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Service Code CPT 0644T
Hospital Charge Code 906820292
Hospital Revenue Code 481
Min. Negotiated Rate $2,419.61
Max. Negotiated Rate $10,026.00
Rate for Payer: Adventist Health Commercial $2,673.60
Rate for Payer: Cash Price $7,352.40
Rate for Payer: Cash Price $7,352.40
Rate for Payer: Heritage Provider Network Commercial $5,478.00
Rate for Payer: Heritage Provider Network Senior $4,982.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,419.61
Rate for Payer: LLUH Dept of Risk Management WC $3,342.00
Rate for Payer: Multiplan Commercial $10,026.00
Service Code CPT 0933T
Hospital Charge Code 906811517
Hospital Revenue Code 480
Min. Negotiated Rate $1.00
Max. Negotiated Rate $9,616.00
Rate for Payer: Adventist Health Commercial $1,856.60
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $6,377.42
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $6,130.15
Rate for Payer: Alpha Care Medical Group Medi-Cal $4,495.45
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $4,086.77
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 $5,105.65
Rate for Payer: Cash Price $5,105.65
Rate for Payer: Cash Price $5,105.65
Rate for Payer: Cash Price $5,105.65
Rate for Payer: Cigna of CA HMO/PPO $6,033.95
Rate for Payer: Dignity Health Commercial/Exchange $6,130.15
Rate for Payer: Dignity Health Medi-Cal $4,495.45
Rate for Payer: Dignity Health Senior $4,086.77
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $4,086.77
Rate for Payer: Heritage Provider Network Commercial $5,746.18
Rate for Payer: Heritage Provider Network Senior $5,026.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $4,086.77
Rate for Payer: Kaiser Permanente of CA Commercial $7,764.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,680.22
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,699.79
Rate for Payer: LLUH Dept of Risk Management WC $2,320.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,149.33
Rate for Payer: Molina Healthcare of CA Medicare $5,149.33
Rate for Payer: Multiplan Commercial $6,962.25
Rate for Payer: TriValley Medical Group Commercial $4,495.45
Rate for Payer: TriValley Medical Group Senior $4,086.77
Rate for Payer: United Healthcare All Other HMO/non HMO $575.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $483.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $6,130.15
Rate for Payer: Vantage Medical Group Medi-Cal $4,495.45
Rate for Payer: Vantage Medical Group Senior $4,086.77
Service Code CPT 0933T
Hospital Charge Code 906811517
Hospital Revenue Code 480
Min. Negotiated Rate $1,680.22
Max. Negotiated Rate $6,962.25
Rate for Payer: Adventist Health Commercial $1,856.60
Rate for Payer: Cash Price $5,105.65
Rate for Payer: Cash Price $5,105.65
Rate for Payer: Heritage Provider Network Commercial $5,478.00
Rate for Payer: Heritage Provider Network Senior $4,982.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,680.22
Rate for Payer: LLUH Dept of Risk Management WC $2,320.75
Rate for Payer: Multiplan Commercial $6,962.25
Service Code CPT 33289
Hospital Charge Code 906811492
Hospital Revenue Code 483
Min. Negotiated Rate $2,873.92
Max. Negotiated Rate $11,908.50
Rate for Payer: Adventist Health Commercial $3,175.60
Rate for Payer: Cash Price $8,732.90
Rate for Payer: Heritage Provider Network Commercial $10,749.41
Rate for Payer: Heritage Provider Network Senior $10,749.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,873.92
Rate for Payer: LLUH Dept of Risk Management WC $3,969.50
Rate for Payer: Multiplan Commercial $11,908.50
Service Code CPT 33289
Hospital Charge Code 906811492
Hospital Revenue Code 483
Min. Negotiated Rate $1.00
Max. Negotiated Rate $54,181.56
Rate for Payer: Adventist Health Commercial $3,175.60
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $10,908.19
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $54,181.56
Rate for Payer: Alpha Care Medical Group Medi-Cal $39,733.14
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $36,121.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,720.00
Rate for Payer: Blue Shield of California Commercial $9,685.58
Rate for Payer: Blue Shield of California EPN $7,748.46
Rate for Payer: Cash Price $8,732.90
Rate for Payer: Cash Price $8,732.90
Rate for Payer: Cash Price $8,732.90
