|
HC SOM PORPHYR UR FRAC PORPHOBIL
|
Facility
OP
|
$16.41
|
|
|
Service Code
|
CPT 84110
|
| Hospital Charge Code |
900912814
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.97 |
| Max. Negotiated Rate |
$70.72 |
| Rate for Payer: Adventist Health Commercial |
$3.28
|
| Rate for Payer: Aetna of CA Gatekeeper |
$24.57
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$11.27
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$12.66
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$9.28
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$8.44
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$70.72
|
| Rate for Payer: Blue Shield of California Commercial |
$65.96
|
| Rate for Payer: Blue Shield of California EPN |
$51.57
|
| Rate for Payer: Cash Price |
$7.38
|
| Rate for Payer: Cash Price |
$7.38
|
| Rate for Payer: Cigna of CA HMO/PPO |
$10.67
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$9.28
|
| Rate for Payer: Dignity Health Senior |
$8.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$10.67
|
| Rate for Payer: EPIC Health Plan Medicare |
$8.44
|
| Rate for Payer: Heritage Provider Network Commercial |
$10.16
|
| Rate for Payer: Heritage Provider Network Senior |
$10.16
|
| Rate for Payer: Humana Medicare |
$8.44
|
| Rate for Payer: IEHP Medi-Cal |
$11.70
|
| Rate for Payer: IEHP Medicare Advantage |
$8.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$16.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$9.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.10
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$10.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$10.63
|
| Rate for Payer: Multiplan Commercial |
$12.31
|
| Rate for Payer: TriValley Medical Group Commercial |
$8.44
|
| Rate for Payer: TriValley Medical Group Senior |
$8.44
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$9.12
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$9.12
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$12.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9.28
|
| Rate for Payer: Vantage Medical Group Senior |
$8.44
|
|
|
HC SOM PORPHYR UR FRAC PORPHOBIL
|
Facility
IP
|
$16.41
|
|
|
Service Code
|
CPT 84110
|
| Hospital Charge Code |
900912814
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.97 |
| Max. Negotiated Rate |
$12.31 |
| Rate for Payer: Adventist Health Commercial |
$3.28
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$11.27
|
| Rate for Payer: Cash Price |
$7.38
|
| Rate for Payer: Heritage Provider Network Commercial |
$11.11
|
| Rate for Payer: Heritage Provider Network Senior |
$11.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.10
|
| Rate for Payer: Multiplan Commercial |
$12.31
|
|
|
HC SOM POSACONAZOLE LEVEL
|
Facility
IP
|
$27.11
|
|
|
Service Code
|
CPT 80187
|
| Hospital Charge Code |
900912708
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$20.33 |
| Rate for Payer: Adventist Health Commercial |
$5.42
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$18.62
|
| Rate for Payer: Cash Price |
$12.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$18.35
|
| Rate for Payer: Heritage Provider Network Senior |
$18.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.78
|
| Rate for Payer: Multiplan Commercial |
$20.33
|
|
|
HC SOM POSACONAZOLE LEVEL
|
Facility
OP
|
$27.11
|
|
|
Service Code
|
CPT 80187
|
| Hospital Charge Code |
900912708
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$151.54 |
| Rate for Payer: Adventist Health Commercial |
$5.42
|
| Rate for Payer: Aetna of CA Gatekeeper |
$56.04
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$18.62
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$40.66
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$29.82
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$27.11
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$80.41
|
| Rate for Payer: Blue Shield of California Commercial |
$151.54
|
| Rate for Payer: Blue Shield of California EPN |
$118.47
|
| Rate for Payer: Cash Price |
$12.20
|
| Rate for Payer: Cash Price |
$12.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$17.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$40.66
|
| Rate for Payer: Dignity Health Medi-Cal |
$29.82
|
| Rate for Payer: Dignity Health Senior |
$27.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$17.62
|
| Rate for Payer: EPIC Health Plan Medicare |
$27.11
|
| Rate for Payer: Heritage Provider Network Commercial |
$16.78
|
| Rate for Payer: Heritage Provider Network Senior |
$16.78
|
| Rate for Payer: Humana Medicare |
$27.11
|
| Rate for Payer: IEHP Medi-Cal |
$33.84
|
| Rate for Payer: IEHP Medicare Advantage |
$27.11
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$51.51
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31.99
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.78
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$34.16
