Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0211444

Facility

$11,208.00

Service Code	ICD 0211444
Hospital Charge Code	10112
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

0211483

Facility

$11,208.00

Service Code	ICD 0211483
Hospital Charge Code	163
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

0211488

Facility

$11,208.00

Service Code	ICD 0211488
Hospital Charge Code	164
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

0211489

Facility

$11,208.00

Service Code	ICD 0211489
Hospital Charge Code	165
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

021148C

Facility

$11,208.00

Service Code	ICD 021148C
Hospital Charge Code	166
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

021148F

Facility

$11,208.00

Service Code	ICD 021148F
Hospital Charge Code	167
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

021148W

Facility

$11,208.00

Service Code	ICD 021148W
Hospital Charge Code	168
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

0211493

Facility

$11,208.00

Service Code	ICD 0211493
Hospital Charge Code	169
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

0211493

Facility

$11,208.00

Service Code	ICD 0211493
Hospital Charge Code	10113
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

0211498

Facility

$11,208.00

Service Code	ICD 0211498
Hospital Charge Code	10114
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

0211498

Facility

$11,208.00

Service Code	ICD 0211498
Hospital Charge Code	170
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

0211499

Facility

$11,208.00

Service Code	ICD 0211499
Hospital Charge Code	171
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

0211499

Facility

$11,208.00

Service Code	ICD 0211499
Hospital Charge Code	10115
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

021149C

Facility

$11,208.00

Service Code	ICD 021149C
Hospital Charge Code	10116
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

021149C

Facility

$11,208.00

Service Code	ICD 021149C
Hospital Charge Code	172
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

021149F

Facility

$11,208.00

Service Code	ICD 021149F
Hospital Charge Code	10117
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

021149F

Facility

$11,208.00

Service Code	ICD 021149F
Hospital Charge Code	173
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

021149W

Facility

$11,208.00

Service Code	ICD 021149W
Hospital Charge Code	10118
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

021149W

Facility

$11,208.00

Service Code	ICD 021149W
Hospital Charge Code	2863
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

02114A3

Facility

$11,208.00

Service Code	ICD 02114A3
Hospital Charge Code	10119
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

02114A3

Facility

$11,208.00

Service Code	ICD 02114A3
Hospital Charge Code	174
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

02114A8

Facility

$11,208.00

Service Code	ICD 02114A8
Hospital Charge Code	175
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

02114A8

Facility

$11,208.00

Service Code	ICD 02114A8
Hospital Charge Code	10120
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

02114A9

Facility

$11,208.00

Service Code	ICD 02114A9
Hospital Charge Code	10121
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

02114A9

Facility

$11,208.00

Service Code	ICD 02114A9
Hospital Charge Code	176
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

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All Charges