Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

027H3ZZ

Facility

$9,888.00

Service Code	ICD 027H3ZZ
Hospital Charge Code	900
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

027H44Z

Facility

$9,888.00

Service Code	ICD 027H44Z
Hospital Charge Code	901
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

027H4DZ

Facility

$9,888.00

Service Code	ICD 027H4DZ
Hospital Charge Code	902
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

027H4ZZ

Facility

$9,888.00

Service Code	ICD 027H4ZZ
Hospital Charge Code	903
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

027J04Z

Facility

$10,777.00

Service Code	ICD 027J04Z
Hospital Charge Code	3082
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

027J0DZ

Facility

$10,777.00

Service Code	ICD 027J0DZ
Hospital Charge Code	904
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

027J0ZZ

Facility

$10,777.00

Service Code	ICD 027J0ZZ
Hospital Charge Code	3083
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

027J34Z

Facility

$9,888.00

Service Code	ICD 027J34Z
Hospital Charge Code	905
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

027J3DZ

Facility

$9,888.00

Service Code	ICD 027J3DZ
Hospital Charge Code	906
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

027J3ZZ

Facility

$9,888.00

Service Code	ICD 027J3ZZ
Hospital Charge Code	907
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

027J44Z

Facility

$9,888.00

Service Code	ICD 027J44Z
Hospital Charge Code	908
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

027J4DZ

Facility

$9,888.00

Service Code	ICD 027J4DZ
Hospital Charge Code	909
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

027J4ZZ

Facility

$9,888.00

Service Code	ICD 027J4ZZ
Hospital Charge Code	910
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

027K04Z

Facility

$10,777.00

Service Code	ICD 027K04Z
Hospital Charge Code	3084
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

027K0DZ

Facility

$10,777.00

Service Code	ICD 027K0DZ
Hospital Charge Code	911
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

027K0ZZ

Facility

$10,777.00

Service Code	ICD 027K0ZZ
Hospital Charge Code	3085
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

027K34Z

Facility

$10,777.00

Service Code	ICD 027K34Z
Hospital Charge Code	3086
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

027K3DZ

Facility

$10,777.00

Service Code	ICD 027K3DZ
Hospital Charge Code	3087
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

027K3ZZ

Facility

$10,777.00

Service Code	ICD 027K3ZZ
Hospital Charge Code	3088
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

027K44Z

Facility

$10,777.00

Service Code	ICD 027K44Z
Hospital Charge Code	3089
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

027K4DZ

Facility

$10,777.00

Service Code	ICD 027K4DZ
Hospital Charge Code	3090
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

027K4ZZ

Facility

$10,777.00

Service Code	ICD 027K4ZZ
Hospital Charge Code	3091
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

027L04Z

Facility

$10,777.00

Service Code	ICD 027L04Z
Hospital Charge Code	912
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

027L0DZ

Facility

$10,777.00

Service Code	ICD 027L0DZ
Hospital Charge Code	913
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

027L0ZZ

Facility

$10,777.00

Service Code	ICD 027L0ZZ
Hospital Charge Code	914
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

Know your out-of-pocket cost for care.

All Charges