Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02WA0YZ

Facility

$10,777.00

Service Code	ICD 02WA0YZ
Hospital Charge Code	1505
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

02WA32Z

Facility

$10,777.00

Service Code	ICD 02WA32Z
Hospital Charge Code	1506
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

02WA33Z

Facility

$10,777.00

Service Code	ICD 02WA33Z
Hospital Charge Code	3521
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

02WA37Z

Facility

$10,777.00

Service Code	ICD 02WA37Z
Hospital Charge Code	3522
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

02WA38Z

Facility

$10,777.00

Service Code	ICD 02WA38Z
Hospital Charge Code	3523
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

02WA3CZ

Facility

$10,777.00

Service Code	ICD 02WA3CZ
Hospital Charge Code	3524
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

02WA3DZ

Facility

$10,777.00

Service Code	ICD 02WA3DZ
Hospital Charge Code	3525
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

02WA3JZ

Facility

$10,777.00

Service Code	ICD 02WA3JZ
Hospital Charge Code	3526
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

02WA3KZ

Facility

$10,777.00

Service Code	ICD 02WA3KZ
Hospital Charge Code	3527
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

02WA3QZ

Facility

$10,777.00

Service Code	ICD 02WA3QZ
Hospital Charge Code	1509
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

02WA3QZ

Facility

$10,777.00

Service Code	ICD 02WA3QZ
Hospital Charge Code	1508
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

02WA3RS

Facility

$10,777.00

Service Code	ICD 02WA3RS
Hospital Charge Code	1510
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

02WA3RS

Facility

$10,777.00

Service Code	ICD 02WA3RS
Hospital Charge Code	1511
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

02WA3YZ

Facility

$10,777.00

Service Code	ICD 02WA3YZ
Hospital Charge Code	1513
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

02WA42Z

Facility

$10,777.00

Service Code	ICD 02WA42Z
Hospital Charge Code	1514
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

02WA43Z

Facility

$10,777.00

Service Code	ICD 02WA43Z
Hospital Charge Code	3528
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

02WA47Z

Facility

$10,777.00

Service Code	ICD 02WA47Z
Hospital Charge Code	3529
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

02WA48Z

Facility

$10,777.00

Service Code	ICD 02WA48Z
Hospital Charge Code	3530
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

02WA4CZ

Facility

$10,777.00

Service Code	ICD 02WA4CZ
Hospital Charge Code	3531
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

02WA4DZ

Facility

$10,777.00

Service Code	ICD 02WA4DZ
Hospital Charge Code	3532
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

02WA4JZ

Facility

$10,777.00

Service Code	ICD 02WA4JZ
Hospital Charge Code	3533
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

02WA4KZ

Facility

$10,777.00

Service Code	ICD 02WA4KZ
Hospital Charge Code	3534
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

02WA4QZ

Facility

$10,777.00

Service Code	ICD 02WA4QZ
Hospital Charge Code	1517
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

02WA4QZ

Facility

$10,777.00

Service Code	ICD 02WA4QZ
Hospital Charge Code	1516
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

02WA4RS

Facility

$10,777.00

Service Code	ICD 02WA4RS
Hospital Charge Code	1518
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