Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02U14KZ

Facility

$10,777.00

Service Code	ICD 02U14KZ
Hospital Charge Code	1369
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

02U207Z

Facility

$10,777.00

Service Code	ICD 02U207Z
Hospital Charge Code	1370
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

02U208Z

Facility

$10,777.00

Service Code	ICD 02U208Z
Hospital Charge Code	1371
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

02U20JZ

Facility

$10,777.00

Service Code	ICD 02U20JZ
Hospital Charge Code	1372
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

02U20KZ

Facility

$10,777.00

Service Code	ICD 02U20KZ
Hospital Charge Code	1373
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

02U237Z

Facility

$10,777.00

Service Code	ICD 02U237Z
Hospital Charge Code	1374
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

02U238Z

Facility

$10,777.00

Service Code	ICD 02U238Z
Hospital Charge Code	1375
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

02U23JZ

Facility

$10,777.00

Service Code	ICD 02U23JZ
Hospital Charge Code	1376
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

02U23KZ

Facility

$10,777.00

Service Code	ICD 02U23KZ
Hospital Charge Code	1377
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

02U247Z

Facility

$10,777.00

Service Code	ICD 02U247Z
Hospital Charge Code	1378
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

02U248Z

Facility

$10,777.00

Service Code	ICD 02U248Z
Hospital Charge Code	1379
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

02U24JZ

Facility

$10,777.00

Service Code	ICD 02U24JZ
Hospital Charge Code	1380
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

02U24KZ

Facility

$10,777.00

Service Code	ICD 02U24KZ
Hospital Charge Code	1381
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

02U307Z

Facility

$10,777.00

Service Code	ICD 02U307Z
Hospital Charge Code	1382
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

02U308Z

Facility

$10,777.00

Service Code	ICD 02U308Z
Hospital Charge Code	1383
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

02U30JZ

Facility

$10,777.00

Service Code	ICD 02U30JZ
Hospital Charge Code	1384
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

02U30KZ

Facility

$10,777.00

Service Code	ICD 02U30KZ
Hospital Charge Code	1385
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

02U337Z

Facility

$10,777.00

Service Code	ICD 02U337Z
Hospital Charge Code	1386
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

02U338Z

Facility

$10,777.00

Service Code	ICD 02U338Z
Hospital Charge Code	1387
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

02U33JZ

Facility

$10,777.00

Service Code	ICD 02U33JZ
Hospital Charge Code	1388
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

02U33KZ

Facility

$10,777.00

Service Code	ICD 02U33KZ
Hospital Charge Code	1389
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

02U347Z

Facility

$10,777.00

Service Code	ICD 02U347Z
Hospital Charge Code	1390
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

02U348Z

Facility

$10,777.00

Service Code	ICD 02U348Z
Hospital Charge Code	1391
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

02U34JZ

Facility

$10,777.00

Service Code	ICD 02U34JZ
Hospital Charge Code	1392
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

02U34KZ

Facility

$10,777.00

Service Code	ICD 02U34KZ
Hospital Charge Code	1393
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