Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02Q13ZZ

Facility

$10,777.00

Service Code	ICD 02Q13ZZ
Hospital Charge Code	3228
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

02Q14ZZ

Facility

$10,777.00

Service Code	ICD 02Q14ZZ
Hospital Charge Code	3229
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

02Q20ZZ

Facility

$10,777.00

Service Code	ICD 02Q20ZZ
Hospital Charge Code	3230
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

02Q23ZZ

Facility

$10,777.00

Service Code	ICD 02Q23ZZ
Hospital Charge Code	3231
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

02Q24ZZ

Facility

$10,777.00

Service Code	ICD 02Q24ZZ
Hospital Charge Code	3232
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

02Q30ZZ

Facility

$10,777.00

Service Code	ICD 02Q30ZZ
Hospital Charge Code	3233
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

02Q33ZZ

Facility

$10,777.00

Service Code	ICD 02Q33ZZ
Hospital Charge Code	3234
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

02Q34ZZ

Facility

$10,777.00

Service Code	ICD 02Q34ZZ
Hospital Charge Code	3235
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

02Q40ZZ

Facility

$10,777.00

Service Code	ICD 02Q40ZZ
Hospital Charge Code	3236
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

02Q43ZZ

Facility

$10,777.00

Service Code	ICD 02Q43ZZ
Hospital Charge Code	3237
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

02Q44ZZ

Facility

$10,777.00

Service Code	ICD 02Q44ZZ
Hospital Charge Code	3238
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

02Q50ZZ

Facility

$10,777.00

Service Code	ICD 02Q50ZZ
Hospital Charge Code	1265
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

02Q53ZZ

Facility

$10,777.00

Service Code	ICD 02Q53ZZ
Hospital Charge Code	3239
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

02Q54ZZ

Facility

$10,777.00

Service Code	ICD 02Q54ZZ
Hospital Charge Code	3240
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

02Q60ZZ

Facility

$10,777.00

Service Code	ICD 02Q60ZZ
Hospital Charge Code	1266
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

02Q63ZZ

Facility

$10,777.00

Service Code	ICD 02Q63ZZ
Hospital Charge Code	3241
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

02Q64ZZ

Facility

$10,777.00

Service Code	ICD 02Q64ZZ
Hospital Charge Code	3242
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

02Q70ZZ

Facility

$10,777.00

Service Code	ICD 02Q70ZZ
Hospital Charge Code	3243
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

02Q73ZZ

Facility

$10,777.00

Service Code	ICD 02Q73ZZ
Hospital Charge Code	3244
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

02Q74ZZ

Facility

$10,777.00

Service Code	ICD 02Q74ZZ
Hospital Charge Code	3245
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

02Q80ZZ

Facility

$10,777.00

Service Code	ICD 02Q80ZZ
Hospital Charge Code	3246
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

02Q83ZZ

Facility

$10,777.00

Service Code	ICD 02Q83ZZ
Hospital Charge Code	3247
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

02Q84ZZ

Facility

$10,777.00

Service Code	ICD 02Q84ZZ
Hospital Charge Code	3248
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

02Q90ZZ

Facility

$10,777.00

Service Code	ICD 02Q90ZZ
Hospital Charge Code	1267
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

02Q93ZZ

Facility

$10,777.00

Service Code	ICD 02Q93ZZ
Hospital Charge Code	3249
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