Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0WPD33Z

Facility

$11,208.00

Service Code	ICD 0WPD33Z
Hospital Charge Code	5257
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

0WPD3YZ

Facility

$11,208.00

Service Code	ICD 0WPD3YZ
Hospital Charge Code	13964
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

0WPD3YZ

Facility

$11,208.00

Service Code	ICD 0WPD3YZ
Hospital Charge Code	5258
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

0WPD40Z

Facility

$11,208.00

Service Code	ICD 0WPD40Z
Hospital Charge Code	13965
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

0WPD40Z

Facility

$11,208.00

Service Code	ICD 0WPD40Z
Hospital Charge Code	5259
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

0WPD41Z

Facility

$11,208.00

Service Code	ICD 0WPD41Z
Hospital Charge Code	5260
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

0WPD41Z

Facility

$11,208.00

Service Code	ICD 0WPD41Z
Hospital Charge Code	13966
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

0WPD43Z

Facility

$11,208.00

Service Code	ICD 0WPD43Z
Hospital Charge Code	5261
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

0WPD43Z

Facility

$11,208.00

Service Code	ICD 0WPD43Z
Hospital Charge Code	13967
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

0WPD4YZ

Facility

$11,208.00

Service Code	ICD 0WPD4YZ
Hospital Charge Code	5262
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

0WPD4YZ

Facility

$11,208.00

Service Code	ICD 0WPD4YZ
Hospital Charge Code	13968
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

0WQNXZZ

Facility

$5,022.00

Service Code	ICD 0WQNXZZ
Hospital Charge Code	2717
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

0WWD00Z

Facility

$11,208.00

Service Code	ICD 0WWD00Z
Hospital Charge Code	5263
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

0WWD00Z

Facility

$11,208.00

Service Code	ICD 0WWD00Z
Hospital Charge Code	13969
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

0WWD01Z

Facility

$11,208.00

Service Code	ICD 0WWD01Z
Hospital Charge Code	13970
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

0WWD01Z

Facility

$11,208.00

Service Code	ICD 0WWD01Z
Hospital Charge Code	5264
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

0WWD03Z

Facility

$11,208.00

Service Code	ICD 0WWD03Z
Hospital Charge Code	13971
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

0WWD03Z

Facility

$11,208.00

Service Code	ICD 0WWD03Z
Hospital Charge Code	5265
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

0WWD0YZ

Facility

$11,208.00

Service Code	ICD 0WWD0YZ
Hospital Charge Code	13972
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

0WWD0YZ

Facility

$11,208.00

Service Code	ICD 0WWD0YZ
Hospital Charge Code	2718
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

0WWD30Z

Facility

$11,208.00

Service Code	ICD 0WWD30Z
Hospital Charge Code	13973
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

0WWD30Z

Facility

$11,208.00

Service Code	ICD 0WWD30Z
Hospital Charge Code	5266
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

0WWD31Z

Facility

$11,208.00

Service Code	ICD 0WWD31Z
Hospital Charge Code	5267
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

0WWD31Z

Facility

$11,208.00

Service Code	ICD 0WWD31Z
Hospital Charge Code	13974
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

0WWD33Z

Facility

$11,208.00

Service Code	ICD 0WWD33Z
Hospital Charge Code	5268
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