code
|
CPT 79101
|
| Hospital Charge Code |
909301455
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$560.20 |
| Max. Negotiated Rate |
$2,321.25 |
| Rate for Payer: Adventist Health Commercial |
$619.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$2,126.26
|
| Rate for Payer: Cash Price |
$1,392.75
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,095.32
|
| Rate for Payer: Heritage Provider Network Senior |
$2,095.32
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$560.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$773.75
|
| Rate for Payer: Multiplan Commercial |
$2,321.25
|
|
|
HC RADIOPHARM THERAPY Y-90 ZEVALIN
|
Facility
IP
|
$6,537.00
|
|
|
Service Code
|
CPT 79403
|
| Hospital Charge Code |
909301344
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$1,183.20 |
| Max. Negotiated Rate |
$4,902.75 |
| Rate for Payer: Adventist Health Commercial |
$1,307.40
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$4,490.92
|
| Rate for Payer: Cash Price |
$2,941.65
|
| Rate for Payer: Heritage Provider Network Commercial |
$4,425.55
|
| Rate for Payer: Heritage Provider Network Senior |
$4,425.55
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,183.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,634.25
|
| Rate for Payer: Multiplan Commercial |
$4,902.75
|
|
|
HC RADIOPHARM THERAPY Y-90 ZEVALIN
|
Facility
OP
|
$6,537.00
|
|
|
Service Code
|
CPT 79403
|
| Hospital Charge Code |
909301344
|
|
Hospital Revenue Code
|
342
|
| Min. Negotiated Rate |
$204.09 |
| Max. Negotiated Rate |
$4,902.75 |
| Rate for Payer: Adventist Health Commercial |
$1,307.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$204.09
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$4,490.92
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$310.84
|
| Rate for Payer: Blue Shield of California Commercial |
$860.94
|
| Rate for Payer: Blue Shield of California EPN |
$489.59
|
| Rate for Payer: Cash Price |
$2,941.65
|
| Rate for Payer: Cash Price |
$2,941.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$4,249.05
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$466.26
|
| Rate for Payer: Dignity Health Medi-Cal |
$341.92
|
| Rate for Payer: Dignity Health Senior |
$310.84
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,249.05
|
| Rate for Payer: EPIC Health Plan Medicare |
$310.84
|
| Rate for Payer: Heritage Provider Network Commercial |
$4,046.40
|
| Rate for Payer: Heritage Provider Network Senior |
$4,046.40
|
| Rate for Payer: Humana Medicare |
$310.84
|
| Rate for Payer: IEHP Medi-Cal |
$221.93
|
| Rate for Payer: IEHP Medicare Advantage |
$310.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$590.60
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,183.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$366.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,634.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$391.66
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$391.66
|
| Rate for Payer: Multiplan Commercial |
$4,902.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$341.92
|
| Rate for Payer: TriValley Medical Group Senior |
$310.84
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$466.26
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$341.92
|
| Rate for Payer: Vantage Medical Group Senior |
$310.84
|
|
|
HC RADIOPHRM AGNT OF TMR SNGL DAY
|
Facility
IP
|
$4,993.00
|
|
|
Service Code
|
CPT 78802
|
| Hospital Charge Code |
909301440
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$903.73 |
| Max. Negotiated Rate |
$3,744.75 |
| Rate for Payer: Adventist Health Commercial |
$998.60
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,430.19
|
| Rate for Payer: Cash Price |
$2,246.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,380.26
|
| Rate for Payer: Heritage Provider Network Senior |
$3,380.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$903.73
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,248.25
|
| Rate for Payer: Multiplan Commercial |
$3,744.75
|
|
|
HC RADIOPHRM AGNT OF TMR SNGL DAY
|
Facility
OP
|
$4,993.00
|
|
|
Service Code
|
CPT 78802
|
| Hospital Charge Code |
909301440
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$241.64 |
| Max. Negotiated Rate |
$3,744.75 |
| Rate for Payer: Adventist Health Commercial |
$998.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$633.44
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,430.19
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,661.22
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,951.56
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,774.15
|
| Rate for Payer: Blue Shield of California Commercial |
$1,130.47
|
| Rate for Payer: Blue Shield of California EPN |
$642.86
|
| Rate for Payer: Cash Price |
$2,246.85
|
| Rate for Payer: Cash Price |
$2,246.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$3,245.45
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,661.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,951.56
|
| Rate for Payer: Dignity Health Senior |
$1,774.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,245.45
|
| Rate for Payer: EPIC Health Plan Medicare |
$1,774.15
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,090.67
|
| Rate for Payer: Heritage Provider Network Senior |
$3,090.67
|
| Rate for Payer: Humana Medicare |
$1,774.15
|
| Rate for Payer: IEHP Medi-Cal |
$241.64
|
| Rate for Payer: IEHP Medicare Advantage |
$1,774.15
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$3,370.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$903.73
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,093.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,248.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,235.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,235.43
|
| Rate for Payer: Multiplan Commercial |
$3,744.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$1,951.56
|
| Rate for Payer: TriValley Medical Group Senior |
$1,774.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$2,661.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,951.56
|
| Rate for Payer: Vantage Medical Group Senior |
$1,774.15
|
|
|
HC RAGWEED WESTERN IGE
|
Facility
OP
|
$64.00
|
|
|
Service Code
|
CPT 86003
|
| Hospital Charge Code |
900913638
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.22 |
| Max. Negotiated Rate |
$132.31 |
| Rate for Payer: Adventist Health Commercial |
$12.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$15.18
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$43.97
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5.22
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$132.31
|
| Rate for Payer: Blue Shield of California Commercial |
$40.81
|
| Rate for Payer: Blue Shield of California EPN |
$31.90
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$41.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7.83
|
| Rate for Payer: Dignity Health Medi-Cal |
$5.74
|
| Rate for Payer: Dignity Health Senior |
$5.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$41.60
|
| Rate for Payer: EPIC Health Plan Medicare |
$5.22
|
| Rate for Payer: Heritage Provider Network Commercial |
$39.62
|
| Rate for Payer: Heritage Provider Network Senior |
$39.62
|
| Rate for Payer: Humana Medicare |
$5.22
|
| Rate for Payer: IEHP Medi-Cal |
$7.24
|
| Rate for Payer: IEHP Medicare Advantage |
$5.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$9.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$11.58
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6.58
|
| Rate for Payer: Multiplan Commercial |
$48.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$5.22
|
| Rate for Payer: TriValley Medical Group Senior |
$5.22
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$5.64
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$5.64
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$5.74
|
| Rate for Payer: Vantage Medical Group Senior |
$5.22
|
|
