Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02C23Z6

Facility

$10,777.00

Service Code	ICD 02C23Z6
Hospital Charge Code	1013
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

02C23ZZ

Facility

$10,777.00

Service Code	ICD 02C23ZZ
Hospital Charge Code	1015
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

02C23ZZ

Facility

$10,777.00

Service Code	ICD 02C23ZZ
Hospital Charge Code	1016
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

02C24Z6

Facility

$9,888.00

Service Code	ICD 02C24Z6
Hospital Charge Code	1017
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

02C24ZZ

Facility

$9,888.00

Service Code	ICD 02C24ZZ
Hospital Charge Code	1018
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

02C30Z6

Facility

$10,777.00

Service Code	ICD 02C30Z6
Hospital Charge Code	1019
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

02C30ZZ

Facility

$10,777.00

Service Code	ICD 02C30ZZ
Hospital Charge Code	1020
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

02C33Z6

Facility

$10,777.00

Service Code	ICD 02C33Z6
Hospital Charge Code	1022
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

02C33Z6

Facility

$10,777.00

Service Code	ICD 02C33Z6
Hospital Charge Code	1021
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

02C33ZZ

Facility

$10,777.00

Service Code	ICD 02C33ZZ
Hospital Charge Code	1023
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

02C33ZZ

Facility

$10,777.00

Service Code	ICD 02C33ZZ
Hospital Charge Code	1024
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

02C34Z6

Facility

$9,888.00

Service Code	ICD 02C34Z6
Hospital Charge Code	1025
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

02C34ZZ

Facility

$9,888.00

Service Code	ICD 02C34ZZ
Hospital Charge Code	1026
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

02C40ZZ

Facility

$10,777.00

Service Code	ICD 02C40ZZ
Hospital Charge Code	1027
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

02C43ZZ

Facility

$10,777.00

Service Code	ICD 02C43ZZ
Hospital Charge Code	3120
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

02C44ZZ

Facility

$10,777.00

Service Code	ICD 02C44ZZ
Hospital Charge Code	3121
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

02C50ZZ

Facility

$10,777.00

Service Code	ICD 02C50ZZ
Hospital Charge Code	1028
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

02C53ZZ

Facility

$10,777.00

Service Code	ICD 02C53ZZ
Hospital Charge Code	3122
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

02C54ZZ

Facility

$10,777.00

Service Code	ICD 02C54ZZ
Hospital Charge Code	3123
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

02C60ZZ

Facility

$10,777.00

Service Code	ICD 02C60ZZ
Hospital Charge Code	1029
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

02C63ZZ

Facility

$10,777.00

Service Code	ICD 02C63ZZ
Hospital Charge Code	3124
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

02C64ZZ

Facility

$10,777.00

Service Code	ICD 02C64ZZ
Hospital Charge Code	3125
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

02C70ZZ

Facility

$10,777.00

Service Code	ICD 02C70ZZ
Hospital Charge Code	3126
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

02C73ZZ

Facility

$10,777.00

Service Code	ICD 02C73ZZ
Hospital Charge Code	3127
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

02C74ZZ

Facility

$10,777.00

Service Code	ICD 02C74ZZ
Hospital Charge Code	3128
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