Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02U507Z

Facility

$10,777.00

Service Code	ICD 02U507Z
Hospital Charge Code	3381
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

02U508Z

Facility

$10,777.00

Service Code	ICD 02U508Z
Hospital Charge Code	3382
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

02U50JZ

Facility

$10,777.00

Service Code	ICD 02U50JZ
Hospital Charge Code	1394
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

02U50KZ

Facility

$10,777.00

Service Code	ICD 02U50KZ
Hospital Charge Code	1395
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

02U537Z

Facility

$10,777.00

Service Code	ICD 02U537Z
Hospital Charge Code	3383
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

02U538Z

Facility

$10,777.00

Service Code	ICD 02U538Z
Hospital Charge Code	3384
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

02U53JZ

Facility

$10,777.00

Service Code	ICD 02U53JZ
Hospital Charge Code	1396
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

02U53KZ

Facility

$10,777.00

Service Code	ICD 02U53KZ
Hospital Charge Code	1397
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

02U547Z

Facility

$10,777.00

Service Code	ICD 02U547Z
Hospital Charge Code	3385
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

02U548Z

Facility

$10,777.00

Service Code	ICD 02U548Z
Hospital Charge Code	3386
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

02U54JZ

Facility

$10,777.00

Service Code	ICD 02U54JZ
Hospital Charge Code	1398
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

02U54KZ

Facility

$10,777.00

Service Code	ICD 02U54KZ
Hospital Charge Code	1399
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

02U607Z

Facility

$10,777.00

Service Code	ICD 02U607Z
Hospital Charge Code	3387
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

02U608Z

Facility

$10,777.00

Service Code	ICD 02U608Z
Hospital Charge Code	3388
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

02U60JZ

Facility

$10,777.00

Service Code	ICD 02U60JZ
Hospital Charge Code	1400
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

02U60KZ

Facility

$10,777.00

Service Code	ICD 02U60KZ
Hospital Charge Code	1401
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

02U637Z

Facility

$10,777.00

Service Code	ICD 02U637Z
Hospital Charge Code	3389
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

02U638Z

Facility

$10,777.00

Service Code	ICD 02U638Z
Hospital Charge Code	3390
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

02U63JZ

Facility

$10,777.00

Service Code	ICD 02U63JZ
Hospital Charge Code	1402
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

02U63KZ

Facility

$10,777.00

Service Code	ICD 02U63KZ
Hospital Charge Code	3391
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

02U647Z

Facility

$10,777.00

Service Code	ICD 02U647Z
Hospital Charge Code	3392
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

02U648Z

Facility

$10,777.00

Service Code	ICD 02U648Z
Hospital Charge Code	3393
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

02U64JZ

Facility

$10,777.00

Service Code	ICD 02U64JZ
Hospital Charge Code	3394
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

02U64KZ

Facility

$10,777.00

Service Code	ICD 02U64KZ
Hospital Charge Code	3395
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

02U707Z

Facility

$10,777.00

Service Code	ICD 02U707Z
Hospital Charge Code	3396
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