Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02U107Z

Facility

$11,208.00

Service Code	ICD 02U107Z
Hospital Charge Code	1358
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

02U108Z

Facility

$11,208.00

Service Code	ICD 02U108Z
Hospital Charge Code	1359
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

02U10JZ

Facility

$11,208.00

Service Code	ICD 02U10JZ
Hospital Charge Code	1360
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

02U10KZ

Facility

$11,208.00

Service Code	ICD 02U10KZ
Hospital Charge Code	1361
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

02U137Z

Facility

$11,208.00

Service Code	ICD 02U137Z
Hospital Charge Code	1362
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

02U138Z

Facility

$11,208.00

Service Code	ICD 02U138Z
Hospital Charge Code	1363
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

02U13JZ

Facility

$11,208.00

Service Code	ICD 02U13JZ
Hospital Charge Code	1364
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

02U13KZ

Facility

$11,208.00

Service Code	ICD 02U13KZ
Hospital Charge Code	1365
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

02U147Z

Facility

$11,208.00

Service Code	ICD 02U147Z
Hospital Charge Code	1366
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

02U148Z

Facility

$11,208.00

Service Code	ICD 02U148Z
Hospital Charge Code	1367
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

02U14JZ

Facility

$11,208.00

Service Code	ICD 02U14JZ
Hospital Charge Code	1368
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

02U14KZ

Facility

$11,208.00

Service Code	ICD 02U14KZ
Hospital Charge Code	1369
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

02U207Z

Facility

$11,208.00

Service Code	ICD 02U207Z
Hospital Charge Code	1370
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

02U208Z

Facility

$11,208.00

Service Code	ICD 02U208Z
Hospital Charge Code	1371
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

02U20JZ

Facility

$11,208.00

Service Code	ICD 02U20JZ
Hospital Charge Code	1372
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

02U20KZ

Facility

$11,208.00

Service Code	ICD 02U20KZ
Hospital Charge Code	1373
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

02U237Z

Facility

$11,208.00

Service Code	ICD 02U237Z
Hospital Charge Code	1374
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

02U238Z

Facility

$11,208.00

Service Code	ICD 02U238Z
Hospital Charge Code	1375
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

02U23JZ

Facility

$11,208.00

Service Code	ICD 02U23JZ
Hospital Charge Code	1376
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

02U23KZ

Facility

$11,208.00

Service Code	ICD 02U23KZ
Hospital Charge Code	1377
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

02U247Z

Facility

$11,208.00

Service Code	ICD 02U247Z
Hospital Charge Code	1378
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

02U248Z

Facility

$11,208.00

Service Code	ICD 02U248Z
Hospital Charge Code	1379
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

02U24JZ

Facility

$11,208.00

Service Code	ICD 02U24JZ
Hospital Charge Code	1380
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

02U24KZ

Facility

$11,208.00

Service Code	ICD 02U24KZ
Hospital Charge Code	1381
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

02U307Z

Facility

$11,208.00

Service Code	ICD 02U307Z
Hospital Charge Code	1382
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