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$34.16
|
| Rate for Payer: Multiplan Commercial |
$20.33
|
| Rate for Payer: TriValley Medical Group Commercial |
$27.11
|
| Rate for Payer: TriValley Medical Group Senior |
$27.11
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$29.28
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$29.28
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$40.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$29.82
|
| Rate for Payer: Vantage Medical Group Senior |
$27.11
|
|
|
HC SOM PRADER WILLI SYNDROME ANALYSIS
|
Facility
OP
|
$350.00
|
|
|
Service Code
|
CPT 81331
|
| Hospital Charge Code |
900910668
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$51.07 |
| Max. Negotiated Rate |
$337.26 |
| Rate for Payer: Adventist Health Commercial |
$70.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$85.33
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$240.45
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$76.60
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$56.18
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$51.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$337.26
|
| Rate for Payer: Blue Shield of California Commercial |
$217.35
|
| Rate for Payer: Blue Shield of California EPN |
$205.45
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$227.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$76.60
|
| Rate for Payer: Dignity Health Medi-Cal |
$56.18
|
| Rate for Payer: Dignity Health Senior |
$51.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$227.50
|
| Rate for Payer: EPIC Health Plan Medicare |
$51.07
|
| Rate for Payer: Heritage Provider Network Commercial |
$216.65
|
| Rate for Payer: Heritage Provider Network Senior |
$216.65
|
| Rate for Payer: Humana Medicare |
$51.07
|
| Rate for Payer: IEHP Medi-Cal |
$63.73
|
| Rate for Payer: IEHP Medicare Advantage |
$51.07
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$97.03
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$63.35
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$60.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$87.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$64.35
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$64.35
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$51.07
|
| Rate for Payer: TriValley Medical Group Senior |
$51.07
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$55.15
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$55.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$76.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$56.18
|
| Rate for Payer: Vantage Medical Group Senior |
$51.07
|
|
|
HC SOM PRADER WILLI SYNDROME ANALYSIS
|
Facility
IP
|
$350.00
|
|
|
Service Code
|
CPT 81331
|
| Hospital Charge Code |
900910668
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$63.35 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Adventist Health Commercial |
$70.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$240.45
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$236.95
|
| Rate for Payer: Heritage Provider Network Senior |
$236.95
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$63.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$87.50
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
|
|
HC SOM PRIMIDONE LEVEL
|
Facility
OP
|
$23.75
|
|
|
Service Code
|
CPT 80188
|
| Hospital Charge Code |
900911489
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.30 |
| Max. Negotiated Rate |
$138.96 |
| Rate for Payer: Adventist Health Commercial |
$4.75
|
| Rate for Payer: Aetna of CA Gatekeeper |
$42.35
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16.32
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$24.88
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$18.25
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$16.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$138.96
|
| Rate for Payer: Blue Shield of California Commercial |
$129.58
|
| Rate for Payer: Blue Shield of California EPN |
$101.30
|
| Rate for Payer: Cash Price |
$10.69
|
| Rate for Payer: Cash Price |
$10.69
|
| Rate for Payer: Cigna of CA HMO/PPO |
$15.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$24.88
|
| Rate for Payer: Dignity Health Medi-Cal |
$18.25
|
| Rate for Payer: Dignity Health Senior |
$16.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.44
|
| Rate for Payer: EPIC Health Plan Medicare |
$16.59
|
| Rate for Payer: Heritage Provider Network Commercial |
$14.70
|
| Rate for Payer: Heritage Provider Network Senior |
$14.70
|
| Rate for Payer: Humana Medicare |
$16.59
|
| Rate for Payer: IEHP Medi-Cal |
$23.01
|
| Rate for Payer: IEHP Medicare Advantage |
$16.59
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$31.52
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.30