Rate for Payer: Cash Price $8,732.90
Rate for Payer: Cigna of CA HMO/PPO $10,320.70
Rate for Payer: Dignity Health Commercial/Exchange $54,181.56
Rate for Payer: Dignity Health Medi-Cal $39,733.14
Rate for Payer: Dignity Health Senior $36,121.04
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $36,121.04
Rate for Payer: Heritage Provider Network Commercial $9,828.48
Rate for Payer: Heritage Provider Network Senior $9,828.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $446.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $36,121.04
Rate for Payer: Kaiser Permanente of CA Commercial $7,573.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,873.92
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $41,539.20
Rate for Payer: LLUH Dept of Risk Management WC $3,969.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $45,512.51
Rate for Payer: Molina Healthcare of CA Medicare $45,512.51
Rate for Payer: Multiplan Commercial $11,908.50
Rate for Payer: TriValley Medical Group Commercial $39,733.14
Rate for Payer: TriValley Medical Group Senior $36,121.04
Rate for Payer: United Healthcare All Other HMO/non HMO $313.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $264.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $54,181.56
Rate for Payer: Vantage Medical Group Medi-Cal $39,733.14
Rate for Payer: Vantage Medical Group Senior $36,121.04
Service Code CPT 33289
Hospital Charge Code 906820143
Hospital Revenue Code 483
Min. Negotiated Rate $3,771.50
Max. Negotiated Rate $15,627.75
Rate for Payer: Adventist Health Commercial $4,167.40
Rate for Payer: Cash Price $11,460.35
Rate for Payer: Heritage Provider Network Commercial $14,106.65
Rate for Payer: Heritage Provider Network Senior $14,106.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,771.50
Rate for Payer: LLUH Dept of Risk Management WC $5,209.25
Rate for Payer: Multiplan Commercial $15,627.75
Service Code CPT 33289
Hospital Charge Code 906820143
Hospital Revenue Code 483
Min. Negotiated Rate $1.00
Max. Negotiated Rate $54,181.56
Rate for Payer: Adventist Health Commercial $4,167.40
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $14,315.02
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $54,181.56
Rate for Payer: Alpha Care Medical Group Medi-Cal $39,733.14
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $36,121.04
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $14,720.00
Rate for Payer: Blue Shield of California Commercial $12,710.57
Rate for Payer: Blue Shield of California EPN $10,168.46
Rate for Payer: Cash Price $11,460.35
Rate for Payer: Cash Price $11,460.35
Rate for Payer: Cash Price $11,460.35
Rate for Payer: Cash Price $11,460.35
Rate for Payer: Cigna of CA HMO/PPO $13,544.05
Rate for Payer: Dignity Health Commercial/Exchange $54,181.56
Rate for Payer: Dignity Health Medi-Cal $39,733.14
Rate for Payer: Dignity Health Senior $36,121.04
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $36,121.04
Rate for Payer: Heritage Provider Network Commercial $12,898.10
Rate for Payer: Heritage Provider Network Senior $12,898.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $446.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $36,121.04
Rate for Payer: Kaiser Permanente of CA Commercial $9,939.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal $3,771.50
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $41,539.20
Rate for Payer: LLUH Dept of Risk Management WC $5,209.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $45,512.51
Rate for Payer: Molina Healthcare of CA Medicare $45,512.51
Rate for Payer: Multiplan Commercial $15,627.75
Rate for Payer: TriValley Medical Group Commercial $39,733.14
Rate for Payer: TriValley Medical Group Senior $36,121.04
Rate for Payer: United Healthcare All Other HMO/non HMO $313.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $264.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $54,181.56
Rate for Payer: Vantage Medical Group Medi-Cal $39,733.14
Rate for Payer: Vantage Medical Group Senior $36,121.04
Service Code CPT 33275
Hospital Charge Code 906833275
Hospital Revenue Code 361
Min. Negotiated Rate $1.00
Max. Negotiated Rate $10,001.00
Rate for Payer: Adventist Health Commercial $1,169.80
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $4,018.26
