Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02100A9

Facility

$10,777.00

Service Code	ICD 02100A9
Hospital Charge Code	84
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100AC

Facility

$10,777.00

Service Code	ICD 02100AC
Hospital Charge Code	85
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100AF

Facility

$10,777.00

Service Code	ICD 02100AF
Hospital Charge Code	86
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100AW

Facility

$10,777.00

Service Code	ICD 02100AW
Hospital Charge Code	2844
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100J3

Facility

$10,777.00

Service Code	ICD 02100J3
Hospital Charge Code	87
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100J8

Facility

$10,777.00

Service Code	ICD 02100J8
Hospital Charge Code	88
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100J9

Facility

$10,777.00

Service Code	ICD 02100J9
Hospital Charge Code	89
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100JC

Facility

$10,777.00

Service Code	ICD 02100JC
Hospital Charge Code	90
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100JF

Facility

$10,777.00

Service Code	ICD 02100JF
Hospital Charge Code	91
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100JW

Facility

$10,777.00

Service Code	ICD 02100JW
Hospital Charge Code	2845
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100K3

Facility

$10,777.00

Service Code	ICD 02100K3
Hospital Charge Code	92
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100K8

Facility

$10,777.00

Service Code	ICD 02100K8
Hospital Charge Code	93
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100K9

Facility

$10,777.00

Service Code	ICD 02100K9
Hospital Charge Code	94
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100KC

Facility

$10,777.00

Service Code	ICD 02100KC
Hospital Charge Code	95
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100KF

Facility

$10,777.00

Service Code	ICD 02100KF
Hospital Charge Code	96
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100KW

Facility

$10,777.00

Service Code	ICD 02100KW
Hospital Charge Code	2846
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100Z3

Facility

$10,777.00

Service Code	ICD 02100Z3
Hospital Charge Code	97
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100Z8

Facility

$10,777.00

Service Code	ICD 02100Z8
Hospital Charge Code	98
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100Z9

Facility

$10,777.00

Service Code	ICD 02100Z9
Hospital Charge Code	99
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100ZC

Facility

$10,777.00

Service Code	ICD 02100ZC
Hospital Charge Code	100
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02100ZF

Facility

$10,777.00

Service Code	ICD 02100ZF
Hospital Charge Code	101
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

0210344

Facility

$10,777.00

Service Code	ICD 0210344
Hospital Charge Code	2847
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

02103D4

Facility

$10,777.00

Service Code	ICD 02103D4
Hospital Charge Code	102
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

0210444

Facility

$10,777.00

Service Code	ICD 0210444
Hospital Charge Code	103
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

0210483

Facility

$10,777.00

Service Code	ICD 0210483
Hospital Charge Code	104
Min. Negotiated Rate	$10,777.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00

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All Charges