Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UJ48G

Facility

$11,208.00

Service Code	ICD 02UJ48G
Hospital Charge Code	1449
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

02UJ48Z

Facility

$11,208.00

Service Code	ICD 02UJ48Z
Hospital Charge Code	3475
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

02UJ48Z

Facility

$11,208.00

Service Code	ICD 02UJ48Z
Hospital Charge Code	11348
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

02UJ4JG

Facility

$11,208.00

Service Code	ICD 02UJ4JG
Hospital Charge Code	1450
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

02UJ4JZ

Facility

$11,208.00

Service Code	ICD 02UJ4JZ
Hospital Charge Code	11349
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

02UJ4JZ

Facility

$11,208.00

Service Code	ICD 02UJ4JZ
Hospital Charge Code	3476
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

02UJ4KG

Facility

$11,208.00

Service Code	ICD 02UJ4KG
Hospital Charge Code	1451
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

02UJ4KZ

Facility

$11,208.00

Service Code	ICD 02UJ4KZ
Hospital Charge Code	11350
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

02UJ4KZ

Facility

$11,208.00

Service Code	ICD 02UJ4KZ
Hospital Charge Code	3477
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

02UK07Z

Facility

$11,208.00

Service Code	ICD 02UK07Z
Hospital Charge Code	11351
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

02UK07Z

Facility

$11,208.00

Service Code	ICD 02UK07Z
Hospital Charge Code	3478
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

02UK08Z

Facility

$11,208.00

Service Code	ICD 02UK08Z
Hospital Charge Code	3479
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

02UK08Z

Facility

$11,208.00

Service Code	ICD 02UK08Z
Hospital Charge Code	11352
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

02UK0JZ

Facility

$11,208.00

Service Code	ICD 02UK0JZ
Hospital Charge Code	11353
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

02UK0JZ

Facility

$11,208.00

Service Code	ICD 02UK0JZ
Hospital Charge Code	1452
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

02UK0KZ

Facility

$11,208.00

Service Code	ICD 02UK0KZ
Hospital Charge Code	1453
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

02UK0KZ

Facility

$11,208.00

Service Code	ICD 02UK0KZ
Hospital Charge Code	11354
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

02UK37Z

Facility

$11,208.00

Service Code	ICD 02UK37Z
Hospital Charge Code	11355
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

02UK37Z

Facility

$11,208.00

Service Code	ICD 02UK37Z
Hospital Charge Code	3480
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

02UK38Z

Facility

$11,208.00

Service Code	ICD 02UK38Z
Hospital Charge Code	3481
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

02UK38Z

Facility

$11,208.00

Service Code	ICD 02UK38Z
Hospital Charge Code	11356
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

02UK3JZ

Facility

$11,208.00

Service Code	ICD 02UK3JZ
Hospital Charge Code	11357
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

02UK3JZ

Facility

$11,208.00

Service Code	ICD 02UK3JZ
Hospital Charge Code	3482
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

02UK3KZ

Facility

$11,208.00

Service Code	ICD 02UK3KZ
Hospital Charge Code	1454
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

02UK3KZ

Facility

$11,208.00

Service Code	ICD 02UK3KZ
Hospital Charge Code	11358
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