Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0JH60EZ

Facility

$30,778.00

Service Code	ICD 0JH60EZ
Hospital Charge Code	2544
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH60FZ

Facility

$11,208.00

Service Code	ICD 0JH60FZ
Hospital Charge Code	2545
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

0JH60MZ

Facility

$30,778.00

Service Code	ICD 0JH60MZ
Hospital Charge Code	2546
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH638Z

Facility

$11,208.00

Service Code	ICD 0JH638Z
Hospital Charge Code	2552
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

0JH638Z

Facility

$11,208.00

Service Code	ICD 0JH638Z
Hospital Charge Code	2553
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

0JH638Z

Facility

$11,208.00

Service Code	ICD 0JH638Z
Hospital Charge Code	13935
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

0JH639Z

Facility

$11,208.00

Service Code	ICD 0JH639Z
Hospital Charge Code	13936
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

0JH639Z

Facility

$11,208.00

Service Code	ICD 0JH639Z
Hospital Charge Code	2555
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

0JH639Z

Facility

$11,208.00

Service Code	ICD 0JH639Z
Hospital Charge Code	2554
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

0JH63AZ

Facility

$11,208.00

Service Code	ICD 0JH63AZ
Hospital Charge Code	2556
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

0JH63BZ

Facility

$30,778.00

Service Code	ICD 0JH63BZ
Hospital Charge Code	2557
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH63EZ

Facility

$30,778.00

Service Code	ICD 0JH63EZ
Hospital Charge Code	2560
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH63FZ

Facility

$11,208.00

Service Code	ICD 0JH63FZ
Hospital Charge Code	2561
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

0JH63MZ

Facility

$30,778.00

Service Code	ICD 0JH63MZ
Hospital Charge Code	2562
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70BZ

Facility

$30,778.00

Service Code	ICD 0JH70BZ
Hospital Charge Code	2564
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70CZ

Facility

$30,778.00

Service Code	ICD 0JH70CZ
Hospital Charge Code	4998
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70DZ

Facility

$30,778.00

Service Code	ICD 0JH70DZ
Hospital Charge Code	4999
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70EZ

Facility

$30,778.00

Service Code	ICD 0JH70EZ
Hospital Charge Code	5000
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70FZ

Facility

$30,778.00

Service Code	ICD 0JH70FZ
Hospital Charge Code	5001
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70GZ

Facility

$30,778.00

Service Code	ICD 0JH70GZ
Hospital Charge Code	5002
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70HZ

Facility

$30,778.00

Service Code	ICD 0JH70HZ
Hospital Charge Code	5003
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70IZ

Facility

$30,778.00

Service Code	ICD 0JH70IZ
Hospital Charge Code	5004
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70JZ

Facility

$30,778.00

Service Code	ICD 0JH70JZ
Hospital Charge Code	5005
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70KZ

Facility

$30,778.00

Service Code	ICD 0JH70KZ
Hospital Charge Code	5006
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

0JH70LZ

Facility

$30,778.00

Service Code	ICD 0JH70LZ
Hospital Charge Code	5007
Min. Negotiated Rate	$30,778.00
Max. Negotiated Rate	$30,778.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$30,778.00

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