Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02PA3DZ

Facility

$11,208.00

Service Code	ICD 02PA3DZ
Hospital Charge Code	3215
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

02PA3DZ

Facility

$11,208.00

Service Code	ICD 02PA3DZ
Hospital Charge Code	10950
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

02PA3JZ

Facility

$11,208.00

Service Code	ICD 02PA3JZ
Hospital Charge Code	10951
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

02PA3JZ

Facility

$11,208.00

Service Code	ICD 02PA3JZ
Hospital Charge Code	3216
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

02PA3KZ

Facility

$11,208.00

Service Code	ICD 02PA3KZ
Hospital Charge Code	10952
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

02PA3KZ

Facility

$11,208.00

Service Code	ICD 02PA3KZ
Hospital Charge Code	3217
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

02PA3QZ

Facility

$11,208.00

Service Code	ICD 02PA3QZ
Hospital Charge Code	1255
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

02PA3RZ

Facility

$11,208.00

Service Code	ICD 02PA3RZ
Hospital Charge Code	10953
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

02PA3RZ

Facility

$11,208.00

Service Code	ICD 02PA3RZ
Hospital Charge Code	1256
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

02PA42Z

Facility

$11,208.00

Service Code	ICD 02PA42Z
Hospital Charge Code	10954
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

02PA42Z

Facility

$11,208.00

Service Code	ICD 02PA42Z
Hospital Charge Code	1257
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

02PA43Z

Facility

$11,208.00

Service Code	ICD 02PA43Z
Hospital Charge Code	3218
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

02PA43Z

Facility

$11,208.00

Service Code	ICD 02PA43Z
Hospital Charge Code	10955
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

02PA47Z

Facility

$11,208.00

Service Code	ICD 02PA47Z
Hospital Charge Code	10956
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

02PA47Z

Facility

$11,208.00

Service Code	ICD 02PA47Z
Hospital Charge Code	3219
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

02PA48Z

Facility

$11,208.00

Service Code	ICD 02PA48Z
Hospital Charge Code	10957
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

02PA48Z

Facility

$11,208.00

Service Code	ICD 02PA48Z
Hospital Charge Code	3220
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

02PA4CZ

Facility

$11,208.00

Service Code	ICD 02PA4CZ
Hospital Charge Code	3221
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

02PA4CZ

Facility

$11,208.00

Service Code	ICD 02PA4CZ
Hospital Charge Code	10958
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

02PA4DZ

Facility

$11,208.00

Service Code	ICD 02PA4DZ
Hospital Charge Code	10959
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

02PA4DZ

Facility

$11,208.00

Service Code	ICD 02PA4DZ
Hospital Charge Code	3222
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

02PA4JZ

Facility

$11,208.00

Service Code	ICD 02PA4JZ
Hospital Charge Code	10960
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

02PA4JZ

Facility

$11,208.00

Service Code	ICD 02PA4JZ
Hospital Charge Code	3223
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

02PA4KZ

Facility

$11,208.00

Service Code	ICD 02PA4KZ
Hospital Charge Code	3224
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

02PA4KZ

Facility

$11,208.00

Service Code	ICD 02PA4KZ
Hospital Charge Code	10961
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