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All Charges

Charge Type Setting Price  
Service Code ICD 0UQM0ZZ
Hospital Charge Code 2686
Min. Negotiated Rate $11,523.00
Max. Negotiated Rate $11,523.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,523.00
Service Code ICD 0UQMXZZ
Hospital Charge Code 2687
Min. Negotiated Rate $11,523.00
Max. Negotiated Rate $11,523.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,523.00
Service Code ICD 0UT24ZZ
Hospital Charge Code 2688
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0UT74ZZ
Hospital Charge Code 2689
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0UT94ZZ
Hospital Charge Code 2690
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0UT9FZL
Hospital Charge Code 2691
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0UT9FZZ
Hospital Charge Code 2692
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0UTC4ZZ
Hospital Charge Code 2693
Min. Negotiated Rate $26,431.00
Max. Negotiated Rate $26,431.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $26,431.00
Service Code ICD 0VT00ZZ
Hospital Charge Code 2694
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT01ZZ
Hospital Charge Code 2695
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT02ZZ
Hospital Charge Code 2696
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT03ZZ
Hospital Charge Code 2697
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT04ZZ
Hospital Charge Code 2698
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT05ZZ
Hospital Charge Code 2699
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT06ZZ
Hospital Charge Code 2700
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT07ZZ
Hospital Charge Code 2701
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT08ZZ
Hospital Charge Code 2702
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT30ZZ
Hospital Charge Code 2703
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT31ZZ
Hospital Charge Code 2704
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT32ZZ
Hospital Charge Code 2705
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT33ZZ
Hospital Charge Code 2706
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0VT34ZZ
Hospital Charge Code 2707
Min. Negotiated Rate $27,340.00
Max. Negotiated Rate $27,340.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,340.00
Service Code ICD 0W8NXZZ
Hospital Charge Code 2708
Min. Negotiated Rate $11,523.00
Max. Negotiated Rate $11,523.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,523.00
Service Code ICD 0W9D0ZX
Hospital Charge Code 2709
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00
Service Code ICD 0WCD0ZZ
Hospital Charge Code 2710
Min. Negotiated Rate $12,567.00
Max. Negotiated Rate $12,567.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $12,567.00