Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02TN3ZZ

Facility

$10,777.00

Service Code	ICD 02TN3ZZ
Hospital Charge Code	3379
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

02TN4ZZ

Facility

$10,777.00

Service Code	ICD 02TN4ZZ
Hospital Charge Code	3380
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

02U007Z

Facility

$10,777.00

Service Code	ICD 02U007Z
Hospital Charge Code	1346
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

02U008Z

Facility

$10,777.00

Service Code	ICD 02U008Z
Hospital Charge Code	1347
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

02U00JZ

Facility

$10,777.00

Service Code	ICD 02U00JZ
Hospital Charge Code	1348
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

02U00KZ

Facility

$10,777.00

Service Code	ICD 02U00KZ
Hospital Charge Code	1349
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

02U037Z

Facility

$10,777.00

Service Code	ICD 02U037Z
Hospital Charge Code	1350
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

02U038Z

Facility

$10,777.00

Service Code	ICD 02U038Z
Hospital Charge Code	1351
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

02U03JZ

Facility

$10,777.00

Service Code	ICD 02U03JZ
Hospital Charge Code	1352
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

02U03KZ

Facility

$10,777.00

Service Code	ICD 02U03KZ
Hospital Charge Code	1353
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

02U047Z

Facility

$10,777.00

Service Code	ICD 02U047Z
Hospital Charge Code	1354
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

02U048Z

Facility

$10,777.00

Service Code	ICD 02U048Z
Hospital Charge Code	1355
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

02U04JZ

Facility

$10,777.00

Service Code	ICD 02U04JZ
Hospital Charge Code	1356
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

02U04KZ

Facility

$10,777.00

Service Code	ICD 02U04KZ
Hospital Charge Code	1357
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

02U107Z

Facility

$10,777.00

Service Code	ICD 02U107Z
Hospital Charge Code	1358
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

02U108Z

Facility

$10,777.00

Service Code	ICD 02U108Z
Hospital Charge Code	1359
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

02U10JZ

Facility

$10,777.00

Service Code	ICD 02U10JZ
Hospital Charge Code	1360
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

02U10KZ

Facility

$10,777.00

Service Code	ICD 02U10KZ
Hospital Charge Code	1361
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

02U137Z

Facility

$10,777.00

Service Code	ICD 02U137Z
Hospital Charge Code	1362
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

02U138Z

Facility

$10,777.00

Service Code	ICD 02U138Z
Hospital Charge Code	1363
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

02U13JZ

Facility

$10,777.00

Service Code	ICD 02U13JZ
Hospital Charge Code	1364
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

02U13KZ

Facility

$10,777.00

Service Code	ICD 02U13KZ
Hospital Charge Code	1365
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

02U147Z

Facility

$10,777.00

Service Code	ICD 02U147Z
Hospital Charge Code	1366
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

02U148Z

Facility

$10,777.00

Service Code	ICD 02U148Z
Hospital Charge Code	1367
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

02U14JZ

Facility

$10,777.00

Service Code	ICD 02U14JZ
Hospital Charge Code	1368
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

Know your out-of-pocket cost for care.

All Charges