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All Charges

Charge Type Setting Price  
Service Code ICD 4A027N6
Hospital Charge Code 2746
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A027N7
Hospital Charge Code 2747
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A027N8
Hospital Charge Code 2748
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A028N6
Hospital Charge Code 2749
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A028N7
Hospital Charge Code 2750
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A028N8
Hospital Charge Code 2751
Min. Negotiated Rate $8,982.00
Max. Negotiated Rate $8,982.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $8,982.00
Service Code ICD 4A02X4Z
Hospital Charge Code 2752
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 4A02XFZ
Hospital Charge Code 2753
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 4A030B1
Hospital Charge Code 5376
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 4A030BC
Hospital Charge Code 2754
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 4A030BF
Hospital Charge Code 2755
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 4A033B1
Hospital Charge Code 5377
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 4A033BC
Hospital Charge Code 2756
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 4A033BF
Hospital Charge Code 2757
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 4A040B1
Hospital Charge Code 2758
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 4A040B3
Hospital Charge Code 2759
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 4A043B1
Hospital Charge Code 2760
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 4A043B3
Hospital Charge Code 2761
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 4A130BC
Hospital Charge Code 2762
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 4A133BC
Hospital Charge Code 2763
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 4A140B1
Hospital Charge Code 2764
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 4A140B3
Hospital Charge Code 2765
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 4A143B1
Hospital Charge Code 2766
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 4A143B3
Hospital Charge Code 2767
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 5A02116
Hospital Charge Code 2768
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