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All Charges

Charge Type Setting Price  
Service Code ICD 0SUW09Z
Hospital Charge Code 15074
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC0JC
Hospital Charge Code 15084
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC0JC
Hospital Charge Code 5087
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC0JZ
Hospital Charge Code 15085
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC0JZ
Hospital Charge Code 5088
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC3JC
Hospital Charge Code 15086
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC3JC
Hospital Charge Code 5089
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC3JZ
Hospital Charge Code 5090
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC3JZ
Hospital Charge Code 15087
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC4JC
Hospital Charge Code 5091
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC4JC
Hospital Charge Code 15088
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC4JZ
Hospital Charge Code 15089
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWC4JZ
Hospital Charge Code 5092
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD0JC
Hospital Charge Code 15090
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD0JC
Hospital Charge Code 5093
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD0JZ
Hospital Charge Code 15091
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD0JZ
Hospital Charge Code 5094
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD3JC
Hospital Charge Code 5095
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD3JC
Hospital Charge Code 15092
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD3JZ
Hospital Charge Code 5096
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD3JZ
Hospital Charge Code 15093
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD4JC
Hospital Charge Code 15094
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD4JC
Hospital Charge Code 5097
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD4JZ
Hospital Charge Code 5098
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00
Service Code ICD 0SWD4JZ
Hospital Charge Code 15095
Min. Negotiated Rate $9,583.00
Max. Negotiated Rate $9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $9,583.00