Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0RGA370

Facility

$15,839.00

Service Code	ICD 0RGA370
Hospital Charge Code	14681
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

0RGA371

Facility

$15,839.00

Service Code	ICD 0RGA371
Hospital Charge Code	14682
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

0RGA37J

Facility

$15,839.00

Service Code	ICD 0RGA37J
Hospital Charge Code	14683
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

0RGA3A0

Facility

$15,839.00

Service Code	ICD 0RGA3A0
Hospital Charge Code	14684
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

0RGA3AJ

Facility

$15,839.00

Service Code	ICD 0RGA3AJ
Hospital Charge Code	14685
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

0RGA3J0

Facility

$15,839.00

Service Code	ICD 0RGA3J0
Hospital Charge Code	14686
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

0RGA3J1

Facility

$15,839.00

Service Code	ICD 0RGA3J1
Hospital Charge Code	14687
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

0RGA3JJ

Facility

$15,839.00

Service Code	ICD 0RGA3JJ
Hospital Charge Code	14688
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

0RGA3K0

Facility

$15,839.00

Service Code	ICD 0RGA3K0
Hospital Charge Code	14689
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

0RGA3K1

Facility

$15,839.00

Service Code	ICD 0RGA3K1
Hospital Charge Code	14690
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

0RGA3KJ

Facility

$15,839.00

Service Code	ICD 0RGA3KJ
Hospital Charge Code	14691
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

0RGA470

Facility

$15,839.00

Service Code	ICD 0RGA470
Hospital Charge Code	14692
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

0RGA471

Facility

$15,839.00

Service Code	ICD 0RGA471
Hospital Charge Code	14693
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

0RGA471

Facility

$15,839.00

Service Code	ICD 0RGA471
Hospital Charge Code	2623
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

0SG00AJ

Facility

$15,839.00

Service Code	ICD 0SG00AJ
Hospital Charge Code	14776
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

0SG00AJ

Facility

$15,839.00

Service Code	ICD 0SG00AJ
Hospital Charge Code	2624
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

0SG00J0

Facility

$15,839.00

Service Code	ICD 0SG00J0
Hospital Charge Code	14777
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

0SG00J1

Facility

$15,839.00

Service Code	ICD 0SG00J1
Hospital Charge Code	14778
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

0SG00JJ

Facility

$15,839.00

Service Code	ICD 0SG00JJ
Hospital Charge Code	14779
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

0SG00K0

Facility

$15,839.00

Service Code	ICD 0SG00K0
Hospital Charge Code	14780
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

0SG00K1

Facility

$15,839.00

Service Code	ICD 0SG00K1
Hospital Charge Code	14781
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

0SG00KJ

Facility

$15,839.00

Service Code	ICD 0SG00KJ
Hospital Charge Code	14782
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

0SG0370

Facility

$15,839.00

Service Code	ICD 0SG0370
Hospital Charge Code	14783
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

0SG0371

Facility

$15,839.00

Service Code	ICD 0SG0371
Hospital Charge Code	14784
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

0SG037J

Facility

$15,839.00

Service Code	ICD 0SG037J
Hospital Charge Code	14785
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