Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02H44KZ

Facility

$10,777.00

Service Code	ICD 02H44KZ
Hospital Charge Code	1074
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

02H44YZ

Facility

$10,777.00

Service Code	ICD 02H44YZ
Hospital Charge Code	1076
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

02H600Z

Facility

$10,777.00

Service Code	ICD 02H600Z
Hospital Charge Code	1077
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

02H602Z

Facility

$10,777.00

Service Code	ICD 02H602Z
Hospital Charge Code	1078
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

02H603Z

Facility

$10,777.00

Service Code	ICD 02H603Z
Hospital Charge Code	3165
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

02H60DZ

Facility

$10,777.00

Service Code	ICD 02H60DZ
Hospital Charge Code	1079
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

02H60KZ

Facility

$10,777.00

Service Code	ICD 02H60KZ
Hospital Charge Code	1082
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

02H60KZ

Facility

$10,777.00

Service Code	ICD 02H60KZ
Hospital Charge Code	1081
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

02H60YZ

Facility

$10,777.00

Service Code	ICD 02H60YZ
Hospital Charge Code	1084
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

02H630Z

Facility

$10,777.00

Service Code	ICD 02H630Z
Hospital Charge Code	1085
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

02H632Z

Facility

$10,777.00

Service Code	ICD 02H632Z
Hospital Charge Code	1086
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

02H63DZ

Facility

$10,777.00

Service Code	ICD 02H63DZ
Hospital Charge Code	3166
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

02H63KZ

Facility

$10,777.00

Service Code	ICD 02H63KZ
Hospital Charge Code	1089
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

02H63KZ

Facility

$10,777.00

Service Code	ICD 02H63KZ
Hospital Charge Code	1088
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

02H63YZ

Facility

$10,777.00

Service Code	ICD 02H63YZ
Hospital Charge Code	1091
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

02H640Z

Facility

$10,777.00

Service Code	ICD 02H640Z
Hospital Charge Code	1092
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

02H642Z

Facility

$10,777.00

Service Code	ICD 02H642Z
Hospital Charge Code	1093
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

02H643Z

Facility

$10,777.00

Service Code	ICD 02H643Z
Hospital Charge Code	3167
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

02H64DZ

Facility

$10,777.00

Service Code	ICD 02H64DZ
Hospital Charge Code	1094
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

02H64KZ

Facility

$10,777.00

Service Code	ICD 02H64KZ
Hospital Charge Code	1096
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

02H64KZ

Facility

$10,777.00

Service Code	ICD 02H64KZ
Hospital Charge Code	1097
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

02H64YZ

Facility

$10,777.00

Service Code	ICD 02H64YZ
Hospital Charge Code	1099
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

02H700Z

Facility

$10,777.00

Service Code	ICD 02H700Z
Hospital Charge Code	1100
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

02H702Z

Facility

$10,777.00

Service Code	ICD 02H702Z
Hospital Charge Code	1101
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

02H703Z

Facility

$10,777.00

Service Code	ICD 02H703Z
Hospital Charge Code	3168
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