Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02HA3QZ

Facility

$11,208.00

Service Code	ICD 02HA3QZ
Hospital Charge Code	1126
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	10844
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

02HA3RJ

Facility

$11,208.00

Service Code	ICD 02HA3RJ
Hospital Charge Code	1127
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

02HA3RS

Facility

$11,208.00

Service Code	ICD 02HA3RS
Hospital Charge Code	1128
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

02HA3RZ

Facility

$11,208.00

Service Code	ICD 02HA3RZ
Hospital Charge Code	1130
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

02HA3RZ

Facility

$11,208.00

Service Code	ICD 02HA3RZ
Hospital Charge Code	1129
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

02HA3RZ

Facility

$11,208.00

Service Code	ICD 02HA3RZ
Hospital Charge Code	10845
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

02HA3YZ

Facility

$11,208.00

Service Code	ICD 02HA3YZ
Hospital Charge Code	1131
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

02HA4QZ

Facility

$11,208.00

Service Code	ICD 02HA4QZ
Hospital Charge Code	10846
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

02HA4QZ

Facility

$11,208.00

Service Code	ICD 02HA4QZ
Hospital Charge Code	1133
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

02HA4QZ

Facility

$11,208.00

Service Code	ICD 02HA4QZ
Hospital Charge Code	1132
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

02HA4RJ

Facility

$11,208.00

Service Code	ICD 02HA4RJ
Hospital Charge Code	1134
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

02HA4RS

Facility

$11,208.00

Service Code	ICD 02HA4RS
Hospital Charge Code	1135
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

02HA4RZ

Facility

$11,208.00

Service Code	ICD 02HA4RZ
Hospital Charge Code	1136
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

02HA4RZ

Facility

$11,208.00

Service Code	ICD 02HA4RZ
Hospital Charge Code	1137
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

02HA4RZ

Facility

$11,208.00

Service Code	ICD 02HA4RZ
Hospital Charge Code	10847
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

02HA4YZ

Facility

$11,208.00

Service Code	ICD 02HA4YZ
Hospital Charge Code	1138
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

02HK03Z

Facility

$11,208.00

Service Code	ICD 02HK03Z
Hospital Charge Code	1139
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

02HK03Z

Facility

$11,208.00

Service Code	ICD 02HK03Z
Hospital Charge Code	10848
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

02HK0DZ

Facility

$11,208.00

Service Code	ICD 02HK0DZ
Hospital Charge Code	1140
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

02HK0DZ

Facility

$11,208.00

Service Code	ICD 02HK0DZ
Hospital Charge Code	10849
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

02HK0KZ

Facility

$11,208.00

Service Code	ICD 02HK0KZ
Hospital Charge Code	1142
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

02HK0KZ

Facility

$11,208.00

Service Code	ICD 02HK0KZ
Hospital Charge Code	1143
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

02HK0KZ

Facility

$11,208.00

Service Code	ICD 02HK0KZ
Hospital Charge Code	10850
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

02HK0MZ

Facility

$11,208.00

Service Code	ICD 02HK0MZ
Hospital Charge Code	1144
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