Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

0RG00K0

Facility

$15,077.00

Service Code	ICD 0RG00K0
Hospital Charge Code	14447
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG00K1

Facility

$15,077.00

Service Code	ICD 0RG00K1
Hospital Charge Code	14448
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG00KJ

Facility

$15,077.00

Service Code	ICD 0RG00KJ
Hospital Charge Code	14449
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG0370

Facility

$15,077.00

Service Code	ICD 0RG0370
Hospital Charge Code	14450
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG0371

Facility

$15,077.00

Service Code	ICD 0RG0371
Hospital Charge Code	14451
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG037J

Facility

$15,077.00

Service Code	ICD 0RG037J
Hospital Charge Code	14452
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03A0

Facility

$15,077.00

Service Code	ICD 0RG03A0
Hospital Charge Code	14453
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03AJ

Facility

$15,077.00

Service Code	ICD 0RG03AJ
Hospital Charge Code	14454
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03J0

Facility

$15,077.00

Service Code	ICD 0RG03J0
Hospital Charge Code	14455
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03J1

Facility

$15,077.00

Service Code	ICD 0RG03J1
Hospital Charge Code	14456
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03JJ

Facility

$15,077.00

Service Code	ICD 0RG03JJ
Hospital Charge Code	14457
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03K0

Facility

$15,077.00

Service Code	ICD 0RG03K0
Hospital Charge Code	14458
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03K1

Facility

$15,077.00

Service Code	ICD 0RG03K1
Hospital Charge Code	14459
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG03KJ

Facility

$15,077.00

Service Code	ICD 0RG03KJ
Hospital Charge Code	14460
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG0470

Facility

$15,077.00

Service Code	ICD 0RG0470
Hospital Charge Code	14461
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG0471

Facility

$15,077.00

Service Code	ICD 0RG0471
Hospital Charge Code	14462
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG047J

Facility

$15,077.00

Service Code	ICD 0RG047J
Hospital Charge Code	14463
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04A0

Facility

$15,077.00

Service Code	ICD 0RG04A0
Hospital Charge Code	14464
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04AJ

Facility

$15,077.00

Service Code	ICD 0RG04AJ
Hospital Charge Code	14465
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04J0

Facility

$15,077.00

Service Code	ICD 0RG04J0
Hospital Charge Code	14466
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04J1

Facility

$15,077.00

Service Code	ICD 0RG04J1
Hospital Charge Code	14467
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04JJ

Facility

$15,077.00

Service Code	ICD 0RG04JJ
Hospital Charge Code	14468
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04K0

Facility

$15,077.00

Service Code	ICD 0RG04K0
Hospital Charge Code	14469
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04K1

Facility

$15,077.00

Service Code	ICD 0RG04K1
Hospital Charge Code	14470
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

0RG04KJ

Facility

$15,077.00

Service Code	ICD 0RG04KJ
Hospital Charge Code	14471
Min. Negotiated Rate	$15,077.00
Max. Negotiated Rate	$15,077.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,077.00

Know your out-of-pocket cost for care.

All Charges