Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0WH931Z

Facility

$9,120.00

Service Code	ICD 0WH931Z
Hospital Charge Code	5200
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WH941Z

Facility

$9,120.00

Service Code	ICD 0WH941Z
Hospital Charge Code	5201
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHB01Z

Facility

$9,120.00

Service Code	ICD 0WHB01Z
Hospital Charge Code	5202
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHB31Z

Facility

$9,120.00

Service Code	ICD 0WHB31Z
Hospital Charge Code	5203
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHB41Z

Facility

$9,120.00

Service Code	ICD 0WHB41Z
Hospital Charge Code	5204
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHC01Z

Facility

$9,120.00

Service Code	ICD 0WHC01Z
Hospital Charge Code	5205
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHC31Z

Facility

$9,120.00

Service Code	ICD 0WHC31Z
Hospital Charge Code	5206
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHC41Z

Facility

$9,120.00

Service Code	ICD 0WHC41Z
Hospital Charge Code	5207
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHD01Z

Facility

$9,120.00

Service Code	ICD 0WHD01Z
Hospital Charge Code	5208
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHD03Z

Facility

$11,208.00

Service Code	ICD 0WHD03Z
Hospital Charge Code	13951
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

0WHD03Z

Facility

$11,208.00

Service Code	ICD 0WHD03Z
Hospital Charge Code	2712
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

0WHD0YZ

Facility

$11,208.00

Service Code	ICD 0WHD0YZ
Hospital Charge Code	13952
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

0WHD0YZ

Facility

$11,208.00

Service Code	ICD 0WHD0YZ
Hospital Charge Code	2713
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

0WHD31Z

Facility

$9,120.00

Service Code	ICD 0WHD31Z
Hospital Charge Code	5209
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHD33Z

Facility

$11,208.00

Service Code	ICD 0WHD33Z
Hospital Charge Code	13953
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

0WHD33Z

Facility

$11,208.00

Service Code	ICD 0WHD33Z
Hospital Charge Code	2714
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

0WHD3YZ

Facility

$11,208.00

Service Code	ICD 0WHD3YZ
Hospital Charge Code	13954
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

0WHD3YZ

Facility

$11,208.00

Service Code	ICD 0WHD3YZ
Hospital Charge Code	5210
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

0WHD41Z

Facility

$9,120.00

Service Code	ICD 0WHD41Z
Hospital Charge Code	5211
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHD43Z

Facility

$11,208.00

Service Code	ICD 0WHD43Z
Hospital Charge Code	13955
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

0WHD43Z

Facility

$11,208.00

Service Code	ICD 0WHD43Z
Hospital Charge Code	2715
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

0WHD4YZ

Facility

$11,208.00

Service Code	ICD 0WHD4YZ
Hospital Charge Code	5212
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

0WHD4YZ

Facility

$11,208.00

Service Code	ICD 0WHD4YZ
Hospital Charge Code	13956
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

0WHF01Z

Facility

$9,120.00

Service Code	ICD 0WHF01Z
Hospital Charge Code	5213
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

0WHF31Z

Facility

$9,120.00

Service Code	ICD 0WHF31Z
Hospital Charge Code	5214
Min. Negotiated Rate	$9,120.00
Max. Negotiated Rate	$9,120.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,120.00

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All Charges