Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$13,951.81

Service Code	APR-DRG 5013
Min. Negotiated Rate	$8,811.67
Max. Negotiated Rate	$13,951.81
Rate for Payer: Adventist Health Medi-Cal	$8,811.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,500.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,951.81

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,503.97

Service Code	APR-DRG 5012
Min. Negotiated Rate	$6,002.51
Max. Negotiated Rate	$9,503.97
Rate for Payer: Adventist Health Medi-Cal	$6,002.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,152.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,503.97

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$28,479.99

Service Code	APR-DRG 5014
Min. Negotiated Rate	$17,987.36
Max. Negotiated Rate	$28,479.99
Rate for Payer: Adventist Health Medi-Cal	$17,987.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,434.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,479.99

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$7,081.43

Service Code	APR-DRG 5011
Min. Negotiated Rate	$4,472.48
Max. Negotiated Rate	$7,081.43
Rate for Payer: Adventist Health Medi-Cal	$4,472.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,329.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,081.43

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$8,925.82

Service Code	APR-DRG 2521
Min. Negotiated Rate	$5,637.36
Max. Negotiated Rate	$8,925.82
Rate for Payer: Adventist Health Medi-Cal	$5,637.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,717.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,925.82

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$15,707.53

Service Code	APR-DRG 2523
Min. Negotiated Rate	$9,920.54
Max. Negotiated Rate	$15,707.53
Rate for Payer: Adventist Health Medi-Cal	$9,920.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,821.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,707.53

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$29,889.89

Service Code	APR-DRG 2524
Min. Negotiated Rate	$18,877.82
Max. Negotiated Rate	$29,889.89
Rate for Payer: Adventist Health Medi-Cal	$18,877.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,496.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,889.89

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$11,050.44

Service Code	APR-DRG 2522
Min. Negotiated Rate	$6,979.22
Max. Negotiated Rate	$11,050.44
Rate for Payer: Adventist Health Medi-Cal	$6,979.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,316.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,050.44

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$9,970.38

Service Code	APR-DRG 2061
Min. Negotiated Rate	$6,297.08
Max. Negotiated Rate	$9,970.38
Rate for Payer: Adventist Health Medi-Cal	$6,297.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,504.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,970.38

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$10,167.24

Service Code	APR-DRG 2062
Min. Negotiated Rate	$6,421.42
Max. Negotiated Rate	$10,167.24
Rate for Payer: Adventist Health Medi-Cal	$6,421.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,652.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,167.24

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$15,242.88

Service Code	APR-DRG 2063
Min. Negotiated Rate	$9,627.08
Max. Negotiated Rate	$15,242.88
Rate for Payer: Adventist Health Medi-Cal	$9,627.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,472.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,242.88

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$30,187.83

Service Code	APR-DRG 2064
Min. Negotiated Rate	$19,066.00
Max. Negotiated Rate	$30,187.83
Rate for Payer: Adventist Health Medi-Cal	$19,066.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,720.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,187.83

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$13,598.89

Service Code	APR-DRG 4663
Min. Negotiated Rate	$8,588.77
Max. Negotiated Rate	$13,598.89
Rate for Payer: Adventist Health Medi-Cal	$8,588.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,234.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,598.89

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$6,680.63

Service Code	APR-DRG 4661
Min. Negotiated Rate	$4,219.34
Max. Negotiated Rate	$6,680.63
Rate for Payer: Adventist Health Medi-Cal	$4,219.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,028.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,680.63

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$9,569.60

Service Code	APR-DRG 4662
Min. Negotiated Rate	$6,043.96
Max. Negotiated Rate	$9,569.60
Rate for Payer: Adventist Health Medi-Cal	$6,043.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,202.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,569.60

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$22,769.45

Service Code	APR-DRG 4664
Min. Negotiated Rate	$14,380.70
Max. Negotiated Rate	$22,769.45
Rate for Payer: Adventist Health Medi-Cal	$14,380.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,137.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,769.45

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$8,276.74

Service Code	APR-DRG 3491
Min. Negotiated Rate	$5,227.42
Max. Negotiated Rate	$8,276.74
Rate for Payer: Adventist Health Medi-Cal	$5,227.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,229.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,276.74

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$29,944.87

Service Code	APR-DRG 3494
Min. Negotiated Rate	$18,912.55
Max. Negotiated Rate	$29,944.87
Rate for Payer: Adventist Health Medi-Cal	$18,912.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,537.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,944.87

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$16,833.68

Service Code	APR-DRG 3493
Min. Negotiated Rate	$10,631.80
Max. Negotiated Rate	$16,833.68
Rate for Payer: Adventist Health Medi-Cal	$10,631.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,669.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,833.68

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$11,719.03

Service Code	APR-DRG 3492
Min. Negotiated Rate	$7,401.49
Max. Negotiated Rate	$11,719.03
Rate for Payer: Adventist Health Medi-Cal	$7,401.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,820.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,719.03

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$29,223.08

Service Code	APR-DRG 5004
Min. Negotiated Rate	$18,456.68
Max. Negotiated Rate	$29,223.08
Rate for Payer: Adventist Health Medi-Cal	$18,456.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,994.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,223.08

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$7,783.71

Service Code	APR-DRG 5001
Min. Negotiated Rate	$4,916.03
Max. Negotiated Rate	$7,783.71
Rate for Payer: Adventist Health Medi-Cal	$4,916.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,858.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,783.71

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,667.36

Service Code	APR-DRG 5002
Min. Negotiated Rate	$6,737.28
Max. Negotiated Rate	$10,667.36
Rate for Payer: Adventist Health Medi-Cal	$6,737.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,028.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,667.36

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$16,439.98

Service Code	APR-DRG 5003
Min. Negotiated Rate	$10,383.14
Max. Negotiated Rate	$16,439.98
Rate for Payer: Adventist Health Medi-Cal	$10,383.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,373.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,439.98

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$24,888.75

Service Code	APR-DRG 2814
Min. Negotiated Rate	$15,719.21
Max. Negotiated Rate	$24,888.75
Rate for Payer: Adventist Health Medi-Cal	$15,719.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,732.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,888.75

Know your out-of-pocket cost for care.

All Charges