Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02R50KZ

Facility

$10,777.00

Service Code	ICD 02R50KZ
Hospital Charge Code	3276
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

02R547Z

Facility

$10,777.00

Service Code	ICD 02R547Z
Hospital Charge Code	3277
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

02R548Z

Facility

$10,777.00

Service Code	ICD 02R548Z
Hospital Charge Code	3278
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

02R54JZ

Facility

$10,777.00

Service Code	ICD 02R54JZ
Hospital Charge Code	3279
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

02R54KZ

Facility

$10,777.00

Service Code	ICD 02R54KZ
Hospital Charge Code	3280
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

02R607Z

Facility

$10,777.00

Service Code	ICD 02R607Z
Hospital Charge Code	3281
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

02R608Z

Facility

$10,777.00

Service Code	ICD 02R608Z
Hospital Charge Code	3282
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

02R60JZ

Facility

$10,777.00

Service Code	ICD 02R60JZ
Hospital Charge Code	3283
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

02R60KZ

Facility

$10,777.00

Service Code	ICD 02R60KZ
Hospital Charge Code	3284
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

02R647Z

Facility

$10,777.00

Service Code	ICD 02R647Z
Hospital Charge Code	3285
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

02R648Z

Facility

$10,777.00

Service Code	ICD 02R648Z
Hospital Charge Code	3286
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

02R64JZ

Facility

$10,777.00

Service Code	ICD 02R64JZ
Hospital Charge Code	3287
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

02R64KZ

Facility

$10,777.00

Service Code	ICD 02R64KZ
Hospital Charge Code	3288
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

02R707Z

Facility

$10,777.00

Service Code	ICD 02R707Z
Hospital Charge Code	3289
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

02R708Z

Facility

$10,777.00

Service Code	ICD 02R708Z
Hospital Charge Code	3290
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

02R70JZ

Facility

$10,777.00

Service Code	ICD 02R70JZ
Hospital Charge Code	3291
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

02R70KZ

Facility

$10,777.00

Service Code	ICD 02R70KZ
Hospital Charge Code	3292
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

02R747Z

Facility

$10,777.00

Service Code	ICD 02R747Z
Hospital Charge Code	3293
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

02R748Z

Facility

$10,777.00

Service Code	ICD 02R748Z
Hospital Charge Code	3294
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

02R74JZ

Facility

$10,777.00

Service Code	ICD 02R74JZ
Hospital Charge Code	3295
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

02R74KZ

Facility

$10,777.00

Service Code	ICD 02R74KZ
Hospital Charge Code	3296
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

02R907Z

Facility

$10,777.00

Service Code	ICD 02R907Z
Hospital Charge Code	3297
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

02R908Z

Facility

$10,777.00

Service Code	ICD 02R908Z
Hospital Charge Code	3298
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

02R90JZ

Facility

$10,777.00

Service Code	ICD 02R90JZ
Hospital Charge Code	1294
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

02R90KZ

Facility

$10,777.00

Service Code	ICD 02R90KZ
Hospital Charge Code	3299
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