Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

021K0ZP

Facility

$11,208.00

Service Code	ICD 021K0ZP
Hospital Charge Code	10346
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

021K0ZP

Facility

$11,208.00

Service Code	ICD 021K0ZP
Hospital Charge Code	427
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

021K0ZQ

Facility

$11,208.00

Service Code	ICD 021K0ZQ
Hospital Charge Code	428
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

021K0ZQ

Facility

$11,208.00

Service Code	ICD 021K0ZQ
Hospital Charge Code	10347
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

021K0ZR

Facility

$11,208.00

Service Code	ICD 021K0ZR
Hospital Charge Code	429
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

021K0ZR

Facility

$11,208.00

Service Code	ICD 021K0ZR
Hospital Charge Code	10348
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

021K0ZW

Facility

$11,208.00

Service Code	ICD 021K0ZW
Hospital Charge Code	10349
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

021K0ZW

Facility

$11,208.00

Service Code	ICD 021K0ZW
Hospital Charge Code	430
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

021K48P

Facility

$11,208.00

Service Code	ICD 021K48P
Hospital Charge Code	431
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

021K48Q

Facility

$11,208.00

Service Code	ICD 021K48Q
Hospital Charge Code	432
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

021K48R

Facility

$11,208.00

Service Code	ICD 021K48R
Hospital Charge Code	433
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

021K49P

Facility

$11,208.00

Service Code	ICD 021K49P
Hospital Charge Code	10350
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

021K49P

Facility

$11,208.00

Service Code	ICD 021K49P
Hospital Charge Code	434
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

021K49Q

Facility

$11,208.00

Service Code	ICD 021K49Q
Hospital Charge Code	10351
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

021K49Q

Facility

$11,208.00

Service Code	ICD 021K49Q
Hospital Charge Code	2915
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

021K49R

Facility

$11,208.00

Service Code	ICD 021K49R
Hospital Charge Code	2916
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

021K49R

Facility

$11,208.00

Service Code	ICD 021K49R
Hospital Charge Code	10352
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

021K4AP

Facility

$11,208.00

Service Code	ICD 021K4AP
Hospital Charge Code	2917
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

021K4AP

Facility

$11,208.00

Service Code	ICD 021K4AP
Hospital Charge Code	10353
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

021K4AQ

Facility

$11,208.00

Service Code	ICD 021K4AQ
Hospital Charge Code	2918
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

021K4AQ

Facility

$11,208.00

Service Code	ICD 021K4AQ
Hospital Charge Code	10354
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

021K4AR

Facility

$11,208.00

Service Code	ICD 021K4AR
Hospital Charge Code	10355
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

021K4AR

Facility

$11,208.00

Service Code	ICD 021K4AR
Hospital Charge Code	2919
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

021K4JP

Facility

$11,208.00

Service Code	ICD 021K4JP
Hospital Charge Code	2920
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

021K4JP

Facility

$11,208.00

Service Code	ICD 021K4JP
Hospital Charge Code	10356
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