Loma Linda University Medical Center

All Charges

Charge

Type

Price

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 PANCREAS, LIVER AND SHUNT PROCEDURES

Facility IP

$68,055.52

Service Code	APR-DRG 2604
Min. Negotiated Rate	$57,109.52
Max. Negotiated Rate	$68,055.52
Rate for Payer: Adventist Health Medi-Cal	$57,109.52
Rate for Payer: IEHP medi-cal	$68,055.52

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility IP

$26,300.15

Service Code	APR-DRG 2602
Min. Negotiated Rate	$22,070.05
Max. Negotiated Rate	$26,300.15
Rate for Payer: Adventist Health Medi-Cal	$22,070.05
Rate for Payer: IEHP medi-cal	$26,300.15

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility IP

$36,046.58

Service Code	APR-DRG 2603
Min. Negotiated Rate	$30,248.88
Max. Negotiated Rate	$36,046.58
Rate for Payer: Adventist Health Medi-Cal	$30,248.88
Rate for Payer: IEHP medi-cal	$36,046.58

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility IP

$20,747.54

Service Code	APR-DRG 2601
Min. Negotiated Rate	$17,410.52
Max. Negotiated Rate	$20,747.54
Rate for Payer: Adventist Health Medi-Cal	$17,410.52
Rate for Payer: IEHP medi-cal	$20,747.54

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$26,720.59

Service Code	APR-DRG 1202
Min. Negotiated Rate	$22,422.88
Max. Negotiated Rate	$26,720.59
Rate for Payer: Adventist Health Medi-Cal	$22,422.88
Rate for Payer: IEHP medi-cal	$26,720.59

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$21,761.95

Service Code	APR-DRG 1201
Min. Negotiated Rate	$18,261.78
Max. Negotiated Rate	$21,761.95
Rate for Payer: Adventist Health Medi-Cal	$18,261.78
Rate for Payer: IEHP medi-cal	$21,761.95

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$36,290.84

Service Code	APR-DRG 1203
Min. Negotiated Rate	$30,453.85
Max. Negotiated Rate	$36,290.84
Rate for Payer: Adventist Health Medi-Cal	$30,453.85
Rate for Payer: IEHP medi-cal	$36,290.84

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$63,302.42

Service Code	APR-DRG 1204
Min. Negotiated Rate	$53,120.92
Max. Negotiated Rate	$63,302.42
Rate for Payer: Adventist Health Medi-Cal	$53,120.92
Rate for Payer: IEHP medi-cal	$63,302.42

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$7,307.83

Service Code	APR-DRG 1371
Min. Negotiated Rate	$6,132.44
Max. Negotiated Rate	$7,307.83
Rate for Payer: Adventist Health Medi-Cal	$6,132.44
Rate for Payer: IEHP medi-cal	$7,307.83

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$12,694.93

Service Code	APR-DRG 1373
Min. Negotiated Rate	$10,653.08
Max. Negotiated Rate	$12,694.93
Rate for Payer: Adventist Health Medi-Cal	$10,653.08
Rate for Payer: IEHP medi-cal	$12,694.93

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$9,313.98

Service Code	APR-DRG 1372
Min. Negotiated Rate	$7,815.92
Max. Negotiated Rate	$9,313.98
Rate for Payer: Adventist Health Medi-Cal	$7,815.92
Rate for Payer: IEHP medi-cal	$9,313.98

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$18,338.29

Service Code	APR-DRG 1374
Min. Negotiated Rate	$15,388.78
Max. Negotiated Rate	$18,338.29
Rate for Payer: Adventist Health Medi-Cal	$15,388.78
Rate for Payer: IEHP medi-cal	$18,338.29

MAJOR SKIN DISORDERS

Facility IP

$4,390.03

Service Code	APR-DRG 3811
Min. Negotiated Rate	$3,683.94
Max. Negotiated Rate	$4,390.03
Rate for Payer: Adventist Health Medi-Cal	$3,683.94
Rate for Payer: IEHP medi-cal	$4,390.03

MAJOR SKIN DISORDERS

Facility IP

$28,637.32

Service Code	APR-DRG 3814
Min. Negotiated Rate	$24,031.32
Max. Negotiated Rate	$28,637.32
Rate for Payer: Adventist Health Medi-Cal	$24,031.32
Rate for Payer: IEHP medi-cal	$28,637.32

MAJOR SKIN DISORDERS

Facility IP

$14,543.57

Service Code	APR-DRG 3813
Min. Negotiated Rate	$12,204.40
Max. Negotiated Rate	$14,543.57
Rate for Payer: Adventist Health Medi-Cal	$12,204.40
Rate for Payer: IEHP medi-cal	$14,543.57

MAJOR SKIN DISORDERS

Facility IP

$7,233.07

Service Code	APR-DRG 3812
Min. Negotiated Rate	$6,069.71
Max. Negotiated Rate	$7,233.07
Rate for Payer: Adventist Health Medi-Cal	$6,069.71
Rate for Payer: IEHP medi-cal	$7,233.07

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$58,521.31

Service Code	APR-DRG 2304
Min. Negotiated Rate	$49,108.79
Max. Negotiated Rate	$58,521.31
Rate for Payer: Adventist Health Medi-Cal	$49,108.79
Rate for Payer: IEHP medi-cal	$58,521.31

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$31,807.38

Service Code	APR-DRG 2303
Min. Negotiated Rate	$26,691.50
Max. Negotiated Rate	$31,807.38
Rate for Payer: Adventist Health Medi-Cal	$26,691.50
Rate for Payer: IEHP medi-cal	$31,807.38

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$21,477.66

Service Code	APR-DRG 2302
Min. Negotiated Rate	$18,023.21
Max. Negotiated Rate	$21,477.66
Rate for Payer: Adventist Health Medi-Cal	$18,023.21
Rate for Payer: IEHP medi-cal	$21,477.66

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$15,664.76

Service Code	APR-DRG 2301
Min. Negotiated Rate	$13,145.26
Max. Negotiated Rate	$15,664.76
Rate for Payer: Adventist Health Medi-Cal	$13,145.26
Rate for Payer: IEHP medi-cal	$15,664.76

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$24,004.37

Service Code	APR-DRG 2202
Min. Negotiated Rate	$20,143.52
Max. Negotiated Rate	$24,004.37
Rate for Payer: Adventist Health Medi-Cal	$20,143.52
Rate for Payer: IEHP medi-cal	$24,004.37

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$36,556.46

Service Code	APR-DRG 2203
Min. Negotiated Rate	$30,676.75
Max. Negotiated Rate	$36,556.46
Rate for Payer: Adventist Health Medi-Cal	$30,676.75
Rate for Payer: IEHP medi-cal	$36,556.46

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$16,727.24

Service Code	APR-DRG 2201
Min. Negotiated Rate	$14,036.84
Max. Negotiated Rate	$16,727.24
Rate for Payer: Adventist Health Medi-Cal	$14,036.84
Rate for Payer: IEHP medi-cal	$16,727.24

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$65,293.89

Service Code	APR-DRG 2204
Min. Negotiated Rate	$54,792.07
Max. Negotiated Rate	$65,293.89
Rate for Payer: Adventist Health Medi-Cal	$54,792.07
Rate for Payer: IEHP medi-cal	$65,293.89

Price Transparency.

All Charges