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5,998.81
Rate for Payer: Alpha Care Medical Group Medi-Cal $4,399.13
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3,999.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,959.00
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 $3,216.95
Rate for Payer: Cash Price $3,216.95
Rate for Payer: Cash Price $3,216.95
Rate for Payer: Cigna of CA HMO/PPO $3,801.85
Rate for Payer: Dignity Health Commercial/Exchange $5,998.81
Rate for Payer: Dignity Health Medi-Cal $4,399.13
Rate for Payer: Dignity Health Senior $3,999.21
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $3,999.21
Rate for Payer: Heritage Provider Network Commercial $3,620.53
Rate for Payer: Heritage Provider Network Senior $4,919.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $714.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $3,999.21
Rate for Payer: Kaiser Permanente of CA Commercial $7,598.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,058.67
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,599.09
Rate for Payer: LLUH Dept of Risk Management WC $1,462.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,039.00
Rate for Payer: Molina Healthcare of CA Medicare $5,039.00
Rate for Payer: Multiplan Commercial $4,386.75
Rate for Payer: Multiplan WC $6,372.03
Rate for Payer: TriValley Medical Group Commercial $4,399.13
Rate for Payer: TriValley Medical Group Senior $4,399.13
Rate for Payer: United Healthcare All Other HMO/non HMO $10,001.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $8,445.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,998.81
Rate for Payer: Vantage Medical Group Medi-Cal $4,399.13
Rate for Payer: Vantage Medical Group Senior $3,999.21
Service Code CPT 33275
Hospital Charge Code 906833275
Hospital Revenue Code 361
Min. Negotiated Rate $1,058.67
Max. Negotiated Rate $4,386.75
Rate for Payer: Adventist Health Commercial $1,169.80
Rate for Payer: Cash Price $3,216.95
Rate for Payer: Heritage Provider Network Commercial $3,959.77
Rate for Payer: Heritage Provider Network Senior $3,959.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,058.67
Rate for Payer: LLUH Dept of Risk Management WC $1,462.25
Rate for Payer: Multiplan Commercial $4,386.75
Service Code CPT 33275
Hospital Charge Code 906820335
Hospital Revenue Code 361
Min. Negotiated Rate $1.00
Max. Negotiated Rate $10,001.00
Rate for Payer: Adventist Health Commercial $1,535.20
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $5,273.41
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $5,998.81
Rate for Payer: Alpha Care Medical Group Medi-Cal $4,399.13
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $3,999.21
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,959.00
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 $4,221.80
Rate for Payer: Cash Price $4,221.80
Rate for Payer: Cash Price $4,221.80
Rate for Payer: Cigna of CA HMO/PPO $4,989.40
Rate for Payer: Dignity Health Commercial/Exchange $5,998.81
Rate for Payer: Dignity Health Medi-Cal $4,399.13
Rate for Payer: Dignity Health Senior $3,999.21
Rate for Payer: EPIC Health Plan Commercial $9,616.00
Rate for Payer: EPIC Health Plan Medicare $3,999.21
Rate for Payer: Heritage Provider Network Commercial $4,751.44
Rate for Payer: Heritage Provider Network Senior $4,919.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $714.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $3,999.21
Rate for Payer: Kaiser Permanente of CA Commercial $7,598.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,389.36
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $4,599.09
Rate for Payer: LLUH Dept of Risk Management WC $1,919.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $5,039.00
Rate for Payer: Molina Healthcare of CA Medicare $5,039.00
Rate for Payer: Multiplan Commercial $5,757.00
Rate for Payer: Multiplan WC $6,372.03
Rate for Payer: TriValley Medical Group Commercial $4,399.13
Rate for Payer: TriValley Medical Group Senior $4,399.13
Rate for Payer: United Healthcare All Other HMO/non HMO $10,001.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $8,445.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $5,998.81
Rate for Payer: Vantage Medical Group Medi-Cal $4,399.13
