Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02NK3ZZ

Facility

$11,208.00

Service Code	ICD 02NK3ZZ
Hospital Charge Code	10928
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

02NK3ZZ

Facility

$11,208.00

Service Code	ICD 02NK3ZZ
Hospital Charge Code	3196
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

02NK4ZZ

Facility

$11,208.00

Service Code	ICD 02NK4ZZ
Hospital Charge Code	10929
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

02NK4ZZ

Facility

$11,208.00

Service Code	ICD 02NK4ZZ
Hospital Charge Code	3197
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

02NL0ZZ

Facility

$11,208.00

Service Code	ICD 02NL0ZZ
Hospital Charge Code	10930
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

02NL0ZZ

Facility

$11,208.00

Service Code	ICD 02NL0ZZ
Hospital Charge Code	3198
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

02NL3ZZ

Facility

$11,208.00

Service Code	ICD 02NL3ZZ
Hospital Charge Code	10931
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

02NL3ZZ

Facility

$11,208.00

Service Code	ICD 02NL3ZZ
Hospital Charge Code	3199
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

02NL4ZZ

Facility

$11,208.00

Service Code	ICD 02NL4ZZ
Hospital Charge Code	10932
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

02NL4ZZ

Facility

$11,208.00

Service Code	ICD 02NL4ZZ
Hospital Charge Code	3200
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

02NM0ZZ

Facility

$11,208.00

Service Code	ICD 02NM0ZZ
Hospital Charge Code	1244
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

02NM3ZZ

Facility

$11,208.00

Service Code	ICD 02NM3ZZ
Hospital Charge Code	3201
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

02NM4ZZ

Facility

$11,208.00

Service Code	ICD 02NM4ZZ
Hospital Charge Code	3202
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

02NN0ZZ

Facility

$11,208.00

Service Code	ICD 02NN0ZZ
Hospital Charge Code	10933
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

02NN0ZZ

Facility

$11,208.00

Service Code	ICD 02NN0ZZ
Hospital Charge Code	1245
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

02NN3ZZ

Facility

$11,208.00

Service Code	ICD 02NN3ZZ
Hospital Charge Code	3203
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

02NN3ZZ

Facility

$11,208.00

Service Code	ICD 02NN3ZZ
Hospital Charge Code	10934
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

02NN4ZZ

Facility

$11,208.00

Service Code	ICD 02NN4ZZ
Hospital Charge Code	3204
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

02NN4ZZ

Facility

$11,208.00

Service Code	ICD 02NN4ZZ
Hospital Charge Code	10935
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

02PA02Z

Facility

$11,208.00

Service Code	ICD 02PA02Z
Hospital Charge Code	10936
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

02PA02Z

Facility

$11,208.00

Service Code	ICD 02PA02Z
Hospital Charge Code	1246
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

02PA03Z

Facility

$11,208.00

Service Code	ICD 02PA03Z
Hospital Charge Code	10937
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

02PA03Z

Facility

$11,208.00

Service Code	ICD 02PA03Z
Hospital Charge Code	3205
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

02PA07Z

Facility

$11,208.00

Service Code	ICD 02PA07Z
Hospital Charge Code	3206
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

02PA07Z

Facility

$11,208.00

Service Code	ICD 02PA07Z
Hospital Charge Code	10938
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