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All Charges

Charge Type Setting Price  
Service Code ICD 0UHC31Z
Hospital Charge Code 5149
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 0UHC41Z
Hospital Charge Code 5150
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 0UHC71Z
Hospital Charge Code 5151
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 0UHC81Z
Hospital Charge Code 5152
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 0UHG31Z
Hospital Charge Code 5153
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 0UHG41Z
Hospital Charge Code 5154
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 0UHG71Z
Hospital Charge Code 5155
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 0UHG81Z
Hospital Charge Code 5156
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 0UHGX1Z
Hospital Charge Code 5157
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 0UQ90ZZ
Hospital Charge Code 2680
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
Service Code ICD 0UQ98ZZ
Hospital Charge Code 2681
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
Service Code ICD 0UQC0ZZ
Hospital Charge Code 2682
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
Service Code ICD 0UQC8ZZ
Hospital Charge Code 2683
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
Service Code ICD 0VH001Z
Hospital Charge Code 5158
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 0VH031Z
Hospital Charge Code 5159
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 0VH041Z
Hospital Charge Code 5160
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 0VH071Z
Hospital Charge Code 5161
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 0VH081Z
Hospital Charge Code 5162
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 0VHD01Z
Hospital Charge Code 5163
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 0VHD31Z
Hospital Charge Code 5164
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 0VHD41Z
Hospital Charge Code 5165
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 0VHD71Z
Hospital Charge Code 5166
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 0VHD81Z
Hospital Charge Code 5167
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 0W8NXZZ
Hospital Charge Code 2708
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
Service Code ICD 0W9D00Z
Hospital Charge Code 5168
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