Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

037Y4D6

Facility

$3,913.00

Service Code	ICD 037Y4D6
Hospital Charge Code	4062
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

037Y4DZ

Facility

$3,913.00

Service Code	ICD 037Y4DZ
Hospital Charge Code	4063
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

037Y4EZ

Facility

$3,913.00

Service Code	ICD 037Y4EZ
Hospital Charge Code	4064
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

037Y4FZ

Facility

$3,913.00

Service Code	ICD 037Y4FZ
Hospital Charge Code	4065
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

037Y4GZ

Facility

$3,913.00

Service Code	ICD 037Y4GZ
Hospital Charge Code	4066
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

03C03ZZ

Facility

$10,777.00

Service Code	ICD 03C03ZZ
Hospital Charge Code	1903
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C13ZZ

Facility

$10,777.00

Service Code	ICD 03C13ZZ
Hospital Charge Code	1904
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C23ZZ

Facility

$10,777.00

Service Code	ICD 03C23ZZ
Hospital Charge Code	1905
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C33ZZ

Facility

$10,777.00

Service Code	ICD 03C33ZZ
Hospital Charge Code	1906
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C43ZZ

Facility

$10,777.00

Service Code	ICD 03C43ZZ
Hospital Charge Code	1907
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C53ZZ

Facility

$10,777.00

Service Code	ICD 03C53ZZ
Hospital Charge Code	1908
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C63ZZ

Facility

$10,777.00

Service Code	ICD 03C63ZZ
Hospital Charge Code	1909
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C73ZZ

Facility

$10,777.00

Service Code	ICD 03C73ZZ
Hospital Charge Code	1910
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C83ZZ

Facility

$10,777.00

Service Code	ICD 03C83ZZ
Hospital Charge Code	1911
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03C93ZZ

Facility

$10,777.00

Service Code	ICD 03C93ZZ
Hospital Charge Code	1912
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CA3ZZ

Facility

$10,777.00

Service Code	ICD 03CA3ZZ
Hospital Charge Code	1913
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CB3ZZ

Facility

$10,777.00

Service Code	ICD 03CB3ZZ
Hospital Charge Code	1914
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CC3ZZ

Facility

$10,777.00

Service Code	ICD 03CC3ZZ
Hospital Charge Code	1915
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CD3ZZ

Facility

$10,777.00

Service Code	ICD 03CD3ZZ
Hospital Charge Code	1916
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CF3ZZ

Facility

$10,777.00

Service Code	ICD 03CF3ZZ
Hospital Charge Code	1917
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CG3Z7

Facility

$10,777.00

Service Code	ICD 03CG3Z7
Hospital Charge Code	1918
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CG3ZZ

Facility

$10,777.00

Service Code	ICD 03CG3ZZ
Hospital Charge Code	1919
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CH3Z7

Facility

$10,777.00

Service Code	ICD 03CH3Z7
Hospital Charge Code	1920
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CH3ZZ

Facility

$10,777.00

Service Code	ICD 03CH3ZZ
Hospital Charge Code	1921
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

03CJ3Z7

Facility

$10,777.00

Service Code	ICD 03CJ3Z7
Hospital Charge Code	1922
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

Know your out-of-pocket cost for care.

All Charges