Rate for Payer: Vantage Medical Group Senior $3,999.21
Service Code CPT 33275
Hospital Charge Code 906820335
Hospital Revenue Code 361
Min. Negotiated Rate $1,389.36
Max. Negotiated Rate $5,757.00
Rate for Payer: Adventist Health Commercial $1,535.20
Rate for Payer: Cash Price $4,221.80
Rate for Payer: Heritage Provider Network Commercial $5,196.65
Rate for Payer: Heritage Provider Network Senior $5,196.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,389.36
Rate for Payer: LLUH Dept of Risk Management WC $1,919.00
Rate for Payer: Multiplan Commercial $5,757.00
Service Code CPT 90714
Hospital Charge Code 900501450
Hospital Revenue Code 450
Min. Negotiated Rate $11.26
Max. Negotiated Rate $1,915.00
Rate for Payer: Adventist Health Commercial $12.44
Rate for Payer: Aetna of CA Gatekeeper $33.24
Rate for Payer: Aetna of CA Non-Gatekeeper $42.72
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $52.86
Rate for Payer: Alpha Care Medical Group Medi-Cal $34.20
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $46.64
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $1,915.00
Rate for Payer: Cash Price $34.20
Rate for Payer: Cash Price $34.20
Rate for Payer: Cash Price $34.20
Rate for Payer: Cigna of CA HMO/PPO $40.42
Rate for Payer: Dignity Health Commercial/Exchange $52.86
Rate for Payer: Dignity Health Medi-Cal $52.86
Rate for Payer: Dignity Health Senior $52.86
Rate for Payer: EPIC Health Plan Commercial $40.42
Rate for Payer: Heritage Provider Network Commercial $42.10
Rate for Payer: Heritage Provider Network Senior $42.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $973.00
Rate for Payer: Kaiser Permanente of CA Commercial $29.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.26
Rate for Payer: LLUH Dept of Risk Management WC $15.55
Rate for Payer: Molina Healthcare of CA Medi-Cal $43.53
Rate for Payer: Molina Healthcare of CA Medicare $43.53
Rate for Payer: Multiplan Commercial $46.64
Rate for Payer: United Healthcare All Other HMO/non HMO $22.38
Rate for Payer: United Healthcare Navigate/Select/Select+ $20.59
Rate for Payer: Vantage Medical Group Commercial/Exchange $52.86
Rate for Payer: Vantage Medical Group Medi-Cal $52.86
Rate for Payer: Vantage Medical Group Senior $52.86
Service Code CPT 90714
Hospital Charge Code 900501450
Hospital Revenue Code 450
Min. Negotiated Rate $11.26
Max. Negotiated Rate $46.64
Rate for Payer: Adventist Health Commercial $12.44
Rate for Payer: Cash Price $34.20
Rate for Payer: Heritage Provider Network Commercial $42.10
Rate for Payer: Heritage Provider Network Senior $42.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal $11.26
Rate for Payer: LLUH Dept of Risk Management WC $15.55
Rate for Payer: Multiplan Commercial $46.64
Service Code CPT 78660
Hospital Charge Code 909301418
Hospital Revenue Code 341
Min. Negotiated Rate $140.16
Max. Negotiated Rate $765.86
Rate for Payer: Adventist Health Commercial $185.20
Rate for Payer: Aetna of CA Gatekeeper $494.95
Rate for Payer: Aetna of CA Non-Gatekeeper $636.16
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $765.86
Rate for Payer: Alpha Care Medical Group Medi-Cal $561.63
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $510.57
Rate for Payer: Blue Shield of California Commercial $445.58
Rate for Payer: Blue Shield of California EPN $358.32
Rate for Payer: Cash Price $509.30
Rate for Payer: Cash Price $509.30
Rate for Payer: Cigna of CA HMO/PPO $601.90
Rate for Payer: Dignity Health Commercial/Exchange $765.86
Rate for Payer: Dignity Health Medi-Cal $561.63
Rate for Payer: Dignity Health Senior $510.57
Rate for Payer: EPIC Health Plan Commercial $601.90
Rate for Payer: EPIC Health Plan Medicare $510.57
Rate for Payer: Heritage Provider Network Commercial $573.19
Rate for Payer: Heritage Provider Network Senior $573.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $140.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $510.57
Rate for Payer: Kaiser Permanente of CA Commercial $441.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal $167.61
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $587.16
Rate for Payer: LLUH Dept of Risk Management WC $231.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $643.32
Rate for Payer: Molina Healthcare of CA Medicare $643.32
Rate for Payer: Multiplan Commercial $694.50
