Loma Linda University Medical Center

All Charges

Charge

Type

Price

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

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$13,653.28

Service Code	APR-DRG 0982
Min. Negotiated Rate	$11,457.30
Max. Negotiated Rate	$13,653.28
Rate for Payer: Adventist Health Medi-Cal	$11,457.30
Rate for Payer: IEHP medi-cal	$13,653.28

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$39,172.59

Service Code	APR-DRG 0984
Min. Negotiated Rate	$32,872.10
Max. Negotiated Rate	$39,172.59
Rate for Payer: Adventist Health Medi-Cal	$32,872.10
Rate for Payer: IEHP medi-cal	$39,172.59

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$22,960.58

Service Code	APR-DRG 0983
Min. Negotiated Rate	$19,267.62
Max. Negotiated Rate	$22,960.58
Rate for Payer: Adventist Health Medi-Cal	$19,267.62
Rate for Payer: IEHP medi-cal	$22,960.58

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$9,861.22

Service Code	APR-DRG 0981
Min. Negotiated Rate	$8,275.15
Max. Negotiated Rate	$9,861.22
Rate for Payer: Adventist Health Medi-Cal	$8,275.15
Rate for Payer: IEHP medi-cal	$9,861.22

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$20,485.92

Service Code	APR-DRG 1154
Min. Negotiated Rate	$17,190.98
Max. Negotiated Rate	$20,485.92
Rate for Payer: Adventist Health Medi-Cal	$17,190.98
Rate for Payer: IEHP medi-cal	$20,485.92

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$7,399.92

Service Code	APR-DRG 1152
Min. Negotiated Rate	$6,209.72
Max. Negotiated Rate	$7,399.92
Rate for Payer: Adventist Health Medi-Cal	$6,209.72
Rate for Payer: IEHP medi-cal	$7,399.92

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$11,199.99

Service Code	APR-DRG 1153
Min. Negotiated Rate	$9,398.59
Max. Negotiated Rate	$11,199.99
Rate for Payer: Adventist Health Medi-Cal	$9,398.59
Rate for Payer: IEHP medi-cal	$11,199.99

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$5,355.06

Service Code	APR-DRG 1151
Min. Negotiated Rate	$4,493.76
Max. Negotiated Rate	$5,355.06
Rate for Payer: Adventist Health Medi-Cal	$4,493.76
Rate for Payer: IEHP medi-cal	$5,355.06

OTHER ENDOCRINE DISORDERS

Facility IP

$5,764.83

Service Code	APR-DRG 4241
Min. Negotiated Rate	$4,837.62
Max. Negotiated Rate	$5,764.83
Rate for Payer: Adventist Health Medi-Cal	$4,837.62
Rate for Payer: IEHP medi-cal	$5,764.83

OTHER ENDOCRINE DISORDERS

Facility IP

$20,851.65

Service Code	APR-DRG 4244
Min. Negotiated Rate	$17,497.88
Max. Negotiated Rate	$20,851.65
Rate for Payer: Adventist Health Medi-Cal	$17,497.88
Rate for Payer: IEHP medi-cal	$20,851.65

OTHER ENDOCRINE DISORDERS

Facility IP

$8,023.26

Service Code	APR-DRG 4242
Min. Negotiated Rate	$6,732.80
Max. Negotiated Rate	$8,023.26
Rate for Payer: Adventist Health Medi-Cal	$6,732.80
Rate for Payer: IEHP medi-cal	$8,023.26

OTHER ENDOCRINE DISORDERS

Facility IP

$11,797.96

Service Code	APR-DRG 4243
Min. Negotiated Rate	$9,900.38
Max. Negotiated Rate	$11,797.96
Rate for Payer: Adventist Health Medi-Cal	$9,900.38
Rate for Payer: IEHP medi-cal	$11,797.96

OTHER ESOPHAGEAL DISORDERS

Facility IP

$6,149.24

Service Code	APR-DRG 2431
Min. Negotiated Rate	$5,160.20
Max. Negotiated Rate	$6,149.24
Rate for Payer: Adventist Health Medi-Cal	$5,160.20
Rate for Payer: IEHP medi-cal	$6,149.24

OTHER ESOPHAGEAL DISORDERS

Facility IP

$20,763.56

Service Code	APR-DRG 2434
Min. Negotiated Rate	$17,423.96
Max. Negotiated Rate	$20,763.56
Rate for Payer: Adventist Health Medi-Cal	$17,423.96
Rate for Payer: IEHP medi-cal	$20,763.56

OTHER ESOPHAGEAL DISORDERS

Facility IP

$11,528.35

Service Code	APR-DRG 2433
Min. Negotiated Rate	$9,674.14
Max. Negotiated Rate	$11,528.35
Rate for Payer: Adventist Health Medi-Cal	$9,674.14
Rate for Payer: IEHP medi-cal	$11,528.35

OTHER ESOPHAGEAL DISORDERS

Facility IP

$7,908.47

Service Code	APR-DRG 2432
Min. Negotiated Rate	$6,636.48
Max. Negotiated Rate	$7,908.47
Rate for Payer: Adventist Health Medi-Cal	$6,636.48
Rate for Payer: IEHP medi-cal	$7,908.47

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$43,191.56

Service Code	APR-DRG 5184
Min. Negotiated Rate	$36,244.67
Max. Negotiated Rate	$43,191.56
Rate for Payer: Adventist Health Medi-Cal	$36,244.67
Rate for Payer: IEHP medi-cal	$43,191.56

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$9,649.00

Service Code	APR-DRG 5181
Min. Negotiated Rate	$8,097.06
Max. Negotiated Rate	$9,649.00
Rate for Payer: Adventist Health Medi-Cal	$8,097.06
Rate for Payer: IEHP medi-cal	$9,649.00

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$23,550.54

Service Code	APR-DRG 5183
Min. Negotiated Rate	$19,762.69
Max. Negotiated Rate	$23,550.54
Rate for Payer: Adventist Health Medi-Cal	$19,762.69
Rate for Payer: IEHP medi-cal	$23,550.54

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$14,002.99

Service Code	APR-DRG 5182
Min. Negotiated Rate	$11,750.76
Max. Negotiated Rate	$14,002.99
Rate for Payer: Adventist Health Medi-Cal	$11,750.76
Rate for Payer: IEHP medi-cal	$14,002.99

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$17,458.68

Service Code	APR-DRG 2494
Min. Negotiated Rate	$14,650.64
Max. Negotiated Rate	$17,458.68
Rate for Payer: Adventist Health Medi-Cal	$14,650.64
Rate for Payer: IEHP medi-cal	$17,458.68

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$6,559.02

Service Code	APR-DRG 2492
Min. Negotiated Rate	$5,504.08
Max. Negotiated Rate	$6,559.02
Rate for Payer: Adventist Health Medi-Cal	$5,504.08
Rate for Payer: IEHP medi-cal	$6,559.02

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$9,484.82

Service Code	APR-DRG 2493
Min. Negotiated Rate	$7,959.29
Max. Negotiated Rate	$9,484.82
Rate for Payer: Adventist Health Medi-Cal	$7,959.29
Rate for Payer: IEHP medi-cal	$9,484.82

Price Transparency.

All Charges