Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$22,960.99

Service Code	APR-DRG 1802
Min. Negotiated Rate	$14,501.68
Max. Negotiated Rate	$22,960.99
Rate for Payer: Adventist Health Medi-Cal	$14,501.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,281.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,960.99

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$31,727.21

Service Code	APR-DRG 1803
Min. Negotiated Rate	$20,038.24
Max. Negotiated Rate	$31,727.21
Rate for Payer: Adventist Health Medi-Cal	$20,038.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,878.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,727.21

OTHER COMPLICATIONS OF TREATMENT

Facility

$15,443.30

Service Code	APR-DRG 8133
Min. Negotiated Rate	$9,753.66
Max. Negotiated Rate	$15,443.30
Rate for Payer: Adventist Health Medi-Cal	$9,753.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,623.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,443.30

OTHER COMPLICATIONS OF TREATMENT

Facility

$10,647.85

Service Code	APR-DRG 8132
Min. Negotiated Rate	$6,724.96
Max. Negotiated Rate	$10,647.85
Rate for Payer: Adventist Health Medi-Cal	$6,724.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,013.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,647.85

OTHER COMPLICATIONS OF TREATMENT

Facility

$8,643.84

Service Code	APR-DRG 8131
Min. Negotiated Rate	$5,459.27
Max. Negotiated Rate	$8,643.84
Rate for Payer: Adventist Health Medi-Cal	$5,459.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,505.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,643.84

OTHER COMPLICATIONS OF TREATMENT

Facility

$27,680.17

Service Code	APR-DRG 8134
Min. Negotiated Rate	$17,482.21
Max. Negotiated Rate	$27,680.17
Rate for Payer: Adventist Health Medi-Cal	$17,482.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,832.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,680.17

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$36,911.02

Service Code	APR-DRG 2293
Min. Negotiated Rate	$23,312.22
Max. Negotiated Rate	$36,911.02
Rate for Payer: Adventist Health Medi-Cal	$23,312.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,780.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,911.02

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$17,731.05

Service Code	APR-DRG 2291
Min. Negotiated Rate	$11,198.56
Max. Negotiated Rate	$17,731.05
Rate for Payer: Adventist Health Medi-Cal	$11,198.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,344.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,731.05

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$24,445.38

Service Code	APR-DRG 2292
Min. Negotiated Rate	$15,439.19
Max. Negotiated Rate	$24,445.38
Rate for Payer: Adventist Health Medi-Cal	$15,439.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,398.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,445.38

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$63,693.81

Service Code	APR-DRG 2294
Min. Negotiated Rate	$40,227.67
Max. Negotiated Rate	$63,693.81
Rate for Payer: Adventist Health Medi-Cal	$40,227.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,937.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,693.81

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$7,684.40

Service Code	APR-DRG 2541
Min. Negotiated Rate	$4,853.30
Max. Negotiated Rate	$7,684.40
Rate for Payer: Adventist Health Medi-Cal	$4,853.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,783.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,684.40

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$15,425.55

Service Code	APR-DRG 2543
Min. Negotiated Rate	$9,742.45
Max. Negotiated Rate	$15,425.55
Rate for Payer: Adventist Health Medi-Cal	$9,742.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,609.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,425.55

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$27,105.57

Service Code	APR-DRG 2544
Min. Negotiated Rate	$17,119.31
Max. Negotiated Rate	$27,105.57
Rate for Payer: Adventist Health Medi-Cal	$17,119.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,400.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,105.57

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$10,727.67

Service Code	APR-DRG 2542
Min. Negotiated Rate	$6,775.37
Max. Negotiated Rate	$10,727.67
Rate for Payer: Adventist Health Medi-Cal	$6,775.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,073.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,727.67

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$29,740.93

Service Code	APR-DRG 0584
Min. Negotiated Rate	$18,783.74
Max. Negotiated Rate	$29,740.93
Rate for Payer: Adventist Health Medi-Cal	$18,783.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,383.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,740.93

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$16,314.06

Service Code	APR-DRG 0582
Min. Negotiated Rate	$10,303.62
Max. Negotiated Rate	$16,314.06
Rate for Payer: Adventist Health Medi-Cal	$10,303.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,278.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,314.06

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$12,157.07

Service Code	APR-DRG 0581
Min. Negotiated Rate	$7,678.15
Max. Negotiated Rate	$12,157.07
Rate for Payer: Adventist Health Medi-Cal	$7,678.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,149.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,157.07

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$21,371.96

Service Code	APR-DRG 0583
Min. Negotiated Rate	$13,498.08
Max. Negotiated Rate	$21,371.96
Rate for Payer: Adventist Health Medi-Cal	$13,498.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,085.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,371.96

OTHER DISORDERS OF THE LIVER

Facility

$7,828.06

Service Code	APR-DRG 2831
Min. Negotiated Rate	$4,944.04
Max. Negotiated Rate	$7,828.06
Rate for Payer: Adventist Health Medi-Cal	$4,944.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,891.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,828.06

OTHER DISORDERS OF THE LIVER

Facility

$27,330.80

Service Code	APR-DRG 2834
Min. Negotiated Rate	$17,261.56
Max. Negotiated Rate	$27,330.80
Rate for Payer: Adventist Health Medi-Cal	$17,261.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,570.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,330.80

OTHER DISORDERS OF THE LIVER

Facility

$10,018.28

Service Code	APR-DRG 2832
Min. Negotiated Rate	$6,327.34
Max. Negotiated Rate	$10,018.28
Rate for Payer: Adventist Health Medi-Cal	$6,327.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,540.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,018.28

OTHER DISORDERS OF THE LIVER

Facility

$14,576.06

Service Code	APR-DRG 2833
Min. Negotiated Rate	$9,205.93
Max. Negotiated Rate	$14,576.06
Rate for Payer: Adventist Health Medi-Cal	$9,205.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,970.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,576.06

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,811.86

Service Code	APR-DRG 7762
Min. Negotiated Rate	$4,302.23
Max. Negotiated Rate	$6,811.86
Rate for Payer: Adventist Health Medi-Cal	$4,302.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,126.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,811.86

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$20,595.18

Service Code	APR-DRG 7764
Min. Negotiated Rate	$13,007.48
Max. Negotiated Rate	$20,595.18
Rate for Payer: Adventist Health Medi-Cal	$13,007.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,500.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,595.18

Know your out-of-pocket cost for care.

All Charges