|
HC TRIGLYCERIDES
|
Facility
|
OP
|
$98.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
900910234
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Adventist Health Commercial |
$19.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$52.38
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$67.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$5.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52.24
|
| Rate for Payer: Blue Shield of California Commercial |
$46.31
|
| Rate for Payer: Blue Shield of California EPN |
$37.14
|
| Rate for Payer: Cash Price |
$53.90
|
| Rate for Payer: Cash Price |
$53.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$63.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$6.31
|
| Rate for Payer: Dignity Health Senior |
$5.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$63.70
|
| Rate for Payer: EPIC Health Plan Medicare |
$5.74
|
| Rate for Payer: Heritage Provider Network Commercial |
$60.66
|
| Rate for Payer: Heritage Provider Network Senior |
$60.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$5.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$24.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7.23
|
| Rate for Payer: Multiplan Commercial |
$73.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$5.74
|
| Rate for Payer: TriValley Medical Group Senior |
$5.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$6.20
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$6.20
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Vantage Medical Group Senior |
$5.74
|
|
|
HC TRIGLYCERIDES BODY FLUID
|
Facility
|
IP
|
$56.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
900912247
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.14 |
| Max. Negotiated Rate |
$42.00 |
| Rate for Payer: Adventist Health Commercial |
$11.20
|
| Rate for Payer: Cash Price |
$30.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$37.91
|
| Rate for Payer: Heritage Provider Network Senior |
$37.91
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14.00
|
| Rate for Payer: Multiplan Commercial |
$42.00
|
|
|
HC TRIGLYCERIDES BODY FLUID
|
Facility
|
OP
|
$56.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
900912247
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$52.24 |
| Rate for Payer: Adventist Health Commercial |
$11.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$29.93
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$38.47
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$5.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52.24
|
| Rate for Payer: Blue Shield of California Commercial |
$46.31
|
| Rate for Payer: Blue Shield of California EPN |
$37.14
|
| Rate for Payer: Cash Price |
$30.80
|
| Rate for Payer: Cash Price |
$30.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$36.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$6.31
|
| Rate for Payer: Dignity Health Senior |
$5.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$36.40
|
| Rate for Payer: EPIC Health Plan Medicare |
$5.74
|
| Rate for Payer: Heritage Provider Network Commercial |
$34.66
|
| Rate for Payer: Heritage Provider Network Senior |
$34.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$5.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$26.71
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$10.14
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7.23
|
| Rate for Payer: Multiplan Commercial |
$42.00
|
| Rate for Payer: TriValley Medical Group Commercial |
$5.74
|
| Rate for Payer: TriValley Medical Group Senior |
$5.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$6.20
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$6.20
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Vantage Medical Group Senior |
$5.74
|
|
|
HC TRIGLYCERIDES INDIVIDUAL
|
Facility
|
OP
|
$98.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
900910526
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.74 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Adventist Health Commercial |
$19.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$52.38
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$67.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$5.74
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$52.24
|
| Rate for Payer: Blue Shield of California Commercial |
$46.31
|
| Rate for Payer: Blue Shield of California EPN |
$37.14
|
| Rate for Payer: Cash Price |
$53.90
|
| Rate for Payer: Cash Price |
$53.90
|
| Rate for Payer: Cigna of CA HMO/PPO |
$63.70
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$8.61
|
| Rate for Payer: Dignity Health Medi-Cal |
$6.31
|
| Rate for Payer: Dignity Health Senior |
$5.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$63.70
|
| Rate for Payer: EPIC Health Plan Medicare |
$5.74
|
| Rate for Payer: Heritage Provider Network Commercial |
$60.66
|
| Rate for Payer: Heritage Provider Network Senior |
$60.66
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$8.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$5.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$46.75
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$6.60
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$24.50
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$7.23
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$7.23
|
| Rate for Payer: Multiplan Commercial |
$73.50
|
| Rate for Payer: TriValley Medical Group Commercial |
$5.74
|
| Rate for Payer: TriValley Medical Group Senior |
$5.74
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$6.20
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$6.20
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$8.61
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6.31
|
| Rate for Payer: Vantage Medical Group Senior |
$5.74
|
|
|
HC TRIGLYCERIDES INDIVIDUAL
|
Facility
|
IP
|
$98.00
|
|
|
Service Code
|
CPT 84478
|
| Hospital Charge Code |
