Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

0UTC4ZZ

Facility

$27,620.00

Service Code	ICD 0UTC4ZZ
Hospital Charge Code	15218
Min. Negotiated Rate	$27,620.00
Max. Negotiated Rate	$27,620.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$27,620.00

0VT00ZZ

Facility

$28,570.00

Service Code	ICD 0VT00ZZ
Hospital Charge Code	2694
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT01ZZ

Facility

$28,570.00

Service Code	ICD 0VT01ZZ
Hospital Charge Code	2695
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT02ZZ

Facility

$28,570.00

Service Code	ICD 0VT02ZZ
Hospital Charge Code	2696
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT03ZZ

Facility

$28,570.00

Service Code	ICD 0VT03ZZ
Hospital Charge Code	2697
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT04ZZ

Facility

$28,570.00

Service Code	ICD 0VT04ZZ
Hospital Charge Code	2698
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT05ZZ

Facility

$28,570.00

Service Code	ICD 0VT05ZZ
Hospital Charge Code	2699
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT06ZZ

Facility

$28,570.00

Service Code	ICD 0VT06ZZ
Hospital Charge Code	2700
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT07ZZ

Facility

$28,570.00

Service Code	ICD 0VT07ZZ
Hospital Charge Code	2701
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT08ZZ

Facility

$28,570.00

Service Code	ICD 0VT08ZZ
Hospital Charge Code	2702
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT30ZZ

Facility

$28,570.00

Service Code	ICD 0VT30ZZ
Hospital Charge Code	2703
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT31ZZ

Facility

$28,570.00

Service Code	ICD 0VT31ZZ
Hospital Charge Code	2704
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT32ZZ

Facility

$28,570.00

Service Code	ICD 0VT32ZZ
Hospital Charge Code	2705
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT33ZZ

Facility

$28,570.00

Service Code	ICD 0VT33ZZ
Hospital Charge Code	2706
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0VT34ZZ

Facility

$28,570.00

Service Code	ICD 0VT34ZZ
Hospital Charge Code	2707
Min. Negotiated Rate	$28,570.00
Max. Negotiated Rate	$28,570.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$28,570.00

0W8NXZZ

Facility

$12,042.00

Service Code	ICD 0W8NXZZ
Hospital Charge Code	2708
Min. Negotiated Rate	$12,042.00
Max. Negotiated Rate	$12,042.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$12,042.00

0W9D0ZX

Facility

$13,133.00

Service Code	ICD 0W9D0ZX
Hospital Charge Code	13942
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0W9D0ZX

Facility

$13,133.00

Service Code	ICD 0W9D0ZX
Hospital Charge Code	2709
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WCD0ZZ

Facility

$13,133.00

Service Code	ICD 0WCD0ZZ
Hospital Charge Code	13944
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WCD0ZZ

Facility

$13,133.00

Service Code	ICD 0WCD0ZZ
Hospital Charge Code	2710
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WFDXZZ

Facility

$13,133.00

Service Code	ICD 0WFDXZZ
Hospital Charge Code	2711
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WFDXZZ

Facility

$13,133.00

Service Code	ICD 0WFDXZZ
Hospital Charge Code	13950
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WHD03Z

Facility

$13,133.00

Service Code	ICD 0WHD03Z
Hospital Charge Code	13951
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WHD03Z

Facility

$13,133.00

Service Code	ICD 0WHD03Z
Hospital Charge Code	2712
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

0WHD0YZ

Facility

$13,133.00

Service Code	ICD 0WHD0YZ
Hospital Charge Code	2713
Min. Negotiated Rate	$13,133.00
Max. Negotiated Rate	$13,133.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$13,133.00

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All Charges