Rate for Payer: TriValley Medical Group Commercial $561.63
Rate for Payer: TriValley Medical Group Senior $510.57
Rate for Payer: United Healthcare All Other HMO/non HMO $463.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $463.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $765.86
Rate for Payer: Vantage Medical Group Medi-Cal $561.63
Rate for Payer: Vantage Medical Group Senior $510.57
Service Code CPT 78660
Hospital Charge Code 909301418
Hospital Revenue Code 341
Min. Negotiated Rate $167.61
Max. Negotiated Rate $694.50
Rate for Payer: Adventist Health Commercial $185.20
Rate for Payer: Cash Price $509.30
Rate for Payer: Heritage Provider Network Commercial $626.90
Rate for Payer: Heritage Provider Network Senior $626.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal $167.61
Rate for Payer: LLUH Dept of Risk Management WC $231.50
Rate for Payer: Multiplan Commercial $694.50
Hospital Charge Code 909081239
Hospital Revenue Code 272
Min. Negotiated Rate $2.35
Max. Negotiated Rate $9.75
Rate for Payer: Adventist Health Commercial $2.60
Rate for Payer: Cash Price $7.15
Rate for Payer: Heritage Provider Network Commercial $8.80
Rate for Payer: Heritage Provider Network Senior $8.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.35
Rate for Payer: LLUH Dept of Risk Management WC $3.25
Rate for Payer: Multiplan Commercial $9.75
Hospital Charge Code 909081239
Hospital Revenue Code 272
Min. Negotiated Rate $2.35
Max. Negotiated Rate $11.05
Rate for Payer: Adventist Health Commercial $2.60
Rate for Payer: Aetna of CA Gatekeeper $6.95
Rate for Payer: Aetna of CA Non-Gatekeeper $8.93
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $11.05
Rate for Payer: Alpha Care Medical Group Medi-Cal $7.15
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $9.75
Rate for Payer: Blue Shield of California Commercial $7.93
Rate for Payer: Blue Shield of California EPN $6.34
Rate for Payer: Cash Price $7.15
Rate for Payer: Cigna of CA HMO/PPO $8.45
Rate for Payer: Dignity Health Commercial/Exchange $11.05
Rate for Payer: Dignity Health Medi-Cal $11.05
Rate for Payer: Dignity Health Senior $11.05
Rate for Payer: EPIC Health Plan Commercial $8.45
Rate for Payer: Heritage Provider Network Commercial $8.05
Rate for Payer: Heritage Provider Network Senior $8.05
Rate for Payer: Kaiser Permanente of CA Commercial $6.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2.35
Rate for Payer: LLUH Dept of Risk Management WC $3.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $9.10
Rate for Payer: Molina Healthcare of CA Medicare $9.10
Rate for Payer: Multiplan Commercial $9.75
Rate for Payer: United Healthcare All Other HMO/non HMO $6.50
Rate for Payer: United Healthcare Navigate/Select/Select+ $6.50
Rate for Payer: Vantage Medical Group Commercial/Exchange $11.05
Rate for Payer: Vantage Medical Group Medi-Cal $11.05
Rate for Payer: Vantage Medical Group Senior $11.05
Hospital Charge Code 909001097
Hospital Revenue Code 272
Min. Negotiated Rate $14.84
Max. Negotiated Rate $61.50
Rate for Payer: Adventist Health Commercial $16.40
Rate for Payer: Cash Price $45.10
Rate for Payer: Heritage Provider Network Commercial $55.51
Rate for Payer: Heritage Provider Network Senior $55.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.84
Rate for Payer: LLUH Dept of Risk Management WC $20.50
Rate for Payer: Multiplan Commercial $61.50
Hospital Charge Code 909001097
Hospital Revenue Code 272
Min. Negotiated Rate $14.84
Max. Negotiated Rate $69.70
Rate for Payer: Adventist Health Commercial $16.40
Rate for Payer: Aetna of CA Gatekeeper $43.83
Rate for Payer: Aetna of CA Non-Gatekeeper $56.33
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $69.70
Rate for Payer: Alpha Care Medical Group Medi-Cal $45.10
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $61.50
Rate for Payer: Blue Shield of California Commercial $50.02
Rate for Payer: Blue Shield of California EPN $40.02
Rate for Payer: Cash Price $45.10
Rate for Payer: Cigna of CA HMO/PPO $53.30
Rate for Payer: Dignity Health Commercial/Exchange $69.70
Rate for Payer: Dignity Health Medi-Cal $69.70
Rate for Payer: Dignity Health Senior $69.70
Rate for Payer: EPIC Health Plan Commercial $53.30
Rate for Payer: Heritage Provider Network Commercial $50.76
