Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02WH4JZ

Facility

$11,208.00

Service Code	ICD 02WH4JZ
Hospital Charge Code	3556
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

02WH4JZ

Facility

$11,208.00

Service Code	ICD 02WH4JZ
Hospital Charge Code	11526
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

02WH4KZ

Facility

$11,208.00

Service Code	ICD 02WH4KZ
Hospital Charge Code	3557
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

02WH4KZ

Facility

$11,208.00

Service Code	ICD 02WH4KZ
Hospital Charge Code	11527
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

02WJ07Z

Facility

$11,208.00

Service Code	ICD 02WJ07Z
Hospital Charge Code	11528
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

02WJ07Z

Facility

$11,208.00

Service Code	ICD 02WJ07Z
Hospital Charge Code	3558
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

02WJ08Z

Facility

$11,208.00

Service Code	ICD 02WJ08Z
Hospital Charge Code	11529
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

02WJ08Z

Facility

$11,208.00

Service Code	ICD 02WJ08Z
Hospital Charge Code	3559
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

02WJ0JZ

Facility

$11,208.00

Service Code	ICD 02WJ0JZ
Hospital Charge Code	11530
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

02WJ0JZ

Facility

$11,208.00

Service Code	ICD 02WJ0JZ
Hospital Charge Code	3560
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

02WJ0KZ

Facility

$11,208.00

Service Code	ICD 02WJ0KZ
Hospital Charge Code	11531
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

02WJ0KZ

Facility

$11,208.00

Service Code	ICD 02WJ0KZ
Hospital Charge Code	3561
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

02WJ37Z

Facility

$11,208.00

Service Code	ICD 02WJ37Z
Hospital Charge Code	1536
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

02WJ38Z

Facility

$11,208.00

Service Code	ICD 02WJ38Z
Hospital Charge Code	1537
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

02WJ3JZ

Facility

$11,208.00

Service Code	ICD 02WJ3JZ
Hospital Charge Code	1538
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

02WJ3KZ

Facility

$11,208.00

Service Code	ICD 02WJ3KZ
Hospital Charge Code	1539
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

02WJ47Z

Facility

$11,208.00

Service Code	ICD 02WJ47Z
Hospital Charge Code	11532
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

02WJ47Z

Facility

$11,208.00

Service Code	ICD 02WJ47Z
Hospital Charge Code	3562
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

02WJ48Z

Facility

$11,208.00

Service Code	ICD 02WJ48Z
Hospital Charge Code	3563
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

02WJ48Z

Facility

$11,208.00

Service Code	ICD 02WJ48Z
Hospital Charge Code	11533
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

02WJ4JZ

Facility

$11,208.00

Service Code	ICD 02WJ4JZ
Hospital Charge Code	3564
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

02WJ4JZ

Facility

$11,208.00

Service Code	ICD 02WJ4JZ
Hospital Charge Code	11534
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

02WJ4KZ

Facility

$11,208.00

Service Code	ICD 02WJ4KZ
Hospital Charge Code	11535
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

02WJ4KZ

Facility

$11,208.00

Service Code	ICD 02WJ4KZ
Hospital Charge Code	3565
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

02WM0JZ

Facility

$11,208.00

Service Code	ICD 02WM0JZ
Hospital Charge Code	11536
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