Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$24,661.73

Service Code	APR-DRG 6801
Min. Negotiated Rate	$15,575.83
Max. Negotiated Rate	$24,661.73
Rate for Payer: Adventist Health Medi-Cal	$15,575.83
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,561.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,661.73

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$90,423.41

Service Code	APR-DRG 2604
Min. Negotiated Rate	$57,109.52
Max. Negotiated Rate	$90,423.41
Rate for Payer: Adventist Health Medi-Cal	$57,109.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$68,055.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$90,423.41

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$47,894.06

Service Code	APR-DRG 2603
Min. Negotiated Rate	$30,248.88
Max. Negotiated Rate	$47,894.06
Rate for Payer: Adventist Health Medi-Cal	$30,248.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,046.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,894.06

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$27,566.66

Service Code	APR-DRG 2601
Min. Negotiated Rate	$17,410.52
Max. Negotiated Rate	$27,566.66
Rate for Payer: Adventist Health Medi-Cal	$17,410.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,747.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,566.66

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$34,944.25

Service Code	APR-DRG 2602
Min. Negotiated Rate	$22,070.05
Max. Negotiated Rate	$34,944.25
Rate for Payer: Adventist Health Medi-Cal	$22,070.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,300.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,944.25

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$48,218.60

Service Code	APR-DRG 1203
Min. Negotiated Rate	$30,453.85
Max. Negotiated Rate	$48,218.60
Rate for Payer: Adventist Health Medi-Cal	$30,453.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,290.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,218.60

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$35,502.89

Service Code	APR-DRG 1202
Min. Negotiated Rate	$22,422.88
Max. Negotiated Rate	$35,502.89
Rate for Payer: Adventist Health Medi-Cal	$22,422.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,720.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,502.89

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$28,914.48

Service Code	APR-DRG 1201
Min. Negotiated Rate	$18,261.78
Max. Negotiated Rate	$28,914.48
Rate for Payer: Adventist Health Medi-Cal	$18,261.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,761.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,914.48

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$84,108.12

Service Code	APR-DRG 1204
Min. Negotiated Rate	$53,120.92
Max. Negotiated Rate	$84,108.12
Rate for Payer: Adventist Health Medi-Cal	$53,120.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$63,302.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$84,108.12

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$9,709.70

Service Code	APR-DRG 1371
Min. Negotiated Rate	$6,132.44
Max. Negotiated Rate	$9,709.70
Rate for Payer: Adventist Health Medi-Cal	$6,132.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,307.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,709.70

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$24,365.56

Service Code	APR-DRG 1374
Min. Negotiated Rate	$15,388.78
Max. Negotiated Rate	$24,365.56
Rate for Payer: Adventist Health Medi-Cal	$15,388.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,338.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,365.56

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$16,867.38

Service Code	APR-DRG 1373
Min. Negotiated Rate	$10,653.08
Max. Negotiated Rate	$16,867.38
Rate for Payer: Adventist Health Medi-Cal	$10,653.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,694.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,867.38

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$12,375.21

Service Code	APR-DRG 1372
Min. Negotiated Rate	$7,815.92
Max. Negotiated Rate	$12,375.21
Rate for Payer: Adventist Health Medi-Cal	$7,815.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,313.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,375.21

MAJOR SKIN DISORDERS

Facility

$38,049.59

Service Code	APR-DRG 3814
Min. Negotiated Rate	$24,031.32
Max. Negotiated Rate	$38,049.59
Rate for Payer: Adventist Health Medi-Cal	$24,031.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,637.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,049.59

MAJOR SKIN DISORDERS

Facility

$19,323.63

Service Code	APR-DRG 3813
Min. Negotiated Rate	$12,204.40
Max. Negotiated Rate	$19,323.63
Rate for Payer: Adventist Health Medi-Cal	$12,204.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,543.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,323.63

MAJOR SKIN DISORDERS

Facility

$5,832.90

Service Code	APR-DRG 3811
Min. Negotiated Rate	$3,683.94
Max. Negotiated Rate	$5,832.90
Rate for Payer: Adventist Health Medi-Cal	$3,683.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,390.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,832.90

MAJOR SKIN DISORDERS

Facility

$9,610.37

Service Code	APR-DRG 3812
Min. Negotiated Rate	$6,069.71
Max. Negotiated Rate	$9,610.37
Rate for Payer: Adventist Health Medi-Cal	$6,069.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,233.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,610.37

MAJOR SMALL BOWEL PROCEDURES

Facility

$42,261.55

Service Code	APR-DRG 2303
Min. Negotiated Rate	$26,691.50
Max. Negotiated Rate	$42,261.55
Rate for Payer: Adventist Health Medi-Cal	$26,691.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,807.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,261.55

MAJOR SMALL BOWEL PROCEDURES

Facility

$20,813.32

Service Code	APR-DRG 2301
Min. Negotiated Rate	$13,145.26
Max. Negotiated Rate	$20,813.32
Rate for Payer: Adventist Health Medi-Cal	$13,145.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,664.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,813.32

MAJOR SMALL BOWEL PROCEDURES

Facility

$28,536.75

Service Code	APR-DRG 2302
Min. Negotiated Rate	$18,023.21
Max. Negotiated Rate	$28,536.75
Rate for Payer: Adventist Health Medi-Cal	$18,023.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,477.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,536.75

MAJOR SMALL BOWEL PROCEDURES

Facility

$77,755.58

Service Code	APR-DRG 2304
Min. Negotiated Rate	$49,108.79
Max. Negotiated Rate	$77,755.58
Rate for Payer: Adventist Health Medi-Cal	$49,108.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$58,521.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$77,755.58

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$22,225.00

Service Code	APR-DRG 2201
Min. Negotiated Rate	$14,036.84
Max. Negotiated Rate	$22,225.00
Rate for Payer: Adventist Health Medi-Cal	$14,036.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,727.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,225.00

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$31,893.91

Service Code	APR-DRG 2202
Min. Negotiated Rate	$20,143.52
Max. Negotiated Rate	$31,893.91
Rate for Payer: Adventist Health Medi-Cal	$20,143.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,004.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,893.91

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$48,571.52

Service Code	APR-DRG 2203
Min. Negotiated Rate	$30,676.75
Max. Negotiated Rate	$48,571.52
Rate for Payer: Adventist Health Medi-Cal	$30,676.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,556.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,571.52

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$86,754.11

Service Code	APR-DRG 2204
Min. Negotiated Rate	$54,792.07
Max. Negotiated Rate	$86,754.11
Rate for Payer: Adventist Health Medi-Cal	$54,792.07
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,293.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$86,754.11

Know your out-of-pocket cost for care.

All Charges