|
HC TRANS CATH CLOSURE/VSD
|
Facility
|
IP
|
$22,574.00
|
|
|
Service Code
|
CPT 93581
|
| Hospital Charge Code |
906812219
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,085.89 |
| Max. Negotiated Rate |
$16,930.50 |
| Rate for Payer: Adventist Health Commercial |
$4,514.80
|
| Rate for Payer: Cash Price |
$12,415.70
|
| Rate for Payer: Cash Price |
$12,415.70
|
| 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 |
$4,085.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,643.50
|
| Rate for Payer: Multiplan Commercial |
$16,930.50
|
|
|
HC TRANS CATH CLOSURE/VSD
|
Facility
|
OP
|
$22,574.00
|
|
|
Service Code
|
CPT 93581
|
| Hospital Charge Code |
906812219
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$43,350.04 |
| Rate for Payer: Adventist Health Commercial |
$4,514.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$15,508.34
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$22,815.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9,354.00
|
| Rate for Payer: Blue Shield of California Commercial |
$8,962.13
|
| Rate for Payer: Blue Shield of California EPN |
$7,178.49
|
| Rate for Payer: Cash Price |
$12,415.70
|
| Rate for Payer: Cash Price |
$12,415.70
|
| Rate for Payer: Cash Price |
$12,415.70
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,340.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Dignity Health Medi-Cal |
$25,097.39
|
| Rate for Payer: Dignity Health Senior |
$22,815.81
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,673.10
|
| Rate for Payer: EPIC Health Plan Medicare |
$22,815.81
|
| Rate for Payer: Heritage Provider Network Commercial |
$13,973.31
|
| Rate for Payer: Heritage Provider Network Senior |
$28,063.45
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,232.37
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$22,815.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$43,350.04
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,085.89
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$26,238.18
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,643.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$28,747.92
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$28,747.92
|
| Rate for Payer: Multiplan Commercial |
$16,930.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$25,097.39
|
| Rate for Payer: TriValley Medical Group Senior |
$22,815.81
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$18,767.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$15,783.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$34,223.71
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$25,097.39
|
| Rate for Payer: Vantage Medical Group Senior |
$22,815.81
|
|
|
HC TRANS CATH CLOSURE/VSD
|
Facility
|
IP
|
$26,558.00
|
|
|
Service Code
|
CPT 93581
|
| Hospital Charge Code |
906820085
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,807.00 |
| Max. Negotiated Rate |
$19,918.50 |
| Rate for Payer: Adventist Health Commercial |
$5,311.60
|
| Rate for Payer: Cash Price |
$14,606.90
|
| Rate for Payer: Cash Price |
$14,606.90
|
| 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 |
$4,807.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,639.50
|
| Rate for Payer: Multiplan Commercial |
$19,918.50
|
|
|
HC TRANSCATHETER BIOPSY
|
Facility
|
OP
|
$4,578.00
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
909081664
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$828.62 |
| Max. Negotiated Rate |
$3,891.30 |
| Rate for Payer: Adventist Health Commercial |
$915.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$2,446.94
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$3,145.09
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,891.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,517.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,433.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,998.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,427.79
|
| Rate for Payer: Blue Shield of California EPN |
$1,952.35
|
| Rate for Payer: Cash Price |
$2,517.90
|
| Rate for Payer: Cash Price |
$2,517.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$2,975.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,891.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$3,891.30
|
| Rate for Payer: Dignity Health Senior |
$3,891.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,975.70
|
| Rate for Payer: Heritage Provider Network Commercial |
$2,833.78
|
| Rate for Payer: Heritage Provider Network Senior |
$2,833.78
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$2,183.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$828.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,144.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$3,204.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$3,204.60
|
| Rate for Payer: Multiplan Commercial |
$3,433.50
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$2,289.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,289.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,891.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$3,891.30
|
| Rate for Payer: Vantage Medical Group Senior |
$3,891.30
|
|
|
HC TRANSCATHETER BIOPSY
|
Facility
|
IP
|
$4,578.00
|
|
|
Service Code
|
CPT 75970
|
| Hospital Charge Code |
909081664
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$828.62 |
| Max. Negotiated Rate |
$3,433.50 |
| Rate for Payer: Adventist Health Commercial |
$915.60
|
| Rate for Payer: Cash Price |
$2,517.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$3,099.31
|
| Rate for Payer: Heritage Provider Network Senior |
$3,099.31
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$828.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,144.50
|
| Rate for Payer: Multiplan Commercial |
$3,433.50
|
|
|
HC TRANSCATHETER BIOPSY
|
Facility
|
OP
|
$13,096.00
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
909081356
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$10,302.72 |
| Rate for Payer: Adventist Health Commercial |
$2,619.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$8,996.95
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,302.72
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,555.33
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$6,868.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,959.00
|
| Rate for Payer: Blue Shield of California Commercial |
$7,988.56
|
| Rate for Payer: Blue Shield of California EPN |
$6,390.85
|
| Rate for Payer: Cash Price |
$7,202.80
|
| Rate for Payer: Cash Price |
$7,202.80
|
