Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

021348F

Facility

$10,777.00

Service Code	ICD 021348F
Hospital Charge Code	293
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

021348W

Facility

$10,777.00

Service Code	ICD 021348W
Hospital Charge Code	294
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

0213493

Facility

$10,777.00

Service Code	ICD 0213493
Hospital Charge Code	295
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

0213498

Facility

$10,777.00

Service Code	ICD 0213498
Hospital Charge Code	296
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

0213499

Facility

$10,777.00

Service Code	ICD 0213499
Hospital Charge Code	2885
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

021349C

Facility

$10,777.00

Service Code	ICD 021349C
Hospital Charge Code	297
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

021349F

Facility

$10,777.00

Service Code	ICD 021349F
Hospital Charge Code	2886
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

021349W

Facility

$10,777.00

Service Code	ICD 021349W
Hospital Charge Code	2887
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

02134A3

Facility

$10,777.00

Service Code	ICD 02134A3
Hospital Charge Code	298
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

02134A8

Facility

$10,777.00

Service Code	ICD 02134A8
Hospital Charge Code	299
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

02134A9

Facility

$10,777.00

Service Code	ICD 02134A9
Hospital Charge Code	2888
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

02134AC

Facility

$10,777.00

Service Code	ICD 02134AC
Hospital Charge Code	300
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

02134AF

Facility

$10,777.00

Service Code	ICD 02134AF
Hospital Charge Code	2889
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

02134AW

Facility

$10,777.00

Service Code	ICD 02134AW
Hospital Charge Code	2890
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

02134D4

Facility

$10,777.00

Service Code	ICD 02134D4
Hospital Charge Code	301
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

02134J3

Facility

$10,777.00

Service Code	ICD 02134J3
Hospital Charge Code	302
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

02134J8

Facility

$10,777.00

Service Code	ICD 02134J8
Hospital Charge Code	303
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

02134J9

Facility

$10,777.00

Service Code	ICD 02134J9
Hospital Charge Code	2891
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

02134JC

Facility

$10,777.00

Service Code	ICD 02134JC
Hospital Charge Code	304
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

02134JF

Facility

$10,777.00

Service Code	ICD 02134JF
Hospital Charge Code	2892
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

02134JW

Facility

$10,777.00

Service Code	ICD 02134JW
Hospital Charge Code	2893
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

02134K3

Facility

$10,777.00

Service Code	ICD 02134K3
Hospital Charge Code	305
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

02134K8

Facility

$10,777.00

Service Code	ICD 02134K8
Hospital Charge Code	306
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

02134K9

Facility

$10,777.00

Service Code	ICD 02134K9
Hospital Charge Code	2894
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

02134KC

Facility

$10,777.00

Service Code	ICD 02134KC
Hospital Charge Code	2895
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

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All Charges