Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02570ZK

Facility

$10,777.00

Service Code	ICD 02570ZK
Hospital Charge Code	560
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

02570ZZ

Facility

$10,777.00

Service Code	ICD 02570ZZ
Hospital Charge Code	561
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

02573ZK

Facility

$10,777.00

Service Code	ICD 02573ZK
Hospital Charge Code	562
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

02574ZK

Facility

$10,777.00

Service Code	ICD 02574ZK
Hospital Charge Code	563
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

02580ZZ

Facility

$10,777.00

Service Code	ICD 02580ZZ
Hospital Charge Code	564
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

02590ZZ

Facility

$10,777.00

Service Code	ICD 02590ZZ
Hospital Charge Code	565
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

025D0ZZ

Facility

$10,777.00

Service Code	ICD 025D0ZZ
Hospital Charge Code	566
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

025D3ZZ

Facility

$10,777.00

Service Code	ICD 025D3ZZ
Hospital Charge Code	3044
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

025D4ZZ

Facility

$10,777.00

Service Code	ICD 025D4ZZ
Hospital Charge Code	3045
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

025F0ZZ

Facility

$10,777.00

Service Code	ICD 025F0ZZ
Hospital Charge Code	567
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

025G0ZZ

Facility

$10,777.00

Service Code	ICD 025G0ZZ
Hospital Charge Code	568
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

025H0ZZ

Facility

$10,777.00

Service Code	ICD 025H0ZZ
Hospital Charge Code	569
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

025J0ZZ

Facility

$10,777.00

Service Code	ICD 025J0ZZ
Hospital Charge Code	570
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

025K0ZZ

Facility

$10,777.00

Service Code	ICD 025K0ZZ
Hospital Charge Code	571
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

025L0ZZ

Facility

$10,777.00

Service Code	ICD 025L0ZZ
Hospital Charge Code	572
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

025M0ZZ

Facility

$10,777.00

Service Code	ICD 025M0ZZ
Hospital Charge Code	573
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

025N0ZZ

Facility

$10,777.00

Service Code	ICD 025N0ZZ
Hospital Charge Code	574
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

025N3ZZ

Facility

$10,777.00

Service Code	ICD 025N3ZZ
Hospital Charge Code	3046
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

025N4ZZ

Facility

$10,777.00

Service Code	ICD 025N4ZZ
Hospital Charge Code	3047
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

0270046

Facility

$8,623.00

Service Code	ICD 0270046
Hospital Charge Code	575
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

027004Z

Facility

$8,623.00

Service Code	ICD 027004Z
Hospital Charge Code	577
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

027004Z

Facility

$8,623.00

Service Code	ICD 027004Z
Hospital Charge Code	578
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

0270056

Facility

$8,623.00

Service Code	ICD 0270056
Hospital Charge Code	579
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

027005Z

Facility

$8,623.00

Service Code	ICD 027005Z
Hospital Charge Code	582
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

027005Z

Facility

$8,623.00

Service Code	ICD 027005Z
Hospital Charge Code	581
Min. Negotiated Rate	$8,623.00
Max. Negotiated Rate	$8,623.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,623.00

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All Charges