Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02BL3ZZ

Facility

$10,777.00

Service Code	ICD 02BL3ZZ
Hospital Charge Code	989
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

02BL4ZZ

Facility

$10,777.00

Service Code	ICD 02BL4ZZ
Hospital Charge Code	990
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

02BM0ZZ

Facility

$10,777.00

Service Code	ICD 02BM0ZZ
Hospital Charge Code	991
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

02BN0ZZ

Facility

$10,777.00

Service Code	ICD 02BN0ZZ
Hospital Charge Code	992
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

02BN3ZZ

Facility

$10,777.00

Service Code	ICD 02BN3ZZ
Hospital Charge Code	993
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

02BN4ZZ

Facility

$10,777.00

Service Code	ICD 02BN4ZZ
Hospital Charge Code	994
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

02C00Z6

Facility

$10,777.00

Service Code	ICD 02C00Z6
Hospital Charge Code	995
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

02C00ZZ

Facility

$10,777.00

Service Code	ICD 02C00ZZ
Hospital Charge Code	996
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

02C03Z6

Facility

$10,777.00

Service Code	ICD 02C03Z6
Hospital Charge Code	998
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

02C03Z6

Facility

$10,777.00

Service Code	ICD 02C03Z6
Hospital Charge Code	997
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

02C03ZZ

Facility

$10,777.00

Service Code	ICD 02C03ZZ
Hospital Charge Code	999
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02C03ZZ

Facility

$10,777.00

Service Code	ICD 02C03ZZ
Hospital Charge Code	1000
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02C04Z6

Facility

$9,888.00

Service Code	ICD 02C04Z6
Hospital Charge Code	1001
Min. Negotiated Rate	$9,888.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00

02C04ZZ

Facility

$9,888.00

Service Code	ICD 02C04ZZ
Hospital Charge Code	1002
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

02C10Z6

Facility

$10,777.00

Service Code	ICD 02C10Z6
Hospital Charge Code	1003
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

02C10ZZ

Facility

$10,777.00

Service Code	ICD 02C10ZZ
Hospital Charge Code	1004
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

02C13Z6

Facility

$10,777.00

Service Code	ICD 02C13Z6
Hospital Charge Code	1005
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

02C13Z6

Facility

$10,777.00

Service Code	ICD 02C13Z6
Hospital Charge Code	1006
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

02C13ZZ

Facility

$10,777.00

Service Code	ICD 02C13ZZ
Hospital Charge Code	1008
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02C13ZZ

Facility

$10,777.00

Service Code	ICD 02C13ZZ
Hospital Charge Code	1007
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,777.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,777.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02C14Z6

Facility

$9,888.00

Service Code	ICD 02C14Z6
Hospital Charge Code	1009
Min. Negotiated Rate	$9,888.00
Max. Negotiated Rate	$9,888.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$9,888.00

02C14ZZ

Facility

$9,888.00

Service Code	ICD 02C14ZZ
Hospital Charge Code	1010
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

02C20Z6

Facility

$10,777.00

Service Code	ICD 02C20Z6
Hospital Charge Code	1011
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

02C20ZZ

Facility

$10,777.00

Service Code	ICD 02C20ZZ
Hospital Charge Code	1012
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

02C23Z6

Facility

$10,777.00

Service Code	ICD 02C23Z6
Hospital Charge Code	1014
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