Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0SG60KZ

Facility

$15,839.00

Service Code	ICD 0SG60KZ
Hospital Charge Code	14886
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG634Z

Facility

$15,839.00

Service Code	ICD 0SG634Z
Hospital Charge Code	14887
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG637Z

Facility

$15,839.00

Service Code	ICD 0SG637Z
Hospital Charge Code	14888
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG63JZ

Facility

$15,839.00

Service Code	ICD 0SG63JZ
Hospital Charge Code	14889
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG63KZ

Facility

$15,839.00

Service Code	ICD 0SG63KZ
Hospital Charge Code	14890
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG644Z

Facility

$15,839.00

Service Code	ICD 0SG644Z
Hospital Charge Code	14891
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG647Z

Facility

$15,839.00

Service Code	ICD 0SG647Z
Hospital Charge Code	14892
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG64JZ

Facility

$15,839.00

Service Code	ICD 0SG64JZ
Hospital Charge Code	14893
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG64KZ

Facility

$15,839.00

Service Code	ICD 0SG64KZ
Hospital Charge Code	14894
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SG847Z

Facility

$15,839.00

Service Code	ICD 0SG847Z
Hospital Charge Code	2625
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0SPC08Z

Facility

$9,583.00

Service Code	ICD 0SPC08Z
Hospital Charge Code	14899
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

0SPC08Z

Facility

$9,583.00

Service Code	ICD 0SPC08Z
Hospital Charge Code	2634
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

0SPC09Z

Facility

$9,583.00

Service Code	ICD 0SPC09Z
Hospital Charge Code	2635
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

0SPC09Z

Facility

$9,583.00

Service Code	ICD 0SPC09Z
Hospital Charge Code	14900
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

0SPC0JZ

Facility

$9,583.00

Service Code	ICD 0SPC0JZ
Hospital Charge Code	14901
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

0SPC0JZ

Facility

$9,583.00

Service Code	ICD 0SPC0JZ
Hospital Charge Code	2636
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

0SPC48Z

Facility

$9,583.00

Service Code	ICD 0SPC48Z
Hospital Charge Code	14902
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

0SPC48Z

Facility

$9,583.00

Service Code	ICD 0SPC48Z
Hospital Charge Code	2637
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

0SPC4JZ

Facility

$9,583.00

Service Code	ICD 0SPC4JZ
Hospital Charge Code	2638
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

0SPC4JZ

Facility

$9,583.00

Service Code	ICD 0SPC4JZ
Hospital Charge Code	14903
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

0SPD08Z

Facility

$9,583.00

Service Code	ICD 0SPD08Z
Hospital Charge Code	2639
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

0SPD08Z

Facility

$9,583.00

Service Code	ICD 0SPD08Z
Hospital Charge Code	14904
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

0SPD09Z

Facility

$9,583.00

Service Code	ICD 0SPD09Z
Hospital Charge Code	2640
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

0SPD09Z

Facility

$9,583.00

Service Code	ICD 0SPD09Z
Hospital Charge Code	14905
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

0SPD0JZ

Facility

$9,583.00

Service Code	ICD 0SPD0JZ
Hospital Charge Code	2641
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