Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02C44ZZ

Facility

$11,208.00

Service Code	ICD 02C44ZZ
Hospital Charge Code	10776
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

02C50ZZ

Facility

$11,208.00

Service Code	ICD 02C50ZZ
Hospital Charge Code	1028
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

02C53ZZ

Facility

$11,208.00

Service Code	ICD 02C53ZZ
Hospital Charge Code	3122
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

02C54ZZ

Facility

$11,208.00

Service Code	ICD 02C54ZZ
Hospital Charge Code	3123
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

02C60ZZ

Facility

$11,208.00

Service Code	ICD 02C60ZZ
Hospital Charge Code	1029
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

02C60ZZ

Facility

$11,208.00

Service Code	ICD 02C60ZZ
Hospital Charge Code	10777
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

02C63ZZ

Facility

$11,208.00

Service Code	ICD 02C63ZZ
Hospital Charge Code	10778
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

02C63ZZ

Facility

$11,208.00

Service Code	ICD 02C63ZZ
Hospital Charge Code	3124
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

02C64ZZ

Facility

$11,208.00

Service Code	ICD 02C64ZZ
Hospital Charge Code	3125
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

02C64ZZ

Facility

$11,208.00

Service Code	ICD 02C64ZZ
Hospital Charge Code	10779
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

02C70ZZ

Facility

$11,208.00

Service Code	ICD 02C70ZZ
Hospital Charge Code	10780
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

02C70ZZ

Facility

$11,208.00

Service Code	ICD 02C70ZZ
Hospital Charge Code	3126
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

02C73ZZ

Facility

$11,208.00

Service Code	ICD 02C73ZZ
Hospital Charge Code	10781
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

02C73ZZ

Facility

$11,208.00

Service Code	ICD 02C73ZZ
Hospital Charge Code	3127
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

02C74ZZ

Facility

$11,208.00

Service Code	ICD 02C74ZZ
Hospital Charge Code	10782
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

02C74ZZ

Facility

$11,208.00

Service Code	ICD 02C74ZZ
Hospital Charge Code	3128
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

02C80ZZ

Facility

$11,208.00

Service Code	ICD 02C80ZZ
Hospital Charge Code	3129
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

02C80ZZ

Facility

$11,208.00

Service Code	ICD 02C80ZZ
Hospital Charge Code	10783
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

02C83ZZ

Facility

$11,208.00

Service Code	ICD 02C83ZZ
Hospital Charge Code	10784
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

02C83ZZ

Facility

$11,208.00

Service Code	ICD 02C83ZZ
Hospital Charge Code	3130
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

02C84ZZ

Facility

$11,208.00

Service Code	ICD 02C84ZZ
Hospital Charge Code	3131
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

02C84ZZ

Facility

$11,208.00

Service Code	ICD 02C84ZZ
Hospital Charge Code	10785
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

02C90ZZ

Facility

$11,208.00

Service Code	ICD 02C90ZZ
Hospital Charge Code	3132
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

02C90ZZ

Facility

$11,208.00

Service Code	ICD 02C90ZZ
Hospital Charge Code	10786
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

02C93ZZ

Facility

$11,208.00

Service Code	ICD 02C93ZZ
Hospital Charge Code	3133
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

Know your out-of-pocket cost for care.

All Charges