Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02120AF

Facility

$10,777.00

Service Code	ICD 02120AF
Hospital Charge Code	211
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

02120AW

Facility

$10,777.00

Service Code	ICD 02120AW
Hospital Charge Code	212
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

02120J3

Facility

$10,777.00

Service Code	ICD 02120J3
Hospital Charge Code	213
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

02120J8

Facility

$10,777.00

Service Code	ICD 02120J8
Hospital Charge Code	214
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

02120J9

Facility

$10,777.00

Service Code	ICD 02120J9
Hospital Charge Code	215
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

02120JC

Facility

$10,777.00

Service Code	ICD 02120JC
Hospital Charge Code	216
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

02120JF

Facility

$10,777.00

Service Code	ICD 02120JF
Hospital Charge Code	217
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

02120JW

Facility

$10,777.00

Service Code	ICD 02120JW
Hospital Charge Code	218
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

02120K3

Facility

$10,777.00

Service Code	ICD 02120K3
Hospital Charge Code	219
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

02120K8

Facility

$10,777.00

Service Code	ICD 02120K8
Hospital Charge Code	220
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

02120K9

Facility

$10,777.00

Service Code	ICD 02120K9
Hospital Charge Code	221
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

02120KC

Facility

$10,777.00

Service Code	ICD 02120KC
Hospital Charge Code	222
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

02120KF

Facility

$10,777.00

Service Code	ICD 02120KF
Hospital Charge Code	223
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

02120KW

Facility

$10,777.00

Service Code	ICD 02120KW
Hospital Charge Code	224
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

02120Z3

Facility

$10,777.00

Service Code	ICD 02120Z3
Hospital Charge Code	225
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

02120Z8

Facility

$10,777.00

Service Code	ICD 02120Z8
Hospital Charge Code	226
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

02120Z9

Facility

$10,777.00

Service Code	ICD 02120Z9
Hospital Charge Code	227
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

02120ZC

Facility

$10,777.00

Service Code	ICD 02120ZC
Hospital Charge Code	228
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

02120ZF

Facility

$10,777.00

Service Code	ICD 02120ZF
Hospital Charge Code	2867
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

0212344

Facility

$10,777.00

Service Code	ICD 0212344
Hospital Charge Code	2868
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

02123D4

Facility

$10,777.00

Service Code	ICD 02123D4
Hospital Charge Code	229
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

0212444

Facility

$10,777.00

Service Code	ICD 0212444
Hospital Charge Code	230
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

0212483

Facility

$10,777.00

Service Code	ICD 0212483
Hospital Charge Code	231
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

0212488

Facility

$10,777.00

Service Code	ICD 0212488
Hospital Charge Code	232
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

0212489

Facility

$10,777.00

Service Code	ICD 0212489
Hospital Charge Code	233
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