Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02UJ48Z

Facility

$10,777.00

Service Code	ICD 02UJ48Z
Hospital Charge Code	3475
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

02UJ4JG

Facility

$10,777.00

Service Code	ICD 02UJ4JG
Hospital Charge Code	1450
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

02UJ4JZ

Facility

$10,777.00

Service Code	ICD 02UJ4JZ
Hospital Charge Code	3476
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

02UJ4KG

Facility

$10,777.00

Service Code	ICD 02UJ4KG
Hospital Charge Code	1451
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

02UJ4KZ

Facility

$10,777.00

Service Code	ICD 02UJ4KZ
Hospital Charge Code	3477
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

02UK07Z

Facility

$10,777.00

Service Code	ICD 02UK07Z
Hospital Charge Code	3478
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

02UK08Z

Facility

$10,777.00

Service Code	ICD 02UK08Z
Hospital Charge Code	3479
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

02UK0JZ

Facility

$10,777.00

Service Code	ICD 02UK0JZ
Hospital Charge Code	1452
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

02UK0KZ

Facility

$10,777.00

Service Code	ICD 02UK0KZ
Hospital Charge Code	1453
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

02UK37Z

Facility

$10,777.00

Service Code	ICD 02UK37Z
Hospital Charge Code	3480
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

02UK38Z

Facility

$10,777.00

Service Code	ICD 02UK38Z
Hospital Charge Code	3481
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

02UK3JZ

Facility

$10,777.00

Service Code	ICD 02UK3JZ
Hospital Charge Code	3482
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

02UK3KZ

Facility

$10,777.00

Service Code	ICD 02UK3KZ
Hospital Charge Code	1454
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

02UK47Z

Facility

$10,777.00

Service Code	ICD 02UK47Z
Hospital Charge Code	3483
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

02UK48Z

Facility

$10,777.00

Service Code	ICD 02UK48Z
Hospital Charge Code	3484
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

02UK4JZ

Facility

$10,777.00

Service Code	ICD 02UK4JZ
Hospital Charge Code	3485
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

02UK4KZ

Facility

$10,777.00

Service Code	ICD 02UK4KZ
Hospital Charge Code	1455
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

02UL07Z

Facility

$10,777.00

Service Code	ICD 02UL07Z
Hospital Charge Code	3486
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

02UL08Z

Facility

$10,777.00

Service Code	ICD 02UL08Z
Hospital Charge Code	3487
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

02UL0JZ

Facility

$10,777.00

Service Code	ICD 02UL0JZ
Hospital Charge Code	3488
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

02UL0KZ

Facility

$10,777.00

Service Code	ICD 02UL0KZ
Hospital Charge Code	1456
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

02UL37Z

Facility

$10,777.00

Service Code	ICD 02UL37Z
Hospital Charge Code	3489
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

02UL38Z

Facility

$10,777.00

Service Code	ICD 02UL38Z
Hospital Charge Code	3490
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

02UL3JZ

Facility

$10,777.00

Service Code	ICD 02UL3JZ
Hospital Charge Code	3491
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

02UL3KZ

Facility

$10,777.00

Service Code	ICD 02UL3KZ
Hospital Charge Code	1457
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

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All Charges