Loma Linda University Medical Center

All Charges

Charge

Type

Price

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility IP

$7,152.99

Service Code	APR-DRG 5012
Min. Negotiated Rate	$6,002.51
Max. Negotiated Rate	$7,152.99
Rate for Payer: Adventist Health Medi-Cal	$6,002.51
Rate for Payer: IEHP medi-cal	$7,152.99

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility IP

$21,434.94

Service Code	APR-DRG 5014
Min. Negotiated Rate	$17,987.36
Max. Negotiated Rate	$21,434.94
Rate for Payer: Adventist Health Medi-Cal	$17,987.36
Rate for Payer: IEHP medi-cal	$21,434.94

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility IP

$5,329.71

Service Code	APR-DRG 5011
Min. Negotiated Rate	$4,472.48
Max. Negotiated Rate	$5,329.71
Rate for Payer: Adventist Health Medi-Cal	$4,472.48
Rate for Payer: IEHP medi-cal	$5,329.71

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility IP

$10,500.58

Service Code	APR-DRG 5013
Min. Negotiated Rate	$8,811.67
Max. Negotiated Rate	$10,500.58
Rate for Payer: Adventist Health Medi-Cal	$8,811.67
Rate for Payer: IEHP medi-cal	$10,500.58

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$8,316.91

Service Code	APR-DRG 2522
Min. Negotiated Rate	$6,979.22
Max. Negotiated Rate	$8,316.91
Rate for Payer: Adventist Health Medi-Cal	$6,979.22
Rate for Payer: IEHP medi-cal	$8,316.91

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$11,821.98

Service Code	APR-DRG 2523
Min. Negotiated Rate	$9,920.54
Max. Negotiated Rate	$11,821.98
Rate for Payer: Adventist Health Medi-Cal	$9,920.54
Rate for Payer: IEHP medi-cal	$11,821.98

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$6,717.85

Service Code	APR-DRG 2521
Min. Negotiated Rate	$5,637.36
Max. Negotiated Rate	$6,717.85
Rate for Payer: Adventist Health Medi-Cal	$5,637.36
Rate for Payer: IEHP medi-cal	$6,717.85

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$22,496.07

Service Code	APR-DRG 2524
Min. Negotiated Rate	$18,877.82
Max. Negotiated Rate	$22,496.07
Rate for Payer: Adventist Health Medi-Cal	$18,877.82
Rate for Payer: IEHP medi-cal	$22,496.07

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

Facility IP

$11,472.28

Service Code	APR-DRG 2063
Min. Negotiated Rate	$9,627.08
Max. Negotiated Rate	$11,472.28
Rate for Payer: Adventist Health Medi-Cal	$9,627.08
Rate for Payer: IEHP medi-cal	$11,472.28

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

Facility IP

$22,720.31

Service Code	APR-DRG 2064
Min. Negotiated Rate	$19,066.00
Max. Negotiated Rate	$22,720.31
Rate for Payer: Adventist Health Medi-Cal	$19,066.00
Rate for Payer: IEHP medi-cal	$22,720.31

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

Facility IP

$7,504.03

Service Code	APR-DRG 2061
Min. Negotiated Rate	$6,297.08
Max. Negotiated Rate	$7,504.03
Rate for Payer: Adventist Health Medi-Cal	$6,297.08
Rate for Payer: IEHP medi-cal	$7,504.03

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

Facility IP

$7,652.19

Service Code	APR-DRG 2062
Min. Negotiated Rate	$6,421.42
Max. Negotiated Rate	$7,652.19
Rate for Payer: Adventist Health Medi-Cal	$6,421.42
Rate for Payer: IEHP medi-cal	$7,652.19

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$17,137.01

Service Code	APR-DRG 4664
Min. Negotiated Rate	$14,380.70
Max. Negotiated Rate	$17,137.01
Rate for Payer: Adventist Health Medi-Cal	$14,380.70
Rate for Payer: IEHP medi-cal	$17,137.01

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$10,234.95

Service Code	APR-DRG 4663
Min. Negotiated Rate	$8,588.77
Max. Negotiated Rate	$10,234.95
Rate for Payer: Adventist Health Medi-Cal	$8,588.77
Rate for Payer: IEHP medi-cal	$10,234.95

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$7,202.38

Service Code	APR-DRG 4662
Min. Negotiated Rate	$6,043.96
Max. Negotiated Rate	$7,202.38
Rate for Payer: Adventist Health Medi-Cal	$6,043.96
Rate for Payer: IEHP medi-cal	$7,202.38

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$5,028.05

Service Code	APR-DRG 4661
Min. Negotiated Rate	$4,219.34
Max. Negotiated Rate	$5,028.05
Rate for Payer: Adventist Health Medi-Cal	$4,219.34
Rate for Payer: IEHP medi-cal	$5,028.05

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$6,229.34

Service Code	APR-DRG 3491
Min. Negotiated Rate	$5,227.42
Max. Negotiated Rate	$6,229.34
Rate for Payer: Adventist Health Medi-Cal	$5,227.42
Rate for Payer: IEHP medi-cal	$6,229.34

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$22,537.46

Service Code	APR-DRG 3494
Min. Negotiated Rate	$18,912.55
Max. Negotiated Rate	$22,537.46
Rate for Payer: Adventist Health Medi-Cal	$18,912.55
Rate for Payer: IEHP medi-cal	$22,537.46

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$12,669.56

Service Code	APR-DRG 3493
Min. Negotiated Rate	$10,631.80
Max. Negotiated Rate	$12,669.56
Rate for Payer: Adventist Health Medi-Cal	$10,631.80
Rate for Payer: IEHP medi-cal	$12,669.56

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$8,820.11

Service Code	APR-DRG 3492
Min. Negotiated Rate	$7,401.49
Max. Negotiated Rate	$8,820.11
Rate for Payer: Adventist Health Medi-Cal	$7,401.49
Rate for Payer: IEHP medi-cal	$8,820.11

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$12,373.25

Service Code	APR-DRG 5003
Min. Negotiated Rate	$10,383.14
Max. Negotiated Rate	$12,373.25
Rate for Payer: Adventist Health Medi-Cal	$10,383.14
Rate for Payer: IEHP medi-cal	$12,373.25

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$5,858.27

Service Code	APR-DRG 5001
Min. Negotiated Rate	$4,916.03
Max. Negotiated Rate	$5,858.27
Rate for Payer: Adventist Health Medi-Cal	$4,916.03
Rate for Payer: IEHP medi-cal	$5,858.27

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$21,994.22

Service Code	APR-DRG 5004
Min. Negotiated Rate	$18,456.68
Max. Negotiated Rate	$21,994.22
Rate for Payer: Adventist Health Medi-Cal	$18,456.68
Rate for Payer: IEHP medi-cal	$21,994.22

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$8,028.59

Service Code	APR-DRG 5002
Min. Negotiated Rate	$6,737.28
Max. Negotiated Rate	$8,028.59
Rate for Payer: Adventist Health Medi-Cal	$6,737.28
Rate for Payer: IEHP medi-cal	$8,028.59

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility IP

$12,741.64

Service Code	APR-DRG 2813
Min. Negotiated Rate	$10,692.29
Max. Negotiated Rate	$12,741.64
Rate for Payer: Adventist Health Medi-Cal	$10,692.29
Rate for Payer: IEHP medi-cal	$12,741.64

Price Transparency.

All Charges