Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UF47J

Facility

$11,208.00

Service Code	ICD 02UF47J
Hospital Charge Code	1423
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

02UF47Z

Facility

$11,208.00

Service Code	ICD 02UF47Z
Hospital Charge Code	11311
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

02UF47Z

Facility

$11,208.00

Service Code	ICD 02UF47Z
Hospital Charge Code	3438
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

02UF48J

Facility

$11,208.00

Service Code	ICD 02UF48J
Hospital Charge Code	1424
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

02UF48Z

Facility

$11,208.00

Service Code	ICD 02UF48Z
Hospital Charge Code	3439
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

02UF48Z

Facility

$11,208.00

Service Code	ICD 02UF48Z
Hospital Charge Code	11312
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

02UF4JJ

Facility

$11,208.00

Service Code	ICD 02UF4JJ
Hospital Charge Code	1425
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

02UF4JZ

Facility

$11,208.00

Service Code	ICD 02UF4JZ
Hospital Charge Code	11313
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

02UF4JZ

Facility

$11,208.00

Service Code	ICD 02UF4JZ
Hospital Charge Code	3440
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

02UF4KJ

Facility

$11,208.00

Service Code	ICD 02UF4KJ
Hospital Charge Code	1426
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

02UF4KZ

Facility

$11,208.00

Service Code	ICD 02UF4KZ
Hospital Charge Code	11314
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

02UF4KZ

Facility

$11,208.00

Service Code	ICD 02UF4KZ
Hospital Charge Code	3441
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

02UG07E

Facility

$11,208.00

Service Code	ICD 02UG07E
Hospital Charge Code	1427
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

02UG07Z

Facility

$11,208.00

Service Code	ICD 02UG07Z
Hospital Charge Code	3442
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

02UG07Z

Facility

$11,208.00

Service Code	ICD 02UG07Z
Hospital Charge Code	11315
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

02UG08E

Facility

$11,208.00

Service Code	ICD 02UG08E
Hospital Charge Code	1428
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

02UG08Z

Facility

$11,208.00

Service Code	ICD 02UG08Z
Hospital Charge Code	3443
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

02UG08Z

Facility

$11,208.00

Service Code	ICD 02UG08Z
Hospital Charge Code	11316
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

02UG0JE

Facility

$11,208.00

Service Code	ICD 02UG0JE
Hospital Charge Code	1429
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

02UG0JZ

Facility

$11,208.00

Service Code	ICD 02UG0JZ
Hospital Charge Code	3444
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

02UG0JZ

Facility

$11,208.00

Service Code	ICD 02UG0JZ
Hospital Charge Code	11317
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

02UG0KE

Facility

$11,208.00

Service Code	ICD 02UG0KE
Hospital Charge Code	1430
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

02UG0KZ

Facility

$11,208.00

Service Code	ICD 02UG0KZ
Hospital Charge Code	3445
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

02UG0KZ

Facility

$11,208.00

Service Code	ICD 02UG0KZ
Hospital Charge Code	11318
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

02UG37E

Facility

$11,208.00

Service Code	ICD 02UG37E
Hospital Charge Code	1431
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