Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02164KR

Facility

$11,208.00

Service Code	ICD 02164KR
Hospital Charge Code	10294
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

02164KR

Facility

$11,208.00

Service Code	ICD 02164KR
Hospital Charge Code	343
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

02164Z7

Facility

$11,208.00

Service Code	ICD 02164Z7
Hospital Charge Code	10295
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

02164Z7

Facility

$11,208.00

Service Code	ICD 02164Z7
Hospital Charge Code	344
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

02164ZP

Facility

$11,208.00

Service Code	ICD 02164ZP
Hospital Charge Code	345
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

02164ZP

Facility

$11,208.00

Service Code	ICD 02164ZP
Hospital Charge Code	10296
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

02164ZQ

Facility

$11,208.00

Service Code	ICD 02164ZQ
Hospital Charge Code	10297
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

02164ZQ

Facility

$11,208.00

Service Code	ICD 02164ZQ
Hospital Charge Code	346
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

02164ZR

Facility

$11,208.00

Service Code	ICD 02164ZR
Hospital Charge Code	347
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

02164ZR

Facility

$11,208.00

Service Code	ICD 02164ZR
Hospital Charge Code	10298
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

021708P

Facility

$11,208.00

Service Code	ICD 021708P
Hospital Charge Code	348
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

021708Q

Facility

$11,208.00

Service Code	ICD 021708Q
Hospital Charge Code	349
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

021708R

Facility

$11,208.00

Service Code	ICD 021708R
Hospital Charge Code	350
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

021708S

Facility

$11,208.00

Service Code	ICD 021708S
Hospital Charge Code	351
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

021708T

Facility

$11,208.00

Service Code	ICD 021708T
Hospital Charge Code	352
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

021708U

Facility

$11,208.00

Service Code	ICD 021708U
Hospital Charge Code	353
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

021709P

Facility

$11,208.00

Service Code	ICD 021709P
Hospital Charge Code	354
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

021709P

Facility

$11,208.00

Service Code	ICD 021709P
Hospital Charge Code	10299
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

021709Q

Facility

$11,208.00

Service Code	ICD 021709Q
Hospital Charge Code	10300
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

021709Q

Facility

$11,208.00

Service Code	ICD 021709Q
Hospital Charge Code	355
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

021709R

Facility

$11,208.00

Service Code	ICD 021709R
Hospital Charge Code	10301
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

021709R

Facility

$11,208.00

Service Code	ICD 021709R
Hospital Charge Code	356
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

021709S

Facility

$11,208.00

Service Code	ICD 021709S
Hospital Charge Code	357
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

021709T

Facility

$11,208.00

Service Code	ICD 021709T
Hospital Charge Code	358
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

021709U

Facility

$11,208.00

Service Code	ICD 021709U
Hospital Charge Code	359
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