Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0JH70MZ

Facility

$30,778.00

Service Code	ICD 0JH70MZ
Hospital Charge Code	2565
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

0JH73BZ

Facility

$30,778.00

Service Code	ICD 0JH73BZ
Hospital Charge Code	2566
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

0JH73CZ

Facility

$30,778.00

Service Code	ICD 0JH73CZ
Hospital Charge Code	2567
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

0JH73DZ

Facility

$30,778.00

Service Code	ICD 0JH73DZ
Hospital Charge Code	2568
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

0JH73EZ

Facility

$30,778.00

Service Code	ICD 0JH73EZ
Hospital Charge Code	2569
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

0JH73FZ

Facility

$30,778.00

Service Code	ICD 0JH73FZ
Hospital Charge Code	2570
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

0JH73GZ

Facility

$30,778.00

Service Code	ICD 0JH73GZ
Hospital Charge Code	2571
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

0JH73HZ

Facility

$30,778.00

Service Code	ICD 0JH73HZ
Hospital Charge Code	2572
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

0JH73IZ

Facility

$30,778.00

Service Code	ICD 0JH73IZ
Hospital Charge Code	2573
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

0JH73JZ

Facility

$30,778.00

Service Code	ICD 0JH73JZ
Hospital Charge Code	2574
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

0JH73KZ

Facility

$30,778.00

Service Code	ICD 0JH73KZ
Hospital Charge Code	2575
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

0JH73LZ

Facility

$30,778.00

Service Code	ICD 0JH73LZ
Hospital Charge Code	2576
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

0JH73MZ

Facility

$30,778.00

Service Code	ICD 0JH73MZ
Hospital Charge Code	2577
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

0JH808Z

Facility

$11,208.00

Service Code	ICD 0JH808Z
Hospital Charge Code	13937
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

0JH808Z

Facility

$11,208.00

Service Code	ICD 0JH808Z
Hospital Charge Code	2583
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

0JH808Z

Facility

$11,208.00

Service Code	ICD 0JH808Z
Hospital Charge Code	2582
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

0JH809Z

Facility

$11,208.00

Service Code	ICD 0JH809Z
Hospital Charge Code	2584
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

0JH809Z

Facility

$11,208.00

Service Code	ICD 0JH809Z
Hospital Charge Code	13938
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

0JH809Z

Facility

$11,208.00

Service Code	ICD 0JH809Z
Hospital Charge Code	2585
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

0JH80AZ

Facility

$11,208.00

Service Code	ICD 0JH80AZ
Hospital Charge Code	2586
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

0JH80BZ

Facility

$30,778.00

Service Code	ICD 0JH80BZ
Hospital Charge Code	2587
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

0JH80CZ

Facility

$30,778.00

Service Code	ICD 0JH80CZ
Hospital Charge Code	5008
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

0JH80DZ

Facility

$30,778.00

Service Code	ICD 0JH80DZ
Hospital Charge Code	5009
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

0JH80EZ

Facility

$30,778.00

Service Code	ICD 0JH80EZ
Hospital Charge Code	2588
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

0JH80MZ

Facility

$30,778.00

Service Code	ICD 0JH80MZ
Hospital Charge Code	2589
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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