Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

CARDIAC ARREST AND SHOCK

Facility

$24,236.10

Service Code	APR-DRG 1964
Min. Negotiated Rate	$15,307.01
Max. Negotiated Rate	$24,236.10
Rate for Payer: Adventist Health Medi-Cal	$15,307.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,240.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,236.10

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 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 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

$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 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 4A023N7
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 B203YZZ
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 B204YZZ
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 B20FYZZ
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 B2170ZZ
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 B214YZZ
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 B2061ZZ
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 B2171ZZ
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 B213YZZ
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 4A020N8
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 B201YZZ
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 B200YZZ
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 B2070ZZ
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 B21FYZZ
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