Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

021708T

Facility

$10,777.00

Service Code	ICD 021708T
Hospital Charge Code	352
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

021708U

Facility

$10,777.00

Service Code	ICD 021708U
Hospital Charge Code	353
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

021709P

Facility

$10,777.00

Service Code	ICD 021709P
Hospital Charge Code	354
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

021709Q

Facility

$10,777.00

Service Code	ICD 021709Q
Hospital Charge Code	355
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

021709R

Facility

$10,777.00

Service Code	ICD 021709R
Hospital Charge Code	356
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

021709S

Facility

$10,777.00

Service Code	ICD 021709S
Hospital Charge Code	357
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

021709T

Facility

$10,777.00

Service Code	ICD 021709T
Hospital Charge Code	358
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

021709U

Facility

$10,777.00

Service Code	ICD 021709U
Hospital Charge Code	359
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

02170AP

Facility

$10,777.00

Service Code	ICD 02170AP
Hospital Charge Code	360
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

02170AQ

Facility

$10,777.00

Service Code	ICD 02170AQ
Hospital Charge Code	361
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

02170AR

Facility

$10,777.00

Service Code	ICD 02170AR
Hospital Charge Code	362
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

02170AS

Facility

$10,777.00

Service Code	ICD 02170AS
Hospital Charge Code	363
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

02170AT

Facility

$10,777.00

Service Code	ICD 02170AT
Hospital Charge Code	364
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

02170AU

Facility

$10,777.00

Service Code	ICD 02170AU
Hospital Charge Code	365
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

02170JP

Facility

$10,777.00

Service Code	ICD 02170JP
Hospital Charge Code	366
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

02170JQ

Facility

$10,777.00

Service Code	ICD 02170JQ
Hospital Charge Code	367
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

02170JR

Facility

$10,777.00

Service Code	ICD 02170JR
Hospital Charge Code	368
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

02170JS

Facility

$10,777.00

Service Code	ICD 02170JS
Hospital Charge Code	369
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

02170JT

Facility

$10,777.00

Service Code	ICD 02170JT
Hospital Charge Code	370
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

02170JU

Facility

$10,777.00

Service Code	ICD 02170JU
Hospital Charge Code	371
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

02170KP

Facility

$10,777.00

Service Code	ICD 02170KP
Hospital Charge Code	372
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

02170KQ

Facility

$10,777.00

Service Code	ICD 02170KQ
Hospital Charge Code	373
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

02170KR

Facility

$10,777.00

Service Code	ICD 02170KR
Hospital Charge Code	374
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

02170KS

Facility

$10,777.00

Service Code	ICD 02170KS
Hospital Charge Code	375
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

02170KT

Facility

$10,777.00

Service Code	ICD 02170KT
Hospital Charge Code	376
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

Know your out-of-pocket cost for care.

All Charges