900910526
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.74 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Adventist Health Commercial |
$19.60
|
| Rate for Payer: Cash Price |
$53.90
|
| Rate for Payer: Heritage Provider Network Commercial |
$66.35
|
| Rate for Payer: Heritage Provider Network Senior |
$66.35
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$17.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$24.50
|
| Rate for Payer: Multiplan Commercial |
$73.50
|
|
|
HC TRIIODOTHYRONINE, FREE
|
Facility
|
IP
|
$305.00
|
|
|
Service Code
|
CPT 84481
|
| Hospital Charge Code |
900912135
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$55.20 |
| Max. Negotiated Rate |
$228.75 |
| Rate for Payer: Adventist Health Commercial |
$61.00
|
| Rate for Payer: Cash Price |
$167.75
|
| Rate for Payer: Heritage Provider Network Commercial |
$206.49
|
| Rate for Payer: Heritage Provider Network Senior |
$206.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$55.20
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$76.25
|
| Rate for Payer: Multiplan Commercial |
$228.75
|
|
|
HC TRIIODOTHYRONINE, FREE
|
Facility
|
OP
|
$305.00
|
|
|
Service Code
|
CPT 84481
|
| Hospital Charge Code |
900912135
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.94 |
| Max. Negotiated Rate |
$228.75 |
| Rate for Payer: Adventist Health Commercial |
$61.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$163.02
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$209.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$25.41
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$18.63
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$16.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$154.70
|
| Rate for Payer: Blue Shield of California Commercial |
$136.34
|
| Rate for Payer: Blue Shield of California EPN |
$109.36
|
| Rate for Payer: Cash Price |
$167.75
|
| Rate for Payer: Cash Price |
$167.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$198.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$25.41
|
| Rate for Payer: Dignity Health Medi-Cal |
$18.63
|
| Rate for Payer: Dignity Health Senior |
$16.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$198.25
|
| Rate for Payer: EPIC Health Plan Medicare |
$16.94
|
| Rate for Payer: Heritage Provider Network Commercial |
$188.79
|
| Rate for Payer: Heritage Provider Network Senior |
$188.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$19.33
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$16.94
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$145.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$55.20
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$19.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$76.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$21.34
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$21.34
|
| Rate for Payer: Multiplan Commercial |
$228.75
|
| Rate for Payer: TriValley Medical Group Commercial |
$16.94
|
| Rate for Payer: TriValley Medical Group Senior |
$16.94
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$18.30
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$18.30
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$25.41
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.63
|
| Rate for Payer: Vantage Medical Group Senior |
$16.94
|
|
|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$35.48 |
| Max. Negotiated Rate |
$147.00 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Cash Price |
$107.80
|
| Rate for Payer: Heritage Provider Network Commercial |
$132.69
|
| Rate for Payer: Heritage Provider Network Senior |
$132.69
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$49.00
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
|
|
HC TRIMMING NONDYSTROPHIC NAILS
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
CPT 11719
|
| Hospital Charge Code |
900501406
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$35.48 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$39.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$104.76
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$134.65
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$75.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,915.00
|
| Rate for Payer: Cash Price |
$107.80
|
| Rate for Payer: Cash Price |
$107.80
|
| Rate for Payer: Cash Price |
$107.80
|
| Rate for Payer: Cigna of CA HMO/PPO |
$127.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$113.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$83.02
|
| Rate for Payer: Dignity Health Senior |
$75.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$75.47
|
| Rate for Payer: Heritage Provider Network Commercial |
$132.69
|
| Rate for Payer: Heritage Provider Network Senior |
$132.69
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$75.47
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$93.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$35.48
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$86.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$49.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$95.09
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$95.09
|
| Rate for Payer: Multiplan Commercial |
$147.00
|
| Rate for Payer: Multiplan WC |
$120.25
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$70.52
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$64.90
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$113.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$83.02
|
| Rate for Payer: Vantage Medical Group Senior |
$75.47
|
|
|
HC TRIM SKIN LESION MORE THAN 4
|
Facility
|
OP
|
$343.00
|
|
|
Service Code
|
CPT 11057
|
| Hospital Charge Code |
900101494
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$9,616.00 |
| Rate for Payer: Adventist Health Commercial |
$68.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$1.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$235.64
