Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02PA08Z

Facility

$11,208.00

Service Code	ICD 02PA08Z
Hospital Charge Code	10939
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

02PA08Z

Facility

$11,208.00

Service Code	ICD 02PA08Z
Hospital Charge Code	3207
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

02PA0CZ

Facility

$11,208.00

Service Code	ICD 02PA0CZ
Hospital Charge Code	10940
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

02PA0CZ

Facility

$11,208.00

Service Code	ICD 02PA0CZ
Hospital Charge Code	1247
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

02PA0DZ

Facility

$11,208.00

Service Code	ICD 02PA0DZ
Hospital Charge Code	3208
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

02PA0DZ

Facility

$11,208.00

Service Code	ICD 02PA0DZ
Hospital Charge Code	10941
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

02PA0JZ

Facility

$11,208.00

Service Code	ICD 02PA0JZ
Hospital Charge Code	10942
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

02PA0JZ

Facility

$11,208.00

Service Code	ICD 02PA0JZ
Hospital Charge Code	3209
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

02PA0KZ

Facility

$11,208.00

Service Code	ICD 02PA0KZ
Hospital Charge Code	10943
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

02PA0KZ

Facility

$11,208.00

Service Code	ICD 02PA0KZ
Hospital Charge Code	3210
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

02PA0QZ

Facility

$11,208.00

Service Code	ICD 02PA0QZ
Hospital Charge Code	1249
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

02PA0RS

Facility

$11,208.00

Service Code	ICD 02PA0RS
Hospital Charge Code	1250
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

02PA0RZ

Facility

$11,208.00

Service Code	ICD 02PA0RZ
Hospital Charge Code	10944
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

02PA0RZ

Facility

$11,208.00

Service Code	ICD 02PA0RZ
Hospital Charge Code	1251
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

02PA0YZ

Facility

$11,208.00

Service Code	ICD 02PA0YZ
Hospital Charge Code	1252
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

02PA32Z

Facility

$11,208.00

Service Code	ICD 02PA32Z
Hospital Charge Code	10945
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

02PA32Z

Facility

$11,208.00

Service Code	ICD 02PA32Z
Hospital Charge Code	1253
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

02PA33Z

Facility

$11,208.00

Service Code	ICD 02PA33Z
Hospital Charge Code	3211
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

02PA33Z

Facility

$11,208.00

Service Code	ICD 02PA33Z
Hospital Charge Code	10946
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

02PA37Z

Facility

$11,208.00

Service Code	ICD 02PA37Z
Hospital Charge Code	3212
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

02PA37Z

Facility

$11,208.00

Service Code	ICD 02PA37Z
Hospital Charge Code	10947
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

02PA38Z

Facility

$11,208.00

Service Code	ICD 02PA38Z
Hospital Charge Code	10948
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

02PA38Z

Facility

$11,208.00

Service Code	ICD 02PA38Z
Hospital Charge Code	3213
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

02PA3CZ

Facility

$11,208.00

Service Code	ICD 02PA3CZ
Hospital Charge Code	10949
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

02PA3CZ

Facility

$11,208.00

Service Code	ICD 02PA3CZ
Hospital Charge Code	3214
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