Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

027G04Z

Facility

$11,208.00

Service Code	ICD 027G04Z
Hospital Charge Code	10652
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

027G04Z

Facility

$11,208.00

Service Code	ICD 027G04Z
Hospital Charge Code	3078
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

027G0DZ

Facility

$11,208.00

Service Code	ICD 027G0DZ
Hospital Charge Code	890
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

027G0DZ

Facility

$11,208.00

Service Code	ICD 027G0DZ
Hospital Charge Code	10653
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

027G0ZZ

Facility

$11,208.00

Service Code	ICD 027G0ZZ
Hospital Charge Code	10654
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

027G0ZZ

Facility

$11,208.00

Service Code	ICD 027G0ZZ
Hospital Charge Code	3079
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

027G34Z

Facility

$10,284.00

Service Code	ICD 027G34Z
Hospital Charge Code	891
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

027G34Z

Facility

$10,284.00

Service Code	ICD 027G34Z
Hospital Charge Code	10655
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

027G3DZ

Facility

$10,284.00

Service Code	ICD 027G3DZ
Hospital Charge Code	892
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

027G3DZ

Facility

$10,284.00

Service Code	ICD 027G3DZ
Hospital Charge Code	10656
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

027G3ZZ

Facility

$10,284.00

Service Code	ICD 027G3ZZ
Hospital Charge Code	893
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

027G3ZZ

Facility

$10,284.00

Service Code	ICD 027G3ZZ
Hospital Charge Code	10657
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

027G44Z

Facility

$10,284.00

Service Code	ICD 027G44Z
Hospital Charge Code	894
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

027G44Z

Facility

$10,284.00

Service Code	ICD 027G44Z
Hospital Charge Code	10658
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

027G4DZ

Facility

$10,284.00

Service Code	ICD 027G4DZ
Hospital Charge Code	10659
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

027G4DZ

Facility

$10,284.00

Service Code	ICD 027G4DZ
Hospital Charge Code	895
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

027G4ZZ

Facility

$10,284.00

Service Code	ICD 027G4ZZ
Hospital Charge Code	896
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

027G4ZZ

Facility

$10,284.00

Service Code	ICD 027G4ZZ
Hospital Charge Code	10660
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

027H04Z

Facility

$11,208.00

Service Code	ICD 027H04Z
Hospital Charge Code	10661
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

027H04Z

Facility

$11,208.00

Service Code	ICD 027H04Z
Hospital Charge Code	3080
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

027H0DZ

Facility

$11,208.00

Service Code	ICD 027H0DZ
Hospital Charge Code	897
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

027H0DZ

Facility

$11,208.00

Service Code	ICD 027H0DZ
Hospital Charge Code	10662
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

027H0ZZ

Facility

$11,208.00

Service Code	ICD 027H0ZZ
Hospital Charge Code	10663
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

027H0ZZ

Facility

$11,208.00

Service Code	ICD 027H0ZZ
Hospital Charge Code	3081
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

027H34Z

Facility

$10,284.00

Service Code	ICD 027H34Z
Hospital Charge Code	10664
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