Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$17,112.12

Service Code	APR-DRG 1912
Min. Negotiated Rate	$10,807.66
Max. Negotiated Rate	$17,112.12
Rate for Payer: Adventist Health Medi-Cal	$10,807.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,879.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,112.12

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$27,327.24

Service Code	APR-DRG 1923
Min. Negotiated Rate	$17,259.31
Max. Negotiated Rate	$27,327.24
Rate for Payer: Adventist Health Medi-Cal	$17,259.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,567.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,327.24

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$42,461.96

Service Code	APR-DRG 1924
Min. Negotiated Rate	$26,818.08
Max. Negotiated Rate	$42,461.96
Rate for Payer: Adventist Health Medi-Cal	$26,818.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,958.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,461.96

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$19,485.01

Service Code	APR-DRG 1922
Min. Negotiated Rate	$12,306.32
Max. Negotiated Rate	$19,485.01
Rate for Payer: Adventist Health Medi-Cal	$12,306.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,665.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,485.01

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$15,659.65

Service Code	APR-DRG 1921
Min. Negotiated Rate	$9,890.30
Max. Negotiated Rate	$15,659.65
Rate for Payer: Adventist Health Medi-Cal	$9,890.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,785.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,659.65

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$27,086.06

Service Code	APR-DRG 1772
Min. Negotiated Rate	$17,106.98
Max. Negotiated Rate	$27,086.06
Rate for Payer: Adventist Health Medi-Cal	$17,106.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,385.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,086.06

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$18,763.20

Service Code	APR-DRG 1771
Min. Negotiated Rate	$11,850.44
Max. Negotiated Rate	$18,763.20
Rate for Payer: Adventist Health Medi-Cal	$11,850.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,121.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,763.20

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$50,215.52

Service Code	APR-DRG 1774
Min. Negotiated Rate	$31,715.06
Max. Negotiated Rate	$50,215.52
Rate for Payer: Adventist Health Medi-Cal	$31,715.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,793.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,215.52

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$36,394.94

Service Code	APR-DRG 1773
Min. Negotiated Rate	$22,986.28
Max. Negotiated Rate	$36,394.94
Rate for Payer: Adventist Health Medi-Cal	$22,986.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,391.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,394.94

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$22,577.93

Service Code	APR-DRG 2004
Min. Negotiated Rate	$14,259.74
Max. Negotiated Rate	$22,577.93
Rate for Payer: Adventist Health Medi-Cal	$14,259.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,992.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,577.93

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$10,060.84

Service Code	APR-DRG 2002
Min. Negotiated Rate	$6,354.22
Max. Negotiated Rate	$10,060.84
Rate for Payer: Adventist Health Medi-Cal	$6,354.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,572.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,060.84

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$14,549.46

Service Code	APR-DRG 2003
Min. Negotiated Rate	$9,189.13
Max. Negotiated Rate	$14,549.46
Rate for Payer: Adventist Health Medi-Cal	$9,189.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,950.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,549.46

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$6,794.13

Service Code	APR-DRG 2001
Min. Negotiated Rate	$4,291.03
Max. Negotiated Rate	$6,794.13
Rate for Payer: Adventist Health Medi-Cal	$4,291.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,113.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,794.13

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$102,390.72

Service Code	APR-DRG 1623
Min. Negotiated Rate	$64,667.82
Max. Negotiated Rate	$102,390.72
Rate for Payer: Adventist Health Medi-Cal	$64,667.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$77,062.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,390.72

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$81,148.20

Service Code	APR-DRG 1622
Min. Negotiated Rate	$51,251.50
Max. Negotiated Rate	$81,148.20
Rate for Payer: Adventist Health Medi-Cal	$51,251.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$61,074.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$81,148.20

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$69,248.29

Service Code	APR-DRG 1621
Min. Negotiated Rate	$43,735.76
Max. Negotiated Rate	$69,248.29
Rate for Payer: Adventist Health Medi-Cal	$43,735.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,118.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,248.29

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$149,492.04

Service Code	APR-DRG 1624
Min. Negotiated Rate	$94,416.02
Max. Negotiated Rate	$149,492.04
Rate for Payer: Adventist Health Medi-Cal	$94,416.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$112,512.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$149,492.04

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$84,686.27

Service Code	APR-DRG 1633
Min. Negotiated Rate	$53,486.06
Max. Negotiated Rate	$84,686.27
Rate for Payer: Adventist Health Medi-Cal	$53,486.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$63,737.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$84,686.27

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$127,208.52

Service Code	APR-DRG 1634
Min. Negotiated Rate	$80,342.22
Max. Negotiated Rate	$127,208.52
Rate for Payer: Adventist Health Medi-Cal	$80,342.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$95,741.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$127,208.52

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$60,567.21

Service Code	APR-DRG 1631
Min. Negotiated Rate	$38,252.98
Max. Negotiated Rate	$60,567.21
Rate for Payer: Adventist Health Medi-Cal	$38,252.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,584.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,567.21

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$67,020.83

Service Code	APR-DRG 1632
Min. Negotiated Rate	$42,328.94
Max. Negotiated Rate	$67,020.83
Rate for Payer: Adventist Health Medi-Cal	$42,328.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,441.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,020.83

CARDIOMYOPATHY

Facility

$9,693.72

Service Code	APR-DRG 2052
Min. Negotiated Rate	$6,122.35
Max. Negotiated Rate	$9,693.72
Rate for Payer: Adventist Health Medi-Cal	$6,122.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,295.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,693.72

CARDIOMYOPATHY

Facility

$14,349.07

Service Code	APR-DRG 2053
Min. Negotiated Rate	$9,062.57
Max. Negotiated Rate	$14,349.07
Rate for Payer: Adventist Health Medi-Cal	$9,062.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,799.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,349.07

CARDIOMYOPATHY

Facility

$25,789.65

Service Code	APR-DRG 2054
Min. Negotiated Rate	$16,288.20
Max. Negotiated Rate	$25,789.65
Rate for Payer: Adventist Health Medi-Cal	$16,288.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,410.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,789.65

CARDIOMYOPATHY

Facility

$7,780.18

Service Code	APR-DRG 2051
Min. Negotiated Rate	$4,913.80
Max. Negotiated Rate	$7,780.18
Rate for Payer: Adventist Health Medi-Cal	$4,913.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,855.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,780.18

Know your out-of-pocket cost for care.

All Charges