Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02RG08Z

Facility

$11,208.00

Service Code	ICD 02RG08Z
Hospital Charge Code	3325
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

02RG08Z

Facility

$11,208.00

Service Code	ICD 02RG08Z
Hospital Charge Code	11099
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

02RG0JZ

Facility

$11,208.00

Service Code	ICD 02RG0JZ
Hospital Charge Code	11100
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

02RG0JZ

Facility

$11,208.00

Service Code	ICD 02RG0JZ
Hospital Charge Code	3326
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

02RG0KZ

Facility

$11,208.00

Service Code	ICD 02RG0KZ
Hospital Charge Code	11101
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

02RG0KZ

Facility

$11,208.00

Service Code	ICD 02RG0KZ
Hospital Charge Code	3327
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

02RG37H

Facility

$11,208.00

Service Code	ICD 02RG37H
Hospital Charge Code	3328
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

02RG37Z

Facility

$11,208.00

Service Code	ICD 02RG37Z
Hospital Charge Code	1299
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

02RG37Z

Facility

$11,208.00

Service Code	ICD 02RG37Z
Hospital Charge Code	11102
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

02RG38H

Facility

$11,208.00

Service Code	ICD 02RG38H
Hospital Charge Code	3329
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

02RG38Z

Facility

$11,208.00

Service Code	ICD 02RG38Z
Hospital Charge Code	11103
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

02RG38Z

Facility

$11,208.00

Service Code	ICD 02RG38Z
Hospital Charge Code	1300
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

02RG3JH

Facility

$11,208.00

Service Code	ICD 02RG3JH
Hospital Charge Code	1301
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

02RG3JZ

Facility

$11,208.00

Service Code	ICD 02RG3JZ
Hospital Charge Code	11104
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

02RG3JZ

Facility

$11,208.00

Service Code	ICD 02RG3JZ
Hospital Charge Code	1302
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

02RG3KH

Facility

$11,208.00

Service Code	ICD 02RG3KH
Hospital Charge Code	3330
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

02RG3KZ

Facility

$11,208.00

Service Code	ICD 02RG3KZ
Hospital Charge Code	1303
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

02RG3KZ

Facility

$11,208.00

Service Code	ICD 02RG3KZ
Hospital Charge Code	11105
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

02RG47Z

Facility

$11,208.00

Service Code	ICD 02RG47Z
Hospital Charge Code	11106
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

02RG47Z

Facility

$11,208.00

Service Code	ICD 02RG47Z
Hospital Charge Code	3331
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

02RG48Z

Facility

$11,208.00

Service Code	ICD 02RG48Z
Hospital Charge Code	11107
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

02RG48Z

Facility

$11,208.00

Service Code	ICD 02RG48Z
Hospital Charge Code	3332
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

02RG4JZ

Facility

$11,208.00

Service Code	ICD 02RG4JZ
Hospital Charge Code	3333
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

02RG4JZ

Facility

$11,208.00

Service Code	ICD 02RG4JZ
Hospital Charge Code	11108
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

02RG4KZ

Facility

$11,208.00

Service Code	ICD 02RG4KZ
Hospital Charge Code	11109
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