Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02134KF

Facility

$10,777.00

Service Code	ICD 02134KF
Hospital Charge Code	2896
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

02134KW

Facility

$10,777.00

Service Code	ICD 02134KW
Hospital Charge Code	2897
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

02134Z3

Facility

$10,777.00

Service Code	ICD 02134Z3
Hospital Charge Code	307
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

02134Z8

Facility

$10,777.00

Service Code	ICD 02134Z8
Hospital Charge Code	308
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

02134Z9

Facility

$10,777.00

Service Code	ICD 02134Z9
Hospital Charge Code	2898
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

02134ZC

Facility

$10,777.00

Service Code	ICD 02134ZC
Hospital Charge Code	2899
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

02134ZF

Facility

$10,777.00

Service Code	ICD 02134ZF
Hospital Charge Code	2900
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

021608P

Facility

$10,777.00

Service Code	ICD 021608P
Hospital Charge Code	309
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

021608Q

Facility

$10,777.00

Service Code	ICD 021608Q
Hospital Charge Code	310
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

021608R

Facility

$10,777.00

Service Code	ICD 021608R
Hospital Charge Code	311
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

021609P

Facility

$10,777.00

Service Code	ICD 021609P
Hospital Charge Code	312
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

021609Q

Facility

$10,777.00

Service Code	ICD 021609Q
Hospital Charge Code	313
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

021609R

Facility

$10,777.00

Service Code	ICD 021609R
Hospital Charge Code	314
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

02160AP

Facility

$10,777.00

Service Code	ICD 02160AP
Hospital Charge Code	315
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

02160AQ

Facility

$10,777.00

Service Code	ICD 02160AQ
Hospital Charge Code	316
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

02160AR

Facility

$10,777.00

Service Code	ICD 02160AR
Hospital Charge Code	317
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

02160JP

Facility

$10,777.00

Service Code	ICD 02160JP
Hospital Charge Code	318
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

02160JQ

Facility

$10,777.00

Service Code	ICD 02160JQ
Hospital Charge Code	319
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

02160JR

Facility

$10,777.00

Service Code	ICD 02160JR
Hospital Charge Code	320
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

02160KP

Facility

$10,777.00

Service Code	ICD 02160KP
Hospital Charge Code	321
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

02160KQ

Facility

$10,777.00

Service Code	ICD 02160KQ
Hospital Charge Code	322
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

02160KR

Facility

$10,777.00

Service Code	ICD 02160KR
Hospital Charge Code	323
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

02160Z7

Facility

$10,777.00

Service Code	ICD 02160Z7
Hospital Charge Code	324
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

02160ZP

Facility

$10,777.00

Service Code	ICD 02160ZP
Hospital Charge Code	325
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

02160ZQ

Facility

$10,777.00

Service Code	ICD 02160ZQ
Hospital Charge Code	326
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