Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0RG04K1

Facility

$15,839.00

Service Code	ICD 0RG04K1
Hospital Charge Code	14470
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG04KJ

Facility

$15,839.00

Service Code	ICD 0RG04KJ
Hospital Charge Code	14471
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG1070

Facility

$15,839.00

Service Code	ICD 0RG1070
Hospital Charge Code	14472
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG1071

Facility

$15,839.00

Service Code	ICD 0RG1071
Hospital Charge Code	14473
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG107J

Facility

$15,839.00

Service Code	ICD 0RG107J
Hospital Charge Code	14474
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10A0

Facility

$15,839.00

Service Code	ICD 0RG10A0
Hospital Charge Code	14475
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10AJ

Facility

$15,839.00

Service Code	ICD 0RG10AJ
Hospital Charge Code	14476
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10J0

Facility

$15,839.00

Service Code	ICD 0RG10J0
Hospital Charge Code	14477
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10J1

Facility

$15,839.00

Service Code	ICD 0RG10J1
Hospital Charge Code	14478
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10JJ

Facility

$15,839.00

Service Code	ICD 0RG10JJ
Hospital Charge Code	14479
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10K0

Facility

$15,839.00

Service Code	ICD 0RG10K0
Hospital Charge Code	14480
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10K1

Facility

$15,839.00

Service Code	ICD 0RG10K1
Hospital Charge Code	14481
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG10KJ

Facility

$15,839.00

Service Code	ICD 0RG10KJ
Hospital Charge Code	14482
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG1370

Facility

$15,839.00

Service Code	ICD 0RG1370
Hospital Charge Code	14483
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG1371

Facility

$15,839.00

Service Code	ICD 0RG1371
Hospital Charge Code	14484
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG137J

Facility

$15,839.00

Service Code	ICD 0RG137J
Hospital Charge Code	14485
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13A0

Facility

$15,839.00

Service Code	ICD 0RG13A0
Hospital Charge Code	14486
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13AJ

Facility

$15,839.00

Service Code	ICD 0RG13AJ
Hospital Charge Code	14487
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13J0

Facility

$15,839.00

Service Code	ICD 0RG13J0
Hospital Charge Code	14488
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13J1

Facility

$15,839.00

Service Code	ICD 0RG13J1
Hospital Charge Code	14489
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13JJ

Facility

$15,839.00

Service Code	ICD 0RG13JJ
Hospital Charge Code	14490
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13K0

Facility

$15,839.00

Service Code	ICD 0RG13K0
Hospital Charge Code	14491
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13K1

Facility

$15,839.00

Service Code	ICD 0RG13K1
Hospital Charge Code	14492
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG13KJ

Facility

$15,839.00

Service Code	ICD 0RG13KJ
Hospital Charge Code	14493
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

0RG1470

Facility

$15,839.00

Service Code	ICD 0RG1470
Hospital Charge Code	14494
Min. Negotiated Rate	$15,839.00
Max. Negotiated Rate	$15,839.00
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$15,839.00

Know your out-of-pocket cost for care.

All Charges