Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02RR0JZ

Facility

$11,208.00

Service Code	ICD 02RR0JZ
Hospital Charge Code	11175
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

02RR0JZ

Facility

$11,208.00

Service Code	ICD 02RR0JZ
Hospital Charge Code	1334
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

02S00ZZ

Facility

$11,208.00

Service Code	ICD 02S00ZZ
Hospital Charge Code	1335
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

02S10ZZ

Facility

$11,208.00

Service Code	ICD 02S10ZZ
Hospital Charge Code	1336
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

02SP0ZZ

Facility

$11,208.00

Service Code	ICD 02SP0ZZ
Hospital Charge Code	1337
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

02SP0ZZ

Facility

$11,208.00

Service Code	ICD 02SP0ZZ
Hospital Charge Code	11213
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

02SW0ZZ

Facility

$11,208.00

Service Code	ICD 02SW0ZZ
Hospital Charge Code	1338
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

02SW0ZZ

Facility

$11,208.00

Service Code	ICD 02SW0ZZ
Hospital Charge Code	11219
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

02SX0ZZ

Facility

$11,208.00

Service Code	ICD 02SX0ZZ
Hospital Charge Code	1339
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

02T50ZZ

Facility

$11,208.00

Service Code	ICD 02T50ZZ
Hospital Charge Code	1340
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

02T53ZZ

Facility

$11,208.00

Service Code	ICD 02T53ZZ
Hospital Charge Code	3368
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

02T54ZZ

Facility

$11,208.00

Service Code	ICD 02T54ZZ
Hospital Charge Code	3369
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

02T80ZZ

Facility

$11,208.00

Service Code	ICD 02T80ZZ
Hospital Charge Code	1341
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

02T80ZZ

Facility

$11,208.00

Service Code	ICD 02T80ZZ
Hospital Charge Code	11220
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

02T90ZZ

Facility

$11,208.00

Service Code	ICD 02T90ZZ
Hospital Charge Code	11222
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

02T90ZZ

Facility

$11,208.00

Service Code	ICD 02T90ZZ
Hospital Charge Code	1342
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

02T93ZZ

Facility

$11,208.00

Service Code	ICD 02T93ZZ
Hospital Charge Code	11223
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

02T93ZZ

Facility

$11,208.00

Service Code	ICD 02T93ZZ
Hospital Charge Code	3370
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

02T94ZZ

Facility

$11,208.00

Service Code	ICD 02T94ZZ
Hospital Charge Code	11224
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

02T94ZZ

Facility

$11,208.00

Service Code	ICD 02T94ZZ
Hospital Charge Code	3371
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

02TD0ZZ

Facility

$11,208.00

Service Code	ICD 02TD0ZZ
Hospital Charge Code	1343
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

02TD0ZZ

Facility

$11,208.00

Service Code	ICD 02TD0ZZ
Hospital Charge Code	11225
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

02TD3ZZ

Facility

$11,208.00

Service Code	ICD 02TD3ZZ
Hospital Charge Code	3372
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

02TD3ZZ

Facility

$11,208.00

Service Code	ICD 02TD3ZZ
Hospital Charge Code	11226
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

02TD4ZZ

Facility

$11,208.00

Service Code	ICD 02TD4ZZ
Hospital Charge Code	3373
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