Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

03CJ3ZZ

Facility

$10,777.00

Service Code	ICD 03CJ3ZZ
Hospital Charge Code	1923
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

03CK3Z7

Facility

$10,777.00

Service Code	ICD 03CK3Z7
Hospital Charge Code	1924
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

03CK3ZZ

Facility

$10,777.00

Service Code	ICD 03CK3ZZ
Hospital Charge Code	1925
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

03CL3Z7

Facility

$10,777.00

Service Code	ICD 03CL3Z7
Hospital Charge Code	1926
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

03CL3ZZ

Facility

$10,777.00

Service Code	ICD 03CL3ZZ
Hospital Charge Code	1927
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

03CM3Z7

Facility

$10,777.00

Service Code	ICD 03CM3Z7
Hospital Charge Code	1928
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

03CM3ZZ

Facility

$10,777.00

Service Code	ICD 03CM3ZZ
Hospital Charge Code	1929
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

03CN3Z7

Facility

$10,777.00

Service Code	ICD 03CN3Z7
Hospital Charge Code	1930
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

03CN3ZZ

Facility

$10,777.00

Service Code	ICD 03CN3ZZ
Hospital Charge Code	1931
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

03CP3Z7

Facility

$10,777.00

Service Code	ICD 03CP3Z7
Hospital Charge Code	1932
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

03CP3ZZ

Facility

$10,777.00

Service Code	ICD 03CP3ZZ
Hospital Charge Code	1933
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

03CQ3Z7

Facility

$10,777.00

Service Code	ICD 03CQ3Z7
Hospital Charge Code	1934
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

03CQ3ZZ

Facility

$10,777.00

Service Code	ICD 03CQ3ZZ
Hospital Charge Code	1935
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

03CR3ZZ

Facility

$10,777.00

Service Code	ICD 03CR3ZZ
Hospital Charge Code	1936
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

03CS3ZZ

Facility

$10,777.00

Service Code	ICD 03CS3ZZ
Hospital Charge Code	1937
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

03CT3ZZ

Facility

$10,777.00

Service Code	ICD 03CT3ZZ
Hospital Charge Code	1938
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

03CU3ZZ

Facility

$10,777.00

Service Code	ICD 03CU3ZZ
Hospital Charge Code	1939
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

03CV3ZZ

Facility

$10,777.00

Service Code	ICD 03CV3ZZ
Hospital Charge Code	1940
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

03CY3ZZ

Facility

$10,777.00

Service Code	ICD 03CY3ZZ
Hospital Charge Code	1941
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

0470041

Facility

$8,623.00

Service Code	ICD 0470041
Hospital Charge Code	1942
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047004Z

Facility

$8,623.00

Service Code	ICD 047004Z
Hospital Charge Code	1943
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047005Z

Facility

$8,623.00

Service Code	ICD 047005Z
Hospital Charge Code	1944
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047006Z

Facility

$8,623.00

Service Code	ICD 047006Z
Hospital Charge Code	1945
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047007Z

Facility

$8,623.00

Service Code	ICD 047007Z
Hospital Charge Code	1946
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

04700D1

Facility

$3,913.00

Service Code	ICD 04700D1
Hospital Charge Code	4067
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

Know your out-of-pocket cost for care.

All Charges