Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,214.20

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,924.76
Max. Negotiated Rate	$6,214.20
Rate for Payer: Adventist Health Medi-Cal	$3,924.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,677.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,214.20

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 EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$13,102.32

Service Code	APR-DRG 0981
Min. Negotiated Rate	$8,275.15
Max. Negotiated Rate	$13,102.32
Rate for Payer: Adventist Health Medi-Cal	$8,275.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,861.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,102.32

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$18,140.72

Service Code	APR-DRG 0982
Min. Negotiated Rate	$11,457.30
Max. Negotiated Rate	$18,140.72
Rate for Payer: Adventist Health Medi-Cal	$11,457.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,653.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,140.72

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$52,047.50

Service Code	APR-DRG 0984
Min. Negotiated Rate	$32,872.10
Max. Negotiated Rate	$52,047.50
Rate for Payer: Adventist Health Medi-Cal	$32,872.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$39,172.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,047.50

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$30,507.06

Service Code	APR-DRG 0983
Min. Negotiated Rate	$19,267.62
Max. Negotiated Rate	$30,507.06
Rate for Payer: Adventist Health Medi-Cal	$19,267.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,960.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,507.06

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

Facility

$7,115.12

Service Code	APR-DRG 1151
Min. Negotiated Rate	$4,493.76
Max. Negotiated Rate	$7,115.12
Rate for Payer: Adventist Health Medi-Cal	$4,493.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,355.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,115.12

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

Facility

$14,881.10

Service Code	APR-DRG 1153
Min. Negotiated Rate	$9,398.59
Max. Negotiated Rate	$14,881.10
Rate for Payer: Adventist Health Medi-Cal	$9,398.59
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,199.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,881.10

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

Facility

$27,219.06

Service Code	APR-DRG 1154
Min. Negotiated Rate	$17,190.98
Max. Negotiated Rate	$27,219.06
Rate for Payer: Adventist Health Medi-Cal	$17,190.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,485.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,219.06

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

Facility

$9,832.06

Service Code	APR-DRG 1152
Min. Negotiated Rate	$6,209.72
Max. Negotiated Rate	$9,832.06
Rate for Payer: Adventist Health Medi-Cal	$6,209.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,399.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,832.06

OTHER ENDOCRINE DISORDERS

Facility

$7,659.56

Service Code	APR-DRG 4241
Min. Negotiated Rate	$4,837.62
Max. Negotiated Rate	$7,659.56
Rate for Payer: Adventist Health Medi-Cal	$4,837.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,764.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,659.56

OTHER ENDOCRINE DISORDERS

Facility

$27,704.98

Service Code	APR-DRG 4244
Min. Negotiated Rate	$17,497.88
Max. Negotiated Rate	$27,704.98
Rate for Payer: Adventist Health Medi-Cal	$17,497.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,851.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,704.98

OTHER ENDOCRINE DISORDERS

Facility

$10,660.27

Service Code	APR-DRG 4242
Min. Negotiated Rate	$6,732.80
Max. Negotiated Rate	$10,660.27
Rate for Payer: Adventist Health Medi-Cal	$6,732.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,023.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,660.27

OTHER ENDOCRINE DISORDERS

Facility

$15,675.61

Service Code	APR-DRG 4243
Min. Negotiated Rate	$9,900.38
Max. Negotiated Rate	$15,675.61
Rate for Payer: Adventist Health Medi-Cal	$9,900.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,797.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,675.61

OTHER ESOPHAGEAL DISORDERS

Facility

$10,507.76

Service Code	APR-DRG 2432
Min. Negotiated Rate	$6,636.48
Max. Negotiated Rate	$10,507.76
Rate for Payer: Adventist Health Medi-Cal	$6,636.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,908.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,507.76

OTHER ESOPHAGEAL DISORDERS

Facility

$15,317.38

Service Code	APR-DRG 2433
Min. Negotiated Rate	$9,674.14
Max. Negotiated Rate	$15,317.38
Rate for Payer: Adventist Health Medi-Cal	$9,674.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,528.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,317.38

OTHER ESOPHAGEAL DISORDERS

Facility

$27,587.94

Service Code	APR-DRG 2434
Min. Negotiated Rate	$17,423.96
Max. Negotiated Rate	$27,587.94
Rate for Payer: Adventist Health Medi-Cal	$17,423.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,763.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,587.94

OTHER ESOPHAGEAL DISORDERS

Facility

$8,170.32

Service Code	APR-DRG 2431
Min. Negotiated Rate	$5,160.20
Max. Negotiated Rate	$8,170.32
Rate for Payer: Adventist Health Medi-Cal	$5,160.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,149.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,170.32

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$18,605.37

Service Code	APR-DRG 5182
Min. Negotiated Rate	$11,750.76
Max. Negotiated Rate	$18,605.37
Rate for Payer: Adventist Health Medi-Cal	$11,750.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,002.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,605.37

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$12,820.34

Service Code	APR-DRG 5181
Min. Negotiated Rate	$8,097.06
Max. Negotiated Rate	$12,820.34
Rate for Payer: Adventist Health Medi-Cal	$8,097.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,649.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,820.34

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$31,290.93

Service Code	APR-DRG 5183
Min. Negotiated Rate	$19,762.69
Max. Negotiated Rate	$31,290.93
Rate for Payer: Adventist Health Medi-Cal	$19,762.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,550.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,290.93

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$57,387.39

Service Code	APR-DRG 5184
Min. Negotiated Rate	$36,244.67
Max. Negotiated Rate	$57,387.39
Rate for Payer: Adventist Health Medi-Cal	$36,244.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,191.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,387.39

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$8,714.79

Service Code	APR-DRG 2492
Min. Negotiated Rate	$5,504.08
Max. Negotiated Rate	$8,714.79
Rate for Payer: Adventist Health Medi-Cal	$5,504.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,559.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,714.79

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$12,602.21

Service Code	APR-DRG 2493
Min. Negotiated Rate	$7,959.29
Max. Negotiated Rate	$12,602.21
Rate for Payer: Adventist Health Medi-Cal	$7,959.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,484.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,602.21

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,971.48

Service Code	APR-DRG 2491
Min. Negotiated Rate	$4,403.04
Max. Negotiated Rate	$6,971.48
Rate for Payer: Adventist Health Medi-Cal	$4,403.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,246.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,971.48

Know your out-of-pocket cost for care.

All Charges