Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02160ZR

Facility

$10,777.00

Service Code	ICD 02160ZR
Hospital Charge Code	327
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

02163Z7

Facility

$10,777.00

Service Code	ICD 02163Z7
Hospital Charge Code	328
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

021648P

Facility

$10,777.00

Service Code	ICD 021648P
Hospital Charge Code	329
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

021648Q

Facility

$10,777.00

Service Code	ICD 021648Q
Hospital Charge Code	330
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

021648R

Facility

$10,777.00

Service Code	ICD 021648R
Hospital Charge Code	331
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

021649P

Facility

$10,777.00

Service Code	ICD 021649P
Hospital Charge Code	332
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

021649Q

Facility

$10,777.00

Service Code	ICD 021649Q
Hospital Charge Code	333
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

021649R

Facility

$10,777.00

Service Code	ICD 021649R
Hospital Charge Code	334
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

02164AP

Facility

$10,777.00

Service Code	ICD 02164AP
Hospital Charge Code	335
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

02164AQ

Facility

$10,777.00

Service Code	ICD 02164AQ
Hospital Charge Code	336
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

02164AR

Facility

$10,777.00

Service Code	ICD 02164AR
Hospital Charge Code	337
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

02164JP

Facility

$10,777.00

Service Code	ICD 02164JP
Hospital Charge Code	338
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

02164JQ

Facility

$10,777.00

Service Code	ICD 02164JQ
Hospital Charge Code	339
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

02164JR

Facility

$10,777.00

Service Code	ICD 02164JR
Hospital Charge Code	340
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

02164KP

Facility

$10,777.00

Service Code	ICD 02164KP
Hospital Charge Code	341
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

02164KQ

Facility

$10,777.00

Service Code	ICD 02164KQ
Hospital Charge Code	342
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

02164KR

Facility

$10,777.00

Service Code	ICD 02164KR
Hospital Charge Code	343
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

02164Z7

Facility

$10,777.00

Service Code	ICD 02164Z7
Hospital Charge Code	344
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

02164ZP

Facility

$10,777.00

Service Code	ICD 02164ZP
Hospital Charge Code	345
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

02164ZQ

Facility

$10,777.00

Service Code	ICD 02164ZQ
Hospital Charge Code	346
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

02164ZR

Facility

$10,777.00

Service Code	ICD 02164ZR
Hospital Charge Code	347
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

021708P

Facility

$10,777.00

Service Code	ICD 021708P
Hospital Charge Code	348
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

021708Q

Facility

$10,777.00

Service Code	ICD 021708Q
Hospital Charge Code	349
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

021708R

Facility

$10,777.00

Service Code	ICD 021708R
Hospital Charge Code	350
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

021708S

Facility

$10,777.00

Service Code	ICD 021708S
Hospital Charge Code	351
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