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$252.47
|
| Rate for Payer: Blue Shield of California Commercial |
$209.23
|
| Rate for Payer: Blue Shield of California EPN |
$167.38
|
| Rate for Payer: Cash Price |
$188.65
|
| Rate for Payer: Cash Price |
$188.65
|
| Rate for Payer: Cash Price |
$188.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$222.95
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$378.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$277.72
|
| Rate for Payer: Dignity Health Senior |
$252.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$252.47
|
| Rate for Payer: Heritage Provider Network Commercial |
$212.32
|
| Rate for Payer: Heritage Provider Network Senior |
$212.32
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$43.43
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$252.47
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$163.61
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$62.08
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$290.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$85.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$318.11
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$318.11
|
| Rate for Payer: Multiplan Commercial |
$257.25
|
| Rate for Payer: TriValley Medical Group Commercial |
$277.72
|
| Rate for Payer: TriValley Medical Group Senior |
$277.72
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$171.50
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$171.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$378.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$277.72
|
| Rate for Payer: Vantage Medical Group Senior |
$252.47
|
|
|
HC TRIM SKIN LESION MORE THAN 4
|
Facility
|
IP
|
$343.00
|
|
|
Service Code
|
CPT 11057
|
| Hospital Charge Code |
900101494
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$62.08 |
| Max. Negotiated Rate |
$257.25 |
| Rate for Payer: Adventist Health Commercial |
$68.60
|
| Rate for Payer: Cash Price |
$188.65
|
| Rate for Payer: Heritage Provider Network Commercial |
$232.21
|
| Rate for Payer: Heritage Provider Network Senior |
$232.21
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$62.08
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$85.75
|
| Rate for Payer: Multiplan Commercial |
$257.25
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
OP
|
$12,409.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
906820285
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$12,620.00 |
| Rate for Payer: Adventist Health Commercial |
$2,481.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$8,524.98
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,547.65
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,824.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,306.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$6,824.95
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Cigna of CA HMO/PPO |
$8,065.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,547.65
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,547.65
|
| Rate for Payer: Dignity Health Senior |
$10,547.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$7,681.17
|
| Rate for Payer: Heritage Provider Network Senior |
$7,681.17
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,279.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$5,919.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,246.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,102.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,686.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,686.30
|
| Rate for Payer: Multiplan Commercial |
$9,306.75
|
| 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 |
$10,547.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,547.65
|
| Rate for Payer: Vantage Medical Group Senior |
$10,547.65
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
IP
|
$12,409.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
906820285
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,246.03 |
| Max. Negotiated Rate |
$9,306.75 |
| Rate for Payer: Adventist Health Commercial |
$2,481.80
|
| Rate for Payer: Cash Price |
$6,824.95
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,400.89
|
| Rate for Payer: Heritage Provider Network Senior |
$8,400.89
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,246.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,102.25
|
| Rate for Payer: Multiplan Commercial |
$9,306.75
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
IP
|
$8,984.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
909037247
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,626.10 |
| Max. Negotiated Rate |
$6,738.00 |
| Rate for Payer: Adventist Health Commercial |
$1,796.80
|
| Rate for Payer: Cash Price |
$4,941.20
|
| Rate for Payer: Heritage Provider Network Commercial |
$6,082.17
|
| Rate for Payer: Heritage Provider Network Senior |
$6,082.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,626.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,246.00
|
| Rate for Payer: Multiplan Commercial |
$6,738.00
|
|
|
HC TRLUML BLLN ANGIO ADDL ART
|
Facility
|
OP
|
$8,984.00
|
|
|
Service Code
|
CPT 37247
|
| Hospital Charge Code |
909037247
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$12,620.00 |
| Rate for Payer: Adventist Health Commercial |
$1,796.80
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$6,172.01
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$7,636.40
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,941.20
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$6,738.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$4,941.20
|
| Rate for Payer: Cash Price |
$4,941.20
|
| Rate for Payer: Cash Price |
$4,941.20
|
| Rate for Payer: Cigna of CA HMO/PPO |
$5,839.60
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7,636.40
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,636.40
