Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02NK0ZZ

Facility

$10,777.00

Service Code	ICD 02NK0ZZ
Hospital Charge Code	1243
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

02NK3ZZ

Facility

$10,777.00

Service Code	ICD 02NK3ZZ
Hospital Charge Code	3196
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

02NK4ZZ

Facility

$10,777.00

Service Code	ICD 02NK4ZZ
Hospital Charge Code	3197
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

02NL0ZZ

Facility

$10,777.00

Service Code	ICD 02NL0ZZ
Hospital Charge Code	3198
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

02NL3ZZ

Facility

$10,777.00

Service Code	ICD 02NL3ZZ
Hospital Charge Code	3199
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

02NL4ZZ

Facility

$10,777.00

Service Code	ICD 02NL4ZZ
Hospital Charge Code	3200
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

02NM0ZZ

Facility

$10,777.00

Service Code	ICD 02NM0ZZ
Hospital Charge Code	1244
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

02NM3ZZ

Facility

$10,777.00

Service Code	ICD 02NM3ZZ
Hospital Charge Code	3201
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

02NM4ZZ

Facility

$10,777.00

Service Code	ICD 02NM4ZZ
Hospital Charge Code	3202
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

02NN0ZZ

Facility

$10,777.00

Service Code	ICD 02NN0ZZ
Hospital Charge Code	1245
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

02NN3ZZ

Facility

$10,777.00

Service Code	ICD 02NN3ZZ
Hospital Charge Code	3203
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

02NN4ZZ

Facility

$10,777.00

Service Code	ICD 02NN4ZZ
Hospital Charge Code	3204
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

02PA02Z

Facility

$10,777.00

Service Code	ICD 02PA02Z
Hospital Charge Code	1246
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

02PA03Z

Facility

$10,777.00

Service Code	ICD 02PA03Z
Hospital Charge Code	3205
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

02PA07Z

Facility

$10,777.00

Service Code	ICD 02PA07Z
Hospital Charge Code	3206
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

02PA08Z

Facility

$10,777.00

Service Code	ICD 02PA08Z
Hospital Charge Code	3207
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

02PA0CZ

Facility

$10,777.00

Service Code	ICD 02PA0CZ
Hospital Charge Code	1247
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

02PA0DZ

Facility

$10,777.00

Service Code	ICD 02PA0DZ
Hospital Charge Code	3208
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

02PA0JZ

Facility

$10,777.00

Service Code	ICD 02PA0JZ
Hospital Charge Code	3209
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

02PA0KZ

Facility

$10,777.00

Service Code	ICD 02PA0KZ
Hospital Charge Code	3210
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

02PA0QZ

Facility

$10,777.00

Service Code	ICD 02PA0QZ
Hospital Charge Code	1249
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

02PA0RS

Facility

$10,777.00

Service Code	ICD 02PA0RS
Hospital Charge Code	1250
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

02PA0RZ

Facility

$10,777.00

Service Code	ICD 02PA0RZ
Hospital Charge Code	1251
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

02PA0YZ

Facility

$10,777.00

Service Code	ICD 02PA0YZ
Hospital Charge Code	1252
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

02PA32Z

Facility

$10,777.00

Service Code	ICD 02PA32Z
Hospital Charge Code	1253
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

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All Charges