Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

06794DZ

Facility

$4,070.00

Service Code	ICD 06794DZ
Hospital Charge Code	4770
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

067B0DZ

Facility

$4,070.00

Service Code	ICD 067B0DZ
Hospital Charge Code	4771
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

067B3DZ

Facility

$4,070.00

Service Code	ICD 067B3DZ
Hospital Charge Code	4772
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

067B4DZ

Facility

$4,070.00

Service Code	ICD 067B4DZ
Hospital Charge Code	4773
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

067C0DZ

Facility

$4,070.00

Service Code	ICD 067C0DZ
Hospital Charge Code	4774
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

067C3DZ

Facility

$4,070.00

Service Code	ICD 067C3DZ
Hospital Charge Code	4775
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

067C4DZ

Facility

$4,070.00

Service Code	ICD 067C4DZ
Hospital Charge Code	4776
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

067D0DZ

Facility

$4,070.00

Service Code	ICD 067D0DZ
Hospital Charge Code	4777
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

067D3DZ

Facility

$4,070.00

Service Code	ICD 067D3DZ
Hospital Charge Code	4778
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

067D4DZ

Facility

$4,070.00

Service Code	ICD 067D4DZ
Hospital Charge Code	4779
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

067F0DZ

Facility

$4,070.00

Service Code	ICD 067F0DZ
Hospital Charge Code	4780
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

067F3DZ

Facility

$4,070.00

Service Code	ICD 067F3DZ
Hospital Charge Code	4781
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

067F4DZ

Facility

$4,070.00

Service Code	ICD 067F4DZ
Hospital Charge Code	4782
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

067G0DZ

Facility

$4,070.00

Service Code	ICD 067G0DZ
Hospital Charge Code	4783
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

067G3DZ

Facility

$4,070.00

Service Code	ICD 067G3DZ
Hospital Charge Code	4784
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

067G4DZ

Facility

$4,070.00

Service Code	ICD 067G4DZ
Hospital Charge Code	4785
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

067H0DZ

Facility

$4,070.00

Service Code	ICD 067H0DZ
Hospital Charge Code	4786
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

067H3DZ

Facility

$4,070.00

Service Code	ICD 067H3DZ
Hospital Charge Code	4787
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

067H4DZ

Facility

$4,070.00

Service Code	ICD 067H4DZ
Hospital Charge Code	4788
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

067J0DZ

Facility

$4,070.00

Service Code	ICD 067J0DZ
Hospital Charge Code	4789
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

067J3DZ

Facility

$4,070.00

Service Code	ICD 067J3DZ
Hospital Charge Code	4790
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

067J4DZ

Facility

$4,070.00

Service Code	ICD 067J4DZ
Hospital Charge Code	4791
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

067M0DZ

Facility

$4,070.00

Service Code	ICD 067M0DZ
Hospital Charge Code	4792
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

067M3DZ

Facility

$4,070.00

Service Code	ICD 067M3DZ
Hospital Charge Code	4793
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

067M4DZ

Facility

$4,070.00

Service Code	ICD 067M4DZ
Hospital Charge Code	4794
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