Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02114K9

Facility

$10,777.00

Service Code	ICD 02114K9
Hospital Charge Code	187
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

02114KC

Facility

$10,777.00

Service Code	ICD 02114KC
Hospital Charge Code	188
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

02114KF

Facility

$10,777.00

Service Code	ICD 02114KF
Hospital Charge Code	189
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

02114KW

Facility

$10,777.00

Service Code	ICD 02114KW
Hospital Charge Code	2866
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

02114Z3

Facility

$10,777.00

Service Code	ICD 02114Z3
Hospital Charge Code	190
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

02114Z8

Facility

$10,777.00

Service Code	ICD 02114Z8
Hospital Charge Code	191
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

02114Z9

Facility

$10,777.00

Service Code	ICD 02114Z9
Hospital Charge Code	192
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

02114ZC

Facility

$10,777.00

Service Code	ICD 02114ZC
Hospital Charge Code	193
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

02114ZF

Facility

$10,777.00

Service Code	ICD 02114ZF
Hospital Charge Code	194
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

0212083

Facility

$10,777.00

Service Code	ICD 0212083
Hospital Charge Code	195
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

0212088

Facility

$10,777.00

Service Code	ICD 0212088
Hospital Charge Code	196
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

0212089

Facility

$10,777.00

Service Code	ICD 0212089
Hospital Charge Code	197
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

021208C

Facility

$10,777.00

Service Code	ICD 021208C
Hospital Charge Code	198
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

021208F

Facility

$10,777.00

Service Code	ICD 021208F
Hospital Charge Code	199
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

021208W

Facility

$10,777.00

Service Code	ICD 021208W
Hospital Charge Code	200
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

0212093

Facility

$10,777.00

Service Code	ICD 0212093
Hospital Charge Code	201
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

0212098

Facility

$10,777.00

Service Code	ICD 0212098
Hospital Charge Code	202
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

0212099

Facility

$10,777.00

Service Code	ICD 0212099
Hospital Charge Code	203
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

021209C

Facility

$10,777.00

Service Code	ICD 021209C
Hospital Charge Code	204
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

021209F

Facility

$10,777.00

Service Code	ICD 021209F
Hospital Charge Code	205
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

021209W

Facility

$10,777.00

Service Code	ICD 021209W
Hospital Charge Code	206
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

02120A3

Facility

$10,777.00

Service Code	ICD 02120A3
Hospital Charge Code	207
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

02120A8

Facility

$10,777.00

Service Code	ICD 02120A8
Hospital Charge Code	208
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

02120A9

Facility

$10,777.00

Service Code	ICD 02120A9
Hospital Charge Code	209
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

02120AC

Facility

$10,777.00

Service Code	ICD 02120AC
Hospital Charge Code	210
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