Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02HK0YZ

Facility

$11,208.00

Service Code	ICD 02HK0YZ
Hospital Charge Code	1146
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

02HK3DZ

Facility

$11,208.00

Service Code	ICD 02HK3DZ
Hospital Charge Code	3174
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

02HK3DZ

Facility

$11,208.00

Service Code	ICD 02HK3DZ
Hospital Charge Code	10852
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

02HK3KZ

Facility

$11,208.00

Service Code	ICD 02HK3KZ
Hospital Charge Code	10853
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

02HK3KZ

Facility

$11,208.00

Service Code	ICD 02HK3KZ
Hospital Charge Code	1149
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

02HK3KZ

Facility

$11,208.00

Service Code	ICD 02HK3KZ
Hospital Charge Code	1148
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

02HK3MZ

Facility

$11,208.00

Service Code	ICD 02HK3MZ
Hospital Charge Code	1150
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

02HK3YZ

Facility

$11,208.00

Service Code	ICD 02HK3YZ
Hospital Charge Code	1152
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

02HK43Z

Facility

$11,208.00

Service Code	ICD 02HK43Z
Hospital Charge Code	10854
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

02HK43Z

Facility

$11,208.00

Service Code	ICD 02HK43Z
Hospital Charge Code	1153
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

02HK4DZ

Facility

$11,208.00

Service Code	ICD 02HK4DZ
Hospital Charge Code	1154
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

02HK4DZ

Facility

$11,208.00

Service Code	ICD 02HK4DZ
Hospital Charge Code	10855
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

02HK4KZ

Facility

$11,208.00

Service Code	ICD 02HK4KZ
Hospital Charge Code	1157
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

02HK4KZ

Facility

$11,208.00

Service Code	ICD 02HK4KZ
Hospital Charge Code	10856
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

02HK4KZ

Facility

$11,208.00

Service Code	ICD 02HK4KZ
Hospital Charge Code	1156
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

02HK4MZ

Facility

$11,208.00

Service Code	ICD 02HK4MZ
Hospital Charge Code	1158
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

02HK4YZ

Facility

$11,208.00

Service Code	ICD 02HK4YZ
Hospital Charge Code	1160
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

02HL00Z

Facility

$11,208.00

Service Code	ICD 02HL00Z
Hospital Charge Code	1161
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

02HL02Z

Facility

$11,208.00

Service Code	ICD 02HL02Z
Hospital Charge Code	1162
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

02HL02Z

Facility

$11,208.00

Service Code	ICD 02HL02Z
Hospital Charge Code	10857
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

02HL03Z

Facility

$11,208.00

Service Code	ICD 02HL03Z
Hospital Charge Code	10858
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

02HL03Z

Facility

$11,208.00

Service Code	ICD 02HL03Z
Hospital Charge Code	3175
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

02HL0DZ

Facility

$11,208.00

Service Code	ICD 02HL0DZ
Hospital Charge Code	10859
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

02HL0DZ

Facility

$11,208.00

Service Code	ICD 02HL0DZ
Hospital Charge Code	3176
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

02HL0KZ

Facility

$11,208.00

Service Code	ICD 02HL0KZ
Hospital Charge Code	10860
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