Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

0SG3471

Facility

$15,839.00

Service Code	ICD 0SG3471
Hospital Charge Code	14861
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

0SG347J

Facility

$15,839.00

Service Code	ICD 0SG347J
Hospital Charge Code	14862
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

0SG34A0

Facility

$15,839.00

Service Code	ICD 0SG34A0
Hospital Charge Code	14863
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

0SG34AJ

Facility

$15,839.00

Service Code	ICD 0SG34AJ
Hospital Charge Code	14864
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

0SG34J0

Facility

$15,839.00

Service Code	ICD 0SG34J0
Hospital Charge Code	14865
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

0SG34J1

Facility

$15,839.00

Service Code	ICD 0SG34J1
Hospital Charge Code	14866
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

0SG34JJ

Facility

$15,839.00

Service Code	ICD 0SG34JJ
Hospital Charge Code	14867
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

0SG34K0

Facility

$15,839.00

Service Code	ICD 0SG34K0
Hospital Charge Code	14868
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

0SG34K1

Facility

$15,839.00

Service Code	ICD 0SG34K1
Hospital Charge Code	14869
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

0SG34KJ

Facility

$15,839.00

Service Code	ICD 0SG34KJ
Hospital Charge Code	14870
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

0SG504Z

Facility

$15,839.00

Service Code	ICD 0SG504Z
Hospital Charge Code	14871
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

0SG507Z

Facility

$15,839.00

Service Code	ICD 0SG507Z
Hospital Charge Code	14872
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

0SG50JZ

Facility

$15,839.00

Service Code	ICD 0SG50JZ
Hospital Charge Code	14873
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

0SG50KZ

Facility

$15,839.00

Service Code	ICD 0SG50KZ
Hospital Charge Code	14874
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

0SG534Z

Facility

$15,839.00

Service Code	ICD 0SG534Z
Hospital Charge Code	14875
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

0SG537Z

Facility

$15,839.00

Service Code	ICD 0SG537Z
Hospital Charge Code	14876
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

0SG53JZ

Facility

$15,839.00

Service Code	ICD 0SG53JZ
Hospital Charge Code	14877
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

0SG53KZ

Facility

$15,839.00

Service Code	ICD 0SG53KZ
Hospital Charge Code	14878
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

0SG544Z

Facility

$15,839.00

Service Code	ICD 0SG544Z
Hospital Charge Code	14879
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

0SG547Z

Facility

$15,839.00

Service Code	ICD 0SG547Z
Hospital Charge Code	14880
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

0SG54JZ

Facility

$15,839.00

Service Code	ICD 0SG54JZ
Hospital Charge Code	14881
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

0SG54KZ

Facility

$15,839.00

Service Code	ICD 0SG54KZ
Hospital Charge Code	14882
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

0SG604Z

Facility

$15,839.00

Service Code	ICD 0SG604Z
Hospital Charge Code	14883
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

0SG607Z

Facility

$15,839.00

Service Code	ICD 0SG607Z
Hospital Charge Code	14884
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

0SG60JZ

Facility

$15,839.00

Service Code	ICD 0SG60JZ
Hospital Charge Code	14885
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