Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UD4KZ

Facility

$11,208.00

Service Code	ICD 02UD4KZ
Hospital Charge Code	3429
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

02UF07J

Facility

$11,208.00

Service Code	ICD 02UF07J
Hospital Charge Code	1415
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

02UF07Z

Facility

$11,208.00

Service Code	ICD 02UF07Z
Hospital Charge Code	11303
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

02UF07Z

Facility

$11,208.00

Service Code	ICD 02UF07Z
Hospital Charge Code	3430
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

02UF08J

Facility

$11,208.00

Service Code	ICD 02UF08J
Hospital Charge Code	1416
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

02UF08Z

Facility

$11,208.00

Service Code	ICD 02UF08Z
Hospital Charge Code	11304
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

02UF08Z

Facility

$11,208.00

Service Code	ICD 02UF08Z
Hospital Charge Code	3431
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

02UF0JJ

Facility

$11,208.00

Service Code	ICD 02UF0JJ
Hospital Charge Code	1417
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

02UF0JZ

Facility

$11,208.00

Service Code	ICD 02UF0JZ
Hospital Charge Code	3432
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

02UF0JZ

Facility

$11,208.00

Service Code	ICD 02UF0JZ
Hospital Charge Code	11305
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

02UF0KJ

Facility

$11,208.00

Service Code	ICD 02UF0KJ
Hospital Charge Code	1418
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

02UF0KZ

Facility

$11,208.00

Service Code	ICD 02UF0KZ
Hospital Charge Code	11306
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

02UF0KZ

Facility

$11,208.00

Service Code	ICD 02UF0KZ
Hospital Charge Code	3433
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

02UF37J

Facility

$11,208.00

Service Code	ICD 02UF37J
Hospital Charge Code	1419
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

02UF37Z

Facility

$11,208.00

Service Code	ICD 02UF37Z
Hospital Charge Code	11307
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

02UF37Z

Facility

$11,208.00

Service Code	ICD 02UF37Z
Hospital Charge Code	3434
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

02UF38J

Facility

$11,208.00

Service Code	ICD 02UF38J
Hospital Charge Code	1420
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

02UF38Z

Facility

$11,208.00

Service Code	ICD 02UF38Z
Hospital Charge Code	3435
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

02UF38Z

Facility

$11,208.00

Service Code	ICD 02UF38Z
Hospital Charge Code	11308
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

02UF3JJ

Facility

$11,208.00

Service Code	ICD 02UF3JJ
Hospital Charge Code	1421
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

02UF3JZ

Facility

$11,208.00

Service Code	ICD 02UF3JZ
Hospital Charge Code	11309
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

02UF3JZ

Facility

$11,208.00

Service Code	ICD 02UF3JZ
Hospital Charge Code	3436
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

02UF3KJ

Facility

$11,208.00

Service Code	ICD 02UF3KJ
Hospital Charge Code	1422
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

02UF3KZ

Facility

$11,208.00

Service Code	ICD 02UF3KZ
Hospital Charge Code	11310
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

02UF3KZ

Facility

$11,208.00

Service Code	ICD 02UF3KZ
Hospital Charge Code	3437
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