Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02734Z6

Facility

$9,888.00

Service Code	ICD 02734Z6
Hospital Charge Code	881
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734ZZ

Facility

$9,888.00

Service Code	ICD 02734ZZ
Hospital Charge Code	882
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F04Z

Facility

$10,777.00

Service Code	ICD 027F04Z
Hospital Charge Code	3076
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

027F0DZ

Facility

$10,777.00

Service Code	ICD 027F0DZ
Hospital Charge Code	883
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

027F0ZZ

Facility

$10,777.00

Service Code	ICD 027F0ZZ
Hospital Charge Code	3077
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

027F34Z

Facility

$9,888.00

Service Code	ICD 027F34Z
Hospital Charge Code	884
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3DZ

Facility

$9,888.00

Service Code	ICD 027F3DZ
Hospital Charge Code	885
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3ZZ

Facility

$9,888.00

Service Code	ICD 027F3ZZ
Hospital Charge Code	886
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F44Z

Facility

$9,888.00

Service Code	ICD 027F44Z
Hospital Charge Code	887
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4DZ

Facility

$9,888.00

Service Code	ICD 027F4DZ
Hospital Charge Code	888
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4ZZ

Facility

$9,888.00

Service Code	ICD 027F4ZZ
Hospital Charge Code	889
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G04Z

Facility

$10,777.00

Service Code	ICD 027G04Z
Hospital Charge Code	3078
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

027G0DZ

Facility

$10,777.00

Service Code	ICD 027G0DZ
Hospital Charge Code	890
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

027G0ZZ

Facility

$10,777.00

Service Code	ICD 027G0ZZ
Hospital Charge Code	3079
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

027G34Z

Facility

$9,888.00

Service Code	ICD 027G34Z
Hospital Charge Code	891
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G3DZ

Facility

$9,888.00

Service Code	ICD 027G3DZ
Hospital Charge Code	892
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G3ZZ

Facility

$9,888.00

Service Code	ICD 027G3ZZ
Hospital Charge Code	893
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G44Z

Facility

$9,888.00

Service Code	ICD 027G44Z
Hospital Charge Code	894
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G4DZ

Facility

$9,888.00

Service Code	ICD 027G4DZ
Hospital Charge Code	895
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027G4ZZ

Facility

$9,888.00

Service Code	ICD 027G4ZZ
Hospital Charge Code	896
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027H04Z

Facility

$10,777.00

Service Code	ICD 027H04Z
Hospital Charge Code	3080
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

027H0DZ

Facility

$10,777.00

Service Code	ICD 027H0DZ
Hospital Charge Code	897
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

027H0ZZ

Facility

$10,777.00

Service Code	ICD 027H0ZZ
Hospital Charge Code	3081
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

027H34Z

Facility

$9,888.00

Service Code	ICD 027H34Z
Hospital Charge Code	898
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027H3DZ

Facility

$9,888.00

Service Code	ICD 027H3DZ
Hospital Charge Code	899
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

Know your out-of-pocket cost for care.

All Charges