Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02U748Z

Facility

$11,208.00

Service Code	ICD 02U748Z
Hospital Charge Code	3401
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

02U748Z

Facility

$11,208.00

Service Code	ICD 02U748Z
Hospital Charge Code	11264
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

02U74KZ

Facility

$11,208.00

Service Code	ICD 02U74KZ
Hospital Charge Code	11266
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

02U74KZ

Facility

$11,208.00

Service Code	ICD 02U74KZ
Hospital Charge Code	1406
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

02U907Z

Facility

$11,208.00

Service Code	ICD 02U907Z
Hospital Charge Code	3402
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

02U907Z

Facility

$11,208.00

Service Code	ICD 02U907Z
Hospital Charge Code	11267
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

02U908Z

Facility

$11,208.00

Service Code	ICD 02U908Z
Hospital Charge Code	11268
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

02U908Z

Facility

$11,208.00

Service Code	ICD 02U908Z
Hospital Charge Code	3403
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

02U90JZ

Facility

$11,208.00

Service Code	ICD 02U90JZ
Hospital Charge Code	1407
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

02U90JZ

Facility

$11,208.00

Service Code	ICD 02U90JZ
Hospital Charge Code	11269
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

02U90KZ

Facility

$11,208.00

Service Code	ICD 02U90KZ
Hospital Charge Code	11270
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

02U90KZ

Facility

$11,208.00

Service Code	ICD 02U90KZ
Hospital Charge Code	3404
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

02U937Z

Facility

$11,208.00

Service Code	ICD 02U937Z
Hospital Charge Code	11271
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

02U937Z

Facility

$11,208.00

Service Code	ICD 02U937Z
Hospital Charge Code	3405
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

02U938Z

Facility

$11,208.00

Service Code	ICD 02U938Z
Hospital Charge Code	11272
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

02U938Z

Facility

$11,208.00

Service Code	ICD 02U938Z
Hospital Charge Code	3406
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

02U93JZ

Facility

$11,208.00

Service Code	ICD 02U93JZ
Hospital Charge Code	11273
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

02U93JZ

Facility

$11,208.00

Service Code	ICD 02U93JZ
Hospital Charge Code	3407
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

02U93KZ

Facility

$11,208.00

Service Code	ICD 02U93KZ
Hospital Charge Code	3408
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

02U93KZ

Facility

$11,208.00

Service Code	ICD 02U93KZ
Hospital Charge Code	11274
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

02U947Z

Facility

$11,208.00

Service Code	ICD 02U947Z
Hospital Charge Code	11275
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

02U947Z

Facility

$11,208.00

Service Code	ICD 02U947Z
Hospital Charge Code	3409
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

02U948Z

Facility

$11,208.00

Service Code	ICD 02U948Z
Hospital Charge Code	3410
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

02U948Z

Facility

$11,208.00

Service Code	ICD 02U948Z
Hospital Charge Code	11276
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

02U94JZ

Facility

$11,208.00

Service Code	ICD 02U94JZ
Hospital Charge Code	11277
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