Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0271446

Facility

$8,968.00

Service Code	ICD 0271446
Hospital Charge Code	10587
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

0271446

Facility

$8,968.00

Service Code	ICD 0271446
Hospital Charge Code	709
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

027144Z

Facility

$8,968.00

Service Code	ICD 027144Z
Hospital Charge Code	10588
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

027144Z

Facility

$8,968.00

Service Code	ICD 027144Z
Hospital Charge Code	710
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

0271456

Facility

$8,968.00

Service Code	ICD 0271456
Hospital Charge Code	711
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

027145Z

Facility

$8,968.00

Service Code	ICD 027145Z
Hospital Charge Code	712
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

0271466

Facility

$8,968.00

Service Code	ICD 0271466
Hospital Charge Code	713
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

027146Z

Facility

$8,968.00

Service Code	ICD 027146Z
Hospital Charge Code	714
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

0271476

Facility

$8,968.00

Service Code	ICD 0271476
Hospital Charge Code	715
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

027147Z

Facility

$8,968.00

Service Code	ICD 027147Z
Hospital Charge Code	716
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

02714D6

Facility

$7,183.00

Service Code	ICD 02714D6
Hospital Charge Code	10589
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

02714D6

Facility

$7,183.00

Service Code	ICD 02714D6
Hospital Charge Code	717
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

02714DZ

Facility

$7,183.00

Service Code	ICD 02714DZ
Hospital Charge Code	10590
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

02714DZ

Facility

$7,183.00

Service Code	ICD 02714DZ
Hospital Charge Code	718
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

02714E6

Facility

$4,070.00

Service Code	ICD 02714E6
Hospital Charge Code	3061
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

02714E6

Facility

$4,070.00

Service Code	ICD 02714E6
Hospital Charge Code	3060
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

02714EZ

Facility

$4,070.00

Service Code	ICD 02714EZ
Hospital Charge Code	720
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

02714F6

Facility

$4,070.00

Service Code	ICD 02714F6
Hospital Charge Code	721
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

02714FZ

Facility

$4,070.00

Service Code	ICD 02714FZ
Hospital Charge Code	722
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

02714G6

Facility

$4,070.00

Service Code	ICD 02714G6
Hospital Charge Code	723
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

02714GZ

Facility

$4,070.00

Service Code	ICD 02714GZ
Hospital Charge Code	724
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

02714T6

Facility

$7,183.00

Service Code	ICD 02714T6
Hospital Charge Code	725
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

02714T6

Facility

$7,183.00

Service Code	ICD 02714T6
Hospital Charge Code	10591
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

02714TZ

Facility

$7,183.00

Service Code	ICD 02714TZ
Hospital Charge Code	726
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

02714TZ

Facility

$7,183.00

Service Code	ICD 02714TZ
Hospital Charge Code	10592
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