Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

047J3FZ

Facility

$3,913.00

Service Code	ICD 047J3FZ
Hospital Charge Code	4384
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J3GZ

Facility

$3,913.00

Service Code	ICD 047J3GZ
Hospital Charge Code	4385
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J441

Facility

$8,623.00

Service Code	ICD 047J441
Hospital Charge Code	2206
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047J44Z

Facility

$8,623.00

Service Code	ICD 047J44Z
Hospital Charge Code	2207
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047J45Z

Facility

$8,623.00

Service Code	ICD 047J45Z
Hospital Charge Code	2208
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047J46Z

Facility

$8,623.00

Service Code	ICD 047J46Z
Hospital Charge Code	2209
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047J47Z

Facility

$8,623.00

Service Code	ICD 047J47Z
Hospital Charge Code	2210
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047J4D1

Facility

$3,913.00

Service Code	ICD 047J4D1
Hospital Charge Code	4386
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J4D6

Facility

$3,913.00

Service Code	ICD 047J4D6
Hospital Charge Code	4387
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J4DZ

Facility

$3,913.00

Service Code	ICD 047J4DZ
Hospital Charge Code	4388
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J4EZ

Facility

$3,913.00

Service Code	ICD 047J4EZ
Hospital Charge Code	4389
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J4FZ

Facility

$3,913.00

Service Code	ICD 047J4FZ
Hospital Charge Code	4390
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047J4GZ

Facility

$3,913.00

Service Code	ICD 047J4GZ
Hospital Charge Code	4391
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K041

Facility

$8,623.00

Service Code	ICD 047K041
Hospital Charge Code	2211
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047K04Z

Facility

$8,623.00

Service Code	ICD 047K04Z
Hospital Charge Code	2212
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047K05Z

Facility

$8,623.00

Service Code	ICD 047K05Z
Hospital Charge Code	2213
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047K06Z

Facility

$8,623.00

Service Code	ICD 047K06Z
Hospital Charge Code	2214
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047K07Z

Facility

$8,623.00

Service Code	ICD 047K07Z
Hospital Charge Code	2215
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

047K0D1

Facility

$3,913.00

Service Code	ICD 047K0D1
Hospital Charge Code	4392
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K0D6

Facility

$3,913.00

Service Code	ICD 047K0D6
Hospital Charge Code	4393
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K0DZ

Facility

$3,913.00

Service Code	ICD 047K0DZ
Hospital Charge Code	4394
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K0EZ

Facility

$3,913.00

Service Code	ICD 047K0EZ
Hospital Charge Code	4395
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K0FZ

Facility

$3,913.00

Service Code	ICD 047K0FZ
Hospital Charge Code	4396
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K0GZ

Facility

$3,913.00

Service Code	ICD 047K0GZ
Hospital Charge Code	4397
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

047K341

Facility

$8,623.00

Service Code	ICD 047K341
Hospital Charge Code	2216
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

Know your out-of-pocket cost for care.

All Charges