Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02WA43Z

Facility

$11,208.00

Service Code	ICD 02WA43Z
Hospital Charge Code	11495
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

02WA47Z

Facility

$11,208.00

Service Code	ICD 02WA47Z
Hospital Charge Code	11496
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

02WA47Z

Facility

$11,208.00

Service Code	ICD 02WA47Z
Hospital Charge Code	3529
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

02WA48Z

Facility

$11,208.00

Service Code	ICD 02WA48Z
Hospital Charge Code	3530
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

02WA48Z

Facility

$11,208.00

Service Code	ICD 02WA48Z
Hospital Charge Code	11497
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

02WA4CZ

Facility

$11,208.00

Service Code	ICD 02WA4CZ
Hospital Charge Code	3531
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

02WA4CZ

Facility

$11,208.00

Service Code	ICD 02WA4CZ
Hospital Charge Code	11498
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

02WA4DZ

Facility

$11,208.00

Service Code	ICD 02WA4DZ
Hospital Charge Code	11499
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

02WA4DZ

Facility

$11,208.00

Service Code	ICD 02WA4DZ
Hospital Charge Code	3532
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

02WA4JZ

Facility

$11,208.00

Service Code	ICD 02WA4JZ
Hospital Charge Code	11500
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

02WA4JZ

Facility

$11,208.00

Service Code	ICD 02WA4JZ
Hospital Charge Code	3533
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

02WA4KZ

Facility

$11,208.00

Service Code	ICD 02WA4KZ
Hospital Charge Code	11501
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

02WA4KZ

Facility

$11,208.00

Service Code	ICD 02WA4KZ
Hospital Charge Code	3534
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

02WA4QZ

Facility

$11,208.00

Service Code	ICD 02WA4QZ
Hospital Charge Code	1516
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

02WA4QZ

Facility

$11,208.00

Service Code	ICD 02WA4QZ
Hospital Charge Code	1517
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

02WA4QZ

Facility

$11,208.00

Service Code	ICD 02WA4QZ
Hospital Charge Code	11502
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

02WA4RS

Facility

$11,208.00

Service Code	ICD 02WA4RS
Hospital Charge Code	1518
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

02WA4RS

Facility

$11,208.00

Service Code	ICD 02WA4RS
Hospital Charge Code	1519
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

02WA4YZ

Facility

$11,208.00

Service Code	ICD 02WA4YZ
Hospital Charge Code	1521
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

02WF07Z

Facility

$11,208.00

Service Code	ICD 02WF07Z
Hospital Charge Code	11504
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

02WF07Z

Facility

$11,208.00

Service Code	ICD 02WF07Z
Hospital Charge Code	3535
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

02WF08Z

Facility

$11,208.00

Service Code	ICD 02WF08Z
Hospital Charge Code	11505
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

02WF08Z

Facility

$11,208.00

Service Code	ICD 02WF08Z
Hospital Charge Code	3536
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

02WF0JZ

Facility

$11,208.00

Service Code	ICD 02WF0JZ
Hospital Charge Code	1523
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

02WF0JZ

Facility

$11,208.00

Service Code	ICD 02WF0JZ
Hospital Charge Code	11506
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