Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02134KF

Facility

$11,208.00

Service Code	ICD 02134KF
Hospital Charge Code	2896
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

02134KF

Facility

$11,208.00

Service Code	ICD 02134KF
Hospital Charge Code	10260
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

02134KW

Facility

$11,208.00

Service Code	ICD 02134KW
Hospital Charge Code	10261
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

02134KW

Facility

$11,208.00

Service Code	ICD 02134KW
Hospital Charge Code	2897
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

02134Z3

Facility

$11,208.00

Service Code	ICD 02134Z3
Hospital Charge Code	307
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

02134Z3

Facility

$11,208.00

Service Code	ICD 02134Z3
Hospital Charge Code	10262
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

02134Z8

Facility

$11,208.00

Service Code	ICD 02134Z8
Hospital Charge Code	10263
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

02134Z8

Facility

$11,208.00

Service Code	ICD 02134Z8
Hospital Charge Code	308
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

02134Z9

Facility

$11,208.00

Service Code	ICD 02134Z9
Hospital Charge Code	10264
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

02134Z9

Facility

$11,208.00

Service Code	ICD 02134Z9
Hospital Charge Code	2898
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

02134ZC

Facility

$11,208.00

Service Code	ICD 02134ZC
Hospital Charge Code	2899
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

02134ZC

Facility

$11,208.00

Service Code	ICD 02134ZC
Hospital Charge Code	10265
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

02134ZF

Facility

$11,208.00

Service Code	ICD 02134ZF
Hospital Charge Code	10266
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

02134ZF

Facility

$11,208.00

Service Code	ICD 02134ZF
Hospital Charge Code	2900
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

021608P

Facility

$11,208.00

Service Code	ICD 021608P
Hospital Charge Code	309
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

021608Q

Facility

$11,208.00

Service Code	ICD 021608Q
Hospital Charge Code	310
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

021608R

Facility

$11,208.00

Service Code	ICD 021608R
Hospital Charge Code	311
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

021609P

Facility

$11,208.00

Service Code	ICD 021609P
Hospital Charge Code	10267
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

021609P

Facility

$11,208.00

Service Code	ICD 021609P
Hospital Charge Code	312
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

021609Q

Facility

$11,208.00

Service Code	ICD 021609Q
Hospital Charge Code	10268
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

021609Q

Facility

$11,208.00

Service Code	ICD 021609Q
Hospital Charge Code	313
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

021609R

Facility

$11,208.00

Service Code	ICD 021609R
Hospital Charge Code	314
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

021609R

Facility

$11,208.00

Service Code	ICD 021609R
Hospital Charge Code	10269
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

02160AP

Facility

$11,208.00

Service Code	ICD 02160AP
Hospital Charge Code	10270
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

02160AP

Facility

$11,208.00

Service Code	ICD 02160AP
Hospital Charge Code	315
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

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All Charges