Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02VW4FZ

Facility

$10,777.00

Service Code	ICD 02VW4FZ
Hospital Charge Code	1484
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

02VX0DZ

Facility

$10,777.00

Service Code	ICD 02VX0DZ
Hospital Charge Code	1485
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

02VX0EZ

Facility

$10,777.00

Service Code	ICD 02VX0EZ
Hospital Charge Code	1486
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

02VX0FZ

Facility

$10,777.00

Service Code	ICD 02VX0FZ
Hospital Charge Code	1487
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

02VX3DZ

Facility

$10,777.00

Service Code	ICD 02VX3DZ
Hospital Charge Code	1488
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

02VX3EZ

Facility

$10,777.00

Service Code	ICD 02VX3EZ
Hospital Charge Code	1489
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

02VX3FZ

Facility

$10,777.00

Service Code	ICD 02VX3FZ
Hospital Charge Code	1490
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

02VX4DZ

Facility

$10,777.00

Service Code	ICD 02VX4DZ
Hospital Charge Code	1491
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

02VX4EZ

Facility

$10,777.00

Service Code	ICD 02VX4EZ
Hospital Charge Code	1492
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

02VX4FZ

Facility

$10,777.00

Service Code	ICD 02VX4FZ
Hospital Charge Code	1493
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

02W50JZ

Facility

$10,777.00

Service Code	ICD 02W50JZ
Hospital Charge Code	1494
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

02W54JZ

Facility

$10,777.00

Service Code	ICD 02W54JZ
Hospital Charge Code	3516
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

02WA02Z

Facility

$10,777.00

Service Code	ICD 02WA02Z
Hospital Charge Code	1495
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

02WA03Z

Facility

$10,777.00

Service Code	ICD 02WA03Z
Hospital Charge Code	3517
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

02WA07Z

Facility

$10,777.00

Service Code	ICD 02WA07Z
Hospital Charge Code	3518
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

02WA08Z

Facility

$10,777.00

Service Code	ICD 02WA08Z
Hospital Charge Code	3519
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

02WA0CZ

Facility

$10,777.00

Service Code	ICD 02WA0CZ
Hospital Charge Code	1496
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

02WA0DZ

Facility

$10,777.00

Service Code	ICD 02WA0DZ
Hospital Charge Code	3520
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

02WA0JZ

Facility

$10,777.00

Service Code	ICD 02WA0JZ
Hospital Charge Code	1497
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

02WA0KZ

Facility

$10,777.00

Service Code	ICD 02WA0KZ
Hospital Charge Code	1498
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

02WA0QZ

Facility

$10,777.00

Service Code	ICD 02WA0QZ
Hospital Charge Code	1501
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

02WA0QZ

Facility

$10,777.00

Service Code	ICD 02WA0QZ
Hospital Charge Code	1500
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

02WA0RS

Facility

$10,777.00

Service Code	ICD 02WA0RS
Hospital Charge Code	1502
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

02WA0RS

Facility

$10,777.00

Service Code	ICD 02WA0RS
Hospital Charge Code	1503
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

02WA0RZ

Facility

$10,777.00

Service Code	ICD 02WA0RZ
Hospital Charge Code	1504
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