| Rate for Payer: Cash Price |
$7,202.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$8,512.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,302.72
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,555.33
|
| Rate for Payer: Dignity Health Senior |
$6,868.48
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$6,868.48
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,106.42
|
| Rate for Payer: Heritage Provider Network Senior |
$8,106.42
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$223.16
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$6,868.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$6,246.79
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,370.38
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,898.75
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,274.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,654.28
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,654.28
|
| Rate for Payer: Multiplan Commercial |
$9,822.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$6,868.48
|
| Rate for Payer: TriValley Medical Group Senior |
$6,868.48
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$6,548.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$6,548.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,302.72
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,555.33
|
| Rate for Payer: Vantage Medical Group Senior |
$6,868.48
|
|
|
HC TRANSCATHETER BIOPSY
|
Facility
|
IP
|
$13,096.00
|
|
|
Service Code
|
CPT 37200
|
| Hospital Charge Code |
909081356
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,370.38 |
| Max. Negotiated Rate |
$9,822.00 |
| Rate for Payer: Adventist Health Commercial |
$2,619.20
|
| Rate for Payer: Cash Price |
$7,202.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,865.99
|
| Rate for Payer: Heritage Provider Network Senior |
$8,865.99
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,370.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,274.00
|
| Rate for Payer: Multiplan Commercial |
$9,822.00
|
|
|
HC TRANSCATHETER RETRIEVAL
|
Facility
|
IP
|
$24,432.00
|
|
|
Service Code
|
CPT 37197
|
| Hospital Charge Code |
906820253
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,422.19 |
| Max. Negotiated Rate |
$18,324.00 |
| Rate for Payer: Adventist Health Commercial |
$4,886.40
|
| Rate for Payer: Cash Price |
$13,437.60
|
| Rate for Payer: Cash Price |
$13,437.60
|
| 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 |
$4,422.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,108.00
|
| Rate for Payer: Multiplan Commercial |
$18,324.00
|
|
|
HC TRANSCATHETER RETRIEVAL
|
Facility
|
OP
|
$20,447.00
|
|
|
Service Code
|
CPT 37197
|
| Hospital Charge Code |
906811451
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$15,335.25 |
| Rate for Payer: Adventist Health Commercial |
$4,089.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$14,047.09
|
| 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 |
$6,004.00
|
| 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 |
$11,245.85
|
| Rate for Payer: Cash Price |
$11,245.85
|
| Rate for Payer: Cash Price |
$11,245.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,340.00
|
| 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 |
$12,656.69
|
| Rate for Payer: Heritage Provider Network Senior |
$4,919.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$410.73
|
| 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 |
$3,700.91
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,599.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,111.75
|
| 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 |
$15,335.25
|
| Rate for Payer: TriValley Medical Group Commercial |
$4,399.13
|
| Rate for Payer: TriValley Medical Group Senior |
$3,999.21
|
| 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
|
|
|
HC TRANSCATHETER RETRIEVAL
|
Facility
|
IP
|
$20,447.00
|
|
|
Service Code
|
CPT 37197
|
| Hospital Charge Code |
906811451
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,700.91 |
| Max. Negotiated Rate |
$15,335.25 |
| Rate for Payer: Adventist Health Commercial |
$4,089.40
|
| Rate for Payer: Cash Price |
$11,245.85
|
| Rate for Payer: Cash Price |
$11,245.85
|
| 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 |
$3,700.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,111.75
|
| Rate for Payer: Multiplan Commercial |
$15,335.25
|
|
|
HC TRANSCATHETER RETRIEVAL
|
Facility
|
OP
|
$24,432.00
|
|
|
Service Code
|
CPT 37197
|
| Hospital Charge Code |
906820253
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$18,324.00 |
| Rate for Payer: Adventist Health Commercial |
$4,886.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16,784.78
|
| 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 |
$6,004.00
|
| 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 |
$13,437.60
|
| Rate for Payer: Cash Price |
$13,437.60
|
| Rate for Payer: Cash Price |
$13,437.60
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,340.00
|
| 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 |
$15,123.41
|
| Rate for Payer: Heritage Provider Network Senior |
$4,919.03
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$410.73
|
| 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 |
$4,422.19
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,599.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,108.00
|
| 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 |
$18,324.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$4,399.13
|
| Rate for Payer: TriValley Medical Group Senior |
$3,999.21
|
| 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
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
OP
|
$45,636.00
|
|
|
Service Code
|
CPT 0796T
|
| Hospital Charge Code |
906819778
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$46,040.46 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$31,351.93
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| 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 |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$29,663.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Senior |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$24,231.82
|
| Rate for Payer: Heritage Provider Network Commercial |
$28,248.68
|
| Rate for Payer: Heritage Provider Network Senior |
$29,805.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46,040.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,866.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,532.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,532.09
