Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SU-JOM 1100MG/22MLSDVJWTB
Merced, CA
See all hospitals reporting HCPCS J1302 →Price type
Dignity Health’s median price of $5.5k is 23613% above the median hospital's median price ($23), higher than 95% of the 1,288 hospitals reporting HCPCS J1302. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicaid|< 21 fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Cigna commercial|all other plans fee schedule · inpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 5 | Cigna commercial|ppo fee schedule · inpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 6 | Cigna commercial|ppo fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 7 | Kaiser commercial|all plans fee schedule · inpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 8 | Kaiser commercial|all plans fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 10 | First Health commercial|all plans fee schedule · inpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 11 | First Health commercial|all plans fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 16 | Anthem commercial|mcs fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 17 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 18 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 19 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
Last updated: Feb 28, 2026
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