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