Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

02Q33ZZ

Facility

$11,208.00

Service Code	ICD 02Q33ZZ
Hospital Charge Code	3234
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

02Q33ZZ

Facility

$11,208.00

Service Code	ICD 02Q33ZZ
Hospital Charge Code	10997
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

02Q34ZZ

Facility

$11,208.00

Service Code	ICD 02Q34ZZ
Hospital Charge Code	3235
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

02Q34ZZ

Facility

$11,208.00

Service Code	ICD 02Q34ZZ
Hospital Charge Code	10998
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

02Q40ZZ

Facility

$11,208.00

Service Code	ICD 02Q40ZZ
Hospital Charge Code	10999
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

02Q40ZZ

Facility

$11,208.00

Service Code	ICD 02Q40ZZ
Hospital Charge Code	3236
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

02Q43ZZ

Facility

$11,208.00

Service Code	ICD 02Q43ZZ
Hospital Charge Code	11000
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

02Q43ZZ

Facility

$11,208.00

Service Code	ICD 02Q43ZZ
Hospital Charge Code	3237
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

02Q44ZZ

Facility

$11,208.00

Service Code	ICD 02Q44ZZ
Hospital Charge Code	11001
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

02Q44ZZ

Facility

$11,208.00

Service Code	ICD 02Q44ZZ
Hospital Charge Code	3238
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

02Q50ZZ

Facility

$11,208.00

Service Code	ICD 02Q50ZZ
Hospital Charge Code	1265
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

02Q50ZZ

Facility

$11,208.00

Service Code	ICD 02Q50ZZ
Hospital Charge Code	11002
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

02Q53ZZ

Facility

$11,208.00

Service Code	ICD 02Q53ZZ
Hospital Charge Code	11003
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

02Q53ZZ

Facility

$11,208.00

Service Code	ICD 02Q53ZZ
Hospital Charge Code	3239
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

02Q54ZZ

Facility

$11,208.00

Service Code	ICD 02Q54ZZ
Hospital Charge Code	3240
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

02Q54ZZ

Facility

$11,208.00

Service Code	ICD 02Q54ZZ
Hospital Charge Code	11004
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

02Q60ZZ

Facility

$11,208.00

Service Code	ICD 02Q60ZZ
Hospital Charge Code	11005
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

02Q60ZZ

Facility

$11,208.00

Service Code	ICD 02Q60ZZ
Hospital Charge Code	1266
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

02Q63ZZ

Facility

$11,208.00

Service Code	ICD 02Q63ZZ
Hospital Charge Code	3241
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

02Q63ZZ

Facility

$11,208.00

Service Code	ICD 02Q63ZZ
Hospital Charge Code	11006
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

02Q64ZZ

Facility

$11,208.00

Service Code	ICD 02Q64ZZ
Hospital Charge Code	3242
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

02Q64ZZ

Facility

$11,208.00

Service Code	ICD 02Q64ZZ
Hospital Charge Code	11007
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

02Q70ZZ

Facility

$11,208.00

Service Code	ICD 02Q70ZZ
Hospital Charge Code	3243
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

02Q70ZZ

Facility

$11,208.00

Service Code	ICD 02Q70ZZ
Hospital Charge Code	11008
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

02Q73ZZ

Facility

$11,208.00

Service Code	ICD 02Q73ZZ
Hospital Charge Code	3244
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