Rate for Payer: Heritage Provider Network Senior $50.76
Rate for Payer: Kaiser Permanente of CA Commercial $39.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal $14.84
Rate for Payer: LLUH Dept of Risk Management WC $20.50
Rate for Payer: Molina Healthcare of CA Medi-Cal $57.40
Rate for Payer: Molina Healthcare of CA Medicare $57.40
Rate for Payer: Multiplan Commercial $61.50
Rate for Payer: United Healthcare All Other HMO/non HMO $41.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $41.00
Rate for Payer: Vantage Medical Group Commercial/Exchange $69.70
Rate for Payer: Vantage Medical Group Medi-Cal $69.70
Rate for Payer: Vantage Medical Group Senior $69.70
Hospital Charge Code 902300031
Hospital Revenue Code 206
Min. Negotiated Rate $1,427.55
Max. Negotiated Rate $6,696.00
Rate for Payer: Adventist Health Commercial $1,577.40
Rate for Payer: Aetna of CA Gatekeeper $4,346.00
Rate for Payer: Blue Shield of California Commercial $5,405.00
Rate for Payer: Blue Shield of California EPN $4,331.00
Rate for Payer: Cash Price $4,337.85
Rate for Payer: Cash Price $4,337.85
Rate for Payer: Cigna of CA HMO/PPO $4,065.00
Rate for Payer: EPIC Health Plan Commercial $3,606.00
Rate for Payer: Heritage Provider Network Commercial $3,758.00
Rate for Payer: Heritage Provider Network Senior $3,418.00
Rate for Payer: Kaiser Permanente of CA Commercial $6,434.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $1,427.55
Rate for Payer: LLUH Dept of Risk Management WC $1,971.75
Rate for Payer: Multiplan Commercial $5,915.25
Rate for Payer: United Healthcare All Other HMO/non HMO $6,696.00
Rate for Payer: United Healthcare Navigate/Select/Select+ $5,638.00
Service Code CPT 67875
Hospital Charge Code 900501425
Hospital Revenue Code 450
Min. Negotiated Rate $393.68
Max. Negotiated Rate $1,631.25
Rate for Payer: Adventist Health Commercial $435.00
Rate for Payer: Cash Price $1,196.25
Rate for Payer: Heritage Provider Network Commercial $1,472.47
Rate for Payer: Heritage Provider Network Senior $1,472.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $393.68
Rate for Payer: LLUH Dept of Risk Management WC $543.75
Rate for Payer: Multiplan Commercial $1,631.25
Service Code CPT 67875
Hospital Charge Code 900501425
Hospital Revenue Code 450
Min. Negotiated Rate $1.00
Max. Negotiated Rate $3,531.00
Rate for Payer: Adventist Health Commercial $435.00
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $1,494.22
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $1,845.94
Rate for Payer: Alpha Care Medical Group Medi-Cal $1,353.69
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $1,230.63
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $3,531.00
Rate for Payer: Cash Price $1,196.25
Rate for Payer: Cash Price $1,196.25
Rate for Payer: Cash Price $1,196.25
Rate for Payer: Cigna of CA HMO/PPO $1,413.75
Rate for Payer: Dignity Health Commercial/Exchange $1,845.94
Rate for Payer: Dignity Health Medi-Cal $1,353.69
Rate for Payer: Dignity Health Senior $1,230.63
Rate for Payer: EPIC Health Plan Commercial $1,413.75
Rate for Payer: EPIC Health Plan Medicare $1,230.63
Rate for Payer: Heritage Provider Network Commercial $1,472.47
Rate for Payer: Heritage Provider Network Senior $1,472.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $973.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $1,230.63
Rate for Payer: Kaiser Permanente of CA Commercial $1,037.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal $393.68
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $1,415.22
Rate for Payer: LLUH Dept of Risk Management WC $543.75
Rate for Payer: Molina Healthcare of CA Medi-Cal $1,550.59
Rate for Payer: Molina Healthcare of CA Medicare $1,550.59
Rate for Payer: Multiplan Commercial $1,631.25
Rate for Payer: Multiplan WC $1,960.77
Rate for Payer: United Healthcare All Other HMO/non HMO $782.57
Rate for Payer: United Healthcare Navigate/Select/Select+ $720.14
Rate for Payer: Vantage Medical Group Commercial/Exchange $1,845.94
Rate for Payer: Vantage Medical Group Medi-Cal $1,353.69
Rate for Payer: Vantage Medical Group Senior $1,230.63
Service Code CPT 33211
Hospital Charge Code 906811356
Hospital Revenue Code 450
Min. Negotiated Rate $1.00
Max. Negotiated Rate $16,754.51
Rate for Payer: Adventist Health Commercial $2,296.00
