Loma Linda University Medical Center

All Charges

Charge

Type

Price

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$16,724.56

Service Code	APR-DRG 1913
Min. Negotiated Rate	$14,034.60
Max. Negotiated Rate	$16,724.56
Rate for Payer: Adventist Health Medi-Cal	$14,034.60
Rate for Payer: IEHP medi-cal	$16,724.56

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$11,785.95

Service Code	APR-DRG 1921
Min. Negotiated Rate	$9,890.30
Max. Negotiated Rate	$11,785.95
Rate for Payer: Adventist Health Medi-Cal	$9,890.30
Rate for Payer: IEHP medi-cal	$11,785.95

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$14,665.04

Service Code	APR-DRG 1922
Min. Negotiated Rate	$12,306.32
Max. Negotiated Rate	$14,665.04
Rate for Payer: Adventist Health Medi-Cal	$12,306.32
Rate for Payer: IEHP medi-cal	$14,665.04

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$31,958.21

Service Code	APR-DRG 1924
Min. Negotiated Rate	$26,818.08
Max. Negotiated Rate	$31,958.21
Rate for Payer: Adventist Health Medi-Cal	$26,818.08
Rate for Payer: IEHP medi-cal	$31,958.21

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$20,567.35

Service Code	APR-DRG 1923
Min. Negotiated Rate	$17,259.31
Max. Negotiated Rate	$20,567.35
Rate for Payer: Adventist Health Medi-Cal	$17,259.31
Rate for Payer: IEHP medi-cal	$20,567.35

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$37,793.78

Service Code	APR-DRG 1774
Min. Negotiated Rate	$31,715.06
Max. Negotiated Rate	$37,793.78
Rate for Payer: Adventist Health Medi-Cal	$31,715.06
Rate for Payer: IEHP medi-cal	$37,793.78

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$27,391.98

Service Code	APR-DRG 1773
Min. Negotiated Rate	$22,986.28
Max. Negotiated Rate	$27,391.98
Rate for Payer: Adventist Health Medi-Cal	$22,986.28
Rate for Payer: IEHP medi-cal	$27,391.98

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$20,385.82

Service Code	APR-DRG 1772
Min. Negotiated Rate	$17,106.98
Max. Negotiated Rate	$20,385.82
Rate for Payer: Adventist Health Medi-Cal	$17,106.98
Rate for Payer: IEHP medi-cal	$20,385.82

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$14,121.78

Service Code	APR-DRG 1771
Min. Negotiated Rate	$11,850.44
Max. Negotiated Rate	$14,121.78
Rate for Payer: Adventist Health Medi-Cal	$11,850.44
Rate for Payer: IEHP medi-cal	$14,121.78

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$16,992.86

Service Code	APR-DRG 2004
Min. Negotiated Rate	$14,259.74
Max. Negotiated Rate	$16,992.86
Rate for Payer: Adventist Health Medi-Cal	$14,259.74
Rate for Payer: IEHP medi-cal	$16,992.86

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$7,572.11

Service Code	APR-DRG 2002
Min. Negotiated Rate	$6,354.22
Max. Negotiated Rate	$7,572.11
Rate for Payer: Adventist Health Medi-Cal	$6,354.22
Rate for Payer: IEHP medi-cal	$7,572.11

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$5,113.48

Service Code	APR-DRG 2001
Min. Negotiated Rate	$4,291.03
Max. Negotiated Rate	$5,113.48
Rate for Payer: Adventist Health Medi-Cal	$4,291.03
Rate for Payer: IEHP medi-cal	$5,113.48

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$10,950.38

Service Code	APR-DRG 2003
Min. Negotiated Rate	$9,189.13
Max. Negotiated Rate	$10,950.38
Rate for Payer: Adventist Health Medi-Cal	$9,189.13
Rate for Payer: IEHP medi-cal	$10,950.38

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$61,074.70

Service Code	APR-DRG 1622
Min. Negotiated Rate	$51,251.50
Max. Negotiated Rate	$61,074.70
Rate for Payer: Adventist Health Medi-Cal	$51,251.50
Rate for Payer: IEHP medi-cal	$61,074.70

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$52,118.45

Service Code	APR-DRG 1621
Min. Negotiated Rate	$43,735.76
Max. Negotiated Rate	$52,118.45
Rate for Payer: Adventist Health Medi-Cal	$43,735.76
Rate for Payer: IEHP medi-cal	$52,118.45

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$112,512.43

Service Code	APR-DRG 1624
Min. Negotiated Rate	$94,416.02
Max. Negotiated Rate	$112,512.43
Rate for Payer: Adventist Health Medi-Cal	$94,416.02
Rate for Payer: IEHP medi-cal	$112,512.43

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$77,062.49

Service Code	APR-DRG 1623
Min. Negotiated Rate	$64,667.82
Max. Negotiated Rate	$77,062.49
Rate for Payer: Adventist Health Medi-Cal	$64,667.82
Rate for Payer: IEHP medi-cal	$77,062.49

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$50,441.99

Service Code	APR-DRG 1632
Min. Negotiated Rate	$42,328.94
Max. Negotiated Rate	$50,441.99
Rate for Payer: Adventist Health Medi-Cal	$42,328.94
Rate for Payer: IEHP medi-cal	$50,441.99

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$95,741.15

Service Code	APR-DRG 1634
Min. Negotiated Rate	$80,342.22
Max. Negotiated Rate	$95,741.15
Rate for Payer: Adventist Health Medi-Cal	$80,342.22
Rate for Payer: IEHP medi-cal	$95,741.15

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$45,584.80

Service Code	APR-DRG 1631
Min. Negotiated Rate	$38,252.98
Max. Negotiated Rate	$45,584.80
Rate for Payer: Adventist Health Medi-Cal	$38,252.98
Rate for Payer: IEHP medi-cal	$45,584.80

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$63,737.56

Service Code	APR-DRG 1633
Min. Negotiated Rate	$53,486.06
Max. Negotiated Rate	$63,737.56
Rate for Payer: Adventist Health Medi-Cal	$53,486.06
Rate for Payer: IEHP medi-cal	$63,737.56

CARDIOMYOPATHY

Facility IP

$5,855.61

Service Code	APR-DRG 2051
Min. Negotiated Rate	$4,913.80
Max. Negotiated Rate	$5,855.61
Rate for Payer: Adventist Health Medi-Cal	$4,913.80
Rate for Payer: IEHP medi-cal	$5,855.61

CARDIOMYOPATHY

Facility IP

$19,410.10

Service Code	APR-DRG 2054
Min. Negotiated Rate	$16,288.20
Max. Negotiated Rate	$19,410.10
Rate for Payer: Adventist Health Medi-Cal	$16,288.20
Rate for Payer: IEHP medi-cal	$19,410.10

CARDIOMYOPATHY

Facility IP

$10,799.56

Service Code	APR-DRG 2053
Min. Negotiated Rate	$9,062.57
Max. Negotiated Rate	$10,799.56
Rate for Payer: Adventist Health Medi-Cal	$9,062.57
Rate for Payer: IEHP medi-cal	$10,799.56

CARDIOMYOPATHY

Facility IP

$7,295.80

Service Code	APR-DRG 2052
Min. Negotiated Rate	$6,122.35
Max. Negotiated Rate	$7,295.80
Rate for Payer: Adventist Health Medi-Cal	$6,122.35
Rate for Payer: IEHP medi-cal	$7,295.80

Price Transparency.

All Charges