Loma Linda University Medical Center

All Charges

Charge

Type

Price

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$34,286.04

Service Code	APR-DRG 1691
Min. Negotiated Rate	$28,771.50
Max. Negotiated Rate	$34,286.04
Rate for Payer: Adventist Health Medi-Cal	$28,771.50
Rate for Payer: IEHP medi-cal	$34,286.04

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$34,747.86

Service Code	APR-DRG 1692
Min. Negotiated Rate	$29,159.04
Max. Negotiated Rate	$34,747.86
Rate for Payer: Adventist Health Medi-Cal	$29,159.04
Rate for Payer: IEHP medi-cal	$34,747.86

MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$45,404.60

Service Code	APR-DRG 1693
Min. Negotiated Rate	$38,101.76
Max. Negotiated Rate	$45,404.60
Rate for Payer: Adventist Health Medi-Cal	$38,101.76
Rate for Payer: IEHP medi-cal	$45,404.60

MAJOR BILIARY TRACT PROCEDURES

Facility IP

$59,820.03

Service Code	APR-DRG 2614
Min. Negotiated Rate	$50,198.63
Max. Negotiated Rate	$59,820.03
Rate for Payer: Adventist Health Medi-Cal	$50,198.63
Rate for Payer: IEHP medi-cal	$59,820.03

MAJOR BILIARY TRACT PROCEDURES

Facility IP

$22,666.93

Service Code	APR-DRG 2612
Min. Negotiated Rate	$19,021.20
Max. Negotiated Rate	$22,666.93
Rate for Payer: Adventist Health Medi-Cal	$19,021.20
Rate for Payer: IEHP medi-cal	$22,666.93

MAJOR BILIARY TRACT PROCEDURES

Facility IP

$31,405.62

Service Code	APR-DRG 2613
Min. Negotiated Rate	$26,354.36
Max. Negotiated Rate	$31,405.62
Rate for Payer: Adventist Health Medi-Cal	$26,354.36
Rate for Payer: IEHP medi-cal	$31,405.62

MAJOR BILIARY TRACT PROCEDURES

Facility IP

$17,321.20

Service Code	APR-DRG 2611
Min. Negotiated Rate	$14,535.28
Max. Negotiated Rate	$17,321.20
Rate for Payer: Adventist Health Medi-Cal	$14,535.28
Rate for Payer: IEHP medi-cal	$17,321.20

MAJOR BLADDER PROCEDURES

Facility IP

$17,580.15

Service Code	APR-DRG 4411
Min. Negotiated Rate	$14,752.57
Max. Negotiated Rate	$17,580.15
Rate for Payer: Adventist Health Medi-Cal	$14,752.57
Rate for Payer: IEHP medi-cal	$17,580.15

MAJOR BLADDER PROCEDURES

Facility IP

$68,920.44

Service Code	APR-DRG 4414
Min. Negotiated Rate	$57,835.33
Max. Negotiated Rate	$68,920.44
Rate for Payer: Adventist Health Medi-Cal	$57,835.33
Rate for Payer: IEHP medi-cal	$68,920.44

MAJOR BLADDER PROCEDURES

Facility IP

$26,752.64

Service Code	APR-DRG 4412
Min. Negotiated Rate	$22,449.77
Max. Negotiated Rate	$26,752.64
Rate for Payer: Adventist Health Medi-Cal	$22,449.77
Rate for Payer: IEHP medi-cal	$26,752.64

MAJOR BLADDER PROCEDURES

Facility IP

$34,982.78

Service Code	APR-DRG 4413
Min. Negotiated Rate	$29,356.18
Max. Negotiated Rate	$34,982.78
Rate for Payer: Adventist Health Medi-Cal	$29,356.18
Rate for Payer: IEHP medi-cal	$34,982.78

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility IP

$33,718.76

Service Code	APR-DRG 1601
Min. Negotiated Rate	$28,295.46
Max. Negotiated Rate	$33,718.76
Rate for Payer: Adventist Health Medi-Cal	$28,295.46
Rate for Payer: IEHP medi-cal	$33,718.76

