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Charge Type Setting Price  
Hospital Charge Code 5019
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
Hospital Charge Code 2604
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2605
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
Hospital Charge Code 2606
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2607
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2608
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2609
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2610
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
Hospital Charge Code 2613
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2612
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2611
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2615
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2614
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2616
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2617
Min. Negotiated Rate $10,777.00
Max. Negotiated Rate $10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,777.00
Hospital Charge Code 2618
Min. Negotiated Rate $4,829.00
Max. Negotiated Rate $4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,829.00
Hospital Charge Code 2619
Min. Negotiated Rate $4,829.00
Max. Negotiated Rate $4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $4,829.00
Hospital Charge Code 5020
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5021
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5022
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5023
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5024
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5025
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5026
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00
Hospital Charge Code 5027
Min. Negotiated Rate $9,214.00
Max. Negotiated Rate $9,214.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,214.00