3003105 — Inh Tx Init W Vent/day
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INH TX INIT W VENT/DAY (OTHER 3003105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3003105?code_type=OTHER
MLA (9th ed.)
“INH TX INIT W VENT/DAY (OTHER 3003105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3003105?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“INH TX INIT W VENT/DAY (OTHER 3003105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3003105?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $96–$278 (25th–75th percentile) across 2 hospitals · 65 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 3003105 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Healthnet Medi-Cal Non-Contract | Health Net Medi-Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Beverly Hospital | Beverly Hospital Mcl | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Ahmc Medi-Cal Reciprocity | Ahmc Medi-Cal Reciprocity | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | La Care Health Plan | La Care Healthy Kids And Medi-Cal Managed Care | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Non Contracting Medi Cal | Other Non Contracting Medi Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Allied Physicians | Allied Physicians Medi-Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $11.70 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Care 1St Health Plan | Blue Shield Promise Health Plan Mcal | $16.38 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aids Healthcare Foundation | Aids Hlth Fndn/Positive Hlth Mcal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Emanate Health | Emanate Health Medi-Cal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Healthy Way La | Healthy Way La | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Avanti | Avanti Medi-Cal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Physicians Healthways | Physicians Healthways Medi-Cal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Medi-Cal/Medicaid | Medi-Cal/Medicaid | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Hollywood Presbyterian Adv Med Mcal | Hollywood Presbyterian Adv Med Mcal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint Mcal | $16.78 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $18.46 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $21.96 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Private Pay | Private Pay | $44.32 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Care 1St Health Plan | Care 1St Health Plan Healthy Families | $56.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Ahmc Reciprocity | Ahmc Reciprocity Commercial | $67.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Ahmc Reciprocity | Ahmc Reciprocity Sr | $67.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Alignment Healthplan | Alignment Healthplan Allied Pacific Sr Cap | $78.75 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Brand New Day | Brand New Day Allied Pacific Sr Cap | $78.75 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Clever Care | Clever Care Accountable Phys Cap | $78.75 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Clever Care | Clever Care Allied Phys Cap | $78.75 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Molina Healthcare Of California | Molina Medi-Cal | $83.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aids Healthcare Foundation | Aids Healthcare Foundation | $90.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Pacific Independent Physician Associates | Pacific Independent Physician Associates | $90.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Enhanced Ppo | $101.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aetna Health Of California | Aetna | $112.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Facey Medical | Facey Medical | $112.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Healthy Families/Kids/Aim | $130.72 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Central Health Plan | Central Health Plan Hmo | $135.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Care 1St Health Plan | Blue Shield Promise Health Senior | $146.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Community Care Network | Community Care Network/First Health | $146.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Community Care Network | Community Care Network/First Health Workers Compensation | $146.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Care 1St Health Plan | Blue Shield Promise Health Hmo | $146.25 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Choicecare Network | Choicecare | $157.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Private Healthcare Systems (Phcs) | Private Healthcare Systems (Phcs) | $157.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Affiliated Health Fund | Affiliated Health Fund | $168.75 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Pacificare Of California | Pacificare/Uhc Hmo/Ppo | $171.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Beech Street | Beech Street Ppo | $180.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $180.90 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Multiplan | Multiplan Ppo | $202.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Ppo Next | Ppo Next | $202.50 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | La County Mental Health Services | Medi-Cal/Psych Ip | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Workers Compensation | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Medi-Cal Sub Acute | Medi-Cal Sub Acute | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Other Non Contracting Workers Comp | Other Non Contracting Workers Comp | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Athens Administrators | Athens Administrators Ahmc Wc | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | One Legacy | One Legacy | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Us Behavioral Health Plan | Us Behavioral Health Plan | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Beech Street | Beech Street Workers Compensation | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Managed Health Network | Managed Health Network Medicare | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Managed Health Network | Managed Health Network | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Other Non Contracted Commercial | Other Non Contracted Commercial | $225.00 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Senior | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Avanti | Avanti Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Other Non Contracting Medicare | Other Non Contracting Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Providence Health Network | Providence Health Network/Medicare Advantage | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Apa/Aco Inc | Apa/Aco Inc | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Champus/Tricare | Champus/Tricare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Humana Health Plan | Humana Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Central Health Plan | Central Health Plan Senior | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Kaiser Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Pacific Alliance Medical Center | Pacific Alliance Medical Center Commercial/Sr | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | La Care Health Plan | La Care Medicare Advantage Program | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Blue Shield Of California | Blue Shield Senior | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Allied Physicians | Allied Physicians Senior | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Medicare | Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Medicare Advantage | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net Inc | Healthnet Medi-Connect Program | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Molina Healthcare Of California | Molina Medicare/Snp/Duals I/P | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Alignment Health Plan | Alignment Health Plan | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Wellcare | Wellcare Medicare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Pacificare Of California | Secure Horizons | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Beverly Hospital | Beverly Hospital Mcare | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aetna Health Of California | Aetna Senior | $254.30 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | La Care Health Plan | La Care Covered California Program | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | St Vincent Medical Center/Psych | St Vincent Medical Center/Psych | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Emanate Health | Emanate Health Senior | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aids Healthcare Foundation | Aids Hlth Fndn/Positive Hlth Mcare | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Self-Pay | Self-Pay | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Physicians Healthways | Physicians Healthways Comm/Senior | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Cv-19 Hrsa Uninsured Testing And Tx | Cv-19 Hrsa Uninsured Testing And Tx | $258.43 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Commercial | $271.35 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Molina Healthcare Of California | Molina Covered Ca | $271.35 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Beverly Hospital | Beverly Hospital Comm/Epo | $284.27 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Avanti | Avanti Self-Funded Epo/Ppo | $310.12 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Avanti | Avanti Commercial | $310.12 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Knox-Keene Act | Knox-Keene Act Non Contracted Commercial | $323.04 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Emanate Health | Emanate Health Commercial | $323.04 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Covered Ca | $323.04 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Ahmc Health Self-Insurance Epo | Ahmc Health Epo | $323.04 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Covered California Exchange | $344.82 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Aetna Health Of California | Aetna Covered Ca | $374.72 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Allied Physicians | Allied Physicians Commercial | $387.64 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net Inc | Health Net Community Care Commercial | $588.45 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Latino Product | $588.45 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Commercial Hmo/Pos | $706.29 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Health Net | Health Net Ppo | $706.29 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Select Hmo | $925.81 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Priority Select Hmo | $925.81 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Workers Compensation | $1,041.41 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Outpatient | Anthem Blue Cross | Anthem Blue Cross Commercial Hmo/Ppo/Epo | $1,041.41 | $225.00 | $67.50 | 2026-05-08 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Caresource Plan | Medicaid | $2,598.75 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Hmo Plan | Medicare | $2,821.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Medicare Advantage Ppo Plan | Medicare | $2,821.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Wellcare Medicare Advantage Plan | Medicare | $2,821.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Humana Medicare Advantage Plan | Medicare | $2,821.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Uhc Plan | Commercial | $4,584.20 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Amerigroup Plan | Medicaid | $4,677.75 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Cigna Plan | Commercial | $4,930.00 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Aetna Plan | Commercial | $5,791.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Secure Health Plan | Commercial | $5,940.00 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Humana Plan | Commercial | $5,940.00 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Bcbs Traditional Par Plan | Medicare | $6,682.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |
| MONROE COUNTY HOSPITAL Outpatient | Wellcare Medicaid Advantage Plan | Medicaid | $7,573.50 | $7,425.00 | $5,568.75 | 2026-05-06 | MRF ↗ |