Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

021648P

Facility

$11,208.00

Service Code	ICD 021648P
Hospital Charge Code	329
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

021648Q

Facility

$11,208.00

Service Code	ICD 021648Q
Hospital Charge Code	330
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

021648R

Facility

$11,208.00

Service Code	ICD 021648R
Hospital Charge Code	331
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

021649P

Facility

$11,208.00

Service Code	ICD 021649P
Hospital Charge Code	10283
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

021649P

Facility

$11,208.00

Service Code	ICD 021649P
Hospital Charge Code	332
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

021649Q

Facility

$11,208.00

Service Code	ICD 021649Q
Hospital Charge Code	10284
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

021649Q

Facility

$11,208.00

Service Code	ICD 021649Q
Hospital Charge Code	333
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

021649R

Facility

$11,208.00

Service Code	ICD 021649R
Hospital Charge Code	10285
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

021649R

Facility

$11,208.00

Service Code	ICD 021649R
Hospital Charge Code	334
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

02164AP

Facility

$11,208.00

Service Code	ICD 02164AP
Hospital Charge Code	10286
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

02164AP

Facility

$11,208.00

Service Code	ICD 02164AP
Hospital Charge Code	335
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

02164AQ

Facility

$11,208.00

Service Code	ICD 02164AQ
Hospital Charge Code	336
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

02164AQ

Facility

$11,208.00

Service Code	ICD 02164AQ
Hospital Charge Code	10287
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

02164AR

Facility

$11,208.00

Service Code	ICD 02164AR
Hospital Charge Code	337
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

02164AR

Facility

$11,208.00

Service Code	ICD 02164AR
Hospital Charge Code	10288
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

02164JP

Facility

$11,208.00

Service Code	ICD 02164JP
Hospital Charge Code	10289
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

02164JP

Facility

$11,208.00

Service Code	ICD 02164JP
Hospital Charge Code	338
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

02164JQ

Facility

$11,208.00

Service Code	ICD 02164JQ
Hospital Charge Code	10290
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

02164JQ

Facility

$11,208.00

Service Code	ICD 02164JQ
Hospital Charge Code	339
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

02164JR

Facility

$11,208.00

Service Code	ICD 02164JR
Hospital Charge Code	340
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

02164JR

Facility

$11,208.00

Service Code	ICD 02164JR
Hospital Charge Code	10291
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

02164KP

Facility

$11,208.00

Service Code	ICD 02164KP
Hospital Charge Code	341
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

02164KP

Facility

$11,208.00

Service Code	ICD 02164KP
Hospital Charge Code	10292
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

02164KQ

Facility

$11,208.00

Service Code	ICD 02164KQ
Hospital Charge Code	10293
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

02164KQ

Facility

$11,208.00

Service Code	ICD 02164KQ
Hospital Charge Code	342
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

Know your out-of-pocket cost for care.

All Charges