|
0YH701Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5334
|
| 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
|
|
|
0YH731Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5335
|
| 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
|
|
|
0YH741Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5336
|
| 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
|
|
|
0YH801Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5337
|
| 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
|
|
|
0YH831Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5338
|
| 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
|
|
|
0YH841Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5339
|
| 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
|
|
|
0YH901Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5340
|
| 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
|
|
|
0YH931Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5341
|
| 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
|
|
|
0YH941Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5342
|
| 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
|
|
|
0YHB01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5343
|
| 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
|
|
|
0YHB31Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5344
|
| 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
|
|
|
0YHB41Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5345
|
| 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
|
|
|
0YHC01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5346
|
| 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
|
|
|
0YHC31Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5347
|
| 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
|
|
|
0YHC41Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5348
|
| 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
|
|
|
0YHD01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5349
|
| 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
|
|
|
0YHD31Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5350
|
| 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
|
|
|
0YHD41Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5351
|
| 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
|
|
|
0YHF01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5352
|
| 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
|
|
|
0YHF31Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5353
|
| 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
|
|
|
0YHF41Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5354
|
| 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
|
|
|
0YHG01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5355
|
| 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
|
|
|
0YHG31Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5356
|
| 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
|
|
|
0YHG41Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5357
|
| 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
|
|
|
0YHH01Z
|
Facility
|
IP
|
$8,769.00
|
|
| Hospital Charge Code |
5358
|
| 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
|
|
