Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

057C0DZ

Facility

$3,913.00

Hospital Charge Code	4688
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

057C3D1

Facility

$3,913.00

Hospital Charge Code	4689
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

057C3DZ

Facility

$3,913.00

Hospital Charge Code	4690
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

057C4D1

Facility

$3,913.00

Hospital Charge Code	4691
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

057C4DZ

Facility

$3,913.00

Hospital Charge Code	4692
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

057D0D1

Facility

$3,913.00

Hospital Charge Code	4693
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

057D0DZ

Facility

$3,913.00

Hospital Charge Code	4694
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

057D3D1

Facility

$3,913.00

Hospital Charge Code	4695
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

057D3DZ

Facility

$3,913.00

Hospital Charge Code	4696
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

057D4D1

Facility

$3,913.00

Hospital Charge Code	4697
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

057D4DZ

Facility

$3,913.00

Hospital Charge Code	4698
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

057F0D1

Facility

$3,913.00

Hospital Charge Code	4699
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

057F0DZ

Facility

$3,913.00

Hospital Charge Code	4700
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

057F3D1

Facility

$3,913.00

Hospital Charge Code	4701
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

057F3DZ

Facility

$3,913.00

Hospital Charge Code	4702
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

057F4D1

Facility

$3,913.00

Hospital Charge Code	4703
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

057F4DZ

Facility

$3,913.00

Hospital Charge Code	4704
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

057G0DZ

Facility

$3,913.00

Hospital Charge Code	4705
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

057G3DZ

Facility

$3,913.00

Hospital Charge Code	4706
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

057G4DZ

Facility

$3,913.00

Hospital Charge Code	4707
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

057H0DZ

Facility

$3,913.00

Hospital Charge Code	4708
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

057H3DZ

Facility

$3,913.00

Hospital Charge Code	4709
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

057H4DZ

Facility

$3,913.00

Hospital Charge Code	4710
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

057L0DZ

Facility

$3,913.00

Hospital Charge Code	4711
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

057L3DZ

Facility

$3,913.00

Hospital Charge Code	4712
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

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All Charges