Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02CP3ZZ

Facility

$10,777.00

Service Code	ICD 02CP3ZZ
Hospital Charge Code	1038
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

02CQ3ZZ

Facility

$10,777.00

Service Code	ICD 02CQ3ZZ
Hospital Charge Code	1039
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

02CR3ZZ

Facility

$10,777.00

Service Code	ICD 02CR3ZZ
Hospital Charge Code	1040
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

02CS3ZZ

Facility

$10,777.00

Service Code	ICD 02CS3ZZ
Hospital Charge Code	1041
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

02CT3ZZ

Facility

$10,777.00

Service Code	ICD 02CT3ZZ
Hospital Charge Code	1042
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

02CV3ZZ

Facility

$10,777.00

Service Code	ICD 02CV3ZZ
Hospital Charge Code	1043
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

02CW3ZZ

Facility

$10,777.00

Service Code	ICD 02CW3ZZ
Hospital Charge Code	1044
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

02CX3ZZ

Facility

$10,777.00

Service Code	ICD 02CX3ZZ
Hospital Charge Code	1045
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

02FN0ZZ

Facility

$10,777.00

Service Code	ICD 02FN0ZZ
Hospital Charge Code	1046
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

02FN3ZZ

Facility

$10,777.00

Service Code	ICD 02FN3ZZ
Hospital Charge Code	3146
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

02FN4ZZ

Facility

$10,777.00

Service Code	ICD 02FN4ZZ
Hospital Charge Code	3147
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

02H00DZ

Facility

$3,913.00

Service Code	ICD 02H00DZ
Hospital Charge Code	3148
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H00YZ

Facility

$10,777.00

Service Code	ICD 02H00YZ
Hospital Charge Code	1047
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

02H03DZ

Facility

$3,913.00

Service Code	ICD 02H03DZ
Hospital Charge Code	3149
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H03YZ

Facility

$10,777.00

Service Code	ICD 02H03YZ
Hospital Charge Code	1048
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

02H04DZ

Facility

$3,913.00

Service Code	ICD 02H04DZ
Hospital Charge Code	3150
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H04YZ

Facility

$10,777.00

Service Code	ICD 02H04YZ
Hospital Charge Code	1049
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

02H10DZ

Facility

$3,913.00

Service Code	ICD 02H10DZ
Hospital Charge Code	3151
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H10YZ

Facility

$10,777.00

Service Code	ICD 02H10YZ
Hospital Charge Code	1050
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

02H13DZ

Facility

$3,913.00

Service Code	ICD 02H13DZ
Hospital Charge Code	3152
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H13YZ

Facility

$10,777.00

Service Code	ICD 02H13YZ
Hospital Charge Code	1051
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

02H14DZ

Facility

$3,913.00

Service Code	ICD 02H14DZ
Hospital Charge Code	3153
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H14YZ

Facility

$10,777.00

Service Code	ICD 02H14YZ
Hospital Charge Code	1052
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

02H20DZ

Facility

$3,913.00

Service Code	ICD 02H20DZ
Hospital Charge Code	3154
Min. Negotiated Rate	$3,913.00
Max. Negotiated Rate	$3,913.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$3,913.00

02H20YZ

Facility

$10,777.00

Service Code	ICD 02H20YZ
Hospital Charge Code	1053
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