Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0270446

Facility

$8,968.00

Service Code	ICD 0270446
Hospital Charge Code	10563
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

0270446

Facility

$8,968.00

Service Code	ICD 0270446
Hospital Charge Code	633
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027044Z

Facility

$8,968.00

Service Code	ICD 027044Z
Hospital Charge Code	634
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027044Z

Facility

$8,968.00

Service Code	ICD 027044Z
Hospital Charge Code	10564
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

0270456

Facility

$8,968.00

Service Code	ICD 0270456
Hospital Charge Code	635
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027045Z

Facility

$8,968.00

Service Code	ICD 027045Z
Hospital Charge Code	636
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

0270466

Facility

$8,968.00

Service Code	ICD 0270466
Hospital Charge Code	637
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027046Z

Facility

$8,968.00

Service Code	ICD 027046Z
Hospital Charge Code	638
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

0270476

Facility

$8,968.00

Service Code	ICD 0270476
Hospital Charge Code	639
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027047Z

Facility

$8,968.00

Service Code	ICD 027047Z
Hospital Charge Code	640
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

02704D6

Facility

$7,183.00

Service Code	ICD 02704D6
Hospital Charge Code	10565
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704D6

Facility

$7,183.00

Service Code	ICD 02704D6
Hospital Charge Code	641
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704DZ

Facility

$7,183.00

Service Code	ICD 02704DZ
Hospital Charge Code	10566
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704DZ

Facility

$7,183.00

Service Code	ICD 02704DZ
Hospital Charge Code	642
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704E6

Facility

$4,070.00

Service Code	ICD 02704E6
Hospital Charge Code	3053
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704E6

Facility

$4,070.00

Service Code	ICD 02704E6
Hospital Charge Code	3054
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704EZ

Facility

$4,070.00

Service Code	ICD 02704EZ
Hospital Charge Code	644
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704F6

Facility

$4,070.00

Service Code	ICD 02704F6
Hospital Charge Code	645
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704FZ

Facility

$4,070.00

Service Code	ICD 02704FZ
Hospital Charge Code	646
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704G6

Facility

$4,070.00

Service Code	ICD 02704G6
Hospital Charge Code	647
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704GZ

Facility

$4,070.00

Service Code	ICD 02704GZ
Hospital Charge Code	648
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

02704T6

Facility

$7,183.00

Service Code	ICD 02704T6
Hospital Charge Code	10567
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704T6

Facility

$7,183.00

Service Code	ICD 02704T6
Hospital Charge Code	649
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704TZ

Facility

$7,183.00

Service Code	ICD 02704TZ
Hospital Charge Code	10568
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02704TZ

Facility

$7,183.00

Service Code	ICD 02704TZ
Hospital Charge Code	650
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

Know your out-of-pocket cost for care.

All Charges