Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UJ07Z

Facility

$11,208.00

Service Code	ICD 02UJ07Z
Hospital Charge Code	11339
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

02UJ08G

Facility

$11,208.00

Service Code	ICD 02UJ08G
Hospital Charge Code	1441
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

02UJ08Z

Facility

$11,208.00

Service Code	ICD 02UJ08Z
Hospital Charge Code	3467
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

02UJ08Z

Facility

$11,208.00

Service Code	ICD 02UJ08Z
Hospital Charge Code	11340
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

02UJ0JG

Facility

$11,208.00

Service Code	ICD 02UJ0JG
Hospital Charge Code	1442
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

02UJ0JZ

Facility

$11,208.00

Service Code	ICD 02UJ0JZ
Hospital Charge Code	11341
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

02UJ0JZ

Facility

$11,208.00

Service Code	ICD 02UJ0JZ
Hospital Charge Code	3468
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

02UJ0KG

Facility

$11,208.00

Service Code	ICD 02UJ0KG
Hospital Charge Code	1443
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

02UJ0KZ

Facility

$11,208.00

Service Code	ICD 02UJ0KZ
Hospital Charge Code	11342
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

02UJ0KZ

Facility

$11,208.00

Service Code	ICD 02UJ0KZ
Hospital Charge Code	3469
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

02UJ37G

Facility

$11,208.00

Service Code	ICD 02UJ37G
Hospital Charge Code	1444
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

02UJ37Z

Facility

$11,208.00

Service Code	ICD 02UJ37Z
Hospital Charge Code	11343
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

02UJ37Z

Facility

$11,208.00

Service Code	ICD 02UJ37Z
Hospital Charge Code	3470
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

02UJ38G

Facility

$11,208.00

Service Code	ICD 02UJ38G
Hospital Charge Code	1445
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

02UJ38Z

Facility

$11,208.00

Service Code	ICD 02UJ38Z
Hospital Charge Code	3471
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

02UJ38Z

Facility

$11,208.00

Service Code	ICD 02UJ38Z
Hospital Charge Code	11344
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

02UJ3JG

Facility

$11,208.00

Service Code	ICD 02UJ3JG
Hospital Charge Code	1446
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

02UJ3JZ

Facility

$11,208.00

Service Code	ICD 02UJ3JZ
Hospital Charge Code	11345
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

02UJ3JZ

Facility

$11,208.00

Service Code	ICD 02UJ3JZ
Hospital Charge Code	3472
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

02UJ3KG

Facility

$11,208.00

Service Code	ICD 02UJ3KG
Hospital Charge Code	1447
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

02UJ3KZ

Facility

$11,208.00

Service Code	ICD 02UJ3KZ
Hospital Charge Code	11346
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

02UJ3KZ

Facility

$11,208.00

Service Code	ICD 02UJ3KZ
Hospital Charge Code	3473
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

02UJ47G

Facility

$11,208.00

Service Code	ICD 02UJ47G
Hospital Charge Code	1448
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

02UJ47Z

Facility

$11,208.00

Service Code	ICD 02UJ47Z
Hospital Charge Code	3474
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

02UJ47Z

Facility

$11,208.00

Service Code	ICD 02UJ47Z
Hospital Charge Code	11347
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