Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$5,650.04

Service Code	APR-DRG 6631
Min. Negotiated Rate	$4,741.30
Max. Negotiated Rate	$5,650.04
Rate for Payer: Adventist Health Medi-Cal	$4,741.30
Rate for Payer: IEHP medi-cal	$5,650.04

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$18,446.41

Service Code	APR-DRG 6634
Min. Negotiated Rate	$15,479.51
Max. Negotiated Rate	$18,446.41
Rate for Payer: Adventist Health Medi-Cal	$15,479.51
Rate for Payer: IEHP medi-cal	$18,446.41

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$7,991.23

Service Code	APR-DRG 6632
Min. Negotiated Rate	$6,705.92
Max. Negotiated Rate	$7,991.23
Rate for Payer: Adventist Health Medi-Cal	$6,705.92
Rate for Payer: IEHP medi-cal	$7,991.23

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$11,158.60

Service Code	APR-DRG 6633
Min. Negotiated Rate	$9,363.86
Max. Negotiated Rate	$11,158.60
Rate for Payer: Adventist Health Medi-Cal	$9,363.86
Rate for Payer: IEHP medi-cal	$11,158.60

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$12,002.18

Service Code	APR-DRG 3473
Min. Negotiated Rate	$10,071.76
Max. Negotiated Rate	$12,002.18
Rate for Payer: Adventist Health Medi-Cal	$10,071.76
Rate for Payer: IEHP medi-cal	$12,002.18

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$7,032.85

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,901.70
Max. Negotiated Rate	$7,032.85
Rate for Payer: Adventist Health Medi-Cal	$5,901.70
Rate for Payer: IEHP medi-cal	$7,032.85

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$8,868.16

Service Code	APR-DRG 3472
Min. Negotiated Rate	$7,441.81
Max. Negotiated Rate	$8,868.16
Rate for Payer: Adventist Health Medi-Cal	$7,441.81
Rate for Payer: IEHP medi-cal	$8,868.16

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$20,690.14

Service Code	APR-DRG 3474
Min. Negotiated Rate	$17,362.36
Max. Negotiated Rate	$20,690.14
Rate for Payer: Adventist Health Medi-Cal	$17,362.36
Rate for Payer: IEHP medi-cal	$20,690.14

OTHER BLADDER PROCEDURES

Facility IP

$20,237.66

Service Code	APR-DRG 4453
Min. Negotiated Rate	$16,982.65
Max. Negotiated Rate	$20,237.66
Rate for Payer: Adventist Health Medi-Cal	$16,982.65
Rate for Payer: IEHP medi-cal	$20,237.66

OTHER BLADDER PROCEDURES

Facility IP

$14,410.10

Service Code	APR-DRG 4452
Min. Negotiated Rate	$12,092.39
Max. Negotiated Rate	$14,410.10
Rate for Payer: Adventist Health Medi-Cal	$12,092.39
Rate for Payer: IEHP medi-cal	$14,410.10

OTHER BLADDER PROCEDURES

Facility IP

$37,792.45

Service Code	APR-DRG 4454
Min. Negotiated Rate	$31,713.95
Max. Negotiated Rate	$37,792.45
Rate for Payer: Adventist Health Medi-Cal	$31,713.95
Rate for Payer: IEHP medi-cal	$37,792.45

OTHER BLADDER PROCEDURES

Facility IP

$11,325.46

Service Code	APR-DRG 4451
Min. Negotiated Rate	$9,503.88
Max. Negotiated Rate	$11,325.46
Rate for Payer: Adventist Health Medi-Cal	$9,503.88
Rate for Payer: IEHP medi-cal	$11,325.46

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$34,181.92

Service Code	APR-DRG 1671
Min. Negotiated Rate	$28,684.13
Max. Negotiated Rate	$34,181.92
Rate for Payer: Adventist Health Medi-Cal	$28,684.13
Rate for Payer: IEHP medi-cal	$34,181.92

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$53,638.74

Service Code	APR-DRG 1673
Min. Negotiated Rate	$45,011.53
Max. Negotiated Rate	$53,638.74
Rate for Payer: Adventist Health Medi-Cal	$45,011.53
Rate for Payer: IEHP medi-cal	$53,638.74

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$35,530.02

Service Code	APR-DRG 1672
Min. Negotiated Rate	$29,815.40
Max. Negotiated Rate	$35,530.02
Rate for Payer: Adventist Health Medi-Cal	$29,815.40
Rate for Payer: IEHP medi-cal	$35,530.02

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$86,120.18

Service Code	APR-DRG 1674
Min. Negotiated Rate	$72,268.68
Max. Negotiated Rate	$86,120.18
Rate for Payer: Adventist Health Medi-Cal	$72,268.68
Rate for Payer: IEHP medi-cal	$86,120.18

OTHER CHEMOTHERAPY

Facility IP

$7,657.54

Service Code	APR-DRG 6961
Min. Negotiated Rate	$6,425.90
Max. Negotiated Rate	$7,657.54
Rate for Payer: Adventist Health Medi-Cal	$6,425.90
Rate for Payer: IEHP medi-cal	$7,657.54

OTHER CHEMOTHERAPY

Facility IP

$28,852.21

Service Code	APR-DRG 6964
Min. Negotiated Rate	$24,211.64
Max. Negotiated Rate	$28,852.21
Rate for Payer: Adventist Health Medi-Cal	$24,211.64
Rate for Payer: IEHP medi-cal	$28,852.21

OTHER CHEMOTHERAPY

Facility IP

$14,515.54

Service Code	APR-DRG 6963
Min. Negotiated Rate	$12,180.88
Max. Negotiated Rate	$14,515.54
Rate for Payer: Adventist Health Medi-Cal	$12,180.88
Rate for Payer: IEHP medi-cal	$14,515.54

OTHER CHEMOTHERAPY

Facility IP

$9,750.44

Service Code	APR-DRG 6962
Min. Negotiated Rate	$8,182.19
Max. Negotiated Rate	$9,750.44
Rate for Payer: Adventist Health Medi-Cal	$8,182.19
Rate for Payer: IEHP medi-cal	$9,750.44

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$6,256.04

Service Code	APR-DRG 2071
Min. Negotiated Rate	$5,249.82
Max. Negotiated Rate	$6,256.04
Rate for Payer: Adventist Health Medi-Cal	$5,249.82
Rate for Payer: IEHP medi-cal	$6,256.04

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$10,902.33

Service Code	APR-DRG 2073
Min. Negotiated Rate	$9,148.81
Max. Negotiated Rate	$10,902.33
Rate for Payer: Adventist Health Medi-Cal	$9,148.81
Rate for Payer: IEHP medi-cal	$10,902.33

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$7,839.06

Service Code	APR-DRG 2072
Min. Negotiated Rate	$6,578.23
Max. Negotiated Rate	$7,839.06
Rate for Payer: Adventist Health Medi-Cal	$6,578.23
Rate for Payer: IEHP medi-cal	$7,839.06

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$18,475.77

Service Code	APR-DRG 2074
Min. Negotiated Rate	$15,504.14
Max. Negotiated Rate	$18,475.77
Rate for Payer: Adventist Health Medi-Cal	$15,504.14
Rate for Payer: IEHP medi-cal	$18,475.77

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$43,951.05

Service Code	APR-DRG 1804
Min. Negotiated Rate	$36,882.00
Max. Negotiated Rate	$43,951.05
Rate for Payer: Adventist Health Medi-Cal	$36,882.00
Rate for Payer: IEHP medi-cal	$43,951.05

Price Transparency.

All Charges