Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02PA4QZ

Facility

$11,208.00

Service Code	ICD 02PA4QZ
Hospital Charge Code	1259
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

02PA4RS

Facility

$11,208.00

Service Code	ICD 02PA4RS
Hospital Charge Code	1260
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

02PA4RZ

Facility

$11,208.00

Service Code	ICD 02PA4RZ
Hospital Charge Code	10962
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

02PA4RZ

Facility

$11,208.00

Service Code	ICD 02PA4RZ
Hospital Charge Code	1261
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

02PA4YZ

Facility

$11,208.00

Service Code	ICD 02PA4YZ
Hospital Charge Code	1262
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

02Q00ZZ

Facility

$11,208.00

Service Code	ICD 02Q00ZZ
Hospital Charge Code	10987
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

02Q00ZZ

Facility

$11,208.00

Service Code	ICD 02Q00ZZ
Hospital Charge Code	1264
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

02Q03ZZ

Facility

$11,208.00

Service Code	ICD 02Q03ZZ
Hospital Charge Code	10988
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

02Q03ZZ

Facility

$11,208.00

Service Code	ICD 02Q03ZZ
Hospital Charge Code	3225
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

02Q04ZZ

Facility

$11,208.00

Service Code	ICD 02Q04ZZ
Hospital Charge Code	3226
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

02Q04ZZ

Facility

$11,208.00

Service Code	ICD 02Q04ZZ
Hospital Charge Code	10989
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

02Q10ZZ

Facility

$11,208.00

Service Code	ICD 02Q10ZZ
Hospital Charge Code	3227
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

02Q10ZZ

Facility

$11,208.00

Service Code	ICD 02Q10ZZ
Hospital Charge Code	10990
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

02Q13ZZ

Facility

$11,208.00

Service Code	ICD 02Q13ZZ
Hospital Charge Code	3228
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

02Q13ZZ

Facility

$11,208.00

Service Code	ICD 02Q13ZZ
Hospital Charge Code	10991
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

02Q14ZZ

Facility

$11,208.00

Service Code	ICD 02Q14ZZ
Hospital Charge Code	3229
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

02Q14ZZ

Facility

$11,208.00

Service Code	ICD 02Q14ZZ
Hospital Charge Code	10992
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

02Q20ZZ

Facility

$11,208.00

Service Code	ICD 02Q20ZZ
Hospital Charge Code	3230
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

02Q20ZZ

Facility

$11,208.00

Service Code	ICD 02Q20ZZ
Hospital Charge Code	10993
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

02Q23ZZ

Facility

$11,208.00

Service Code	ICD 02Q23ZZ
Hospital Charge Code	3231
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

02Q23ZZ

Facility

$11,208.00

Service Code	ICD 02Q23ZZ
Hospital Charge Code	10994
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

02Q24ZZ

Facility

$11,208.00

Service Code	ICD 02Q24ZZ
Hospital Charge Code	3232
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

02Q24ZZ

Facility

$11,208.00

Service Code	ICD 02Q24ZZ
Hospital Charge Code	10995
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

02Q30ZZ

Facility

$11,208.00

Service Code	ICD 02Q30ZZ
Hospital Charge Code	10996
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

02Q30ZZ

Facility

$11,208.00

Service Code	ICD 02Q30ZZ
Hospital Charge Code	3233
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