Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02R50KZ

Facility

$11,208.00

Service Code	ICD 02R50KZ
Hospital Charge Code	3276
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R50KZ

Facility

$11,208.00

Service Code	ICD 02R50KZ
Hospital Charge Code	11053
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R547Z

Facility

$11,208.00

Service Code	ICD 02R547Z
Hospital Charge Code	3277
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R547Z

Facility

$11,208.00

Service Code	ICD 02R547Z
Hospital Charge Code	11054
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R548Z

Facility

$11,208.00

Service Code	ICD 02R548Z
Hospital Charge Code	11055
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R548Z

Facility

$11,208.00

Service Code	ICD 02R548Z
Hospital Charge Code	3278
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R54JZ

Facility

$11,208.00

Service Code	ICD 02R54JZ
Hospital Charge Code	11056
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R54JZ

Facility

$11,208.00

Service Code	ICD 02R54JZ
Hospital Charge Code	3279
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R54KZ

Facility

$11,208.00

Service Code	ICD 02R54KZ
Hospital Charge Code	3280
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R54KZ

Facility

$11,208.00

Service Code	ICD 02R54KZ
Hospital Charge Code	11057
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R607Z

Facility

$11,208.00

Service Code	ICD 02R607Z
Hospital Charge Code	3281
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R607Z

Facility

$11,208.00

Service Code	ICD 02R607Z
Hospital Charge Code	11058
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R608Z

Facility

$11,208.00

Service Code	ICD 02R608Z
Hospital Charge Code	3282
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R608Z

Facility

$11,208.00

Service Code	ICD 02R608Z
Hospital Charge Code	11059
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R60JZ

Facility

$11,208.00

Service Code	ICD 02R60JZ
Hospital Charge Code	11060
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R60JZ

Facility

$11,208.00

Service Code	ICD 02R60JZ
Hospital Charge Code	3283
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R60KZ

Facility

$11,208.00

Service Code	ICD 02R60KZ
Hospital Charge Code	3284
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R60KZ

Facility

$11,208.00

Service Code	ICD 02R60KZ
Hospital Charge Code	11061
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R647Z

Facility

$11,208.00

Service Code	ICD 02R647Z
Hospital Charge Code	11062
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R647Z

Facility

$11,208.00

Service Code	ICD 02R647Z
Hospital Charge Code	3285
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R648Z

Facility

$11,208.00

Service Code	ICD 02R648Z
Hospital Charge Code	11063
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R648Z

Facility

$11,208.00

Service Code	ICD 02R648Z
Hospital Charge Code	3286
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R64JZ

Facility

$11,208.00

Service Code	ICD 02R64JZ
Hospital Charge Code	11064
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R64JZ

Facility

$11,208.00

Service Code	ICD 02R64JZ
Hospital Charge Code	3287
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

02R64KZ

Facility

$11,208.00

Service Code	ICD 02R64KZ
Hospital Charge Code	3288
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

Know your out-of-pocket cost for care.

All Charges