Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02734T6

Facility

$7,183.00

Service Code	ICD 02734T6
Hospital Charge Code	879
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734TZ

Facility

$7,183.00

Service Code	ICD 02734TZ
Hospital Charge Code	880
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734TZ

Facility

$7,183.00

Service Code	ICD 02734TZ
Hospital Charge Code	10640
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$7,183.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734Z6

Facility

$10,284.00

Service Code	ICD 02734Z6
Hospital Charge Code	10641
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734Z6

Facility

$10,284.00

Service Code	ICD 02734Z6
Hospital Charge Code	881
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734ZZ

Facility

$10,284.00

Service Code	ICD 02734ZZ
Hospital Charge Code	10642
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

02734ZZ

Facility

$10,284.00

Service Code	ICD 02734ZZ
Hospital Charge Code	882
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F04Z

Facility

$11,208.00

Service Code	ICD 027F04Z
Hospital Charge Code	3076
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F04Z

Facility

$11,208.00

Service Code	ICD 027F04Z
Hospital Charge Code	10643
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F0DZ

Facility

$11,208.00

Service Code	ICD 027F0DZ
Hospital Charge Code	883
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F0DZ

Facility

$11,208.00

Service Code	ICD 027F0DZ
Hospital Charge Code	10644
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F0ZZ

Facility

$11,208.00

Service Code	ICD 027F0ZZ
Hospital Charge Code	3077
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F0ZZ

Facility

$11,208.00

Service Code	ICD 027F0ZZ
Hospital Charge Code	10645
Min. Negotiated Rate	$11,208.00
Max. Negotiated Rate	$11,208.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$11,208.00

027F34Z

Facility

$10,284.00

Service Code	ICD 027F34Z
Hospital Charge Code	884
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F34Z

Facility

$10,284.00

Service Code	ICD 027F34Z
Hospital Charge Code	10646
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3DZ

Facility

$10,284.00

Service Code	ICD 027F3DZ
Hospital Charge Code	885
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3DZ

Facility

$10,284.00

Service Code	ICD 027F3DZ
Hospital Charge Code	10647
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3ZZ

Facility

$10,284.00

Service Code	ICD 027F3ZZ
Hospital Charge Code	886
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F3ZZ

Facility

$10,284.00

Service Code	ICD 027F3ZZ
Hospital Charge Code	10648
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F44Z

Facility

$10,284.00

Service Code	ICD 027F44Z
Hospital Charge Code	887
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F44Z

Facility

$10,284.00

Service Code	ICD 027F44Z
Hospital Charge Code	10649
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4DZ

Facility

$10,284.00

Service Code	ICD 027F4DZ
Hospital Charge Code	10650
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4DZ

Facility

$10,284.00

Service Code	ICD 027F4DZ
Hospital Charge Code	888
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4ZZ

Facility

$10,284.00

Service Code	ICD 027F4ZZ
Hospital Charge Code	889
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

027F4ZZ

Facility

$10,284.00

Service Code	ICD 027F4ZZ
Hospital Charge Code	10651
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$10,284.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$10,284.00
Rate for Payer: Heritage Provider Network Commercial	$4,968.00
Rate for Payer: Heritage Provider Network Senior	$7,183.00

Know your out-of-pocket cost for care.

All Charges