Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0RG23AJ

Facility

$15,839.00

Service Code	ICD 0RG23AJ
Hospital Charge Code	14520
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

0RG23J0

Facility

$15,839.00

Service Code	ICD 0RG23J0
Hospital Charge Code	14521
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

0RG23J1

Facility

$15,839.00

Service Code	ICD 0RG23J1
Hospital Charge Code	14522
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

0RG23JJ

Facility

$15,839.00

Service Code	ICD 0RG23JJ
Hospital Charge Code	14523
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

0RG23K0

Facility

$15,839.00

Service Code	ICD 0RG23K0
Hospital Charge Code	14524
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

0RG23K1

Facility

$15,839.00

Service Code	ICD 0RG23K1
Hospital Charge Code	14525
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

0RG23KJ

Facility

$15,839.00

Service Code	ICD 0RG23KJ
Hospital Charge Code	14526
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

0RG2470

Facility

$15,839.00

Service Code	ICD 0RG2470
Hospital Charge Code	14527
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

0RG2471

Facility

$15,839.00

Service Code	ICD 0RG2471
Hospital Charge Code	14528
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

0RG247J

Facility

$15,839.00

Service Code	ICD 0RG247J
Hospital Charge Code	14529
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

0RG24A0

Facility

$15,839.00

Service Code	ICD 0RG24A0
Hospital Charge Code	14530
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

0RG24AJ

Facility

$15,839.00

Service Code	ICD 0RG24AJ
Hospital Charge Code	14531
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

0RG24J0

Facility

$15,839.00

Service Code	ICD 0RG24J0
Hospital Charge Code	14532
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

0RG24J1

Facility

$15,839.00

Service Code	ICD 0RG24J1
Hospital Charge Code	14533
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

0RG24JJ

Facility

$15,839.00

Service Code	ICD 0RG24JJ
Hospital Charge Code	14534
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

0RG24K0

Facility

$15,839.00

Service Code	ICD 0RG24K0
Hospital Charge Code	14535
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

0RG24K1

Facility

$15,839.00

Service Code	ICD 0RG24K1
Hospital Charge Code	14536
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

0RG24KJ

Facility

$15,839.00

Service Code	ICD 0RG24KJ
Hospital Charge Code	14537
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

0RG4070

Facility

$15,839.00

Service Code	ICD 0RG4070
Hospital Charge Code	14538
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

0RG4071

Facility

$15,839.00

Service Code	ICD 0RG4071
Hospital Charge Code	14539
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

0RG407J

Facility

$15,839.00

Service Code	ICD 0RG407J
Hospital Charge Code	14540
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

0RG40A0

Facility

$15,839.00

Service Code	ICD 0RG40A0
Hospital Charge Code	14541
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

0RG40AJ

Facility

$15,839.00

Service Code	ICD 0RG40AJ
Hospital Charge Code	14542
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

0RG40J0

Facility

$15,839.00

Service Code	ICD 0RG40J0
Hospital Charge Code	14543
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

0RG40J1

Facility

$15,839.00

Service Code	ICD 0RG40J1
Hospital Charge Code	14544
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