Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

02RK08Z

Facility

$11,208.00

Service Code	ICD 02RK08Z
Hospital Charge Code	11127
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

02RK08Z

Facility

$11,208.00

Service Code	ICD 02RK08Z
Hospital Charge Code	1314
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

02RK0JZ

Facility

$11,208.00

Service Code	ICD 02RK0JZ
Hospital Charge Code	1315
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

02RK0JZ

Facility

$11,208.00

Service Code	ICD 02RK0JZ
Hospital Charge Code	11128
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

02RK0KZ

Facility

$11,208.00

Service Code	ICD 02RK0KZ
Hospital Charge Code	11129
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

02RK0KZ

Facility

$11,208.00

Service Code	ICD 02RK0KZ
Hospital Charge Code	1316
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

02RK48Z

Facility

$11,208.00

Service Code	ICD 02RK48Z
Hospital Charge Code	11131
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

02RK48Z

Facility

$11,208.00

Service Code	ICD 02RK48Z
Hospital Charge Code	1317
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

02RK4JZ

Facility

$11,208.00

Service Code	ICD 02RK4JZ
Hospital Charge Code	11132
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

02RK4JZ

Facility

$11,208.00

Service Code	ICD 02RK4JZ
Hospital Charge Code	3358
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

02RL08Z

Facility

$11,208.00

Service Code	ICD 02RL08Z
Hospital Charge Code	1319
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

02RL08Z

Facility

$11,208.00

Service Code	ICD 02RL08Z
Hospital Charge Code	11135
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

02RL0JZ

Facility

$11,208.00

Service Code	ICD 02RL0JZ
Hospital Charge Code	11136
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

02RL0JZ

Facility

$11,208.00

Service Code	ICD 02RL0JZ
Hospital Charge Code	1320
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

02RL48Z

Facility

$11,208.00

Service Code	ICD 02RL48Z
Hospital Charge Code	11139
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

02RL48Z

Facility

$11,208.00

Service Code	ICD 02RL48Z
Hospital Charge Code	1322
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

02RL4JZ

Facility

$11,208.00

Service Code	ICD 02RL4JZ
Hospital Charge Code	11140
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

02RL4JZ

Facility

$11,208.00

Service Code	ICD 02RL4JZ
Hospital Charge Code	3359
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

02RM08Z

Facility

$11,208.00

Service Code	ICD 02RM08Z
Hospital Charge Code	1324
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

02RM08Z

Facility

$11,208.00

Service Code	ICD 02RM08Z
Hospital Charge Code	11143
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

02RM0JZ

Facility

$11,208.00

Service Code	ICD 02RM0JZ
Hospital Charge Code	1325
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

02RM0JZ

Facility

$11,208.00

Service Code	ICD 02RM0JZ
Hospital Charge Code	11144
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

02RM48Z

Facility

$11,208.00

Service Code	ICD 02RM48Z
Hospital Charge Code	1327
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

02RM48Z

Facility

$11,208.00

Service Code	ICD 02RM48Z
Hospital Charge Code	11147
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