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All Charges

Charge Type Setting Price  
Service Code ICD 0D160J9
Hospital Charge Code 4901
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D160JA
Hospital Charge Code 4902
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D160K9
Hospital Charge Code 4903
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D160KA
Hospital Charge Code 4904
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D160Z9
Hospital Charge Code 4905
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D160ZA
Hospital Charge Code 4906
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D16479
Hospital Charge Code 4907
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D1647A
Hospital Charge Code 4908
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164J9
Hospital Charge Code 4909
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164JA
Hospital Charge Code 4910
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164K9
Hospital Charge Code 4911
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164KA
Hospital Charge Code 4912
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164Z9
Hospital Charge Code 4913
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0D164ZA
Hospital Charge Code 4914
Min. Negotiated Rate $12,050.00
Max. Negotiated Rate $12,050.00
Rate for Payer: Kaiser Foundation Hospitals Commercial $12,050.00
Service Code ICD 0DH501Z
Hospital Charge Code 4915
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 0DH531Z
Hospital Charge Code 4916
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 0DH541Z
Hospital Charge Code 4917
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 0DH571Z
Hospital Charge Code 4918
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 0DH581Z
Hospital Charge Code 4919
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 0DH601Z
Hospital Charge Code 4920
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 0DH60MZ
Hospital Charge Code 2525
Min. Negotiated Rate $29,594.00
Max. Negotiated Rate $29,594.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,594.00
Service Code ICD 0DH631Z
Hospital Charge Code 4921
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 0DH63MZ
Hospital Charge Code 2526
Min. Negotiated Rate $29,594.00
Max. Negotiated Rate $29,594.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,594.00
Service Code ICD 0DH641Z
Hospital Charge Code 4922
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 0DH64MZ
Hospital Charge Code 2527
Min. Negotiated Rate $29,594.00
Max. Negotiated Rate $29,594.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $29,594.00