Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$45,554.88

Service Code	APR-DRG 1691
Min. Negotiated Rate	$28,771.50
Max. Negotiated Rate	$45,554.88
Rate for Payer: Adventist Health Medi-Cal	$28,771.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,286.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,554.88

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$46,168.48

Service Code	APR-DRG 1692
Min. Negotiated Rate	$29,159.04
Max. Negotiated Rate	$46,168.48
Rate for Payer: Adventist Health Medi-Cal	$29,159.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,747.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,168.48

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$98,145.05

Service Code	APR-DRG 1694
Min. Negotiated Rate	$61,986.35
Max. Negotiated Rate	$98,145.05
Rate for Payer: Adventist Health Medi-Cal	$61,986.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,867.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$98,145.05

MAJOR BILIARY TRACT PROCEDURES

Facility

$23,014.19

Service Code	APR-DRG 2611
Min. Negotiated Rate	$14,535.28
Max. Negotiated Rate	$23,014.19
Rate for Payer: Adventist Health Medi-Cal	$14,535.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,321.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,014.19

MAJOR BILIARY TRACT PROCEDURES

Facility

$79,481.16

Service Code	APR-DRG 2614
Min. Negotiated Rate	$50,198.63
Max. Negotiated Rate	$79,481.16
Rate for Payer: Adventist Health Medi-Cal	$50,198.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$59,820.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$79,481.16

MAJOR BILIARY TRACT PROCEDURES

Facility

$30,116.90

Service Code	APR-DRG 2612
Min. Negotiated Rate	$19,021.20
Max. Negotiated Rate	$30,116.90
Rate for Payer: Adventist Health Medi-Cal	$19,021.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,666.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,116.90

MAJOR BILIARY TRACT PROCEDURES

Facility

$41,727.74

Service Code	APR-DRG 2613
Min. Negotiated Rate	$26,354.36
Max. Negotiated Rate	$41,727.74
Rate for Payer: Adventist Health Medi-Cal	$26,354.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,405.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,727.74

MAJOR BLADDER PROCEDURES

Facility

$46,480.61

Service Code	APR-DRG 4413
Min. Negotiated Rate	$29,356.18
Max. Negotiated Rate	$46,480.61
Rate for Payer: Adventist Health Medi-Cal	$29,356.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,982.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,480.61

MAJOR BLADDER PROCEDURES

Facility

$91,572.61

Service Code	APR-DRG 4414
Min. Negotiated Rate	$57,835.33
Max. Negotiated Rate	$91,572.61
Rate for Payer: Adventist Health Medi-Cal	$57,835.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$68,920.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$91,572.61

MAJOR BLADDER PROCEDURES

Facility

$23,358.24

Service Code	APR-DRG 4411
Min. Negotiated Rate	$14,752.57
Max. Negotiated Rate	$23,358.24
Rate for Payer: Adventist Health Medi-Cal	$14,752.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,580.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,358.24

MAJOR BLADDER PROCEDURES

Facility

$35,545.47

Service Code	APR-DRG 4412
Min. Negotiated Rate	$22,449.77
Max. Negotiated Rate	$35,545.47
Rate for Payer: Adventist Health Medi-Cal	$22,449.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,752.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,545.47

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$85,145.59

Service Code	APR-DRG 1603
Min. Negotiated Rate	$53,776.16
Max. Negotiated Rate	$85,145.59
Rate for Payer: Adventist Health Medi-Cal	$53,776.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$64,083.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$85,145.59

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$44,801.14

Service Code	APR-DRG 1601
Min. Negotiated Rate	$28,295.46
Max. Negotiated Rate	$44,801.14
Rate for Payer: Adventist Health Medi-Cal	$28,295.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$33,718.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,801.14

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$55,184.76

Service Code	APR-DRG 1602
Min. Negotiated Rate	$34,853.53
Max. Negotiated Rate	$55,184.76
Rate for Payer: Adventist Health Medi-Cal	$34,853.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$41,533.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,184.76

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$158,614.72

Service Code	APR-DRG 1604
Min. Negotiated Rate	$100,177.72
Max. Negotiated Rate	$158,614.72
Rate for Payer: Adventist Health Medi-Cal	$100,177.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$119,378.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$158,614.72

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$18,254.23

Service Code	APR-DRG 1353
Min. Negotiated Rate	$11,528.99
Max. Negotiated Rate	$18,254.23
Rate for Payer: Adventist Health Medi-Cal	$11,528.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,738.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,254.23

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$30,751.80

Service Code	APR-DRG 1354
Min. Negotiated Rate	$19,422.19
Max. Negotiated Rate	$30,751.80
Rate for Payer: Adventist Health Medi-Cal	$19,422.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,144.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,751.80

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$10,935.15

Service Code	APR-DRG 1351
Min. Negotiated Rate	$6,906.41
Max. Negotiated Rate	$10,935.15
Rate for Payer: Adventist Health Medi-Cal	$6,906.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,230.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,935.15

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$12,724.58

Service Code	APR-DRG 1352
Min. Negotiated Rate	$8,036.58
Max. Negotiated Rate	$12,724.58
Rate for Payer: Adventist Health Medi-Cal	$8,036.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,576.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,724.58

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$59,841.87

Service Code	APR-DRG 0893
Min. Negotiated Rate	$37,794.86
Max. Negotiated Rate	$59,841.87
Rate for Payer: Adventist Health Medi-Cal	$37,794.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,038.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,841.87

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$24,473.75

Service Code	APR-DRG 0891
Min. Negotiated Rate	$15,457.10
Max. Negotiated Rate	$24,473.75
Rate for Payer: Adventist Health Medi-Cal	$15,457.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,419.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,473.75

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$86,165.32

Service Code	APR-DRG 0894
Min. Negotiated Rate	$54,420.20
Max. Negotiated Rate	$86,165.32
Rate for Payer: Adventist Health Medi-Cal	$54,420.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$64,850.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$86,165.32

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$32,759.34

Service Code	APR-DRG 0892
Min. Negotiated Rate	$20,690.11
Max. Negotiated Rate	$32,759.34
Rate for Payer: Adventist Health Medi-Cal	$20,690.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,655.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,759.34

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$7,700.36

Service Code	APR-DRG 7512
Min. Negotiated Rate	$4,863.38
Max. Negotiated Rate	$7,700.36
Rate for Payer: Adventist Health Medi-Cal	$4,863.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,795.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,700.36

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$14,159.31

Service Code	APR-DRG 7513
Min. Negotiated Rate	$8,942.72
Max. Negotiated Rate	$14,159.31
Rate for Payer: Adventist Health Medi-Cal	$8,942.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,656.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,159.31

Know your out-of-pocket cost for care.

All Charges