Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02170AP

Facility

$11,208.00

Service Code	ICD 02170AP
Hospital Charge Code	360
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

02170AP

Facility

$11,208.00

Service Code	ICD 02170AP
Hospital Charge Code	10302
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

02170AQ

Facility

$11,208.00

Service Code	ICD 02170AQ
Hospital Charge Code	10303
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

02170AQ

Facility

$11,208.00

Service Code	ICD 02170AQ
Hospital Charge Code	361
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

02170AR

Facility

$11,208.00

Service Code	ICD 02170AR
Hospital Charge Code	10304
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

02170AR

Facility

$11,208.00

Service Code	ICD 02170AR
Hospital Charge Code	362
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

02170AS

Facility

$11,208.00

Service Code	ICD 02170AS
Hospital Charge Code	363
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

02170AT

Facility

$11,208.00

Service Code	ICD 02170AT
Hospital Charge Code	364
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

02170AU

Facility

$11,208.00

Service Code	ICD 02170AU
Hospital Charge Code	365
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

02170JP

Facility

$11,208.00

Service Code	ICD 02170JP
Hospital Charge Code	366
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

02170JP

Facility

$11,208.00

Service Code	ICD 02170JP
Hospital Charge Code	10305
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

02170JQ

Facility

$11,208.00

Service Code	ICD 02170JQ
Hospital Charge Code	10306
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

02170JQ

Facility

$11,208.00

Service Code	ICD 02170JQ
Hospital Charge Code	367
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

02170JR

Facility

$11,208.00

Service Code	ICD 02170JR
Hospital Charge Code	10307
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

02170JR

Facility

$11,208.00

Service Code	ICD 02170JR
Hospital Charge Code	368
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

02170JS

Facility

$11,208.00

Service Code	ICD 02170JS
Hospital Charge Code	369
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

02170JT

Facility

$11,208.00

Service Code	ICD 02170JT
Hospital Charge Code	370
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

02170JU

Facility

$11,208.00

Service Code	ICD 02170JU
Hospital Charge Code	371
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

02170KP

Facility

$11,208.00

Service Code	ICD 02170KP
Hospital Charge Code	10308
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

02170KP

Facility

$11,208.00

Service Code	ICD 02170KP
Hospital Charge Code	372
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

02170KQ

Facility

$11,208.00

Service Code	ICD 02170KQ
Hospital Charge Code	10309
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

02170KQ

Facility

$11,208.00

Service Code	ICD 02170KQ
Hospital Charge Code	373
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

02170KR

Facility

$11,208.00

Service Code	ICD 02170KR
Hospital Charge Code	374
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

02170KR

Facility

$11,208.00

Service Code	ICD 02170KR
Hospital Charge Code	10310
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

02170KS

Facility

$11,208.00

Service Code	ICD 02170KS
Hospital Charge Code	375
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