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All Charges

Charge Type Setting Price  
Service Code ICD 0SWT0JZ
Hospital Charge Code 5108
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 0SWT0JZ
Hospital Charge Code 15135
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 0SWT3JZ
Hospital Charge Code 15136
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 0SWT3JZ
Hospital Charge Code 5109
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 0SWT4JZ
Hospital Charge Code 15137
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 0SWT4JZ
Hospital Charge Code 5110
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 0SWU0JZ
Hospital Charge Code 5111
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 0SWU0JZ
Hospital Charge Code 15138
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 0SWU3JZ
Hospital Charge Code 5112
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 0SWU3JZ
Hospital Charge Code 15139
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 0SWU4JZ
Hospital Charge Code 15140
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 0SWU4JZ
Hospital Charge Code 5113
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 0SWV0JZ
Hospital Charge Code 5114
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 0SWV0JZ
Hospital Charge Code 15141
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 0SWV3JZ
Hospital Charge Code 15142
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 0SWV3JZ
Hospital Charge Code 5115
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 0SWV4JZ
Hospital Charge Code 15143
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 0SWV4JZ
Hospital Charge Code 5116
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 0SWW0JZ
Hospital Charge Code 5117
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 0SWW0JZ
Hospital Charge Code 15144
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 0SWW3JZ
Hospital Charge Code 5118
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 0SWW3JZ
Hospital Charge Code 15145
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 0SWW4JZ
Hospital Charge Code 15146
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 0SWW4JZ
Hospital Charge Code 5119
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 0TH501Z
Hospital Charge Code 5120
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