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.58
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.94
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$20.90
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$20.90
|
| Rate for Payer: Multiplan Commercial |
$17.81
|
| Rate for Payer: TriValley Medical Group Commercial |
$16.59
|
| Rate for Payer: TriValley Medical Group Senior |
$16.59
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$17.92
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$17.92
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$24.88
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.25
|
| Rate for Payer: Vantage Medical Group Senior |
$16.59
|
|
|
HC SOM PRIMIDONE LEVEL
|
Facility
IP
|
$23.75
|
|
|
Service Code
|
CPT 80188
|
| Hospital Charge Code |
900911489
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.30 |
| Max. Negotiated Rate |
$17.81 |
| Rate for Payer: Adventist Health Commercial |
$4.75
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16.32
|
| Rate for Payer: Cash Price |
$10.69
|
| Rate for Payer: Heritage Provider Network Commercial |
$16.08
|
| Rate for Payer: Heritage Provider Network Senior |
$16.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.94
|
| Rate for Payer: Multiplan Commercial |
$17.81
|
|
|
HC SOM PROBE SET COUNT
|
Facility
IP
|
$30.00
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
900915278
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Adventist Health Commercial |
$6.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$20.61
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Heritage Provider Network Commercial |
$20.31
|
| Rate for Payer: Heritage Provider Network Senior |
$20.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.43
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.50
|
| Rate for Payer: Multiplan Commercial |
$22.50
|
|
|
HC SOM PROBE SET COUNT
|
Facility
OP
|
$30.00
|
|
|
Service Code
|
CPT 88271
|
| Hospital Charge Code |
900915278
|
|
Hospital Revenue Code
|
310
|
| Min. Negotiated Rate |
$5.43 |
| Max. Negotiated Rate |
$1,420.05 |
| Rate for Payer: Adventist Health Commercial |
$6.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$62.32
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$20.61
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$32.13
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$23.56
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$21.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,420.05
|
| Rate for Payer: Blue Shield of California Commercial |
$167.31
|
| Rate for Payer: Blue Shield of California EPN |
$130.79
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cigna of CA HMO/PPO |
$19.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$32.13
|
| Rate for Payer: Dignity Health Medi-Cal |
$23.56
|
| Rate for Payer: Dignity Health Senior |
$21.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.50
|
| Rate for Payer: EPIC Health Plan Medicare |
$21.42
|
| Rate for Payer: Heritage Provider Network Commercial |
$18.57
|
| Rate for Payer: Heritage Provider Network Senior |
$18.57
|
| Rate for Payer: Humana Medicare |
$21.42
|
| Rate for Payer: IEHP Medi-Cal |
$26.21
|
| Rate for Payer: IEHP Medicare Advantage |
$21.42
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$40.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.43
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$25.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$26.99
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$26.99
|
| Rate for Payer: Multiplan Commercial |
$22.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$21.42
|
| Rate for Payer: TriValley Medical Group Senior |
$21.42
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$23.14
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$23.14
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$32.13
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$23.56
|
| Rate for Payer: Vantage Medical Group Senior |
$21.42
|
|
|
HC SOM PROINSULIN
|
Facility
OP
|
$26.69
|
|
|
Service Code
|
CPT 84206
|
| Hospital Charge Code |
900911398
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.83 |
| Max. Negotiated Rate |
$144.26 |
| Rate for Payer: Adventist Health Commercial |
$5.34
|
| Rate for Payer: Aetna of CA Gatekeeper |
$51.83
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$18.34
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$40.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$29.36
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$26.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$144.26
|
| Rate for Payer: Blue Shield of California Commercial |
$139.14
|
| Rate for Payer: Blue Shield of California EPN |
$108.77
|
| Rate for Payer: Cash Price |
$12.01
|
| Rate for Payer: Cash Price |
$12.01
|
| Rate for Payer: Cigna of CA HMO/PPO |
$17.35
