Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02RJ07Z

Facility

$11,208.00

Service Code	ICD 02RJ07Z
Hospital Charge Code	3349
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

02RJ07Z

Facility

$11,208.00

Service Code	ICD 02RJ07Z
Hospital Charge Code	11118
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

02RJ08Z

Facility

$11,208.00

Service Code	ICD 02RJ08Z
Hospital Charge Code	11119
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

02RJ08Z

Facility

$11,208.00

Service Code	ICD 02RJ08Z
Hospital Charge Code	3350
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

02RJ0JZ

Facility

$11,208.00

Service Code	ICD 02RJ0JZ
Hospital Charge Code	3351
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

02RJ0JZ

Facility

$11,208.00

Service Code	ICD 02RJ0JZ
Hospital Charge Code	11120
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

02RJ0KZ

Facility

$11,208.00

Service Code	ICD 02RJ0KZ
Hospital Charge Code	3352
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

02RJ0KZ

Facility

$11,208.00

Service Code	ICD 02RJ0KZ
Hospital Charge Code	11121
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

02RJ37H

Facility

$11,208.00

Service Code	ICD 02RJ37H
Hospital Charge Code	1306
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

02RJ37Z

Facility

$11,208.00

Service Code	ICD 02RJ37Z
Hospital Charge Code	1307
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

02RJ38H

Facility

$11,208.00

Service Code	ICD 02RJ38H
Hospital Charge Code	1308
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

02RJ38Z

Facility

$11,208.00

Service Code	ICD 02RJ38Z
Hospital Charge Code	1309
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

02RJ3JH

Facility

$11,208.00

Service Code	ICD 02RJ3JH
Hospital Charge Code	1310
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

02RJ3JZ

Facility

$11,208.00

Service Code	ICD 02RJ3JZ
Hospital Charge Code	1311
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

02RJ3KH

Facility

$11,208.00

Service Code	ICD 02RJ3KH
Hospital Charge Code	1312
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

02RJ3KZ

Facility

$11,208.00

Service Code	ICD 02RJ3KZ
Hospital Charge Code	1313
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

02RJ47Z

Facility

$11,208.00

Service Code	ICD 02RJ47Z
Hospital Charge Code	11122
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

02RJ47Z

Facility

$11,208.00

Service Code	ICD 02RJ47Z
Hospital Charge Code	3353
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

02RJ48Z

Facility

$11,208.00

Service Code	ICD 02RJ48Z
Hospital Charge Code	3354
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

02RJ48Z

Facility

$11,208.00

Service Code	ICD 02RJ48Z
Hospital Charge Code	11123
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

02RJ4JZ

Facility

$11,208.00

Service Code	ICD 02RJ4JZ
Hospital Charge Code	3355
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

02RJ4JZ

Facility

$11,208.00

Service Code	ICD 02RJ4JZ
Hospital Charge Code	11124
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

02RJ4KZ

Facility

$11,208.00

Service Code	ICD 02RJ4KZ
Hospital Charge Code	11125
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

02RJ4KZ

Facility

$11,208.00

Service Code	ICD 02RJ4KZ
Hospital Charge Code	3356
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

02RK07Z

Facility

$11,208.00

Service Code	ICD 02RK07Z
Hospital Charge Code	11126
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