Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02H73KZ

Facility

$11,208.00

Service Code	ICD 02H73KZ
Hospital Charge Code	1108
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

02H73KZ

Facility

$11,208.00

Service Code	ICD 02H73KZ
Hospital Charge Code	1109
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

02H73KZ

Facility

$11,208.00

Service Code	ICD 02H73KZ
Hospital Charge Code	10837
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

02H73YZ

Facility

$11,208.00

Service Code	ICD 02H73YZ
Hospital Charge Code	1111
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

02H740Z

Facility

$11,208.00

Service Code	ICD 02H740Z
Hospital Charge Code	1112
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

02H742Z

Facility

$11,208.00

Service Code	ICD 02H742Z
Hospital Charge Code	10838
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

02H742Z

Facility

$11,208.00

Service Code	ICD 02H742Z
Hospital Charge Code	1113
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

02H743Z

Facility

$11,208.00

Service Code	ICD 02H743Z
Hospital Charge Code	3172
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

02H743Z

Facility

$11,208.00

Service Code	ICD 02H743Z
Hospital Charge Code	10839
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

02H74DZ

Facility

$11,208.00

Service Code	ICD 02H74DZ
Hospital Charge Code	3173
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

02H74DZ

Facility

$11,208.00

Service Code	ICD 02H74DZ
Hospital Charge Code	10840
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

02H74KZ

Facility

$11,208.00

Service Code	ICD 02H74KZ
Hospital Charge Code	1114
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

02H74KZ

Facility

$11,208.00

Service Code	ICD 02H74KZ
Hospital Charge Code	1115
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

02H74KZ

Facility

$11,208.00

Service Code	ICD 02H74KZ
Hospital Charge Code	10841
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

02H74YZ

Facility

$11,208.00

Service Code	ICD 02H74YZ
Hospital Charge Code	1117
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

02HA0QZ

Facility

$11,208.00

Service Code	ICD 02HA0QZ
Hospital Charge Code	10842
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

02HA0QZ

Facility

$11,208.00

Service Code	ICD 02HA0QZ
Hospital Charge Code	1119
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

02HA0QZ

Facility

$11,208.00

Service Code	ICD 02HA0QZ
Hospital Charge Code	1118
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

02HA0RJ

Facility

$11,208.00

Service Code	ICD 02HA0RJ
Hospital Charge Code	1120
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

02HA0RS

Facility

$11,208.00

Service Code	ICD 02HA0RS
Hospital Charge Code	1121
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

02HA0RZ

Facility

$11,208.00

Service Code	ICD 02HA0RZ
Hospital Charge Code	10843
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

02HA0RZ

Facility

$11,208.00

Service Code	ICD 02HA0RZ
Hospital Charge Code	1122
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

02HA0RZ

Facility

$11,208.00

Service Code	ICD 02HA0RZ
Hospital Charge Code	1123
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

02HA0YZ

Facility

$11,208.00

Service Code	ICD 02HA0YZ
Hospital Charge Code	1124
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

02HA3QZ

Facility

$11,208.00

Service Code	ICD 02HA3QZ
Hospital Charge Code	1125
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