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$40.04
|
| Rate for Payer: Dignity Health Medi-Cal |
$29.36
|
| Rate for Payer: Dignity Health Senior |
$26.69
|
| Rate for Payer: EPIC Health Plan Commercial |
$17.35
|
| Rate for Payer: EPIC Health Plan Medicare |
$26.69
|
| Rate for Payer: Heritage Provider Network Commercial |
$16.52
|
| Rate for Payer: Heritage Provider Network Senior |
$16.52
|
| Rate for Payer: Humana Medicare |
$26.69
|
| Rate for Payer: IEHP Medi-Cal |
$30.25
|
| Rate for Payer: IEHP Medicare Advantage |
$26.69
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$50.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.83
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$31.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.67
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$33.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$33.63
|
| Rate for Payer: Multiplan Commercial |
$20.02
|
| Rate for Payer: TriValley Medical Group Commercial |
$26.69
|
| Rate for Payer: TriValley Medical Group Senior |
$26.69
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$28.82
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$28.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$40.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$29.36
|
| Rate for Payer: Vantage Medical Group Senior |
$26.69
|
|
|
HC SOM PROINSULIN
|
Facility
IP
|
$26.69
|
|
|
Service Code
|
CPT 84206
|
| Hospital Charge Code |
900911398
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.83 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Adventist Health Commercial |
$5.34
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$18.34
|
| Rate for Payer: Cash Price |
$12.01
|
| Rate for Payer: Heritage Provider Network Commercial |
$18.07
|
| Rate for Payer: Heritage Provider Network Senior |
$18.07
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.83
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.67
|
| Rate for Payer: Multiplan Commercial |
$20.02
|
|
|
HC SOM PROTEINASE 3 AB
|
Facility
IP
|
$19.01
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
900912701
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$14.26 |
| Rate for Payer: Adventist Health Commercial |
$3.80
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$13.06
|
| Rate for Payer: Cash Price |
$8.55
|
| Rate for Payer: Heritage Provider Network Commercial |
$12.87
|
| Rate for Payer: Heritage Provider Network Senior |
$12.87
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.75
|
| Rate for Payer: Multiplan Commercial |
$14.26
|
|
|
HC SOM PROTEINASE 3 AB
|
Facility
OP
|
$19.01
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
900912701
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$195.82 |
| Rate for Payer: Adventist Health Commercial |
$3.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$27.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$13.06
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.30
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$195.82
|
| Rate for Payer: Blue Shield of California Commercial |
$72.56
|
| Rate for Payer: Blue Shield of California EPN |
$56.72
|
| Rate for Payer: Cash Price |
$8.55
|
| Rate for Payer: Cash Price |
$8.55
|
| Rate for Payer: Cigna of CA HMO/PPO |
$12.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$12.68
|
| Rate for Payer: Dignity Health Senior |
$11.53
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.36
|
| Rate for Payer: EPIC Health Plan Medicare |
$11.53
|
| Rate for Payer: Heritage Provider Network Commercial |
$11.77
|
| Rate for Payer: Heritage Provider Network Senior |
$11.77
|
| Rate for Payer: Humana Medicare |
$11.53
|
| Rate for Payer: IEHP Medi-Cal |
$13.42
|
| Rate for Payer: IEHP Medicare Advantage |
$11.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$21.91
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13.61
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14.53
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14.53
|
| Rate for Payer: Multiplan Commercial |
$14.26
|
| Rate for Payer: TriValley Medical Group Commercial |
$11.53
|
| Rate for Payer: TriValley Medical Group Senior |
$11.53
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$12.46
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$12.46
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$17.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$12.68
|
| Rate for Payer: Vantage Medical Group Senior |
$11.53
|
|
|
HC SOM PROTEIN C AG
|
Facility
IP
|
$223.58
|
|
|
Service Code
|
CPT 85302
|
| Hospital Charge Code |
900913801
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$40.47 |
| Max. Negotiated Rate |
$167.68 |
| Rate for Payer: Adventist Health Commercial |
$44.72
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$153.60
|
| Rate for Payer: Cash Price |
$100.61
|
| Rate for Payer: Heritage Provider Network Commercial |
