Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

027R0ZT

Facility

$11,208.00

Service Code	ICD 027R0ZT
Hospital Charge Code	10690
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

027R34T

Facility

$11,208.00

Service Code	ICD 027R34T
Hospital Charge Code	931
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

027R34T

Facility

$11,208.00

Service Code	ICD 027R34T
Hospital Charge Code	10691
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

027R34Z

Facility

$8,968.00

Service Code	ICD 027R34Z
Hospital Charge Code	932
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027R3DT

Facility

$11,208.00

Service Code	ICD 027R3DT
Hospital Charge Code	10692
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

027R3DT

Facility

$11,208.00

Service Code	ICD 027R3DT
Hospital Charge Code	933
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

027R3DZ

Facility

$4,070.00

Service Code	ICD 027R3DZ
Hospital Charge Code	3099
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

027R3ZT

Facility

$11,208.00

Service Code	ICD 027R3ZT
Hospital Charge Code	934
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

027R3ZT

Facility

$11,208.00

Service Code	ICD 027R3ZT
Hospital Charge Code	10693
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

027R44T

Facility

$11,208.00

Service Code	ICD 027R44T
Hospital Charge Code	10694
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

027R44T

Facility

$11,208.00

Service Code	ICD 027R44T
Hospital Charge Code	935
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

027R44Z

Facility

$8,968.00

Service Code	ICD 027R44Z
Hospital Charge Code	936
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027R4DT

Facility

$11,208.00

Service Code	ICD 027R4DT
Hospital Charge Code	937
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

027R4DT

Facility

$11,208.00

Service Code	ICD 027R4DT
Hospital Charge Code	10695
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

027R4DZ

Facility

$4,070.00

Service Code	ICD 027R4DZ
Hospital Charge Code	3100
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

027R4ZT

Facility

$11,208.00

Service Code	ICD 027R4ZT
Hospital Charge Code	10696
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

027R4ZT

Facility

$11,208.00

Service Code	ICD 027R4ZT
Hospital Charge Code	938
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

027S04Z

Facility

$8,968.00

Service Code	ICD 027S04Z
Hospital Charge Code	939
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027S0DZ

Facility

$4,070.00

Service Code	ICD 027S0DZ
Hospital Charge Code	3101
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

027S34Z

Facility

$8,968.00

Service Code	ICD 027S34Z
Hospital Charge Code	940
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027S3DZ

Facility

$4,070.00

Service Code	ICD 027S3DZ
Hospital Charge Code	3102
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

027S44Z

Facility

$8,968.00

Service Code	ICD 027S44Z
Hospital Charge Code	941
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027S4DZ

Facility

$4,070.00

Service Code	ICD 027S4DZ
Hospital Charge Code	3103
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

027T04Z

Facility

$8,968.00

Service Code	ICD 027T04Z
Hospital Charge Code	942
Min. Negotiated Rate	$8,968.00
Max. Negotiated Rate	$8,968.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$8,968.00

027T0DZ

Facility

$4,070.00

Service Code	ICD 027T0DZ
Hospital Charge Code	3104
Min. Negotiated Rate	$4,070.00
Max. Negotiated Rate	$4,070.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$4,070.00

Know your out-of-pocket cost for care.

All Charges