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All Charges

Charge Type Setting Price  
Service Code ICD 02BL0ZZ
Hospital Charge Code 10733
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BL0ZZ
Hospital Charge Code 988
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BL3ZZ
Hospital Charge Code 10734
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BL3ZZ
Hospital Charge Code 989
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BL4ZZ
Hospital Charge Code 10735
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BL4ZZ
Hospital Charge Code 990
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BM0ZZ
Hospital Charge Code 10736
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BM0ZZ
Hospital Charge Code 991
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN0ZZ
Hospital Charge Code 992
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN0ZZ
Hospital Charge Code 10738
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN3ZZ
Hospital Charge Code 993
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN3ZZ
Hospital Charge Code 10739
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN4ZZ
Hospital Charge Code 994
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02BN4ZZ
Hospital Charge Code 10740
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C00Z6
Hospital Charge Code 995
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C00ZZ
Hospital Charge Code 10762
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C00ZZ
Hospital Charge Code 996
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C03Z6
Hospital Charge Code 998
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C03Z6
Hospital Charge Code 997
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C03ZZ
Hospital Charge Code 10763
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C03ZZ
Hospital Charge Code 999
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C03ZZ
Hospital Charge Code 1000
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C04Z6
Hospital Charge Code 1001
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C04ZZ
Hospital Charge Code 10764
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00
Service Code ICD 02C04ZZ
Hospital Charge Code 1002
Min. Negotiated Rate $13,133.00
Max. Negotiated Rate $13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $13,133.00