Loma Linda University Medical Center

All Charges

Charge

Type

Price

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 360
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 361
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 362
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

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: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$37,793.78

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$34,005.88

Service Code	APR-DRG 1773
Min. Negotiated Rate	$22,986.28
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$22,986.28
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$27,391.98

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$34,005.88

Service Code	APR-DRG 1771
Min. Negotiated Rate	$11,850.44
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$11,850.44
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$14,121.78

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$34,005.88

Service Code	APR-DRG 1772
Min. Negotiated Rate	$17,106.98
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$17,106.98
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$20,385.82

CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 258
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 259
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

Facility IP

$34,005.88

Service Code	TRIS-DRG 261
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 260
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 262
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$34,005.88

Service Code	APR-DRG 2002
Min. Negotiated Rate	$6,354.22
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$6,354.22
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$7,572.11

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$34,005.88

Service Code	APR-DRG 2004
Min. Negotiated Rate	$14,259.74
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$14,259.74
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$16,992.86

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$34,005.88

Service Code	APR-DRG 2003
Min. Negotiated Rate	$9,189.13
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$9,189.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$10,950.38

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$34,005.88

Service Code	APR-DRG 2001
Min. Negotiated Rate	$4,291.03
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$4,291.03
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$5,113.48

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility IP

$34,005.88

Service Code	TRIS-DRG 217
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 216
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 218
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility IP

$34,005.88

Service Code	TRIS-DRG 220
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 219
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 221
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$77,062.49

Service Code	APR-DRG 1623
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$77,062.49
Rate for Payer: Adventist Health Medi-Cal	$64,667.82
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$77,062.49

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$112,512.43

Service Code	APR-DRG 1624
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$112,512.43
Rate for Payer: Adventist Health Medi-Cal	$94,416.02
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$112,512.43

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$52,118.45

Service Code	APR-DRG 1621
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$52,118.45
Rate for Payer: Adventist Health Medi-Cal	$43,735.76
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$52,118.45

Price Transparency.

All Charges