Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02RF48Z

Facility

$10,777.00

Service Code	ICD 02RF48Z
Hospital Charge Code	3322
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

02RF4JZ

Facility

$10,777.00

Service Code	ICD 02RF4JZ
Hospital Charge Code	1298
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

02RF4KZ

Facility

$10,777.00

Service Code	ICD 02RF4KZ
Hospital Charge Code	3323
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

02RG07Z

Facility

$10,777.00

Service Code	ICD 02RG07Z
Hospital Charge Code	3324
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

02RG08Z

Facility

$10,777.00

Service Code	ICD 02RG08Z
Hospital Charge Code	3325
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

02RG0JZ

Facility

$10,777.00

Service Code	ICD 02RG0JZ
Hospital Charge Code	3326
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

02RG0KZ

Facility

$10,777.00

Service Code	ICD 02RG0KZ
Hospital Charge Code	3327
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

02RG37H

Facility

$10,777.00

Service Code	ICD 02RG37H
Hospital Charge Code	3328
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

02RG37Z

Facility

$10,777.00

Service Code	ICD 02RG37Z
Hospital Charge Code	1299
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

02RG38H

Facility

$10,777.00

Service Code	ICD 02RG38H
Hospital Charge Code	3329
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

02RG38Z

Facility

$10,777.00

Service Code	ICD 02RG38Z
Hospital Charge Code	1300
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

02RG3JH

Facility

$10,777.00

Service Code	ICD 02RG3JH
Hospital Charge Code	1301
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

02RG3JZ

Facility

$10,777.00

Service Code	ICD 02RG3JZ
Hospital Charge Code	1302
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

02RG3KH

Facility

$10,777.00

Service Code	ICD 02RG3KH
Hospital Charge Code	3330
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

02RG3KZ

Facility

$10,777.00

Service Code	ICD 02RG3KZ
Hospital Charge Code	1303
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

02RG47Z

Facility

$10,777.00

Service Code	ICD 02RG47Z
Hospital Charge Code	3331
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

02RG48Z

Facility

$10,777.00

Service Code	ICD 02RG48Z
Hospital Charge Code	3332
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

02RG4JZ

Facility

$10,777.00

Service Code	ICD 02RG4JZ
Hospital Charge Code	3333
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

02RG4KZ

Facility

$10,777.00

Service Code	ICD 02RG4KZ
Hospital Charge Code	3334
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

02RH07Z

Facility

$10,777.00

Service Code	ICD 02RH07Z
Hospital Charge Code	3335
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

02RH08Z

Facility

$10,777.00

Service Code	ICD 02RH08Z
Hospital Charge Code	3336
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

02RH0JZ

Facility

$10,777.00

Service Code	ICD 02RH0JZ
Hospital Charge Code	3337
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

02RH0KZ

Facility

$10,777.00

Service Code	ICD 02RH0KZ
Hospital Charge Code	3338
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

02RH37H

Facility

$10,777.00

Service Code	ICD 02RH37H
Hospital Charge Code	3339
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

02RH37Z

Facility

$10,777.00

Service Code	ICD 02RH37Z
Hospital Charge Code	3340
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

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All Charges