Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0SG03A0

Facility

$15,839.00

Service Code	ICD 0SG03A0
Hospital Charge Code	14786
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

0SG03AJ

Facility

$15,839.00

Service Code	ICD 0SG03AJ
Hospital Charge Code	14787
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

0SG03J0

Facility

$15,839.00

Service Code	ICD 0SG03J0
Hospital Charge Code	14788
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

0SG03J1

Facility

$15,839.00

Service Code	ICD 0SG03J1
Hospital Charge Code	14789
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

0SG03JJ

Facility

$15,839.00

Service Code	ICD 0SG03JJ
Hospital Charge Code	14790
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

0SG03K0

Facility

$15,839.00

Service Code	ICD 0SG03K0
Hospital Charge Code	14791
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

0SG03K1

Facility

$15,839.00

Service Code	ICD 0SG03K1
Hospital Charge Code	14792
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

0SG03KJ

Facility

$15,839.00

Service Code	ICD 0SG03KJ
Hospital Charge Code	14793
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

0SG0470

Facility

$15,839.00

Service Code	ICD 0SG0470
Hospital Charge Code	14794
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

0SG0471

Facility

$15,839.00

Service Code	ICD 0SG0471
Hospital Charge Code	14795
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

0SG047J

Facility

$15,839.00

Service Code	ICD 0SG047J
Hospital Charge Code	14796
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

0SG04A0

Facility

$15,839.00

Service Code	ICD 0SG04A0
Hospital Charge Code	14797
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

0SG04AJ

Facility

$15,839.00

Service Code	ICD 0SG04AJ
Hospital Charge Code	14798
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

0SG04J0

Facility

$15,839.00

Service Code	ICD 0SG04J0
Hospital Charge Code	14799
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

0SG04J1

Facility

$15,839.00

Service Code	ICD 0SG04J1
Hospital Charge Code	14800
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

0SG04JJ

Facility

$15,839.00

Service Code	ICD 0SG04JJ
Hospital Charge Code	14801
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

0SG04K0

Facility

$15,839.00

Service Code	ICD 0SG04K0
Hospital Charge Code	14802
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

0SG04K1

Facility

$15,839.00

Service Code	ICD 0SG04K1
Hospital Charge Code	14803
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

0SG04KJ

Facility

$15,839.00

Service Code	ICD 0SG04KJ
Hospital Charge Code	14804
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

0SG1070

Facility

$15,839.00

Service Code	ICD 0SG1070
Hospital Charge Code	14805
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

0SG1071

Facility

$15,839.00

Service Code	ICD 0SG1071
Hospital Charge Code	14806
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

0SG107J

Facility

$15,839.00

Service Code	ICD 0SG107J
Hospital Charge Code	14807
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

0SG10A0

Facility

$15,839.00

Service Code	ICD 0SG10A0
Hospital Charge Code	14808
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

0SG10AJ

Facility

$15,839.00

Service Code	ICD 0SG10AJ
Hospital Charge Code	14809
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

0SG10J0

Facility

$15,839.00

Service Code	ICD 0SG10J0
Hospital Charge Code	14810
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