|
02RH38H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3341
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3342
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH3JH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1304
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3343
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH3KH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3344
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3345
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3346
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3347
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1305
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RH4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3348
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3349
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3350
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3351
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3352
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ37H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1306
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1307
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ38H
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1308
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1309
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ3JH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1310
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1311
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ3KH
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1312
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1313
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3353
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3354
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02RJ4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3355
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