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: TriValley Medical Group Commercial |
$26,655.00
|
| Rate for Payer: TriValley Medical Group Senior |
$26,655.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$22,818.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$22,818.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
IP
|
$45,636.00
|
|
|
Service Code
|
CPT 0796T
|
| Hospital Charge Code |
906819778
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,260.12 |
| Max. Negotiated Rate |
$34,227.00 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$30,895.57
|
| Rate for Payer: Heritage Provider Network Senior |
$30,895.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RA RV COMP SYS
|
Facility
|
IP
|
$45,636.00
|
|
|
Service Code
|
CPT 0795T
|
| Hospital Charge Code |
906819777
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,260.12 |
| Max. Negotiated Rate |
$34,227.00 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$30,895.57
|
| Rate for Payer: Heritage Provider Network Senior |
$30,895.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RA RV COMP SYS
|
Facility
|
OP
|
$45,636.00
|
|
|
Service Code
|
CPT 0795T
|
| Hospital Charge Code |
906819777
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$46,040.46 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$31,351.93
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| 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 |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$29,663.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Senior |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$24,231.82
|
| Rate for Payer: Heritage Provider Network Commercial |
$28,248.68
|
| Rate for Payer: Heritage Provider Network Senior |
$29,805.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46,040.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,866.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,532.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,532.09
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: TriValley Medical Group Commercial |
$26,655.00
|
| Rate for Payer: TriValley Medical Group Senior |
$26,655.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$22,818.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$22,818.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RV PM COMPNT
|
Facility
|
IP
|
$45,636.00
|
|
|
Service Code
|
CPT 0797T
|
| Hospital Charge Code |
906819779
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,260.12 |
| Max. Negotiated Rate |
$34,227.00 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$30,895.57
|
| Rate for Payer: Heritage Provider Network Senior |
$30,895.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RV PM COMPNT
|
Facility
|
OP
|
$45,636.00
|
|
|
Service Code
|
CPT 0797T
|
| Hospital Charge Code |
906819779
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$46,040.46 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$31,351.93
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| 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 |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$29,663.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Senior |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$24,231.82
|
| Rate for Payer: Heritage Provider Network Commercial |
$28,248.68
|
| Rate for Payer: Heritage Provider Network Senior |
$29,805.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46,040.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,866.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,532.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,532.09
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: TriValley Medical Group Commercial |
$26,655.00
|
| Rate for Payer: TriValley Medical Group Senior |
$26,655.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$22,818.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$22,818.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH INSRTN SC LEADLESS PMKR RA
|
Facility
|
IP
|
$45,636.00
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
906819773
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,260.12 |
| Max. Negotiated Rate |
$34,227.00 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$30,895.57
|
| Rate for Payer: Heritage Provider Network Senior |
$30,895.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
|
|
HC TRANSCATH INSRTN SC LEADLESS PMKR RA
|
Facility
|
OP
|
$45,636.00
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
906819773
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$46,040.46 |
| Rate for Payer: Adventist Health Commercial |
$9,127.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$31,351.93
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| 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 |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cash Price |
$25,099.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$29,663.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Senior |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$24,231.82
|
| Rate for Payer: Heritage Provider Network Commercial |
$28,248.68
|
| Rate for Payer: Heritage Provider Network Senior |
$29,805.14
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46,040.46
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,260.12
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,866.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11,409.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$30,532.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$30,532.09
|
| Rate for Payer: Multiplan Commercial |
$34,227.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: TriValley Medical Group Commercial |
$26,655.00
|
| Rate for Payer: TriValley Medical Group Senior |
$26,655.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$22,818.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$22,818.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
|
IP
|
$24,198.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906820001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,379.84 |
| Max. Negotiated Rate |
$18,148.50 |
| Rate for Payer: Adventist Health Commercial |
$4,839.60
|
| Rate for Payer: Cash Price |
$13,308.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$16,382.05
|
| Rate for Payer: Heritage Provider Network Senior |
$16,382.05
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,379.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,049.50
|
| Rate for Payer: Multiplan Commercial |
$18,148.50
