Loma Linda University Medical Center

All Charges

Charge

Type

Price

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$5,795.53

Service Code	APR-DRG 7512
Min. Negotiated Rate	$4,863.38
Max. Negotiated Rate	$5,795.53
Rate for Payer: Adventist Health Medi-Cal	$4,863.38
Rate for Payer: IEHP medi-cal	$5,795.53

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$4,303.27

Service Code	APR-DRG 7511
Min. Negotiated Rate	$3,611.14
Max. Negotiated Rate	$4,303.27
Rate for Payer: Adventist Health Medi-Cal	$3,611.14
Rate for Payer: IEHP medi-cal	$4,303.27

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$8,446.38

Service Code	APR-DRG 2422
Min. Negotiated Rate	$7,087.87
Max. Negotiated Rate	$8,446.38
Rate for Payer: Adventist Health Medi-Cal	$7,087.87
Rate for Payer: IEHP medi-cal	$8,446.38

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$6,529.65

Service Code	APR-DRG 2421
Min. Negotiated Rate	$5,479.43
Max. Negotiated Rate	$6,529.65
Rate for Payer: Adventist Health Medi-Cal	$5,479.43
Rate for Payer: IEHP medi-cal	$6,529.65

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$12,112.97

Service Code	APR-DRG 2423
Min. Negotiated Rate	$10,164.73
Max. Negotiated Rate	$12,112.97
Rate for Payer: Adventist Health Medi-Cal	$10,164.73
Rate for Payer: IEHP medi-cal	$12,112.97

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$24,857.28

Service Code	APR-DRG 2424
Min. Negotiated Rate	$20,859.25
Max. Negotiated Rate	$24,857.28
Rate for Payer: Adventist Health Medi-Cal	$20,859.25
Rate for Payer: IEHP medi-cal	$24,857.28

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$21,743.28

Service Code	APR-DRG 2484
Min. Negotiated Rate	$18,246.11
Max. Negotiated Rate	$21,743.28
Rate for Payer: Adventist Health Medi-Cal	$18,246.11
Rate for Payer: IEHP medi-cal	$21,743.28

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$6,185.29

Service Code	APR-DRG 2481
Min. Negotiated Rate	$5,190.46
Max. Negotiated Rate	$6,185.29
Rate for Payer: Adventist Health Medi-Cal	$5,190.46
Rate for Payer: IEHP medi-cal	$6,185.29

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$8,143.38

Service Code	APR-DRG 2482
Min. Negotiated Rate	$6,833.60
Max. Negotiated Rate	$8,143.38
Rate for Payer: Adventist Health Medi-Cal	$6,833.60
Rate for Payer: IEHP medi-cal	$8,143.38

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$11,962.14

Service Code	APR-DRG 2483
Min. Negotiated Rate	$10,038.16
Max. Negotiated Rate	$11,962.14
Rate for Payer: Adventist Health Medi-Cal	$10,038.16
Rate for Payer: IEHP medi-cal	$11,962.14

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$7,155.66

Service Code	APR-DRG 6601
Min. Negotiated Rate	$6,004.75
Max. Negotiated Rate	$7,155.66
Rate for Payer: Adventist Health Medi-Cal	$6,004.75
Rate for Payer: IEHP medi-cal	$7,155.66

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$8,409.00

Service Code	APR-DRG 6602
Min. Negotiated Rate	$7,056.50
Max. Negotiated Rate	$8,409.00
Rate for Payer: Adventist Health Medi-Cal	$7,056.50
Rate for Payer: IEHP medi-cal	$8,409.00

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$13,108.70

Service Code	APR-DRG 6603
Min. Negotiated Rate	$11,000.30
Max. Negotiated Rate	$13,108.70
Rate for Payer: Adventist Health Medi-Cal	$11,000.30
Rate for Payer: IEHP medi-cal	$13,108.70

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$28,601.29

Service Code	APR-DRG 6604
Min. Negotiated Rate	$24,001.08
Max. Negotiated Rate	$28,601.29
Rate for Payer: Adventist Health Medi-Cal	$24,001.08
Rate for Payer: IEHP medi-cal	$28,601.29

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$21,970.18

Service Code	APR-DRG 2312
Min. Negotiated Rate	$18,436.51
Max. Negotiated Rate	$21,970.18
Rate for Payer: Adventist Health Medi-Cal	$18,436.51
Rate for Payer: IEHP medi-cal	$21,970.18

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$17,892.49

Service Code	APR-DRG 2311
Min. Negotiated Rate	$15,014.68
Max. Negotiated Rate	$17,892.49
Rate for Payer: Adventist Health Medi-Cal	$15,014.68
Rate for Payer: IEHP medi-cal	$17,892.49

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$31,405.62

Service Code	APR-DRG 2313
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 LARGE BOWEL PROCEDURES

Facility IP

$51,491.11

Service Code	APR-DRG 2314
Min. Negotiated Rate	$43,209.32
Max. Negotiated Rate	$51,491.11
Rate for Payer: Adventist Health Medi-Cal	$43,209.32
Rate for Payer: IEHP medi-cal	$51,491.11

MAJOR MALE PELVIC PROCEDURES

Facility IP

$15,460.55

Service Code	APR-DRG 4801
Min. Negotiated Rate	$12,973.88
Max. Negotiated Rate	$15,460.55
Rate for Payer: Adventist Health Medi-Cal	$12,973.88
Rate for Payer: IEHP medi-cal	$15,460.55

MAJOR MALE PELVIC PROCEDURES

Facility IP

$17,769.68

Service Code	APR-DRG 4802
Min. Negotiated Rate	$14,911.62
Max. Negotiated Rate	$17,769.68
Rate for Payer: Adventist Health Medi-Cal	$14,911.62
Rate for Payer: IEHP medi-cal	$17,769.68

MAJOR MALE PELVIC PROCEDURES

Facility IP

$26,499.03

Service Code	APR-DRG 4803
Min. Negotiated Rate	$22,236.95
Max. Negotiated Rate	$26,499.03
Rate for Payer: Adventist Health Medi-Cal	$22,236.95
Rate for Payer: IEHP medi-cal	$26,499.03

MAJOR MALE PELVIC PROCEDURES

Facility IP

$43,522.58

Service Code	APR-DRG 4804
Min. Negotiated Rate	$36,522.44
Max. Negotiated Rate	$43,522.58
Rate for Payer: Adventist Health Medi-Cal	$36,522.44
Rate for Payer: IEHP medi-cal	$43,522.58

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$40,276.45

Service Code	APR-DRG 6803
Min. Negotiated Rate	$33,798.42
Max. Negotiated Rate	$40,276.45
Rate for Payer: Adventist Health Medi-Cal	$33,798.42
Rate for Payer: IEHP medi-cal	$40,276.45

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$18,561.20

Service Code	APR-DRG 6801
Min. Negotiated Rate	$15,575.83
Max. Negotiated Rate	$18,561.20
Rate for Payer: Adventist Health Medi-Cal	$15,575.83
Rate for Payer: IEHP medi-cal	$18,561.20

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$77,161.26

Service Code	APR-DRG 6804
Min. Negotiated Rate	$64,750.70
Max. Negotiated Rate	$77,161.26
Rate for Payer: Adventist Health Medi-Cal	$64,750.70
Rate for Payer: IEHP medi-cal	$77,161.26

Price Transparency.

All Charges