Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

061047P

Facility

$11,208.00

Service Code	ICD 061047P
Hospital Charge Code	2481
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

061047Q

Facility

$11,208.00

Service Code	ICD 061047Q
Hospital Charge Code	2482
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

061047R

Facility

$11,208.00

Service Code	ICD 061047R
Hospital Charge Code	2483
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

061049P

Facility

$11,208.00

Service Code	ICD 061049P
Hospital Charge Code	2484
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

061049Q

Facility

$11,208.00

Service Code	ICD 061049Q
Hospital Charge Code	2485
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

061049R

Facility

$11,208.00

Service Code	ICD 061049R
Hospital Charge Code	2486
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104AP

Facility

$11,208.00

Service Code	ICD 06104AP
Hospital Charge Code	2487
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104AQ

Facility

$11,208.00

Service Code	ICD 06104AQ
Hospital Charge Code	2488
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104AR

Facility

$11,208.00

Service Code	ICD 06104AR
Hospital Charge Code	2489
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104JP

Facility

$11,208.00

Service Code	ICD 06104JP
Hospital Charge Code	2490
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104JQ

Facility

$11,208.00

Service Code	ICD 06104JQ
Hospital Charge Code	2491
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104JR

Facility

$11,208.00

Service Code	ICD 06104JR
Hospital Charge Code	2492
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104KP

Facility

$11,208.00

Service Code	ICD 06104KP
Hospital Charge Code	2493
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104KQ

Facility

$11,208.00

Service Code	ICD 06104KQ
Hospital Charge Code	2494
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104KR

Facility

$11,208.00

Service Code	ICD 06104KR
Hospital Charge Code	2495
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104ZP

Facility

$11,208.00

Service Code	ICD 06104ZP
Hospital Charge Code	2496
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104ZQ

Facility

$11,208.00

Service Code	ICD 06104ZQ
Hospital Charge Code	2497
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06104ZR

Facility

$11,208.00

Service Code	ICD 06104ZR
Hospital Charge Code	2498
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06183J4

Facility

$11,208.00

Service Code	ICD 06183J4
Hospital Charge Code	2499
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06183JY

Facility

$11,208.00

Service Code	ICD 06183JY
Hospital Charge Code	2500
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06184J4

Facility

$11,208.00

Service Code	ICD 06184J4
Hospital Charge Code	2501
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

06700DZ

Facility

$4,070.00

Service Code	ICD 06700DZ
Hospital Charge Code	4741
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

06703DZ

Facility

$4,070.00

Service Code	ICD 06703DZ
Hospital Charge Code	4742
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

06704DZ

Facility

$4,070.00

Service Code	ICD 06704DZ
Hospital Charge Code	4743
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

06710DZ

Facility

$4,070.00

Service Code	ICD 06710DZ
Hospital Charge Code	4744
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

Know your out-of-pocket cost for care.

All Charges