Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$14,826.12

Service Code	APR-DRG 6633
Min. Negotiated Rate	$9,363.86
Max. Negotiated Rate	$14,826.12
Rate for Payer: Adventist Health Medi-Cal	$9,363.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,158.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,826.12

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$7,507.05

Service Code	APR-DRG 6631
Min. Negotiated Rate	$4,741.30
Max. Negotiated Rate	$7,507.05
Rate for Payer: Adventist Health Medi-Cal	$4,741.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,650.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,507.05

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$10,617.71

Service Code	APR-DRG 6632
Min. Negotiated Rate	$6,705.92
Max. Negotiated Rate	$10,617.71
Rate for Payer: Adventist Health Medi-Cal	$6,705.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,991.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,617.71

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$24,509.22

Service Code	APR-DRG 6634
Min. Negotiated Rate	$15,479.51
Max. Negotiated Rate	$24,509.22
Rate for Payer: Adventist Health Medi-Cal	$15,479.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,446.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,509.22

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$27,490.40

Service Code	APR-DRG 3474
Min. Negotiated Rate	$17,362.36
Max. Negotiated Rate	$27,490.40
Rate for Payer: Adventist Health Medi-Cal	$17,362.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,690.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,490.40

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$9,344.35

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,901.70
Max. Negotiated Rate	$9,344.35
Rate for Payer: Adventist Health Medi-Cal	$5,901.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,032.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,344.35

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$15,946.95

Service Code	APR-DRG 3473
Min. Negotiated Rate	$10,071.76
Max. Negotiated Rate	$15,946.95
Rate for Payer: Adventist Health Medi-Cal	$10,071.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,002.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,946.95

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$11,782.87

Service Code	APR-DRG 3472
Min. Negotiated Rate	$7,441.81
Max. Negotiated Rate	$11,782.87
Rate for Payer: Adventist Health Medi-Cal	$7,441.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,868.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,782.87

OTHER BLADDER PROCEDURES

Facility

$26,889.20

Service Code	APR-DRG 4453
Min. Negotiated Rate	$16,982.65
Max. Negotiated Rate	$26,889.20
Rate for Payer: Adventist Health Medi-Cal	$16,982.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,237.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,889.20

OTHER BLADDER PROCEDURES

Facility

$19,146.28

Service Code	APR-DRG 4452
Min. Negotiated Rate	$12,092.39
Max. Negotiated Rate	$19,146.28
Rate for Payer: Adventist Health Medi-Cal	$12,092.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,410.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,146.28

OTHER BLADDER PROCEDURES

Facility

$15,047.81

Service Code	APR-DRG 4451
Min. Negotiated Rate	$9,503.88
Max. Negotiated Rate	$15,047.81
Rate for Payer: Adventist Health Medi-Cal	$9,503.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,325.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,047.81

OTHER BLADDER PROCEDURES

Facility

$50,213.75

Service Code	APR-DRG 4454
Min. Negotiated Rate	$31,713.95
Max. Negotiated Rate	$50,213.75
Rate for Payer: Adventist Health Medi-Cal	$31,713.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,792.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,213.75

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$114,425.41

Service Code	APR-DRG 1674
Min. Negotiated Rate	$72,268.68
Max. Negotiated Rate	$114,425.41
Rate for Payer: Adventist Health Medi-Cal	$72,268.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$86,120.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$114,425.41

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$71,268.26

Service Code	APR-DRG 1673
Min. Negotiated Rate	$45,011.53
Max. Negotiated Rate	$71,268.26
Rate for Payer: Adventist Health Medi-Cal	$45,011.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,638.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$71,268.26

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$47,207.72

Service Code	APR-DRG 1672
Min. Negotiated Rate	$29,815.40
Max. Negotiated Rate	$47,207.72
Rate for Payer: Adventist Health Medi-Cal	$29,815.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,530.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,207.72

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$45,416.54

Service Code	APR-DRG 1671
Min. Negotiated Rate	$28,684.13
Max. Negotiated Rate	$45,416.54
Rate for Payer: Adventist Health Medi-Cal	$28,684.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,181.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,416.54

OTHER CHEMOTHERAPY

Facility

$10,174.35

Service Code	APR-DRG 6961
Min. Negotiated Rate	$6,425.90
Max. Negotiated Rate	$10,174.35
Rate for Payer: Adventist Health Medi-Cal	$6,425.90
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,657.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,174.35

OTHER CHEMOTHERAPY

Facility

$19,286.39

Service Code	APR-DRG 6963
Min. Negotiated Rate	$12,180.88
Max. Negotiated Rate	$19,286.39
Rate for Payer: Adventist Health Medi-Cal	$12,180.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,515.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,286.39

OTHER CHEMOTHERAPY

Facility

$38,335.10

Service Code	APR-DRG 6964
Min. Negotiated Rate	$24,211.64
Max. Negotiated Rate	$38,335.10
Rate for Payer: Adventist Health Medi-Cal	$24,211.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,852.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,335.10

OTHER CHEMOTHERAPY

Facility

$12,955.13

Service Code	APR-DRG 6962
Min. Negotiated Rate	$8,182.19
Max. Negotiated Rate	$12,955.13
Rate for Payer: Adventist Health Medi-Cal	$8,182.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,750.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,955.13

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$10,415.53

Service Code	APR-DRG 2072
Min. Negotiated Rate	$6,578.23
Max. Negotiated Rate	$10,415.53
Rate for Payer: Adventist Health Medi-Cal	$6,578.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,839.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,415.53

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$14,485.62

Service Code	APR-DRG 2073
Min. Negotiated Rate	$9,148.81
Max. Negotiated Rate	$14,485.62
Rate for Payer: Adventist Health Medi-Cal	$9,148.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,902.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,485.62

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$24,548.23

Service Code	APR-DRG 2074
Min. Negotiated Rate	$15,504.14
Max. Negotiated Rate	$24,548.23
Rate for Payer: Adventist Health Medi-Cal	$15,504.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,475.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,548.23

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$8,312.22

Service Code	APR-DRG 2071
Min. Negotiated Rate	$5,249.82
Max. Negotiated Rate	$8,312.22
Rate for Payer: Adventist Health Medi-Cal	$5,249.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,256.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,312.22

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$58,396.50

Service Code	APR-DRG 1804
Min. Negotiated Rate	$36,882.00
Max. Negotiated Rate	$58,396.50
Rate for Payer: Adventist Health Medi-Cal	$36,882.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,951.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,396.50

Know your out-of-pocket cost for care.

All Charges