Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

02HL0KZ

Facility

$11,208.00

Service Code	ICD 02HL0KZ
Hospital Charge Code	1164
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

02HL0YZ

Facility

$11,208.00

Service Code	ICD 02HL0YZ
Hospital Charge Code	1167
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

02HL30Z

Facility

$11,208.00

Service Code	ICD 02HL30Z
Hospital Charge Code	1168
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

02HL32Z

Facility

$11,208.00

Service Code	ICD 02HL32Z
Hospital Charge Code	1169
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

02HL32Z

Facility

$11,208.00

Service Code	ICD 02HL32Z
Hospital Charge Code	10861
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

02HL33Z

Facility

$11,208.00

Service Code	ICD 02HL33Z
Hospital Charge Code	10862
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

02HL33Z

Facility

$11,208.00

Service Code	ICD 02HL33Z
Hospital Charge Code	3177
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

02HL3DZ

Facility

$11,208.00

Service Code	ICD 02HL3DZ
Hospital Charge Code	10863
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

02HL3DZ

Facility

$11,208.00

Service Code	ICD 02HL3DZ
Hospital Charge Code	3178
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

02HL3KZ

Facility

$11,208.00

Service Code	ICD 02HL3KZ
Hospital Charge Code	1172
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

02HL3KZ

Facility

$11,208.00

Service Code	ICD 02HL3KZ
Hospital Charge Code	1171
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

02HL3KZ

Facility

$11,208.00

Service Code	ICD 02HL3KZ
Hospital Charge Code	10864
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

02HL3YZ

Facility

$11,208.00

Service Code	ICD 02HL3YZ
Hospital Charge Code	1174
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

02HL40Z

Facility

$11,208.00

Service Code	ICD 02HL40Z
Hospital Charge Code	1175
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

02HL42Z

Facility

$11,208.00

Service Code	ICD 02HL42Z
Hospital Charge Code	1176
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

02HL42Z

Facility

$11,208.00

Service Code	ICD 02HL42Z
Hospital Charge Code	10865
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

02HL43Z

Facility

$11,208.00

Service Code	ICD 02HL43Z
Hospital Charge Code	3179
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

02HL43Z

Facility

$11,208.00

Service Code	ICD 02HL43Z
Hospital Charge Code	10866
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

02HL4DZ

Facility

$11,208.00

Service Code	ICD 02HL4DZ
Hospital Charge Code	10867
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

02HL4DZ

Facility

$11,208.00

Service Code	ICD 02HL4DZ
Hospital Charge Code	3180
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

02HL4KZ

Facility

$11,208.00

Service Code	ICD 02HL4KZ
Hospital Charge Code	10868
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

02HL4KZ

Facility

$11,208.00

Service Code	ICD 02HL4KZ
Hospital Charge Code	1178
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

02HL4KZ

Facility

$11,208.00

Service Code	ICD 02HL4KZ
Hospital Charge Code	1179
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

02HL4YZ

Facility

$11,208.00

Service Code	ICD 02HL4YZ
Hospital Charge Code	1181
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