Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

037F4EZ

Facility

$4,070.00

Service Code	ICD 037F4EZ
Hospital Charge Code	3831
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037F4FZ

Facility

$4,070.00

Service Code	ICD 037F4FZ
Hospital Charge Code	3832
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037F4GZ

Facility

$4,070.00

Service Code	ICD 037F4GZ
Hospital Charge Code	3833
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G04Z

Facility

$8,968.00

Service Code	ICD 037G04Z
Hospital Charge Code	1731
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

037G05Z

Facility

$8,968.00

Service Code	ICD 037G05Z
Hospital Charge Code	1732
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

037G06Z

Facility

$8,968.00

Service Code	ICD 037G06Z
Hospital Charge Code	1733
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

037G07Z

Facility

$8,968.00

Service Code	ICD 037G07Z
Hospital Charge Code	1734
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

037G0D6

Facility

$4,070.00

Service Code	ICD 037G0D6
Hospital Charge Code	3834
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G0DZ

Facility

$4,070.00

Service Code	ICD 037G0DZ
Hospital Charge Code	3835
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G0EZ

Facility

$4,070.00

Service Code	ICD 037G0EZ
Hospital Charge Code	3836
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G0FZ

Facility

$4,070.00

Service Code	ICD 037G0FZ
Hospital Charge Code	3837
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G0GZ

Facility

$4,070.00

Service Code	ICD 037G0GZ
Hospital Charge Code	3838
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G34Z

Facility

$4,070.00

Service Code	ICD 037G34Z
Hospital Charge Code	3839
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G35Z

Facility

$4,070.00

Service Code	ICD 037G35Z
Hospital Charge Code	3840
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G36Z

Facility

$4,070.00

Service Code	ICD 037G36Z
Hospital Charge Code	3841
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G37Z

Facility

$4,070.00

Service Code	ICD 037G37Z
Hospital Charge Code	3842
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G3D6

Facility

$4,070.00

Service Code	ICD 037G3D6
Hospital Charge Code	3843
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G3DZ

Facility

$4,070.00

Service Code	ICD 037G3DZ
Hospital Charge Code	3844
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G3EZ

Facility

$4,070.00

Service Code	ICD 037G3EZ
Hospital Charge Code	3845
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G3FZ

Facility

$4,070.00

Service Code	ICD 037G3FZ
Hospital Charge Code	3846
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G3GZ

Facility

$4,070.00

Service Code	ICD 037G3GZ
Hospital Charge Code	3847
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G44Z

Facility

$4,070.00

Service Code	ICD 037G44Z
Hospital Charge Code	3848
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G45Z

Facility

$4,070.00

Service Code	ICD 037G45Z
Hospital Charge Code	3849
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G46Z

Facility

$4,070.00

Service Code	ICD 037G46Z
Hospital Charge Code	3850
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

037G47Z

Facility

$4,070.00

Service Code	ICD 037G47Z
Hospital Charge Code	3851
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

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All Charges