Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02RF07Z

Facility

$11,208.00

Service Code	ICD 02RF07Z
Hospital Charge Code	11090
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

02RF08Z

Facility

$11,208.00

Service Code	ICD 02RF08Z
Hospital Charge Code	11091
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

02RF08Z

Facility

$11,208.00

Service Code	ICD 02RF08Z
Hospital Charge Code	3313
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

02RF0JZ

Facility

$11,208.00

Service Code	ICD 02RF0JZ
Hospital Charge Code	11092
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

02RF0JZ

Facility

$11,208.00

Service Code	ICD 02RF0JZ
Hospital Charge Code	1295
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

02RF0KZ

Facility

$11,208.00

Service Code	ICD 02RF0KZ
Hospital Charge Code	3314
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

02RF0KZ

Facility

$11,208.00

Service Code	ICD 02RF0KZ
Hospital Charge Code	11093
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

02RF37H

Facility

$11,208.00

Service Code	ICD 02RF37H
Hospital Charge Code	3315
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

02RF37Z

Facility

$11,208.00

Service Code	ICD 02RF37Z
Hospital Charge Code	3316
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

02RF38H

Facility

$11,208.00

Service Code	ICD 02RF38H
Hospital Charge Code	3317
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

02RF38Z

Facility

$38,055.00

Service Code	ICD 02RF38Z
Hospital Charge Code	1296
Min. Negotiated Rate	$38,055.00
Max. Negotiated Rate	$38,055.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$38,055.00

02RF3JH

Facility

$11,208.00

Service Code	ICD 02RF3JH
Hospital Charge Code	1297
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

02RF3JZ

Facility

$11,208.00

Service Code	ICD 02RF3JZ
Hospital Charge Code	3318
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

02RF3KH

Facility

$11,208.00

Service Code	ICD 02RF3KH
Hospital Charge Code	3319
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

02RF3KZ

Facility

$11,208.00

Service Code	ICD 02RF3KZ
Hospital Charge Code	3320
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

02RF47Z

Facility

$11,208.00

Service Code	ICD 02RF47Z
Hospital Charge Code	11094
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

02RF47Z

Facility

$11,208.00

Service Code	ICD 02RF47Z
Hospital Charge Code	3321
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

02RF48Z

Facility

$11,208.00

Service Code	ICD 02RF48Z
Hospital Charge Code	3322
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

02RF48Z

Facility

$11,208.00

Service Code	ICD 02RF48Z
Hospital Charge Code	11095
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

02RF4JZ

Facility

$11,208.00

Service Code	ICD 02RF4JZ
Hospital Charge Code	1298
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

02RF4JZ

Facility

$11,208.00

Service Code	ICD 02RF4JZ
Hospital Charge Code	11096
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

02RF4KZ

Facility

$11,208.00

Service Code	ICD 02RF4KZ
Hospital Charge Code	11097
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

02RF4KZ

Facility

$11,208.00

Service Code	ICD 02RF4KZ
Hospital Charge Code	3323
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

02RG07Z

Facility

$11,208.00

Service Code	ICD 02RG07Z
Hospital Charge Code	11098
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

02RG07Z

Facility

$11,208.00

Service Code	ICD 02RG07Z
Hospital Charge Code	3324
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