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All Charges

Charge Type Setting Price  
Service Code ICD 0YHH31Z
Hospital Charge Code 5359
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 0YHH41Z
Hospital Charge Code 5360
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 0YHJ01Z
Hospital Charge Code 5361
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 0YHJ31Z
Hospital Charge Code 5362
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 0YHJ41Z
Hospital Charge Code 5363
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 0YHK01Z
Hospital Charge Code 5364
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 0YHK31Z
Hospital Charge Code 5365
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 0YHK41Z
Hospital Charge Code 5366
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 0YHL01Z
Hospital Charge Code 5367
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 0YHL31Z
Hospital Charge Code 5368
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 0YHL41Z
Hospital Charge Code 5369
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 0YHM01Z
Hospital Charge Code 5370
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 0YHM31Z
Hospital Charge Code 5371
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 0YHM41Z
Hospital Charge Code 5372
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 0YHN01Z
Hospital Charge Code 5373
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 0YHN31Z
Hospital Charge Code 5374
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 0YHN41Z
Hospital Charge Code 5375
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 10900ZC
Hospital Charge Code 2719
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 10903ZC
Hospital Charge Code 2720
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 10904ZC
Hospital Charge Code 2721
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 10907ZA
Hospital Charge Code 2722
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 10907ZC
Hospital Charge Code 2723
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 10908ZA
Hospital Charge Code 2724
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 10908ZC
Hospital Charge Code 2725
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 10D00Z0
Hospital Charge Code 2726
Min. Negotiated Rate $5,139.00
Max. Negotiated Rate $5,139.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,139.00