Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02N34ZZ

Facility

$11,208.00

Service Code	ICD 02N34ZZ
Hospital Charge Code	1232
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

02N40ZZ

Facility

$11,208.00

Service Code	ICD 02N40ZZ
Hospital Charge Code	1233
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

02N40ZZ

Facility

$11,208.00

Service Code	ICD 02N40ZZ
Hospital Charge Code	10905
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

02N43ZZ

Facility

$11,208.00

Service Code	ICD 02N43ZZ
Hospital Charge Code	10906
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

02N43ZZ

Facility

$11,208.00

Service Code	ICD 02N43ZZ
Hospital Charge Code	3181
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

02N44ZZ

Facility

$11,208.00

Service Code	ICD 02N44ZZ
Hospital Charge Code	10907
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

02N44ZZ

Facility

$11,208.00

Service Code	ICD 02N44ZZ
Hospital Charge Code	3182
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

02N50ZZ

Facility

$11,208.00

Service Code	ICD 02N50ZZ
Hospital Charge Code	1234
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

02N53ZZ

Facility

$11,208.00

Service Code	ICD 02N53ZZ
Hospital Charge Code	3183
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

02N54ZZ

Facility

$11,208.00

Service Code	ICD 02N54ZZ
Hospital Charge Code	3184
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

02N60ZZ

Facility

$11,208.00

Service Code	ICD 02N60ZZ
Hospital Charge Code	1235
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

02N60ZZ

Facility

$11,208.00

Service Code	ICD 02N60ZZ
Hospital Charge Code	10908
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

02N63ZZ

Facility

$11,208.00

Service Code	ICD 02N63ZZ
Hospital Charge Code	10909
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

02N63ZZ

Facility

$11,208.00

Service Code	ICD 02N63ZZ
Hospital Charge Code	3185
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

02N64ZZ

Facility

$11,208.00

Service Code	ICD 02N64ZZ
Hospital Charge Code	10910
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

02N64ZZ

Facility

$11,208.00

Service Code	ICD 02N64ZZ
Hospital Charge Code	3186
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

02N70ZZ

Facility

$11,208.00

Service Code	ICD 02N70ZZ
Hospital Charge Code	10911
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

02N70ZZ

Facility

$11,208.00

Service Code	ICD 02N70ZZ
Hospital Charge Code	3187
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

02N73ZZ

Facility

$11,208.00

Service Code	ICD 02N73ZZ
Hospital Charge Code	10912
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

02N73ZZ

Facility

$11,208.00

Service Code	ICD 02N73ZZ
Hospital Charge Code	3188
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

02N74ZZ

Facility

$11,208.00

Service Code	ICD 02N74ZZ
Hospital Charge Code	3189
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

02N74ZZ

Facility

$11,208.00

Service Code	ICD 02N74ZZ
Hospital Charge Code	10913
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

02N80ZZ

Facility

$11,208.00

Service Code	ICD 02N80ZZ
Hospital Charge Code	1236
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

02N80ZZ

Facility

$11,208.00

Service Code	ICD 02N80ZZ
Hospital Charge Code	10914
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

02N83ZZ

Facility

$11,208.00

Service Code	ICD 02N83ZZ
Hospital Charge Code	3190
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

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All Charges