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All Charges

Charge Type Setting Price  
Service Code ICD 027J4DZ
Hospital Charge Code 909
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 027J4DZ
Hospital Charge Code 10677
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 027J4ZZ
Hospital Charge Code 10678
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 027J4ZZ
Hospital Charge Code 910
Min. Negotiated Rate $4,968.00
Max. Negotiated Rate $10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO $10,284.00
Rate for Payer: Heritage Provider Network Commercial $4,968.00
Rate for Payer: Heritage Provider Network Senior $7,183.00
Service Code ICD 027K04Z
Hospital Charge Code 3084
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 027K04Z
Hospital Charge Code 10679
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 027K0DZ
Hospital Charge Code 911
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 027K0DZ
Hospital Charge Code 10680
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 027K0ZZ
Hospital Charge Code 3085
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 027K0ZZ
Hospital Charge Code 10681
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 027K34Z
Hospital Charge Code 3086
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 027K34Z
Hospital Charge Code 10682
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 027K3DZ
Hospital Charge Code 3087
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 027K3DZ
Hospital Charge Code 10683
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 027K3ZZ
Hospital Charge Code 3088
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 027K3ZZ
Hospital Charge Code 10684
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 027K44Z
Hospital Charge Code 3089
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 027K44Z
Hospital Charge Code 10685
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 027K4DZ
Hospital Charge Code 10686
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 027K4DZ
Hospital Charge Code 3090
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 027K4ZZ
Hospital Charge Code 3091
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 027K4ZZ
Hospital Charge Code 10687
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 027L04Z
Hospital Charge Code 912
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 027L0DZ
Hospital Charge Code 913
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 027L0ZZ
Hospital Charge Code 914
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