Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0RG73J0

Facility

$15,839.00

Service Code	ICD 0RG73J0
Hospital Charge Code	14620
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

0RG73J1

Facility

$15,839.00

Service Code	ICD 0RG73J1
Hospital Charge Code	14621
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

0RG73JJ

Facility

$15,839.00

Service Code	ICD 0RG73JJ
Hospital Charge Code	14622
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

0RG73K0

Facility

$15,839.00

Service Code	ICD 0RG73K0
Hospital Charge Code	14623
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

0RG73K1

Facility

$15,839.00

Service Code	ICD 0RG73K1
Hospital Charge Code	14624
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

0RG73KJ

Facility

$15,839.00

Service Code	ICD 0RG73KJ
Hospital Charge Code	14625
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

0RG7470

Facility

$15,839.00

Service Code	ICD 0RG7470
Hospital Charge Code	14626
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

0RG7471

Facility

$15,839.00

Service Code	ICD 0RG7471
Hospital Charge Code	14627
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

0RG747J

Facility

$15,839.00

Service Code	ICD 0RG747J
Hospital Charge Code	14628
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

0RG74A0

Facility

$15,839.00

Service Code	ICD 0RG74A0
Hospital Charge Code	14629
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

0RG74AJ

Facility

$15,839.00

Service Code	ICD 0RG74AJ
Hospital Charge Code	14630
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

0RG74J0

Facility

$15,839.00

Service Code	ICD 0RG74J0
Hospital Charge Code	14631
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

0RG74J1

Facility

$15,839.00

Service Code	ICD 0RG74J1
Hospital Charge Code	14632
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

0RG74JJ

Facility

$15,839.00

Service Code	ICD 0RG74JJ
Hospital Charge Code	14633
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

0RG74K0

Facility

$15,839.00

Service Code	ICD 0RG74K0
Hospital Charge Code	14634
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

0RG74K1

Facility

$15,839.00

Service Code	ICD 0RG74K1
Hospital Charge Code	14635
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

0RG74KJ

Facility

$15,839.00

Service Code	ICD 0RG74KJ
Hospital Charge Code	14636
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

0RG8070

Facility

$15,839.00

Service Code	ICD 0RG8070
Hospital Charge Code	14637
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

0RG8071

Facility

$15,839.00

Service Code	ICD 0RG8071
Hospital Charge Code	14638
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

0RG807J

Facility

$15,839.00

Service Code	ICD 0RG807J
Hospital Charge Code	14639
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

0RG80A0

Facility

$15,839.00

Service Code	ICD 0RG80A0
Hospital Charge Code	14640
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

0RG80AJ

Facility

$15,839.00

Service Code	ICD 0RG80AJ
Hospital Charge Code	14641
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

0RG80J0

Facility

$15,839.00

Service Code	ICD 0RG80J0
Hospital Charge Code	14642
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

0RG80J1

Facility

$15,839.00

Service Code	ICD 0RG80J1
Hospital Charge Code	14643
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

0RG80JJ

Facility

$15,839.00

Service Code	ICD 0RG80JJ
Hospital Charge Code	14644
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