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All Charges

Charge Type Setting Price  
Service Code ICD 0JH838Z
Hospital Charge Code 13939
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH838Z
Hospital Charge Code 2596
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH838Z
Hospital Charge Code 2595
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH839Z
Hospital Charge Code 13940
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH839Z
Hospital Charge Code 2598
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH839Z
Hospital Charge Code 2597
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH83AZ
Hospital Charge Code 2599
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JH83BZ
Hospital Charge Code 2600
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JH83CZ
Hospital Charge Code 5010
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JH83DZ
Hospital Charge Code 5011
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JH83EZ
Hospital Charge Code 2601
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JH83MZ
Hospital Charge Code 2602
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JHS01Z
Hospital Charge Code 5012
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHS31Z
Hospital Charge Code 5013
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHT01Z
Hospital Charge Code 5014
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHT31Z
Hospital Charge Code 5015
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHV01Z
Hospital Charge Code 5016
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHV31Z
Hospital Charge Code 5017
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHW01Z
Hospital Charge Code 5018
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JHW31Z
Hospital Charge Code 5019
Min. Negotiated Rate $9,120.00
Max. Negotiated Rate $9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,120.00
Service Code ICD 0JPT0FZ
Hospital Charge Code 2604
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JPT0MZ
Hospital Charge Code 2605
Min. Negotiated Rate $30,778.00
Max. Negotiated Rate $30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $30,778.00
Service Code ICD 0JPT0PZ
Hospital Charge Code 2608
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JPT0PZ
Hospital Charge Code 2607
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00
Service Code ICD 0JPT0PZ
Hospital Charge Code 2606
Min. Negotiated Rate $11,208.00
Max. Negotiated Rate $11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $11,208.00