Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02VG4ZZ

Facility

$11,208.00

Service Code	ICD 02VG4ZZ
Hospital Charge Code	1474
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

02VR0ZT

Facility

$11,208.00

Service Code	ICD 02VR0ZT
Hospital Charge Code	1475
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

02VW0DZ

Facility

$11,208.00

Service Code	ICD 02VW0DZ
Hospital Charge Code	1476
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

02VW0DZ

Facility

$11,208.00

Service Code	ICD 02VW0DZ
Hospital Charge Code	11470
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

02VW0EZ

Facility

$11,208.00

Service Code	ICD 02VW0EZ
Hospital Charge Code	1477
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

02VW0FZ

Facility

$11,208.00

Service Code	ICD 02VW0FZ
Hospital Charge Code	1478
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

02VW3DZ

Facility

$11,208.00

Service Code	ICD 02VW3DZ
Hospital Charge Code	1479
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

02VW3DZ

Facility

$11,208.00

Service Code	ICD 02VW3DZ
Hospital Charge Code	11471
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

02VW3EZ

Facility

$11,208.00

Service Code	ICD 02VW3EZ
Hospital Charge Code	1480
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

02VW3FZ

Facility

$11,208.00

Service Code	ICD 02VW3FZ
Hospital Charge Code	1481
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

02VW4DZ

Facility

$11,208.00

Service Code	ICD 02VW4DZ
Hospital Charge Code	1482
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

02VW4DZ

Facility

$11,208.00

Service Code	ICD 02VW4DZ
Hospital Charge Code	11472
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

02VW4EZ

Facility

$11,208.00

Service Code	ICD 02VW4EZ
Hospital Charge Code	1483
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

02VW4FZ

Facility

$11,208.00

Service Code	ICD 02VW4FZ
Hospital Charge Code	1484
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

02VX0DZ

Facility

$11,208.00

Service Code	ICD 02VX0DZ
Hospital Charge Code	1485
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

02VX0EZ

Facility

$11,208.00

Service Code	ICD 02VX0EZ
Hospital Charge Code	1486
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

02VX0FZ

Facility

$11,208.00

Service Code	ICD 02VX0FZ
Hospital Charge Code	1487
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

02VX3DZ

Facility

$11,208.00

Service Code	ICD 02VX3DZ
Hospital Charge Code	1488
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

02VX3EZ

Facility

$11,208.00

Service Code	ICD 02VX3EZ
Hospital Charge Code	1489
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

02VX3FZ

Facility

$11,208.00

Service Code	ICD 02VX3FZ
Hospital Charge Code	1490
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

02VX4DZ

Facility

$11,208.00

Service Code	ICD 02VX4DZ
Hospital Charge Code	1491
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

02VX4EZ

Facility

$11,208.00

Service Code	ICD 02VX4EZ
Hospital Charge Code	1492
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

02VX4FZ

Facility

$11,208.00

Service Code	ICD 02VX4FZ
Hospital Charge Code	1493
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

02W50JZ

Facility

$11,208.00

Service Code	ICD 02W50JZ
Hospital Charge Code	11473
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

02W50JZ

Facility

$11,208.00

Service Code	ICD 02W50JZ
Hospital Charge Code	1494
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