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All Charges

Charge Type Setting Price  
Service Code ICD 02R64KZ
Hospital Charge Code 11065
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R707Z
Hospital Charge Code 3289
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R707Z
Hospital Charge Code 11066
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R708Z
Hospital Charge Code 11067
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R708Z
Hospital Charge Code 3290
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R70JZ
Hospital Charge Code 11068
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R70JZ
Hospital Charge Code 3291
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R70KZ
Hospital Charge Code 11069
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R70KZ
Hospital Charge Code 3292
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R747Z
Hospital Charge Code 11070
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R747Z
Hospital Charge Code 3293
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R748Z
Hospital Charge Code 11071
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R748Z
Hospital Charge Code 3294
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R74JZ
Hospital Charge Code 11072
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R74JZ
Hospital Charge Code 3295
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R74KZ
Hospital Charge Code 11073
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R74KZ
Hospital Charge Code 3296
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R907Z
Hospital Charge Code 3297
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R907Z
Hospital Charge Code 11074
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R908Z
Hospital Charge Code 3298
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R908Z
Hospital Charge Code 11075
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R90JZ
Hospital Charge Code 11076
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R90JZ
Hospital Charge Code 1294
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R90KZ
Hospital Charge Code 11077
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 02R90KZ
Hospital Charge Code 3299
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00