Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02TD4ZZ

Facility

$11,208.00

Service Code	ICD 02TD4ZZ
Hospital Charge Code	11227
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

02TH0ZZ

Facility

$11,208.00

Service Code	ICD 02TH0ZZ
Hospital Charge Code	1344
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

02TH3ZZ

Facility

$11,208.00

Service Code	ICD 02TH3ZZ
Hospital Charge Code	3374
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

02TH4ZZ

Facility

$11,208.00

Service Code	ICD 02TH4ZZ
Hospital Charge Code	3375
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

02TM0ZZ

Facility

$11,208.00

Service Code	ICD 02TM0ZZ
Hospital Charge Code	3376
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

02TM3ZZ

Facility

$11,208.00

Service Code	ICD 02TM3ZZ
Hospital Charge Code	3377
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

02TM4ZZ

Facility

$11,208.00

Service Code	ICD 02TM4ZZ
Hospital Charge Code	3378
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

02TN0ZZ

Facility

$11,208.00

Service Code	ICD 02TN0ZZ
Hospital Charge Code	1345
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

02TN0ZZ

Facility

$11,208.00

Service Code	ICD 02TN0ZZ
Hospital Charge Code	11228
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

02TN3ZZ

Facility

$11,208.00

Service Code	ICD 02TN3ZZ
Hospital Charge Code	3379
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

02TN3ZZ

Facility

$11,208.00

Service Code	ICD 02TN3ZZ
Hospital Charge Code	11229
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

02TN4ZZ

Facility

$11,208.00

Service Code	ICD 02TN4ZZ
Hospital Charge Code	11230
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

02TN4ZZ

Facility

$11,208.00

Service Code	ICD 02TN4ZZ
Hospital Charge Code	3380
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

02U007Z

Facility

$11,208.00

Service Code	ICD 02U007Z
Hospital Charge Code	1346
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

02U008Z

Facility

$11,208.00

Service Code	ICD 02U008Z
Hospital Charge Code	1347
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

02U00JZ

Facility

$11,208.00

Service Code	ICD 02U00JZ
Hospital Charge Code	1348
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

02U00KZ

Facility

$11,208.00

Service Code	ICD 02U00KZ
Hospital Charge Code	1349
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

02U037Z

Facility

$11,208.00

Service Code	ICD 02U037Z
Hospital Charge Code	1350
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

02U038Z

Facility

$11,208.00

Service Code	ICD 02U038Z
Hospital Charge Code	1351
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

02U03JZ

Facility

$11,208.00

Service Code	ICD 02U03JZ
Hospital Charge Code	1352
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

02U03KZ

Facility

$11,208.00

Service Code	ICD 02U03KZ
Hospital Charge Code	1353
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

02U047Z

Facility

$11,208.00

Service Code	ICD 02U047Z
Hospital Charge Code	1354
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

02U048Z

Facility

$11,208.00

Service Code	ICD 02U048Z
Hospital Charge Code	1355
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

02U04JZ

Facility

$11,208.00

Service Code	ICD 02U04JZ
Hospital Charge Code	1356
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

02U04KZ

Facility

$11,208.00

Service Code	ICD 02U04KZ
Hospital Charge Code	1357
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