Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02L74ZK

Facility

$10,777.00

Service Code	ICD 02L74ZK
Hospital Charge Code	1208
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

02LH0CZ

Facility

$10,777.00

Service Code	ICD 02LH0CZ
Hospital Charge Code	1209
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

02LH0DZ

Facility

$10,777.00

Service Code	ICD 02LH0DZ
Hospital Charge Code	1210
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

02LH0ZZ

Facility

$10,777.00

Service Code	ICD 02LH0ZZ
Hospital Charge Code	1211
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

02LH3CZ

Facility

$10,777.00

Service Code	ICD 02LH3CZ
Hospital Charge Code	1212
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

02LH3DZ

Facility

$10,777.00

Service Code	ICD 02LH3DZ
Hospital Charge Code	1213
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

02LH3ZZ

Facility

$10,777.00

Service Code	ICD 02LH3ZZ
Hospital Charge Code	1214
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

02LH4CZ

Facility

$10,777.00

Service Code	ICD 02LH4CZ
Hospital Charge Code	1215
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

02LH4DZ

Facility

$10,777.00

Service Code	ICD 02LH4DZ
Hospital Charge Code	1216
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

02LH4ZZ

Facility

$10,777.00

Service Code	ICD 02LH4ZZ
Hospital Charge Code	1217
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

02LR0ZT

Facility

$10,777.00

Service Code	ICD 02LR0ZT
Hospital Charge Code	1218
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

02LS0ZZ

Facility

$10,777.00

Service Code	ICD 02LS0ZZ
Hospital Charge Code	1219
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

02LT0ZZ

Facility

$10,777.00

Service Code	ICD 02LT0ZZ
Hospital Charge Code	1220
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

02N00ZZ

Facility

$10,777.00

Service Code	ICD 02N00ZZ
Hospital Charge Code	1221
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

02N03ZZ

Facility

$10,777.00

Service Code	ICD 02N03ZZ
Hospital Charge Code	1222
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

02N04ZZ

Facility

$10,777.00

Service Code	ICD 02N04ZZ
Hospital Charge Code	1223
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

02N10ZZ

Facility

$10,777.00

Service Code	ICD 02N10ZZ
Hospital Charge Code	1224
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

02N13ZZ

Facility

$10,777.00

Service Code	ICD 02N13ZZ
Hospital Charge Code	1225
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

02N14ZZ

Facility

$10,777.00

Service Code	ICD 02N14ZZ
Hospital Charge Code	1226
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

02N20ZZ

Facility

$10,777.00

Service Code	ICD 02N20ZZ
Hospital Charge Code	1227
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

02N23ZZ

Facility

$10,777.00

Service Code	ICD 02N23ZZ
Hospital Charge Code	1228
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

02N24ZZ

Facility

$10,777.00

Service Code	ICD 02N24ZZ
Hospital Charge Code	1229
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

02N30ZZ

Facility

$10,777.00

Service Code	ICD 02N30ZZ
Hospital Charge Code	1230
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

02N33ZZ

Facility

$10,777.00

Service Code	ICD 02N33ZZ
Hospital Charge Code	1231
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

02N34ZZ

Facility

$10,777.00

Service Code	ICD 02N34ZZ
Hospital Charge Code	1232
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