Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02H44YZ

Facility

$11,208.00

Service Code	ICD 02H44YZ
Hospital Charge Code	1076
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

02H600Z

Facility

$11,208.00

Service Code	ICD 02H600Z
Hospital Charge Code	1077
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

02H602Z

Facility

$11,208.00

Service Code	ICD 02H602Z
Hospital Charge Code	10818
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

02H602Z

Facility

$11,208.00

Service Code	ICD 02H602Z
Hospital Charge Code	1078
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

02H603Z

Facility

$11,208.00

Service Code	ICD 02H603Z
Hospital Charge Code	10819
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

02H603Z

Facility

$11,208.00

Service Code	ICD 02H603Z
Hospital Charge Code	3165
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

02H60DZ

Facility

$11,208.00

Service Code	ICD 02H60DZ
Hospital Charge Code	1079
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

02H60DZ

Facility

$11,208.00

Service Code	ICD 02H60DZ
Hospital Charge Code	10820
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

02H60KZ

Facility

$11,208.00

Service Code	ICD 02H60KZ
Hospital Charge Code	1081
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

02H60KZ

Facility

$11,208.00

Service Code	ICD 02H60KZ
Hospital Charge Code	10821
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

02H60KZ

Facility

$11,208.00

Service Code	ICD 02H60KZ
Hospital Charge Code	1082
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

02H60YZ

Facility

$11,208.00

Service Code	ICD 02H60YZ
Hospital Charge Code	1084
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

02H630Z

Facility

$11,208.00

Service Code	ICD 02H630Z
Hospital Charge Code	1085
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

02H632Z

Facility

$11,208.00

Service Code	ICD 02H632Z
Hospital Charge Code	10822
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

02H632Z

Facility

$11,208.00

Service Code	ICD 02H632Z
Hospital Charge Code	1086
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

02H63DZ

Facility

$11,208.00

Service Code	ICD 02H63DZ
Hospital Charge Code	3166
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

02H63DZ

Facility

$11,208.00

Service Code	ICD 02H63DZ
Hospital Charge Code	10824
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

02H63KZ

Facility

$11,208.00

Service Code	ICD 02H63KZ
Hospital Charge Code	1089
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

02H63KZ

Facility

$11,208.00

Service Code	ICD 02H63KZ
Hospital Charge Code	1088
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

02H63KZ

Facility

$11,208.00

Service Code	ICD 02H63KZ
Hospital Charge Code	10825
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

02H63YZ

Facility

$11,208.00

Service Code	ICD 02H63YZ
Hospital Charge Code	1091
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

02H640Z

Facility

$11,208.00

Service Code	ICD 02H640Z
Hospital Charge Code	1092
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

02H642Z

Facility

$11,208.00

Service Code	ICD 02H642Z
Hospital Charge Code	1093
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

02H642Z

Facility

$11,208.00

Service Code	ICD 02H642Z
Hospital Charge Code	10826
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

02H643Z

Facility

$11,208.00

Service Code	ICD 02H643Z
Hospital Charge Code	3167
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