Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0SG14K1

Facility

$15,839.00

Service Code	ICD 0SG14K1
Hospital Charge Code	14836
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

0SG14KJ

Facility

$15,839.00

Service Code	ICD 0SG14KJ
Hospital Charge Code	14837
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

0SG3070

Facility

$15,839.00

Service Code	ICD 0SG3070
Hospital Charge Code	14838
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

0SG3071

Facility

$15,839.00

Service Code	ICD 0SG3071
Hospital Charge Code	14839
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

0SG307J

Facility

$15,839.00

Service Code	ICD 0SG307J
Hospital Charge Code	14840
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

0SG30A0

Facility

$15,839.00

Service Code	ICD 0SG30A0
Hospital Charge Code	14841
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

0SG30AJ

Facility

$15,839.00

Service Code	ICD 0SG30AJ
Hospital Charge Code	14842
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

0SG30J0

Facility

$15,839.00

Service Code	ICD 0SG30J0
Hospital Charge Code	14843
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

0SG30J1

Facility

$15,839.00

Service Code	ICD 0SG30J1
Hospital Charge Code	14844
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

0SG30JJ

Facility

$15,839.00

Service Code	ICD 0SG30JJ
Hospital Charge Code	14845
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

0SG30K0

Facility

$15,839.00

Service Code	ICD 0SG30K0
Hospital Charge Code	14846
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

0SG30K1

Facility

$15,839.00

Service Code	ICD 0SG30K1
Hospital Charge Code	14847
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

0SG30KJ

Facility

$15,839.00

Service Code	ICD 0SG30KJ
Hospital Charge Code	14848
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

0SG3370

Facility

$15,839.00

Service Code	ICD 0SG3370
Hospital Charge Code	14849
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

0SG3371

Facility

$15,839.00

Service Code	ICD 0SG3371
Hospital Charge Code	14850
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

0SG337J

Facility

$15,839.00

Service Code	ICD 0SG337J
Hospital Charge Code	14851
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

0SG33A0

Facility

$15,839.00

Service Code	ICD 0SG33A0
Hospital Charge Code	14852
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

0SG33AJ

Facility

$15,839.00

Service Code	ICD 0SG33AJ
Hospital Charge Code	14853
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

0SG33J0

Facility

$15,839.00

Service Code	ICD 0SG33J0
Hospital Charge Code	14854
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

0SG33J1

Facility

$15,839.00

Service Code	ICD 0SG33J1
Hospital Charge Code	14855
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

0SG33JJ

Facility

$15,839.00

Service Code	ICD 0SG33JJ
Hospital Charge Code	14856
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

0SG33K0

Facility

$15,839.00

Service Code	ICD 0SG33K0
Hospital Charge Code	14857
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

0SG33K1

Facility

$15,839.00

Service Code	ICD 0SG33K1
Hospital Charge Code	14858
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

0SG33KJ

Facility

$15,839.00

Service Code	ICD 0SG33KJ
Hospital Charge Code	14859
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

0SG3470

Facility

$15,839.00

Service Code	ICD 0SG3470
Hospital Charge Code	14860
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