Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02H23DZ

Facility

$3,913.00

Service Code	ICD 02H23DZ
Hospital Charge Code	3155
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

02H23YZ

Facility

$10,777.00

Service Code	ICD 02H23YZ
Hospital Charge Code	1054
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

02H24DZ

Facility

$3,913.00

Service Code	ICD 02H24DZ
Hospital Charge Code	3156
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

02H24YZ

Facility

$10,777.00

Service Code	ICD 02H24YZ
Hospital Charge Code	1055
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

02H30DZ

Facility

$3,913.00

Service Code	ICD 02H30DZ
Hospital Charge Code	3157
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

02H30YZ

Facility

$10,777.00

Service Code	ICD 02H30YZ
Hospital Charge Code	1056
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

02H33DZ

Facility

$3,913.00

Service Code	ICD 02H33DZ
Hospital Charge Code	3158
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

02H33YZ

Facility

$10,777.00

Service Code	ICD 02H33YZ
Hospital Charge Code	1057
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

02H34DZ

Facility

$3,913.00

Service Code	ICD 02H34DZ
Hospital Charge Code	3159
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

02H34YZ

Facility

$10,777.00

Service Code	ICD 02H34YZ
Hospital Charge Code	1058
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

02H400Z

Facility

$10,777.00

Service Code	ICD 02H400Z
Hospital Charge Code	1059
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

02H402Z

Facility

$10,777.00

Service Code	ICD 02H402Z
Hospital Charge Code	1060
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

02H403Z

Facility

$10,777.00

Service Code	ICD 02H403Z
Hospital Charge Code	3160
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

02H40DZ

Facility

$10,777.00

Service Code	ICD 02H40DZ
Hospital Charge Code	1061
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

02H40KZ

Facility

$10,777.00

Service Code	ICD 02H40KZ
Hospital Charge Code	1063
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

02H40YZ

Facility

$10,777.00

Service Code	ICD 02H40YZ
Hospital Charge Code	1065
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

02H430Z

Facility

$10,777.00

Service Code	ICD 02H430Z
Hospital Charge Code	1066
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

02H432Z

Facility

$10,777.00

Service Code	ICD 02H432Z
Hospital Charge Code	1067
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

02H433Z

Facility

$10,777.00

Service Code	ICD 02H433Z
Hospital Charge Code	3161
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

02H43DZ

Facility

$10,777.00

Service Code	ICD 02H43DZ
Hospital Charge Code	3162
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

02H43YZ

Facility

$10,777.00

Service Code	ICD 02H43YZ
Hospital Charge Code	1070
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

02H440Z

Facility

$10,777.00

Service Code	ICD 02H440Z
Hospital Charge Code	1071
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

02H442Z

Facility

$10,777.00

Service Code	ICD 02H442Z
Hospital Charge Code	1072
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

02H443Z

Facility

$10,777.00

Service Code	ICD 02H443Z
Hospital Charge Code	3163
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

02H44DZ

Facility

$10,777.00

Service Code	ICD 02H44DZ
Hospital Charge Code	3164
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