Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

10D00Z2

Facility

$5,139.00

Hospital Charge Code	2727
Min. Negotiated Rate	$5,139.00
Max. Negotiated Rate	$5,139.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$5,139.00

10D07Z3

Facility

$4,829.00

Hospital Charge Code	2728
Min. Negotiated Rate	$4,829.00
Max. Negotiated Rate	$4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,829.00

10D07Z8

Facility

$4,829.00

Hospital Charge Code	2729
Min. Negotiated Rate	$4,829.00
Max. Negotiated Rate	$4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,829.00

10E0XZZ

Facility

$4,829.00

Hospital Charge Code	2730
Min. Negotiated Rate	$4,829.00
Max. Negotiated Rate	$4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,829.00

10J07ZZ

Facility

$4,829.00

Hospital Charge Code	2731
Min. Negotiated Rate	$4,829.00
Max. Negotiated Rate	$4,829.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,829.00

3E080GC

Facility

$10,777.00

Hospital Charge Code	2734
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

3E083GC

Facility

$10,777.00

Hospital Charge Code	2735
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

4A020N6

Facility

$8,636.00

Hospital Charge Code	2740
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A020N7

Facility

$8,636.00

Hospital Charge Code	2741
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A020N8

Facility

$8,636.00

Hospital Charge Code	2742
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A023N6

Facility

$8,636.00

Hospital Charge Code	2743
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A023N7

Facility

$8,636.00

Hospital Charge Code	2744
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A023N8

Facility

$8,636.00

Hospital Charge Code	2745
Min. Negotiated Rate	$4,982.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00
Rate for Payer: Heritage Provider Network Senior	$4,982.00

4A027N6

Facility

$8,636.00

Hospital Charge Code	2746
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A027N7

Facility

$8,636.00

Hospital Charge Code	2747
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A027N8

Facility

$8,636.00

Hospital Charge Code	2748
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A028N6

Facility

$8,636.00

Hospital Charge Code	2749
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A028N7

Facility

$8,636.00

Hospital Charge Code	2750
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A028N8

Facility

$8,636.00

Hospital Charge Code	2751
Min. Negotiated Rate	$8,636.00
Max. Negotiated Rate	$8,636.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,636.00

4A02X4Z

Facility

$10,777.00

Hospital Charge Code	2752
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

4A02XFZ

Facility

$10,777.00

Hospital Charge Code	2753
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

4A030B1

Facility

$10,777.00

Hospital Charge Code	5376
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

4A030BC

Facility

$10,777.00

Hospital Charge Code	2754
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

4A030BF

Facility

$10,777.00

Hospital Charge Code	2755
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

4A033B1

Facility

$10,777.00

Hospital Charge Code	5377
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