Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

027H34Z

Facility

$10,284.00

Service Code	ICD 027H34Z
Hospital Charge Code	898
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

027H3DZ

Facility

$10,284.00

Service Code	ICD 027H3DZ
Hospital Charge Code	10665
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

027H3DZ

Facility

$10,284.00

Service Code	ICD 027H3DZ
Hospital Charge Code	899
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

027H3ZZ

Facility

$10,284.00

Service Code	ICD 027H3ZZ
Hospital Charge Code	900
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

027H3ZZ

Facility

$10,284.00

Service Code	ICD 027H3ZZ
Hospital Charge Code	10666
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

027H44Z

Facility

$10,284.00

Service Code	ICD 027H44Z
Hospital Charge Code	901
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

027H44Z

Facility

$10,284.00

Service Code	ICD 027H44Z
Hospital Charge Code	10667
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

027H4DZ

Facility

$10,284.00

Service Code	ICD 027H4DZ
Hospital Charge Code	10668
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

027H4DZ

Facility

$10,284.00

Service Code	ICD 027H4DZ
Hospital Charge Code	902
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

027H4ZZ

Facility

$10,284.00

Service Code	ICD 027H4ZZ
Hospital Charge Code	10669
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

027H4ZZ

Facility

$10,284.00

Service Code	ICD 027H4ZZ
Hospital Charge Code	903
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

027J04Z

Facility

$11,208.00

Service Code	ICD 027J04Z
Hospital Charge Code	3082
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

027J04Z

Facility

$11,208.00

Service Code	ICD 027J04Z
Hospital Charge Code	10670
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

027J0DZ

Facility

$11,208.00

Service Code	ICD 027J0DZ
Hospital Charge Code	10671
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

027J0DZ

Facility

$11,208.00

Service Code	ICD 027J0DZ
Hospital Charge Code	904
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

027J0ZZ

Facility

$11,208.00

Service Code	ICD 027J0ZZ
Hospital Charge Code	3083
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

027J0ZZ

Facility

$11,208.00

Service Code	ICD 027J0ZZ
Hospital Charge Code	10672
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

027J34Z

Facility

$10,284.00

Service Code	ICD 027J34Z
Hospital Charge Code	10673
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

027J34Z

Facility

$10,284.00

Service Code	ICD 027J34Z
Hospital Charge Code	905
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

027J3DZ

Facility

$10,284.00

Service Code	ICD 027J3DZ
Hospital Charge Code	10674
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

027J3DZ

Facility

$10,284.00

Service Code	ICD 027J3DZ
Hospital Charge Code	906
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

027J3ZZ

Facility

$10,284.00

Service Code	ICD 027J3ZZ
Hospital Charge Code	907
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

027J3ZZ

Facility

$10,284.00

Service Code	ICD 027J3ZZ
Hospital Charge Code	10675
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

027J44Z

Facility

$10,284.00

Service Code	ICD 027J44Z
Hospital Charge Code	10676
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

027J44Z

Facility

$10,284.00

Service Code	ICD 027J44Z
Hospital Charge Code	908
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