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All Charges

Charge Type Setting Price  
Service Code ICD 0VHD31Z
Hospital Charge Code 5164
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 0VHD41Z
Hospital Charge Code 5165
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 0VHD71Z
Hospital Charge Code 5166
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 0VHD81Z
Hospital Charge Code 5167
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 0W8NXZZ
Hospital Charge Code 2708
Min. Negotiated Rate $5,022.00
Max. Negotiated Rate $5,022.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $5,022.00
Service Code ICD 0W9D00Z
Hospital Charge Code 5168
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 0W9D00Z
Hospital Charge Code 13941
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 0W9D0ZX
Hospital Charge Code 2709
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 0W9D0ZX
Hospital Charge Code 13942
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 0W9D0ZZ
Hospital Charge Code 13943
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 0W9D0ZZ
Hospital Charge Code 5169
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 0WCD0ZZ
Hospital Charge Code 13944
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 0WCD0ZZ
Hospital Charge Code 2710
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 0WCD3ZZ
Hospital Charge Code 13945
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 0WCD3ZZ
Hospital Charge Code 5170
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 0WCD4ZZ
Hospital Charge Code 13946
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 0WCD4ZZ
Hospital Charge Code 5171
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 0WFD0ZZ
Hospital Charge Code 13947
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 0WFD0ZZ
Hospital Charge Code 5172
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 0WFD3ZZ
Hospital Charge Code 5173
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 0WFD3ZZ
Hospital Charge Code 13948
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 0WFD4ZZ
Hospital Charge Code 13949
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 0WFD4ZZ
Hospital Charge Code 5174
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 0WFDXZZ
Hospital Charge Code 2711
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 0WFDXZZ
Hospital Charge Code 13950
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