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility IP

$41,533.79

Service Code	APR-DRG 1602
Min. Negotiated Rate	$34,853.53
Max. Negotiated Rate	$41,533.79
Rate for Payer: Adventist Health Medi-Cal	$34,853.53
Rate for Payer: IEHP medi-cal	$41,533.79

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility IP

$64,083.26

Service Code	APR-DRG 1603
Min. Negotiated Rate	$53,776.16
Max. Negotiated Rate	$64,083.26
Rate for Payer: Adventist Health Medi-Cal	$53,776.16
Rate for Payer: IEHP medi-cal	$64,083.26

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility IP

$119,378.44

Service Code	APR-DRG 1604
Min. Negotiated Rate	$100,177.72
Max. Negotiated Rate	$119,378.44
Rate for Payer: Adventist Health Medi-Cal	$100,177.72
Rate for Payer: IEHP medi-cal	$119,378.44

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility IP

$8,230.14

Service Code	APR-DRG 1351
Min. Negotiated Rate	$6,906.41
Max. Negotiated Rate	$8,230.14
Rate for Payer: Adventist Health Medi-Cal	$6,906.41
Rate for Payer: IEHP medi-cal	$8,230.14

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility IP

$13,738.71

Service Code	APR-DRG 1353
Min. Negotiated Rate	$11,528.99
Max. Negotiated Rate	$13,738.71
Rate for Payer: Adventist Health Medi-Cal	$11,528.99
Rate for Payer: IEHP medi-cal	$13,738.71

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility IP

$23,144.78

Service Code	APR-DRG 1354
Min. Negotiated Rate	$19,422.19
Max. Negotiated Rate	$23,144.78
Rate for Payer: Adventist Health Medi-Cal	$19,422.19
Rate for Payer: IEHP medi-cal	$23,144.78

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility IP

$9,576.92

Service Code	APR-DRG 1352
Min. Negotiated Rate	$8,036.58
Max. Negotiated Rate	$9,576.92
Rate for Payer: Adventist Health Medi-Cal	$8,036.58
Rate for Payer: IEHP medi-cal	$9,576.92

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility IP

$18,419.72

Service Code	APR-DRG 0891
Min. Negotiated Rate	$15,457.10
Max. Negotiated Rate	$18,419.72
Rate for Payer: Adventist Health Medi-Cal	$15,457.10
Rate for Payer: IEHP medi-cal	$18,419.72

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility IP

$64,850.74

Service Code	APR-DRG 0894
Min. Negotiated Rate	$54,420.20
Max. Negotiated Rate	$64,850.74
Rate for Payer: Adventist Health Medi-Cal	$54,420.20
Rate for Payer: IEHP medi-cal	$64,850.74

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility IP

$45,038.88

Service Code	APR-DRG 0893
Min. Negotiated Rate	$37,794.86
Max. Negotiated Rate	$45,038.88
Rate for Payer: Adventist Health Medi-Cal	$37,794.86
Rate for Payer: IEHP medi-cal	$45,038.88

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility IP

$24,655.72

Service Code	APR-DRG 0892
Min. Negotiated Rate	$20,690.11
Max. Negotiated Rate	$24,655.72
Rate for Payer: Adventist Health Medi-Cal	$20,690.11
Rate for Payer: IEHP medi-cal	$24,655.72

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$10,656.75

Service Code	APR-DRG 7513
Min. Negotiated Rate	$8,942.72
Max. Negotiated Rate	$10,656.75
Rate for Payer: Adventist Health Medi-Cal	$8,942.72
Rate for Payer: IEHP medi-cal	$10,656.75

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$21,673.87

Service Code	APR-DRG 7514
Min. Negotiated Rate	$18,187.86
Max. Negotiated Rate	$21,673.87
Rate for Payer: Adventist Health Medi-Cal	$18,187.86
Rate for Payer: IEHP medi-cal	$21,673.87

Price Transparency.

All Charges