INJECTION, CALCIUM GLUCONATE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J0612, 10 MG at Adventist Health Medical Center Tehachapi

Tehachapi, CA

Payers reporting HCPCS J0613 at Adventist Health Medical Center Tehachapi

Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare uhc jll csp fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
4	Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
5	UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	1–10	$39 – $39
6	Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
7	Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	1–10	$87 – $87
8	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	1–10	$103 – $103
9	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$107	$107	—	—	—	$107 – $107
10	Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient	$119	$119	—	—	—	$119 – $119
11	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
12	Kaiser kaiser medi-cal ip/op only fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
13	Medicaid medi-cal fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
14	Aetna aetna-all plans fee schedule · outpatient	$473	$473	—	—	—	$473 – $473

INJECTION, CALCIUM GLUCONATE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J0612, 10 MG at Adventist Health Medical Center Tehachapi

Tehachapi, CA

Payers reporting HCPCS J0613 at Adventist Health Medical Center Tehachapi

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare uhc jll csp fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
4	Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
5	UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	1–10	$39 – $39
6	Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
7	Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	1–10	$87 – $87
8	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	1–10	$103 – $103
9	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$107	$107	—	—	—	$107 – $107
10	Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient	$119	$119	—	—	—	$119 – $119
11	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
12	Kaiser kaiser medi-cal ip/op only fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
13	Medicaid medi-cal fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
14	Aetna aetna-all plans fee schedule · outpatient	$473	$473	—	—	—	$473 – $473