|
| Rate for Payer: Dignity Health Senior |
$7,636.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,561.10
|
| Rate for Payer: Heritage Provider Network Senior |
$5,561.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$1,279.23
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$4,285.37
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,626.10
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,246.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$6,288.80
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$6,288.80
|
| Rate for Payer: Multiplan Commercial |
$6,738.00
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$1,093.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$918.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$7,636.40
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,636.40
|
| Rate for Payer: Vantage Medical Group Senior |
$7,636.40
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
IP
|
$7,823.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
909037249
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,415.96 |
| Max. Negotiated Rate |
$5,867.25 |
| Rate for Payer: Adventist Health Commercial |
$1,564.60
|
| Rate for Payer: Cash Price |
$4,302.65
|
| Rate for Payer: Heritage Provider Network Commercial |
$5,296.17
|
| Rate for Payer: Heritage Provider Network Senior |
$5,296.17
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,415.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.75
|
| Rate for Payer: Multiplan Commercial |
$5,867.25
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
IP
|
$12,121.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
906820287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,193.90 |
| Max. Negotiated Rate |
$9,090.75 |
| Rate for Payer: Adventist Health Commercial |
$2,424.20
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Heritage Provider Network Commercial |
$8,205.92
|
| Rate for Payer: Heritage Provider Network Senior |
$8,205.92
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,193.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,030.25
|
| Rate for Payer: Multiplan Commercial |
$9,090.75
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
OP
|
$12,121.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
906820287
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$12,620.00 |
| Rate for Payer: Adventist Health Commercial |
$2,424.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$8,327.13
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,302.85
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$6,666.55
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$9,090.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$6,666.55
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Cash Price |
$6,666.55
|
| Rate for Payer: Cigna of CA HMO/PPO |
$7,878.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,302.85
|
| Rate for Payer: Dignity Health Medi-Cal |
$10,302.85
|
| Rate for Payer: Dignity Health Senior |
$10,302.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$7,502.90
|
| Rate for Payer: Heritage Provider Network Senior |
$7,502.90
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$934.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$5,781.72
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,193.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,030.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$8,484.70
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$8,484.70
|
| Rate for Payer: Multiplan Commercial |
$9,090.75
|
| 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 |
$10,302.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10,302.85
|
| Rate for Payer: Vantage Medical Group Senior |
$10,302.85
|
|
|
HC TRLUML BLLN ANGIO ADDL VEIN
|
Facility
|
OP
|
$7,823.00
|
|
|
Service Code
|
CPT 37249
|
| Hospital Charge Code |
909037249
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$918.00 |
| Max. Negotiated Rate |
$12,620.00 |
| Rate for Payer: Adventist Health Commercial |
$1,564.60
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$5,374.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$6,649.55
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,302.65
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$5,867.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$4,302.65
|
| Rate for Payer: Cash Price |
$4,302.65
|
| Rate for Payer: Cash Price |
$4,302.65
|
| Rate for Payer: Cigna of CA HMO/PPO |
$5,084.95
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$6,649.55
|
| Rate for Payer: Dignity Health Medi-Cal |
$6,649.55
|
| Rate for Payer: Dignity Health Senior |
$6,649.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: Heritage Provider Network Commercial |
$4,842.44
|
| Rate for Payer: Heritage Provider Network Senior |
$4,842.44
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$934.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$3,731.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$1,415.96
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,955.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,476.10
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,476.10
|
| Rate for Payer: Multiplan Commercial |
$5,867.25
|
| 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 |
$6,649.55
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$6,649.55
|
| Rate for Payer: Vantage Medical Group Senior |
$6,649.55
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
OP
|
$17,967.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
909037246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,176.06 |
| Max. Negotiated Rate |
$14,160.00 |
| Rate for Payer: Adventist Health Commercial |
$3,593.40
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$12,343.33
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$9,881.85
|
| Rate for Payer: Cash Price |
$9,881.85
|