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
|
IP
|
$18,441.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906811489
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,337.82 |
| Max. Negotiated Rate |
$13,830.75 |
| Rate for Payer: Adventist Health Commercial |
$3,688.20
|
| Rate for Payer: Cash Price |
$10,142.55
|
| Rate for Payer: Heritage Provider Network Commercial |
$12,484.56
|
| Rate for Payer: Heritage Provider Network Senior |
$12,484.56
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,337.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,610.25
|
| Rate for Payer: Multiplan Commercial |
$13,830.75
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
|
OP
|
$18,441.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906811489
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$120.63 |
| Max. Negotiated Rate |
$15,674.85 |
| Rate for Payer: Adventist Health Commercial |
$3,688.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$12,668.97
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,674.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$10,142.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$13,830.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,720.00
|
| 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 |
$10,142.55
|
| Rate for Payer: Cash Price |
$10,142.55
|
| Rate for Payer: Cash Price |
$10,142.55
|
| Rate for Payer: Cigna of CA HMO/PPO |
$11,986.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,674.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,674.85
|
| Rate for Payer: Dignity Health Senior |
$15,674.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$11,414.98
|
| Rate for Payer: Heritage Provider Network Senior |
$11,414.98
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$120.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$8,796.36
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,337.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,610.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$12,908.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$12,908.70
|
| Rate for Payer: Multiplan Commercial |
$13,830.75
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,093.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,674.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,674.85
|
| Rate for Payer: Vantage Medical Group Senior |
$15,674.85
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
|
OP
|
$24,198.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906820001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$120.63 |
| Max. Negotiated Rate |
$20,568.30 |
| Rate for Payer: Adventist Health Commercial |
$4,839.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$16,624.03
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$20,568.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$13,308.90
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$18,148.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14,720.00
|
| 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 |
$13,308.90
|
| Rate for Payer: Cash Price |
$13,308.90
|
| Rate for Payer: Cash Price |
$13,308.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$15,728.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,568.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$20,568.30
|
| Rate for Payer: Dignity Health Senior |
$20,568.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$14,978.56
|
| Rate for Payer: Heritage Provider Network Senior |
$14,978.56
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$120.63
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$11,542.45
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,379.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,049.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$16,938.60
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$16,938.60
|
| Rate for Payer: Multiplan Commercial |
$18,148.50
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,093.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,568.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$20,568.30
|
| Rate for Payer: Vantage Medical Group Senior |
$20,568.30
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
|
IP
|
$78,157.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906820270
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$14,146.42 |
| Max. Negotiated Rate |
$58,617.75 |
| Rate for Payer: Adventist Health Commercial |
$15,631.40
|
| Rate for Payer: Cash Price |
$42,986.35
|
| Rate for Payer: Heritage Provider Network Commercial |
$52,912.29
|
| Rate for Payer: Heritage Provider Network Senior |
$52,912.29
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$14,146.42
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$19,539.25
|
| Rate for Payer: Multiplan Commercial |
$58,617.75
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
|
OP
|
$59,559.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906810544
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,984.00 |
| Max. Negotiated Rate |
$50,625.15 |
| Rate for Payer: Adventist Health Commercial |
$11,911.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$40,917.03
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$50,625.15
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$32,757.45
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$44,669.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11,717.00
|
| 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 |
$32,757.45
|
| Rate for Payer: Cash Price |
$32,757.45
|
| Rate for Payer: Cigna of CA HMO/PPO |
$38,713.35
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$50,625.15
|
| Rate for Payer: Dignity Health Medi-Cal |
$50,625.15
|
| Rate for Payer: Dignity Health Senior |
$50,625.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$36,867.02
|
| Rate for Payer: Heritage Provider Network Senior |
$36,867.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$28,409.64
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10,780.18
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14,889.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$41,691.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$41,691.30
|
| Rate for Payer: Multiplan Commercial |
$44,669.25
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$3,544.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$2,984.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$50,625.15
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$50,625.15
|
| Rate for Payer: Vantage Medical Group Senior |
$50,625.15
|
|
