Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 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

$12,471.00

Service Code	ICD B2010ZZ
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 B2170ZZ
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 B2181ZZ
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 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

$12,471.00

Service Code	ICD B213YZZ
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 B208YZZ
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

$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 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 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 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 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 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 B2060ZZ
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 4A020N8
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 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 B2150ZZ
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 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 B2061ZZ
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 FOR CORONARY ARTERY DISEASE

Facility

$9,599.75

Service Code	APR-DRG 1912
Min. Negotiated Rate	$9,599.75
Max. Negotiated Rate	$9,599.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,599.75

Know your out-of-pocket cost for care.

All Charges