Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

Cardiac Catheterization

Facility

$12,471.00

Service Code	ICD B206YZZ
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 4A020N6
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 B2130ZZ
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 B2121ZZ
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 B20F1ZZ
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 B2141ZZ
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 B21FYZZ
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 B205YZZ
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 B214YZZ
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 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 B21F1ZZ
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 B2030ZZ
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 B2051ZZ
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 4A020N7
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 B2070ZZ
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 4A028N7
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 B2110ZZ
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 B2131ZZ
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 B21F0ZZ
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 B210YZZ
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 4A023N6
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 FOR CORONARY ARTERY DISEASE

Facility

$12,466.05

Service Code	APR-DRG 1913
Min. Negotiated Rate	$12,466.05
Max. Negotiated Rate	$12,466.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,466.05

Know your out-of-pocket cost for care.

All Charges