Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$5,113.77

Service Code	APR-DRG 2012
Min. Negotiated Rate	$5,113.77
Max. Negotiated Rate	$5,113.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,113.77

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$12,546.63

Service Code	APR-DRG 2014
Min. Negotiated Rate	$12,546.63
Max. Negotiated Rate	$12,546.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,546.63

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2180ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2031ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2101ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$7,918.00

Service Code	ICD 4A028N8
Min. Negotiated Rate	$7,918.00
Max. Negotiated Rate	$7,918.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00

Cardiac Catheterization

Facility

$7,918.00

Service Code	ICD 4A027N6
Min. Negotiated Rate	$7,918.00
Max. Negotiated Rate	$7,918.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2071ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2000ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2081ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$7,918.00

Service Code	ICD 4A027N7
Min. Negotiated Rate	$7,918.00
Max. Negotiated Rate	$7,918.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B218YZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B204YZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2100ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2041ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2120ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B216YZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$7,918.00

Service Code	ICD 4A028N6
Min. Negotiated Rate	$7,918.00
Max. Negotiated Rate	$7,918.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD 4A023N7
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2171ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2021ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B2011ZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B207YZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Cardiac Catheterization

Facility

$7,918.00

Service Code	ICD 4A027N8
Min. Negotiated Rate	$7,918.00
Max. Negotiated Rate	$7,918.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$7,918.00

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B20FYZZ
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$12,471.00
Rate for Payer: Blue Shield of California Commercial	$12,471.00
Rate for Payer: Blue Shield of California EPN	$10,688.00
Rate for Payer: Heritage Provider Network Commercial	$5,478.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

Know your out-of-pocket cost for care.

All Charges