| Rate for Payer: Cash Price |
$9,881.85
|
| Rate for Payer: Cigna of CA HMO/PPO |
$11,678.55
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Senior |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,244.35
|
| Rate for Payer: Heritage Provider Network Commercial |
$11,121.57
|
| Rate for Payer: Heritage Provider Network Senior |
$8,910.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3,176.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$13,764.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,252.03
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,491.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,127.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,127.88
|
| Rate for Payer: Multiplan Commercial |
$13,475.25
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: TriValley Medical Group Commercial |
$7,968.78
|
| Rate for Payer: TriValley Medical Group Senior |
$7,968.78
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
OP
|
$28,291.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,176.06 |
| Max. Negotiated Rate |
$21,218.25 |
| Rate for Payer: Adventist Health Commercial |
$5,658.20
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$19,435.92
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$15,560.05
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Cigna of CA HMO/PPO |
$18,389.15
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Senior |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,244.35
|
| Rate for Payer: Heritage Provider Network Commercial |
$17,512.13
|
| Rate for Payer: Heritage Provider Network Senior |
$8,910.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$3,176.06
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$13,764.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,120.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,072.75
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,127.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,127.88
|
| Rate for Payer: Multiplan Commercial |
$21,218.25
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: TriValley Medical Group Commercial |
$7,968.78
|
| Rate for Payer: TriValley Medical Group Senior |
$7,968.78
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
IP
|
$17,967.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
909037246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,252.03 |
| Max. Negotiated Rate |
$13,475.25 |
| Rate for Payer: Adventist Health Commercial |
$3,593.40
|
| Rate for Payer: Cash Price |
$9,881.85
|
| Rate for Payer: Heritage Provider Network Commercial |
$12,163.66
|
| Rate for Payer: Heritage Provider Network Senior |
$12,163.66
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$3,252.03
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,491.75
|
| Rate for Payer: Multiplan Commercial |
$13,475.25
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
|
IP
|
$28,291.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,120.67 |
| Max. Negotiated Rate |
$21,218.25 |
| Rate for Payer: Adventist Health Commercial |
$5,658.20
|
| Rate for Payer: Cash Price |
$15,560.05
|
| Rate for Payer: Heritage Provider Network Commercial |
$19,153.01
|
| Rate for Payer: Heritage Provider Network Senior |
$19,153.01
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$5,120.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$7,072.75
|
| Rate for Payer: Multiplan Commercial |
$21,218.25
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
|
IP
|
$24,242.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
906820286
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,387.80 |
| Max. Negotiated Rate |
$18,181.50 |
| Rate for Payer: Adventist Health Commercial |
$4,848.40
|
| Rate for Payer: Cash Price |
$13,333.10
|
| Rate for Payer: Heritage Provider Network Commercial |
$16,411.83
|
| Rate for Payer: Heritage Provider Network Senior |
$16,411.83
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$4,387.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,060.50
|
| Rate for Payer: Multiplan Commercial |
$18,181.50
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
|
OP
|
$15,645.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
909037248
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,189.95 |
| Max. Negotiated Rate |
$14,160.00 |
| Rate for Payer: Adventist Health Commercial |
$3,129.00
|
| Rate for Payer: Aetna of CA Gatekeeper |
$12,620.00
|
| Rate for Payer: Aetna of CA Non-Gatekeeper |
$10,748.11
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,111.00
|
| 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 |
$8,604.75
|
| Rate for Payer: Cash Price |
$8,604.75
|
| Rate for Payer: Cash Price |
$8,604.75
|
| Rate for Payer: Cigna of CA HMO/PPO |
$10,169.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Senior |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,616.00
|
| Rate for Payer: EPIC Health Plan Medicare |
$7,244.35
|
| Rate for Payer: Heritage Provider Network Commercial |
$9,684.25
|
| Rate for Payer: Heritage Provider Network Senior |
$8,910.55
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal |
$2,189.95
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial |
$13,764.26
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,831.74
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$8,331.00
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,911.25
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,127.88
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,127.88
|
| Rate for Payer: Multiplan Commercial |
$11,733.75
|
| Rate for Payer: Multiplan WC |
$11,542.58
|
| Rate for Payer: TriValley Medical Group Commercial |
$7,968.78
|
| Rate for Payer: TriValley Medical Group Senior |
$7,968.78
|
| Rate for Payer: United Healthcare All Other HMO/non HMO |
$14,160.00
|
| Rate for Payer: United Healthcare Navigate/Select/Select+ |
$11,956.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
