Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

CARDIAC ARREST AND SHOCK

Facility

$5,848.86

Service Code	APR-DRG 1961
Min. Negotiated Rate	$3,694.02
Max. Negotiated Rate	$5,848.86
Rate for Payer: Adventist Health Medi-Cal	$3,694.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,402.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,848.86

CARDIAC ARREST AND SHOCK

Facility

$8,652.71

Service Code	APR-DRG 1962
Min. Negotiated Rate	$5,464.87
Max. Negotiated Rate	$8,652.71
Rate for Payer: Adventist Health Medi-Cal	$5,464.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,512.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,652.71

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$9,115.59

Service Code	APR-DRG 2012
Min. Negotiated Rate	$5,757.22
Max. Negotiated Rate	$9,115.59
Rate for Payer: Adventist Health Medi-Cal	$5,757.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,860.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,115.59

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$13,616.64

Service Code	APR-DRG 2013
Min. Negotiated Rate	$8,599.98
Max. Negotiated Rate	$13,616.64
Rate for Payer: Adventist Health Medi-Cal	$8,599.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,248.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,616.64

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$7,031.77

Service Code	APR-DRG 2011
Min. Negotiated Rate	$4,441.12
Max. Negotiated Rate	$7,031.77
Rate for Payer: Adventist Health Medi-Cal	$4,441.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,292.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,031.77

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$22,365.11

Service Code	APR-DRG 2014
Min. Negotiated Rate	$14,125.33
Max. Negotiated Rate	$22,365.11
Rate for Payer: Adventist Health Medi-Cal	$14,125.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,832.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,365.11

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2140ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B212YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2011ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B20F0ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2101ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B210YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2100ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD 4A023N8
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B211YZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2060ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2001ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2080ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2160ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD 4A020N6
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2020ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2120ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2121ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2131ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Cardiac Catheterization

Facility

$14,669.00

Service Code	ICD B2031ZZ
Min. Negotiated Rate	$10,527.00
Max. Negotiated Rate	$14,669.00
Rate for Payer: Blue Shield of California Commercial	$14,669.00
Rate for Payer: Blue Shield of California EPN	$10,527.00

Know your out-of-pocket cost for care.

All Charges