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All Charges

Charge Type Setting Price  
Service Code ICD 07HL41Z
Hospital Charge Code 4824
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HM01Z
Hospital Charge Code 4825
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HM31Z
Hospital Charge Code 4826
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HM41Z
Hospital Charge Code 4827
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HN01Z
Hospital Charge Code 4828
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HN31Z
Hospital Charge Code 4829
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HN41Z
Hospital Charge Code 4830
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HP01Z
Hospital Charge Code 4831
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HP31Z
Hospital Charge Code 4832
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HP41Z
Hospital Charge Code 4833
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HT01Z
Hospital Charge Code 4834
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HT31Z
Hospital Charge Code 4835
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 07HT41Z
Hospital Charge Code 4836
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 08H031Z
Hospital Charge Code 4837
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 08H0X1Z
Hospital Charge Code 4838
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 08H131Z
Hospital Charge Code 4839
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 08H1X1Z
Hospital Charge Code 4840
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HD01Z
Hospital Charge Code 4841
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HD05Z
Hospital Charge Code 2502
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09HD06Z
Hospital Charge Code 2503
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09HD0SZ
Hospital Charge Code 2504
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09HD31Z
Hospital Charge Code 4842
Min. Negotiated Rate $8,769.00
Max. Negotiated Rate $8,769.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,769.00
Service Code ICD 09HD35Z
Hospital Charge Code 2505
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09HD36Z
Hospital Charge Code 2506
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00
Service Code ICD 09HD3SZ
Hospital Charge Code 2507
Min. Negotiated Rate $29,875.00
Max. Negotiated Rate $29,875.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,875.00