UniCare Statements
| Service Date |
Type of Service |
Provider |
Amount Billed |
| 05/02/00 |
Air Ambulance |
Stanford Medical Center |
4,166.27
|
| 05/02/00 |
Testing / X-Ray / Lab |
Stanford Medical Center |
1,556.00
|
| 05/02/00 |
Surgery |
Stanford Medical Center |
4,862.00
|
| 05/02/00 |
Anestesia Services |
Stanford Medical Center |
1,040.0.0
|
| 05/02/00 |
Medical Services |
Stanford Medical Center |
158.00
|
| 05/02/00 - 05/10/00 |
Helth Services |
Stanford University Hosp |
102,477.76
|
| 05/03/00 |
Testing / X-Ray / Lab |
Welch Road Imaging |
108.00
|
| 05/03/00 |
Medical Services |
Stanford Medical Center |
173.00
|
| 05/04/00 |
Testing / X-Ray / Lab |
Stanford Medical Center |
334.00
|
| 05/05/00 |
Consulation |
Stanford Medical Center |
370.00
|
| 05/05/00 |
Anesthesia Services |
Stanford Medical Center |
1,040.00
|
| 05/06/00 |
Helth Services |
Stanford Medical Center |
173.00
|
| 05/06/00 |
Testing / X-Ray / Lab |
Stanford Medical Center |
77.00
|
| 05/07/00 |
Testing / X-Ray / Lab |
Stanford Medical Center |
49.00
|
| 05/18/00 |
Medical Visit |
Catholic Healthcare-W Med |
130.00
|
| 06/02/00 |
Medical Services |
Stanford Medical Center |
97.00
|
| 06/30/00 |
Helth Services |
Stanford University Hosp |
764.37
|
| 06/30/00 |
Testing / X-Ray / Lab |
Stanford Medical Center |
36.00
|
| 07/06/00 |
Medical Visit |
Menlo Med Clnc Health |
75.00
|
| 07/27/00 |
Helth Services |
Stanford University Hosp |
514.50
|
| 08/11/00 |
Medical Services |
Stanford Medical Center |
97.00
|
| 08/31/00 |
Helth Services |
Stanford University Hosp |
140.70
|
|
|
|
$ 118,438.60
|
|