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $7,886.76
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $15,773.19
Rate for Payer: Alpha Care Medical Group Medi-Cal $11,567.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $10,515.46
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $6,004.00
Rate for Payer: Cash Price $6,314.00
Rate for Payer: Cash Price $6,314.00
Rate for Payer: Cash Price $6,314.00
Rate for Payer: Cigna of CA HMO/PPO $7,462.00
Rate for Payer: Dignity Health Commercial/Exchange $15,773.19
Rate for Payer: Dignity Health Medi-Cal $11,567.01
Rate for Payer: Dignity Health Senior $10,515.46
Rate for Payer: EPIC Health Plan Commercial $6,556.00
Rate for Payer: EPIC Health Plan Medicare $10,515.46
Rate for Payer: Heritage Provider Network Commercial $7,771.96
Rate for Payer: Heritage Provider Network Senior $7,771.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $973.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $10,515.46
Rate for Payer: Kaiser Permanente of CA Commercial $5,475.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,077.88
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $12,092.78
Rate for Payer: LLUH Dept of Risk Management WC $2,870.00
Rate for Payer: Molina Healthcare of CA Medi-Cal $13,249.48
Rate for Payer: Molina Healthcare of CA Medicare $13,249.48
Rate for Payer: Multiplan Commercial $8,610.00
Rate for Payer: Multiplan WC $16,754.51
Rate for Payer: United Healthcare All Other HMO/non HMO $4,130.50
Rate for Payer: United Healthcare Navigate/Select/Select+ $3,801.03
Rate for Payer: Vantage Medical Group Commercial/Exchange $15,773.19
Rate for Payer: Vantage Medical Group Medi-Cal $11,567.01
Rate for Payer: Vantage Medical Group Senior $10,515.46
Service Code CPT 33211
Hospital Charge Code 906820054
Hospital Revenue Code 481
Min. Negotiated Rate $1.00
Max. Negotiated Rate $19,979.37
Rate for Payer: Adventist Health Commercial $2,928.20
Rate for Payer: Aetna of CA Gatekeeper $1.00
Rate for Payer: Aetna of CA Non-Gatekeeper $10,058.37
Rate for Payer: Alpha Care Medical Group Commercial/Exchange $15,773.19
Rate for Payer: Alpha Care Medical Group Medi-Cal $11,567.01
Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product $10,515.46
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $6,004.00
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 $8,052.55
Rate for Payer: Cash Price $8,052.55
Rate for Payer: Cash Price $8,052.55
Rate for Payer: Cigna of CA HMO/PPO $7,340.00
Rate for Payer: Dignity Health Commercial/Exchange $15,773.19
Rate for Payer: Dignity Health Medi-Cal $11,567.01
Rate for Payer: Dignity Health Senior $10,515.46
Rate for Payer: EPIC Health Plan Commercial $6,556.00
Rate for Payer: EPIC Health Plan Medicare $10,515.46
Rate for Payer: Heritage Provider Network Commercial $9,062.78
Rate for Payer: Heritage Provider Network Senior $12,934.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal $284.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage $10,515.46
Rate for Payer: Kaiser Permanente of CA Commercial $19,979.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,650.02
Rate for Payer: Kaiser Permanente of CA Medicare Advantage $12,092.78
Rate for Payer: LLUH Dept of Risk Management WC $3,660.25
Rate for Payer: Molina Healthcare of CA Medi-Cal $13,249.48
Rate for Payer: Molina Healthcare of CA Medicare $13,249.48
Rate for Payer: Multiplan Commercial $10,980.75
Rate for Payer: TriValley Medical Group Commercial $11,567.01
Rate for Payer: TriValley Medical Group Senior $10,515.46
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 $15,773.19
Rate for Payer: Vantage Medical Group Medi-Cal $11,567.01
Rate for Payer: Vantage Medical Group Senior $10,515.46
Service Code CPT 33211
Hospital Charge Code 906820054
Hospital Revenue Code 481
Min. Negotiated Rate $2,650.02
Max. Negotiated Rate $10,980.75
Rate for Payer: Adventist Health Commercial $2,928.20
Rate for Payer: Cash Price $8,052.55
Rate for Payer: Cash Price $8,052.55
Rate for Payer: Heritage Provider Network Commercial $5,478.00
Rate for Payer: Heritage Provider Network Senior $4,982.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal $2,650.02
Rate for Payer: LLUH Dept of Risk Management WC $3,660.25
Rate for Payer: Multiplan Commercial $10,980.75