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All Charges

Charge Type Price  
Service Code ICD 0JH606Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH634Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 024J0J2
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 00H00MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 02SX0ZZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 0JH807Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 0JH80PZ
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 024G072
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 021708S
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 01HY4MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 02RJ3KZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 02HK0JZ
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 024G0J2
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 02LR0ZT
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 00HV0MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 0JH837Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 00PV3MZ
Min. Negotiated Rate $27,636.00
Max. Negotiated Rate $27,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $27,636.00
Service Code ICD 02LS0ZZ
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD 0JH804Z
Min. Negotiated Rate $13,250.00
Max. Negotiated Rate $13,250.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,250.00
Service Code ICD 024J082
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code ICD X2RF032
Min. Negotiated Rate $11,541.00
Max. Negotiated Rate $11,541.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,541.00
Service Code APR-DRG 0403
Min. Negotiated Rate $20,689.43
Max. Negotiated Rate $26,970.78
Rate for Payer: IEHP Medi-Cal $20,689.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal $26,970.78
Service Code APR-DRG 0401
Min. Negotiated Rate $10,592.31
Max. Negotiated Rate $13,808.16
Rate for Payer: IEHP Medi-Cal $10,592.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal $13,808.16
Service Code APR-DRG 0404
Min. Negotiated Rate $33,541.42
Max. Negotiated Rate $43,724.66
Rate for Payer: IEHP Medi-Cal $33,541.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal $43,724.66
Service Code APR-DRG 0402
Min. Negotiated Rate $14,898.07
Max. Negotiated Rate $19,421.15
Rate for Payer: IEHP Medi-Cal $14,898.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal $19,421.15