$151.36
|
| Rate for Payer: Heritage Provider Network Senior |
$151.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$40.47
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$55.90
|
| Rate for Payer: Multiplan Commercial |
$167.68
|
|
|
HC SOM PROTEIN C AG
|
Facility
OP
|
$223.58
|
|
|
Service Code
|
CPT 85302
|
| Hospital Charge Code |
900913801
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$12.01 |
| Max. Negotiated Rate |
$167.68 |
| Rate for Payer: Adventist Health Commercial |
$44.72
|
| Rate for Payer: Aetna of CA Gatekeeper |
$34.98
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$153.60
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$18.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$13.21
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.01
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$100.92
|
| Rate for Payer: Blue Shield of California Commercial |
$93.91
|
| Rate for Payer: Blue Shield of California EPN |
$73.42
|
| Rate for Payer: Cash Price |
$100.61
|
| Rate for Payer: Cash Price |
$100.61
|
| Rate for Payer: Cigna of CA HMO/PPO |
$145.33
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$18.02
|
| Rate for Payer: Dignity Health Medi-Cal |
$13.21
|
| Rate for Payer: Dignity Health Senior |
$12.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$145.33
|
| Rate for Payer: EPIC Health Plan Medicare |
$12.01
|
| Rate for Payer: Heritage Provider Network Commercial |
$138.40
|
| Rate for Payer: Heritage Provider Network Senior |
$138.40
|
| Rate for Payer: Humana Medicare |
$12.01
|
| Rate for Payer: IEHP Medi-Cal |
$16.66
|
| Rate for Payer: IEHP Medicare Advantage |
$12.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$22.82
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$40.47
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$55.90
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15.13
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15.13
|
| Rate for Payer: Multiplan Commercial |
$167.68
|
| Rate for Payer: TriValley Medical Group Commercial |
$12.01
|
| Rate for Payer: TriValley Medical Group Senior |
$12.01
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$12.97
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$12.97
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$18.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$13.21
|
| Rate for Payer: Vantage Medical Group Senior |
$12.01
|
|
|
HC SOM PROTEIN ELECT URINE
|
Facility
OP
|
$24.88
|
|
|
Service Code
|
CPT 84166
|
| Hospital Charge Code |
900912721
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.50 |
| Max. Negotiated Rate |
$146.23 |
| Rate for Payer: Adventist Health Commercial |
$4.98
|
| Rate for Payer: Aetna of CA Gatekeeper |
$51.88
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.09
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$26.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$19.61
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$17.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$146.23
|
| Rate for Payer: Blue Shield of California Commercial |
$139.30
|
| Rate for Payer: Blue Shield of California EPN |
$108.90
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$16.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$26.74
|
| Rate for Payer: Dignity Health Medi-Cal |
$19.61
|
| Rate for Payer: Dignity Health Senior |
$17.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.17
|
| Rate for Payer: EPIC Health Plan Medicare |
$17.83
|
| Rate for Payer: Heritage Provider Network Commercial |
$15.40
|
| Rate for Payer: Heritage Provider Network Senior |
$15.40
|
| Rate for Payer: Humana Medicare |
$17.83
|
| Rate for Payer: IEHP Medi-Cal |
$24.73
|
| Rate for Payer: IEHP Medicare Advantage |
$17.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$33.88
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$21.04
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.22
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$22.47
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$22.47
|
| Rate for Payer: Multiplan Commercial |
$18.66
|
| Rate for Payer: TriValley Medical Group Commercial |
$17.83
|
| Rate for Payer: TriValley Medical Group Senior |
$17.83
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$19.26
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$19.26
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$26.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.61
|
| Rate for Payer: Vantage Medical Group Senior |
$17.83
|
|
|
HC SOM PROTEIN ELECT URINE
|
Facility
IP
|
$24.88
|
|
|
Service Code
|
CPT 84166
|
| Hospital Charge Code |
900912721
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.50 |
| Max. Negotiated Rate |
$18.66 |
| Rate for Payer: Adventist Health Commercial |
$4.98
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$17.09
