Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

0RG64AJ

Facility

$15,077.00

Service Code	ICD 0RG64AJ
Hospital Charge Code	14597
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

0RG64J0

Facility

$15,077.00

Service Code	ICD 0RG64J0
Hospital Charge Code	14598
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

0RG64J1

Facility

$15,077.00

Service Code	ICD 0RG64J1
Hospital Charge Code	14599
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

0RG64JJ

Facility

$15,077.00

Service Code	ICD 0RG64JJ
Hospital Charge Code	14600
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

0RG64K0

Facility

$15,077.00

Service Code	ICD 0RG64K0
Hospital Charge Code	14601
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

0RG64K1

Facility

$15,077.00

Service Code	ICD 0RG64K1
Hospital Charge Code	14602
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

0RG64KJ

Facility

$15,077.00

Service Code	ICD 0RG64KJ
Hospital Charge Code	14603
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

0RG7070

Facility

$15,077.00

Service Code	ICD 0RG7070
Hospital Charge Code	14604
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

0RG7071

Facility

$15,077.00

Service Code	ICD 0RG7071
Hospital Charge Code	14605
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

0RG707J

Facility

$15,077.00

Service Code	ICD 0RG707J
Hospital Charge Code	14606
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

0RG70A0

Facility

$15,077.00

Service Code	ICD 0RG70A0
Hospital Charge Code	14607
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

0RG70AJ

Facility

$15,077.00

Service Code	ICD 0RG70AJ
Hospital Charge Code	14608
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

0RG70J0

Facility

$15,077.00

Service Code	ICD 0RG70J0
Hospital Charge Code	14609
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

0RG70J1

Facility

$15,077.00

Service Code	ICD 0RG70J1
Hospital Charge Code	14610
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

0RG70JJ

Facility

$15,077.00

Service Code	ICD 0RG70JJ
Hospital Charge Code	14611
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

0RG70K0

Facility

$15,077.00

Service Code	ICD 0RG70K0
Hospital Charge Code	14612
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

0RG70K1

Facility

$15,077.00

Service Code	ICD 0RG70K1
Hospital Charge Code	14613
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

0RG70KJ

Facility

$15,077.00

Service Code	ICD 0RG70KJ
Hospital Charge Code	14614
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

0RG7370

Facility

$15,077.00

Service Code	ICD 0RG7370
Hospital Charge Code	14615
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

0RG7371

Facility

$15,077.00

Service Code	ICD 0RG7371
Hospital Charge Code	14616
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

0RG737J

Facility

$15,077.00

Service Code	ICD 0RG737J
Hospital Charge Code	14617
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

0RG73A0

Facility

$15,077.00

Service Code	ICD 0RG73A0
Hospital Charge Code	14618
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

0RG73AJ

Facility

$15,077.00

Service Code	ICD 0RG73AJ
Hospital Charge Code	14619
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

0RG73J0

Facility

$15,077.00

Service Code	ICD 0RG73J0
Hospital Charge Code	14620
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

0RG73J1

Facility

$15,077.00

Service Code	ICD 0RG73J1
Hospital Charge Code	14621
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

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All Charges