Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UK47Z

Facility

$11,208.00

Service Code	ICD 02UK47Z
Hospital Charge Code	11359
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

02UK47Z

Facility

$11,208.00

Service Code	ICD 02UK47Z
Hospital Charge Code	3483
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

02UK48Z

Facility

$11,208.00

Service Code	ICD 02UK48Z
Hospital Charge Code	3484
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

02UK48Z

Facility

$11,208.00

Service Code	ICD 02UK48Z
Hospital Charge Code	11360
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

02UK4JZ

Facility

$11,208.00

Service Code	ICD 02UK4JZ
Hospital Charge Code	3485
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

02UK4JZ

Facility

$11,208.00

Service Code	ICD 02UK4JZ
Hospital Charge Code	11361
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

02UK4KZ

Facility

$11,208.00

Service Code	ICD 02UK4KZ
Hospital Charge Code	11362
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

02UK4KZ

Facility

$11,208.00

Service Code	ICD 02UK4KZ
Hospital Charge Code	1455
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

02UL07Z

Facility

$11,208.00

Service Code	ICD 02UL07Z
Hospital Charge Code	3486
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

02UL07Z

Facility

$11,208.00

Service Code	ICD 02UL07Z
Hospital Charge Code	11363
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

02UL08Z

Facility

$11,208.00

Service Code	ICD 02UL08Z
Hospital Charge Code	3487
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

02UL08Z

Facility

$11,208.00

Service Code	ICD 02UL08Z
Hospital Charge Code	11364
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

02UL0JZ

Facility

$11,208.00

Service Code	ICD 02UL0JZ
Hospital Charge Code	3488
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

02UL0JZ

Facility

$11,208.00

Service Code	ICD 02UL0JZ
Hospital Charge Code	11365
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

02UL0KZ

Facility

$11,208.00

Service Code	ICD 02UL0KZ
Hospital Charge Code	11366
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

02UL0KZ

Facility

$11,208.00

Service Code	ICD 02UL0KZ
Hospital Charge Code	1456
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

02UL37Z

Facility

$11,208.00

Service Code	ICD 02UL37Z
Hospital Charge Code	3489
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

02UL37Z

Facility

$11,208.00

Service Code	ICD 02UL37Z
Hospital Charge Code	11367
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

02UL38Z

Facility

$11,208.00

Service Code	ICD 02UL38Z
Hospital Charge Code	3490
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

02UL38Z

Facility

$11,208.00

Service Code	ICD 02UL38Z
Hospital Charge Code	11368
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

02UL3JZ

Facility

$11,208.00

Service Code	ICD 02UL3JZ
Hospital Charge Code	11369
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

02UL3JZ

Facility

$11,208.00

Service Code	ICD 02UL3JZ
Hospital Charge Code	3491
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

02UL3KZ

Facility

$11,208.00

Service Code	ICD 02UL3KZ
Hospital Charge Code	1457
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

02UL3KZ

Facility

$11,208.00

Service Code	ICD 02UL3KZ
Hospital Charge Code	11370
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

02UL47Z

Facility

$11,208.00

Service Code	ICD 02UL47Z
Hospital Charge Code	11371
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