Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

02WA4YZ

Facility

$10,777.00

Service Code	ICD 02WA4YZ
Hospital Charge Code	1521
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

02WF07Z

Facility

$10,777.00

Service Code	ICD 02WF07Z
Hospital Charge Code	3535
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

02WF08Z

Facility

$10,777.00

Service Code	ICD 02WF08Z
Hospital Charge Code	3536
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

02WF0JZ

Facility

$10,777.00

Service Code	ICD 02WF0JZ
Hospital Charge Code	1523
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

02WF0KZ

Facility

$10,777.00

Service Code	ICD 02WF0KZ
Hospital Charge Code	3537
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

02WF37Z

Facility

$10,777.00

Service Code	ICD 02WF37Z
Hospital Charge Code	1524
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

02WF38Z

Facility

$10,777.00

Service Code	ICD 02WF38Z
Hospital Charge Code	1525
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

02WF3JZ

Facility

$10,777.00

Service Code	ICD 02WF3JZ
Hospital Charge Code	1526
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

02WF3KZ

Facility

$10,777.00

Service Code	ICD 02WF3KZ
Hospital Charge Code	1527
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

02WF47Z

Facility

$10,777.00

Service Code	ICD 02WF47Z
Hospital Charge Code	3538
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

02WF48Z

Facility

$10,777.00

Service Code	ICD 02WF48Z
Hospital Charge Code	3539
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

02WF4JZ

Facility

$10,777.00

Service Code	ICD 02WF4JZ
Hospital Charge Code	3540
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

02WF4KZ

Facility

$10,777.00

Service Code	ICD 02WF4KZ
Hospital Charge Code	3541
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

02WG07Z

Facility

$10,777.00

Service Code	ICD 02WG07Z
Hospital Charge Code	3542
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

02WG08Z

Facility

$10,777.00

Service Code	ICD 02WG08Z
Hospital Charge Code	3543
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

02WG0JZ

Facility

$10,777.00

Service Code	ICD 02WG0JZ
Hospital Charge Code	3544
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

02WG0KZ

Facility

$10,777.00

Service Code	ICD 02WG0KZ
Hospital Charge Code	3545
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

02WG37Z

Facility

$10,777.00

Service Code	ICD 02WG37Z
Hospital Charge Code	1528
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

02WG38Z

Facility

$10,777.00

Service Code	ICD 02WG38Z
Hospital Charge Code	1529
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

02WG3JZ

Facility

$10,777.00

Service Code	ICD 02WG3JZ
Hospital Charge Code	1530
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

02WG3KZ

Facility

$10,777.00

Service Code	ICD 02WG3KZ
Hospital Charge Code	1531
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

02WG47Z

Facility

$10,777.00

Service Code	ICD 02WG47Z
Hospital Charge Code	3546
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

02WG48Z

Facility

$10,777.00

Service Code	ICD 02WG48Z
Hospital Charge Code	3547
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

02WG4JZ

Facility

$10,777.00

Service Code	ICD 02WG4JZ
Hospital Charge Code	3548
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

Know your out-of-pocket cost for care.

All Charges