Loma Linda University Medical Center

All Charges

Charge

Type

Price

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2010ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B201YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2011ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2050ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2180ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B205YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2171ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2070ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2131ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD 4A023N8
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2130ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B202YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2170ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility IP

$34,005.88

Service Code	ICD B2030ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$34,005.88

Service Code	APR-DRG 1912
Min. Negotiated Rate	$10,807.66
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$10,807.66
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$12,879.12

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$34,005.88

Service Code	APR-DRG 1911
Min. Negotiated Rate	$9,219.38
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$9,219.38
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$10,986.43

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$34,005.88

Service Code	APR-DRG 1913
Min. Negotiated Rate	$14,034.60
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$14,034.60
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$16,724.56

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$34,005.88

Service Code	APR-DRG 1914
Min. Negotiated Rate	$20,127.84
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$20,127.84
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$23,985.68

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$34,005.88

Service Code	APR-DRG 1924
Min. Negotiated Rate	$26,818.08
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$26,818.08
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$31,958.21

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$34,005.88

Service Code	APR-DRG 1921
Min. Negotiated Rate	$9,890.30
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$9,890.30
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$11,785.95

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$34,005.88

Service Code	APR-DRG 1923
Min. Negotiated Rate	$17,259.31
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$17,259.31
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$20,567.35

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$34,005.88

Service Code	APR-DRG 1922
Min. Negotiated Rate	$12,306.32
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$12,306.32
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$14,665.04

CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE 0-17

Facility IP

$34,005.88

Service Code	TRIS-DRG 142
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE >17 WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 306
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE >17 WITHOUT MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 307
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

Price Transparency.

All Charges