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$16.84
|
| Rate for Payer: Heritage Provider Network Senior |
$16.84
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.22
|
| Rate for Payer: Multiplan Commercial |
$18.66
|
|
|
HC SOM PROTEIN S AG
|
Facility
IP
|
$21.95
|
|
|
Service Code
|
CPT 85306
|
| Hospital Charge Code |
900913807
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$16.46 |
| Rate for Payer: Adventist Health Commercial |
$4.39
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$15.08
|
| Rate for Payer: Cash Price |
$9.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$14.86
|
| Rate for Payer: Heritage Provider Network Senior |
$14.86
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.49
|
| Rate for Payer: Multiplan Commercial |
$16.46
|
|
|
HC SOM PROTEIN S AG
|
Facility
OP
|
$21.95
|
|
|
Service Code
|
CPT 85306
|
| Hospital Charge Code |
900913807
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$128.31 |
| Rate for Payer: Adventist Health Commercial |
$4.39
|
| Rate for Payer: Aetna of CA Gatekeeper |
$44.58
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$15.08
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$22.98
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$16.85
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$15.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$128.31
|
| Rate for Payer: Blue Shield of California Commercial |
$119.68
|
| Rate for Payer: Blue Shield of California EPN |
$93.56
|
| Rate for Payer: Cash Price |
$9.88
|
| Rate for Payer: Cash Price |
$9.88
|
| Rate for Payer: Cigna of CA HMO/PPO |
$14.27
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$16.85
|
| Rate for Payer: Dignity Health Senior |
$15.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$14.27
|
| Rate for Payer: EPIC Health Plan Medicare |
$15.32
|
| Rate for Payer: Heritage Provider Network Commercial |
$13.59
|
| Rate for Payer: Heritage Provider Network Senior |
$13.59
|
| Rate for Payer: Humana Medicare |
$15.32
|
| Rate for Payer: IEHP Medi-Cal |
$21.25
|
| Rate for Payer: IEHP Medicare Advantage |
$15.32
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$29.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3.97
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.49
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19.30
|
| Rate for Payer: Multiplan Commercial |
$16.46
|
| Rate for Payer: TriValley Medical Group Commercial |
$15.32
|
| Rate for Payer: TriValley Medical Group Senior |
$15.32
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$16.55
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$16.55
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.85
|
| Rate for Payer: Vantage Medical Group Senior |
$15.32
|
|
|
HC SOM PROTEIN S PLASMA
|
Facility
OP
|
$28.63
|
|
|
Service Code
|
CPT 85306
|
| Hospital Charge Code |
900911277
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$5.18 |
| Max. Negotiated Rate |
$128.31 |
| Rate for Payer: Adventist Health Commercial |
$5.73
|
| Rate for Payer: Aetna of CA Gatekeeper |
$44.58
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$19.67
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$22.98
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$16.85
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$15.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$128.31
|
| Rate for Payer: Blue Shield of California Commercial |
$119.68
|
| Rate for Payer: Blue Shield of California EPN |
$93.56
|
| Rate for Payer: Cash Price |
$12.88
|
| Rate for Payer: Cash Price |
$12.88
|
| Rate for Payer: Cigna of CA HMO/PPO |
$18.61
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$22.98
|
| Rate for Payer: Dignity Health Medi-Cal |
$16.85
|
| Rate for Payer: Dignity Health Senior |
$15.32
|
| Rate for Payer: EPIC Health Plan Commercial |
$18.61
|
| Rate for Payer: EPIC Health Plan Medicare |
$15.32
|
| Rate for Payer: Heritage Provider Network Commercial |
$17.72
|
| Rate for Payer: Heritage Provider Network Senior |
$17.72
|
| Rate for Payer: Humana Medicare |
$15.32
|
| Rate for Payer: IEHP Medi-Cal |
$21.25
|
| Rate for Payer: IEHP Medicare Advantage |
$15.32
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$29.11
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.18
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$18.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.16
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19.30
|
| Rate for Payer: Multiplan Commercial |
$21.47
|
| Rate for Payer: TriValley Medical Group Commercial |
$15.32
|
| Rate for Payer: TriValley Medical Group Senior |
$15.32
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$16.55
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$16.55
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$22.98
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.85
|
| Rate for Payer: Vantage Medical Group Senior |
