Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02HL4KZ

Facility

$10,777.00

Service Code	ICD 02HL4KZ
Hospital Charge Code	1179
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

02HL4YZ

Facility

$10,777.00

Service Code	ICD 02HL4YZ
Hospital Charge Code	1181
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

02HN0KZ

Facility

$10,777.00

Service Code	ICD 02HN0KZ
Hospital Charge Code	1183
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

02HN0YZ

Facility

$10,777.00

Service Code	ICD 02HN0YZ
Hospital Charge Code	1184
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

02HN3KZ

Facility

$10,777.00

Service Code	ICD 02HN3KZ
Hospital Charge Code	1186
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

02HN3YZ

Facility

$10,777.00

Service Code	ICD 02HN3YZ
Hospital Charge Code	1187
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

02HN4KZ

Facility

$10,777.00

Service Code	ICD 02HN4KZ
Hospital Charge Code	1189
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

02HN4YZ

Facility

$10,777.00

Service Code	ICD 02HN4YZ
Hospital Charge Code	1190
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

02HS00Z

Facility

$10,777.00

Service Code	ICD 02HS00Z
Hospital Charge Code	1191
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

02HS30Z

Facility

$10,777.00

Service Code	ICD 02HS30Z
Hospital Charge Code	1192
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

02HS40Z

Facility

$10,777.00

Service Code	ICD 02HS40Z
Hospital Charge Code	1193
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

02HT00Z

Facility

$10,777.00

Service Code	ICD 02HT00Z
Hospital Charge Code	1194
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

02HT30Z

Facility

$10,777.00

Service Code	ICD 02HT30Z
Hospital Charge Code	1195
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

02HT40Z

Facility

$10,777.00

Service Code	ICD 02HT40Z
Hospital Charge Code	1196
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

02HV00Z

Facility

$10,777.00

Service Code	ICD 02HV00Z
Hospital Charge Code	1197
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

02HV30Z

Facility

$10,777.00

Service Code	ICD 02HV30Z
Hospital Charge Code	1198
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

02HV40Z

Facility

$10,777.00

Service Code	ICD 02HV40Z
Hospital Charge Code	1199
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

02HW00Z

Facility

$10,777.00

Service Code	ICD 02HW00Z
Hospital Charge Code	1200
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

02HW30Z

Facility

$10,777.00

Service Code	ICD 02HW30Z
Hospital Charge Code	1201
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

02HW40Z

Facility

$10,777.00

Service Code	ICD 02HW40Z
Hospital Charge Code	1202
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

02HX00Z

Facility

$10,777.00

Service Code	ICD 02HX00Z
Hospital Charge Code	1203
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

02HX30Z

Facility

$10,777.00

Service Code	ICD 02HX30Z
Hospital Charge Code	1204
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

02HX40Z

Facility

$10,777.00

Service Code	ICD 02HX40Z
Hospital Charge Code	1205
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

02L70ZK

Facility

$10,777.00

Service Code	ICD 02L70ZK
Hospital Charge Code	1206
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

02L73ZK

Facility

$10,777.00

Service Code	ICD 02L73ZK
Hospital Charge Code	1207
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