Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02H402Z

Facility

$11,208.00

Service Code	ICD 02H402Z
Hospital Charge Code	1060
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

02H403Z

Facility

$11,208.00

Service Code	ICD 02H403Z
Hospital Charge Code	3160
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

02H403Z

Facility

$11,208.00

Service Code	ICD 02H403Z
Hospital Charge Code	10808
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

02H40DZ

Facility

$11,208.00

Service Code	ICD 02H40DZ
Hospital Charge Code	1061
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

02H40DZ

Facility

$11,208.00

Service Code	ICD 02H40DZ
Hospital Charge Code	10809
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

02H40KZ

Facility

$11,208.00

Service Code	ICD 02H40KZ
Hospital Charge Code	10810
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

02H40KZ

Facility

$11,208.00

Service Code	ICD 02H40KZ
Hospital Charge Code	1063
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

02H40YZ

Facility

$11,208.00

Service Code	ICD 02H40YZ
Hospital Charge Code	1065
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

02H430Z

Facility

$11,208.00

Service Code	ICD 02H430Z
Hospital Charge Code	1066
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

02H432Z

Facility

$11,208.00

Service Code	ICD 02H432Z
Hospital Charge Code	10811
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

02H432Z

Facility

$11,208.00

Service Code	ICD 02H432Z
Hospital Charge Code	1067
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

02H433Z

Facility

$11,208.00

Service Code	ICD 02H433Z
Hospital Charge Code	3161
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

02H433Z

Facility

$11,208.00

Service Code	ICD 02H433Z
Hospital Charge Code	10812
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

02H43DZ

Facility

$11,208.00

Service Code	ICD 02H43DZ
Hospital Charge Code	10813
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

02H43DZ

Facility

$11,208.00

Service Code	ICD 02H43DZ
Hospital Charge Code	3162
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

02H43YZ

Facility

$11,208.00

Service Code	ICD 02H43YZ
Hospital Charge Code	1070
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

02H440Z

Facility

$11,208.00

Service Code	ICD 02H440Z
Hospital Charge Code	1071
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

02H442Z

Facility

$11,208.00

Service Code	ICD 02H442Z
Hospital Charge Code	1072
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

02H442Z

Facility

$11,208.00

Service Code	ICD 02H442Z
Hospital Charge Code	10814
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

02H443Z

Facility

$11,208.00

Service Code	ICD 02H443Z
Hospital Charge Code	10815
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

02H443Z

Facility

$11,208.00

Service Code	ICD 02H443Z
Hospital Charge Code	3163
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

02H44DZ

Facility

$11,208.00

Service Code	ICD 02H44DZ
Hospital Charge Code	10816
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

02H44DZ

Facility

$11,208.00

Service Code	ICD 02H44DZ
Hospital Charge Code	3164
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

02H44KZ

Facility

$11,208.00

Service Code	ICD 02H44KZ
Hospital Charge Code	10817
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

02H44KZ

Facility

$11,208.00

Service Code	ICD 02H44KZ
Hospital Charge Code	1074
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