$15.32
|
|
|
HC SOM PROTEIN S PLASMA
|
Facility
IP
|
$28.63
|
|
|
Service Code
|
CPT 85306
|
| Hospital Charge Code |
900911277
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$5.18 |
| Max. Negotiated Rate |
$21.47 |
| Rate for Payer: Adventist Health Commercial |
$5.73
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$19.67
|
| Rate for Payer: Cash Price |
$12.88
|
| Rate for Payer: Heritage Provider Network Commercial |
$19.38
|
| Rate for Payer: Heritage Provider Network Senior |
$19.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5.18
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7.16
|
| Rate for Payer: Multiplan Commercial |
$21.47
|
|
|
HC SOM PROTEIN, TOTAL, RANDOM, U
|
Facility
OP
|
$5.12
|
|
|
Service Code
|
CPT 84156
|
| Hospital Charge Code |
900912892
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$30.77 |
| Rate for Payer: Adventist Health Commercial |
$1.02
|
| Rate for Payer: Aetna of CA Gatekeeper |
$10.68
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3.52
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.77
|
| Rate for Payer: Blue Shield of California Commercial |
$28.62
|
| Rate for Payer: Blue Shield of California EPN |
$22.37
|
| Rate for Payer: Cash Price |
$2.30
|
| Rate for Payer: Cash Price |
$2.30
|
| Rate for Payer: Cigna of CA HMO/PPO |
$3.33
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.04
|
| Rate for Payer: Dignity Health Senior |
$3.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.33
|
| Rate for Payer: EPIC Health Plan Medicare |
$3.67
|
| Rate for Payer: Heritage Provider Network Commercial |
$3.17
|
| Rate for Payer: Heritage Provider Network Senior |
$3.17
|
| Rate for Payer: Humana Medicare |
$3.67
|
| Rate for Payer: IEHP Medi-Cal |
$5.09
|
| Rate for Payer: IEHP Medicare Advantage |
$3.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$6.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4.62
|
| Rate for Payer: Multiplan Commercial |
$3.84
|
| Rate for Payer: TriValley Medical Group Commercial |
$3.67
|
| Rate for Payer: TriValley Medical Group Senior |
$3.67
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3.96
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: Vantage Medical Group Senior |
$3.67
|
|
|
HC SOM PROTEIN, TOTAL, RANDOM, U
|
Facility
IP
|
$5.12
|
|
|
Service Code
|
CPT 84156
|
| Hospital Charge Code |
900912892
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$3.84 |
| Rate for Payer: Adventist Health Commercial |
$1.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3.52
|
| Rate for Payer: Cash Price |
$2.30
|
| Rate for Payer: Heritage Provider Network Commercial |
$3.47
|
| Rate for Payer: Heritage Provider Network Senior |
$3.47
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.93
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.28
|
| Rate for Payer: Multiplan Commercial |
$3.84
|
|
|
HC SOM PROTEIN TOTAL URINE
|
Facility
OP
|
$5.12
|
|
|
Service Code
|
CPT 84156
|
| Hospital Charge Code |
900912826
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$30.77 |
| Rate for Payer: Adventist Health Commercial |
$1.02
|
| Rate for Payer: Aetna of CA Gatekeeper |
$10.68
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3.52
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$3.67
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$30.77
|
| Rate for Payer: Blue Shield of California Commercial |
$28.62
|
| Rate for Payer: Blue Shield of California EPN |
$22.37
|
| Rate for Payer: Cash Price |
$2.30
|
| Rate for Payer: Cash Price |
$2.30
|
| Rate for Payer: Cigna of CA HMO/PPO |
$3.33
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5.50
|
| Rate for Payer: Dignity Health Medi-Cal |
$4.04
|
| Rate for Payer: Dignity Health Senior |
$3.67
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.33
|
| Rate for Payer: EPIC Health Plan Medicare |
$3.67
|
| Rate for Payer: Heritage Provider Network Commercial |
$3.17
|
| Rate for Payer: Heritage Provider Network Senior |
$3.17
|
| Rate for Payer: Humana Medicare |
$3.67
|
| Rate for Payer: IEHP Medi-Cal |
$5.09
|
| Rate for Payer: IEHP Medicare Advantage |
$3.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$6.97
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$0.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.28
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$4.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$4.62
|
| Rate for Payer: Multiplan Commercial |
$3.84
|
| Rate for Payer: TriValley Medical Group Commercial |
$3.67
|
| Rate for Payer: TriValley Medical Group Senior |
$3.67
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3.96
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$3.96
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5.50
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4.04
|
| Rate for Payer: Vantage Medical Group Senior |
$3.67
|
|
