Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UG37Z

Facility

$11,208.00

Service Code	ICD 02UG37Z
Hospital Charge Code	11319
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

02UG37Z

Facility

$11,208.00

Service Code	ICD 02UG37Z
Hospital Charge Code	3446
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

02UG38E

Facility

$11,208.00

Service Code	ICD 02UG38E
Hospital Charge Code	1432
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

02UG38Z

Facility

$11,208.00

Service Code	ICD 02UG38Z
Hospital Charge Code	3447
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

02UG38Z

Facility

$11,208.00

Service Code	ICD 02UG38Z
Hospital Charge Code	11320
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

02UG3JE

Facility

$11,208.00

Service Code	ICD 02UG3JE
Hospital Charge Code	1433
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

02UG3JH

Facility

$11,208.00

Service Code	ICD 02UG3JH
Hospital Charge Code	1434
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

02UG3JZ

Facility

$11,208.00

Service Code	ICD 02UG3JZ
Hospital Charge Code	3448
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

02UG3JZ

Facility

$11,208.00

Service Code	ICD 02UG3JZ
Hospital Charge Code	11321
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

02UG3KE

Facility

$11,208.00

Service Code	ICD 02UG3KE
Hospital Charge Code	1435
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

02UG3KZ

Facility

$11,208.00

Service Code	ICD 02UG3KZ
Hospital Charge Code	3449
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

02UG3KZ

Facility

$11,208.00

Service Code	ICD 02UG3KZ
Hospital Charge Code	11322
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

02UG47E

Facility

$11,208.00

Service Code	ICD 02UG47E
Hospital Charge Code	1436
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

02UG47Z

Facility

$11,208.00

Service Code	ICD 02UG47Z
Hospital Charge Code	3450
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

02UG47Z

Facility

$11,208.00

Service Code	ICD 02UG47Z
Hospital Charge Code	11323
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

02UG48E

Facility

$11,208.00

Service Code	ICD 02UG48E
Hospital Charge Code	1437
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

02UG48Z

Facility

$11,208.00

Service Code	ICD 02UG48Z
Hospital Charge Code	11324
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

02UG48Z

Facility

$11,208.00

Service Code	ICD 02UG48Z
Hospital Charge Code	3451
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

02UG4JE

Facility

$11,208.00

Service Code	ICD 02UG4JE
Hospital Charge Code	1438
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

02UG4JZ

Facility

$11,208.00

Service Code	ICD 02UG4JZ
Hospital Charge Code	11325
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

02UG4JZ

Facility

$11,208.00

Service Code	ICD 02UG4JZ
Hospital Charge Code	3452
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

02UG4KE

Facility

$11,208.00

Service Code	ICD 02UG4KE
Hospital Charge Code	1439
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

02UG4KZ

Facility

$11,208.00

Service Code	ICD 02UG4KZ
Hospital Charge Code	11326
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

02UG4KZ

Facility

$11,208.00

Service Code	ICD 02UG4KZ
Hospital Charge Code	3453
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

02UH07Z

Facility

$11,208.00

Service Code	ICD 02UH07Z
Hospital Charge Code	3454
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