What are the Outpatient services (physician / surgeon fees) if the cost of the service is $20,000?

According to covered California website the plan, Sharp Silver 70 HMO Performance plan in 2020, the following applies to Susan

• Zip code: 92101
• Household income: $80,000
• People in household: 1
• Age 55

Medical deductible for an individual with this policy $4,000

Pharmacy deductible for an individual with this policy $300

Out-of-pocket maximum for an individual with this policy $7,800

Monthly premium for Susan with the Sharp Silver 70 HMO Performance plan is $780.48

(Coinsurance of 20%)