Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$17,281.16

Service Code	APR-DRG 1802
Min. Negotiated Rate	$14,501.68
Max. Negotiated Rate	$17,281.16
Rate for Payer: Adventist Health Medi-Cal	$14,501.68
Rate for Payer: IEHP medi-cal	$17,281.16

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$23,878.90

Service Code	APR-DRG 1803
Min. Negotiated Rate	$20,038.24
Max. Negotiated Rate	$23,878.90
Rate for Payer: Adventist Health Medi-Cal	$20,038.24
Rate for Payer: IEHP medi-cal	$23,878.90

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$13,842.81

Service Code	APR-DRG 1801
Min. Negotiated Rate	$11,616.35
Max. Negotiated Rate	$13,842.81
Rate for Payer: Adventist Health Medi-Cal	$11,616.35
Rate for Payer: IEHP medi-cal	$13,842.81

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$8,013.91

Service Code	APR-DRG 8132
Min. Negotiated Rate	$6,724.96
Max. Negotiated Rate	$8,013.91
Rate for Payer: Adventist Health Medi-Cal	$6,724.96
Rate for Payer: IEHP medi-cal	$8,013.91

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$6,505.63

Service Code	APR-DRG 8131
Min. Negotiated Rate	$5,459.27
Max. Negotiated Rate	$6,505.63
Rate for Payer: Adventist Health Medi-Cal	$5,459.27
Rate for Payer: IEHP medi-cal	$6,505.63

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$11,623.11

Service Code	APR-DRG 8133
Min. Negotiated Rate	$9,753.66
Max. Negotiated Rate	$11,623.11
Rate for Payer: Adventist Health Medi-Cal	$9,753.66
Rate for Payer: IEHP medi-cal	$11,623.11

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$20,832.97

Service Code	APR-DRG 8134
Min. Negotiated Rate	$17,482.21
Max. Negotiated Rate	$20,832.97
Rate for Payer: Adventist Health Medi-Cal	$17,482.21
Rate for Payer: IEHP medi-cal	$20,832.97

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$18,398.37

Service Code	APR-DRG 2292
Min. Negotiated Rate	$15,439.19
Max. Negotiated Rate	$18,398.37
Rate for Payer: Adventist Health Medi-Cal	$15,439.19
Rate for Payer: IEHP medi-cal	$18,398.37

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$47,937.98

Service Code	APR-DRG 2294
Min. Negotiated Rate	$40,227.67
Max. Negotiated Rate	$47,937.98
Rate for Payer: Adventist Health Medi-Cal	$40,227.67
Rate for Payer: IEHP medi-cal	$47,937.98

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$13,344.95

Service Code	APR-DRG 2291
Min. Negotiated Rate	$11,198.56
Max. Negotiated Rate	$13,344.95
Rate for Payer: Adventist Health Medi-Cal	$11,198.56
Rate for Payer: IEHP medi-cal	$13,344.95

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$27,780.40

Service Code	APR-DRG 2293
Min. Negotiated Rate	$23,312.22
Max. Negotiated Rate	$27,780.40
Rate for Payer: Adventist Health Medi-Cal	$23,312.22
Rate for Payer: IEHP medi-cal	$27,780.40

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$5,783.52

Service Code	APR-DRG 2541
Min. Negotiated Rate	$4,853.30
Max. Negotiated Rate	$5,783.52
Rate for Payer: Adventist Health Medi-Cal	$4,853.30
Rate for Payer: IEHP medi-cal	$5,783.52

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$8,073.98

Service Code	APR-DRG 2542
Min. Negotiated Rate	$6,775.37
Max. Negotiated Rate	$8,073.98
Rate for Payer: Adventist Health Medi-Cal	$6,775.37
Rate for Payer: IEHP medi-cal	$8,073.98

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$20,400.51

Service Code	APR-DRG 2544
Min. Negotiated Rate	$17,119.31
Max. Negotiated Rate	$20,400.51
Rate for Payer: Adventist Health Medi-Cal	$17,119.31
Rate for Payer: IEHP medi-cal	$20,400.51

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$11,609.76

Service Code	APR-DRG 2543
Min. Negotiated Rate	$9,742.45
Max. Negotiated Rate	$11,609.76
Rate for Payer: Adventist Health Medi-Cal	$9,742.45
Rate for Payer: IEHP medi-cal	$11,609.76

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$22,383.96

Service Code	APR-DRG 0584
Min. Negotiated Rate	$18,783.74
Max. Negotiated Rate	$22,383.96
Rate for Payer: Adventist Health Medi-Cal	$18,783.74
Rate for Payer: IEHP medi-cal	$22,383.96

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$9,149.80

Service Code	APR-DRG 0581
Min. Negotiated Rate	$7,678.15
Max. Negotiated Rate	$9,149.80
Rate for Payer: Adventist Health Medi-Cal	$7,678.15
Rate for Payer: IEHP medi-cal	$9,149.80

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$16,085.21

Service Code	APR-DRG 0583
Min. Negotiated Rate	$13,498.08
Max. Negotiated Rate	$16,085.21
Rate for Payer: Adventist Health Medi-Cal	$13,498.08
Rate for Payer: IEHP medi-cal	$16,085.21

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$12,278.48

Service Code	APR-DRG 0582
Min. Negotiated Rate	$10,303.62
Max. Negotiated Rate	$12,278.48
Rate for Payer: Adventist Health Medi-Cal	$10,303.62
Rate for Payer: IEHP medi-cal	$12,278.48

OTHER DISORDERS OF THE LIVER

Facility IP

$5,891.64

Service Code	APR-DRG 2831
Min. Negotiated Rate	$4,944.04
Max. Negotiated Rate	$5,891.64
Rate for Payer: Adventist Health Medi-Cal	$4,944.04
Rate for Payer: IEHP medi-cal	$5,891.64

OTHER DISORDERS OF THE LIVER

Facility IP

$10,970.40

Service Code	APR-DRG 2833
Min. Negotiated Rate	$9,205.93
Max. Negotiated Rate	$10,970.40
Rate for Payer: Adventist Health Medi-Cal	$9,205.93
Rate for Payer: IEHP medi-cal	$10,970.40

OTHER DISORDERS OF THE LIVER

Facility IP

$20,570.02

Service Code	APR-DRG 2834
Min. Negotiated Rate	$17,261.56
Max. Negotiated Rate	$20,570.02
Rate for Payer: Adventist Health Medi-Cal	$17,261.56
Rate for Payer: IEHP medi-cal	$20,570.02

OTHER DISORDERS OF THE LIVER

Facility IP

$7,540.08

Service Code	APR-DRG 2832
Min. Negotiated Rate	$6,327.34
Max. Negotiated Rate	$7,540.08
Rate for Payer: Adventist Health Medi-Cal	$6,327.34
Rate for Payer: IEHP medi-cal	$7,540.08

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$4,677.00

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,924.76
Max. Negotiated Rate	$4,677.00
Rate for Payer: Adventist Health Medi-Cal	$3,924.76
Rate for Payer: IEHP medi-cal	$4,677.00

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$8,964.26

Service Code	APR-DRG 7763
Min. Negotiated Rate	$7,522.45
Max. Negotiated Rate	$8,964.26
Rate for Payer: Adventist Health Medi-Cal	$7,522.45
Rate for Payer: IEHP medi-cal	$8,964.26

Price Transparency.

All Charges