Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0SG10J1

Facility

$15,839.00

Service Code	ICD 0SG10J1
Hospital Charge Code	14811
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

0SG10JJ

Facility

$15,839.00

Service Code	ICD 0SG10JJ
Hospital Charge Code	14812
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

0SG10K0

Facility

$15,839.00

Service Code	ICD 0SG10K0
Hospital Charge Code	14813
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

0SG10K1

Facility

$15,839.00

Service Code	ICD 0SG10K1
Hospital Charge Code	14814
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

0SG10KJ

Facility

$15,839.00

Service Code	ICD 0SG10KJ
Hospital Charge Code	14815
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

0SG1370

Facility

$15,839.00

Service Code	ICD 0SG1370
Hospital Charge Code	14816
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

0SG1371

Facility

$15,839.00

Service Code	ICD 0SG1371
Hospital Charge Code	14817
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

0SG137J

Facility

$15,839.00

Service Code	ICD 0SG137J
Hospital Charge Code	14818
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

0SG13A0

Facility

$15,839.00

Service Code	ICD 0SG13A0
Hospital Charge Code	14819
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

0SG13AJ

Facility

$15,839.00

Service Code	ICD 0SG13AJ
Hospital Charge Code	14820
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

0SG13J0

Facility

$15,839.00

Service Code	ICD 0SG13J0
Hospital Charge Code	14821
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

0SG13J1

Facility

$15,839.00

Service Code	ICD 0SG13J1
Hospital Charge Code	14822
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

0SG13JJ

Facility

$15,839.00

Service Code	ICD 0SG13JJ
Hospital Charge Code	14823
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

0SG13K0

Facility

$15,839.00

Service Code	ICD 0SG13K0
Hospital Charge Code	14824
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

0SG13K1

Facility

$15,839.00

Service Code	ICD 0SG13K1
Hospital Charge Code	14825
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

0SG13KJ

Facility

$15,839.00

Service Code	ICD 0SG13KJ
Hospital Charge Code	14826
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

0SG1470

Facility

$15,839.00

Service Code	ICD 0SG1470
Hospital Charge Code	14827
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

0SG1471

Facility

$15,839.00

Service Code	ICD 0SG1471
Hospital Charge Code	14828
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

0SG147J

Facility

$15,839.00

Service Code	ICD 0SG147J
Hospital Charge Code	14829
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

0SG14A0

Facility

$15,839.00

Service Code	ICD 0SG14A0
Hospital Charge Code	14830
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

0SG14AJ

Facility

$15,839.00

Service Code	ICD 0SG14AJ
Hospital Charge Code	14831
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

0SG14J0

Facility

$15,839.00

Service Code	ICD 0SG14J0
Hospital Charge Code	14832
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

0SG14J1

Facility

$15,839.00

Service Code	ICD 0SG14J1
Hospital Charge Code	14833
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

0SG14JJ

Facility

$15,839.00

Service Code	ICD 0SG14JJ
Hospital Charge Code	14834
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

0SG14K0

Facility

$15,839.00

Service Code	ICD 0SG14K0
Hospital Charge Code	14835
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