Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02U308Z

Facility

$11,208.00

Service Code	ICD 02U308Z
Hospital Charge Code	1383
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

02U30JZ

Facility

$11,208.00

Service Code	ICD 02U30JZ
Hospital Charge Code	1384
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

02U30KZ

Facility

$11,208.00

Service Code	ICD 02U30KZ
Hospital Charge Code	1385
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

02U337Z

Facility

$11,208.00

Service Code	ICD 02U337Z
Hospital Charge Code	1386
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

02U338Z

Facility

$11,208.00

Service Code	ICD 02U338Z
Hospital Charge Code	1387
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

02U33JZ

Facility

$11,208.00

Service Code	ICD 02U33JZ
Hospital Charge Code	1388
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

02U33KZ

Facility

$11,208.00

Service Code	ICD 02U33KZ
Hospital Charge Code	1389
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

02U347Z

Facility

$11,208.00

Service Code	ICD 02U347Z
Hospital Charge Code	1390
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

02U348Z

Facility

$11,208.00

Service Code	ICD 02U348Z
Hospital Charge Code	1391
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

02U34JZ

Facility

$11,208.00

Service Code	ICD 02U34JZ
Hospital Charge Code	1392
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

02U34KZ

Facility

$11,208.00

Service Code	ICD 02U34KZ
Hospital Charge Code	1393
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

02U507Z

Facility

$11,208.00

Service Code	ICD 02U507Z
Hospital Charge Code	3381
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

02U507Z

Facility

$11,208.00

Service Code	ICD 02U507Z
Hospital Charge Code	11231
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

02U508Z

Facility

$11,208.00

Service Code	ICD 02U508Z
Hospital Charge Code	3382
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

02U508Z

Facility

$11,208.00

Service Code	ICD 02U508Z
Hospital Charge Code	11232
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

02U50JZ

Facility

$11,208.00

Service Code	ICD 02U50JZ
Hospital Charge Code	1394
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

02U50JZ

Facility

$11,208.00

Service Code	ICD 02U50JZ
Hospital Charge Code	11233
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

02U50KZ

Facility

$11,208.00

Service Code	ICD 02U50KZ
Hospital Charge Code	1395
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

02U50KZ

Facility

$11,208.00

Service Code	ICD 02U50KZ
Hospital Charge Code	11234
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

02U537Z

Facility

$11,208.00

Service Code	ICD 02U537Z
Hospital Charge Code	3383
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

02U537Z

Facility

$11,208.00

Service Code	ICD 02U537Z
Hospital Charge Code	11235
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

02U538Z

Facility

$11,208.00

Service Code	ICD 02U538Z
Hospital Charge Code	3384
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

02U538Z

Facility

$11,208.00

Service Code	ICD 02U538Z
Hospital Charge Code	11236
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

02U53JZ

Facility

$11,208.00

Service Code	ICD 02U53JZ
Hospital Charge Code	11237
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

02U53JZ

Facility

$11,208.00

Service Code	ICD 02U53JZ
Hospital Charge Code	1396
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