Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0JPT3FZ

Facility

$11,208.00

Service Code	ICD 0JPT3FZ
Hospital Charge Code	2609
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

0JPT3MZ

Facility

$30,778.00

Service Code	ICD 0JPT3MZ
Hospital Charge Code	2610
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

0JPT3PZ

Facility

$11,208.00

Service Code	ICD 0JPT3PZ
Hospital Charge Code	2613
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

0JPT3PZ

Facility

$11,208.00

Service Code	ICD 0JPT3PZ
Hospital Charge Code	2612
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

0JPT3PZ

Facility

$11,208.00

Service Code	ICD 0JPT3PZ
Hospital Charge Code	2611
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

0JWT0PZ

Facility

$11,208.00

Service Code	ICD 0JWT0PZ
Hospital Charge Code	2614
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

0JWT0PZ

Facility

$11,208.00

Service Code	ICD 0JWT0PZ
Hospital Charge Code	2615
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

0JWT3PZ

Facility

$11,208.00

Service Code	ICD 0JWT3PZ
Hospital Charge Code	2617
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

0JWT3PZ

Facility

$11,208.00

Service Code	ICD 0JWT3PZ
Hospital Charge Code	2616
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

0Q820ZZ

Facility

$5,022.00

Service Code	ICD 0Q820ZZ
Hospital Charge Code	2618
Min. Negotiated Rate	$5,022.00
Max. Negotiated Rate	$5,022.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$5,022.00

0Q834ZZ

Facility

$5,022.00

Service Code	ICD 0Q834ZZ
Hospital Charge Code	2619
Min. Negotiated Rate	$5,022.00
Max. Negotiated Rate	$5,022.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$5,022.00

0QPD0JZ

Facility

$9,583.00

Service Code	ICD 0QPD0JZ
Hospital Charge Code	14369
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPD0JZ

Facility

$9,583.00

Service Code	ICD 0QPD0JZ
Hospital Charge Code	5020
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPD3JZ

Facility

$9,583.00

Service Code	ICD 0QPD3JZ
Hospital Charge Code	5021
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPD3JZ

Facility

$9,583.00

Service Code	ICD 0QPD3JZ
Hospital Charge Code	14370
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPD4JZ

Facility

$9,583.00

Service Code	ICD 0QPD4JZ
Hospital Charge Code	5022
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPD4JZ

Facility

$9,583.00

Service Code	ICD 0QPD4JZ
Hospital Charge Code	14371
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF0JZ

Facility

$9,583.00

Service Code	ICD 0QPF0JZ
Hospital Charge Code	5023
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF0JZ

Facility

$9,583.00

Service Code	ICD 0QPF0JZ
Hospital Charge Code	14372
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF3JZ

Facility

$9,583.00

Service Code	ICD 0QPF3JZ
Hospital Charge Code	14373
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF3JZ

Facility

$9,583.00

Service Code	ICD 0QPF3JZ
Hospital Charge Code	5024
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF4JZ

Facility

$9,583.00

Service Code	ICD 0QPF4JZ
Hospital Charge Code	5025
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QPF4JZ

Facility

$9,583.00

Service Code	ICD 0QPF4JZ
Hospital Charge Code	14374
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QRD0JZ

Facility

$9,583.00

Service Code	ICD 0QRD0JZ
Hospital Charge Code	14375
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

0QRD0JZ

Facility

$9,583.00

Service Code	ICD 0QRD0JZ
Hospital Charge Code	5026
Min. Negotiated Rate	$9,583.00
Max. Negotiated Rate	$9,583.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,583.00

Know your out-of-pocket cost for care.

All Charges