Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02PA33Z

Facility

$10,777.00

Service Code	ICD 02PA33Z
Hospital Charge Code	3211
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

02PA37Z

Facility

$10,777.00

Service Code	ICD 02PA37Z
Hospital Charge Code	3212
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

02PA38Z

Facility

$10,777.00

Service Code	ICD 02PA38Z
Hospital Charge Code	3213
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

02PA3CZ

Facility

$10,777.00

Service Code	ICD 02PA3CZ
Hospital Charge Code	3214
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

02PA3DZ

Facility

$10,777.00

Service Code	ICD 02PA3DZ
Hospital Charge Code	3215
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

02PA3JZ

Facility

$10,777.00

Service Code	ICD 02PA3JZ
Hospital Charge Code	3216
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

02PA3KZ

Facility

$10,777.00

Service Code	ICD 02PA3KZ
Hospital Charge Code	3217
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

02PA3QZ

Facility

$10,777.00

Service Code	ICD 02PA3QZ
Hospital Charge Code	1255
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

02PA3RZ

Facility

$10,777.00

Service Code	ICD 02PA3RZ
Hospital Charge Code	1256
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

02PA42Z

Facility

$10,777.00

Service Code	ICD 02PA42Z
Hospital Charge Code	1257
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

02PA43Z

Facility

$10,777.00

Service Code	ICD 02PA43Z
Hospital Charge Code	3218
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

02PA47Z

Facility

$10,777.00

Service Code	ICD 02PA47Z
Hospital Charge Code	3219
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

02PA48Z

Facility

$10,777.00

Service Code	ICD 02PA48Z
Hospital Charge Code	3220
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

02PA4CZ

Facility

$10,777.00

Service Code	ICD 02PA4CZ
Hospital Charge Code	3221
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

02PA4DZ

Facility

$10,777.00

Service Code	ICD 02PA4DZ
Hospital Charge Code	3222
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

02PA4JZ

Facility

$10,777.00

Service Code	ICD 02PA4JZ
Hospital Charge Code	3223
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

02PA4KZ

Facility

$10,777.00

Service Code	ICD 02PA4KZ
Hospital Charge Code	3224
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

02PA4QZ

Facility

$10,777.00

Service Code	ICD 02PA4QZ
Hospital Charge Code	1259
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

02PA4RS

Facility

$10,777.00

Service Code	ICD 02PA4RS
Hospital Charge Code	1260
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

02PA4RZ

Facility

$10,777.00

Service Code	ICD 02PA4RZ
Hospital Charge Code	1261
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

02PA4YZ

Facility

$10,777.00

Service Code	ICD 02PA4YZ
Hospital Charge Code	1262
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

02Q00ZZ

Facility

$10,777.00

Service Code	ICD 02Q00ZZ
Hospital Charge Code	1264
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

02Q03ZZ

Facility

$10,777.00

Service Code	ICD 02Q03ZZ
Hospital Charge Code	3225
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

02Q04ZZ

Facility

$10,777.00

Service Code	ICD 02Q04ZZ
Hospital Charge Code	3226
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

02Q10ZZ

Facility

$10,777.00

Service Code	ICD 02Q10ZZ
Hospital Charge Code	3227
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