Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$22,854.59

Service Code	APR-DRG 2642
Min. Negotiated Rate	$14,434.48
Max. Negotiated Rate	$22,854.59
Rate for Payer: Adventist Health Medi-Cal	$14,434.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,201.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,854.59

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$20,889.59

Service Code	APR-DRG 2641
Min. Negotiated Rate	$13,193.42
Max. Negotiated Rate	$20,889.59
Rate for Payer: Adventist Health Medi-Cal	$13,193.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,722.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,889.59

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$33,216.90

Service Code	APR-DRG 2643
Min. Negotiated Rate	$20,979.10
Max. Negotiated Rate	$33,216.90
Rate for Payer: Adventist Health Medi-Cal	$20,979.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,000.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,216.90

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$70,599.67

Service Code	APR-DRG 2644
Min. Negotiated Rate	$44,589.26
Max. Negotiated Rate	$70,599.67
Rate for Payer: Adventist Health Medi-Cal	$44,589.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,135.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,599.67

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$17,527.10

Service Code	APR-DRG 7243
Min. Negotiated Rate	$11,069.75
Max. Negotiated Rate	$17,527.10
Rate for Payer: Adventist Health Medi-Cal	$11,069.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,191.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,527.10

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$35,316.69

Service Code	APR-DRG 7244
Min. Negotiated Rate	$22,305.28
Max. Negotiated Rate	$35,316.69
Rate for Payer: Adventist Health Medi-Cal	$22,305.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,580.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,316.69

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$8,767.99

Service Code	APR-DRG 7241
Min. Negotiated Rate	$5,537.68
Max. Negotiated Rate	$8,767.99
Rate for Payer: Adventist Health Medi-Cal	$5,537.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,599.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,767.99

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$10,505.97

Service Code	APR-DRG 7242
Min. Negotiated Rate	$6,635.35
Max. Negotiated Rate	$10,505.97
Rate for Payer: Adventist Health Medi-Cal	$6,635.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,907.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,505.97

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$14,100.77

Service Code	APR-DRG 8153
Min. Negotiated Rate	$8,905.75
Max. Negotiated Rate	$14,100.77
Rate for Payer: Adventist Health Medi-Cal	$8,905.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,612.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,100.77

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$8,606.60

Service Code	APR-DRG 8152
Min. Negotiated Rate	$5,435.75
Max. Negotiated Rate	$8,606.60
Rate for Payer: Adventist Health Medi-Cal	$5,435.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,477.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,606.60

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$6,043.96

Service Code	APR-DRG 8151
Min. Negotiated Rate	$3,817.24
Max. Negotiated Rate	$6,043.96
Rate for Payer: Adventist Health Medi-Cal	$3,817.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,548.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,043.96

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$29,613.23

Service Code	APR-DRG 8154
Min. Negotiated Rate	$18,703.09
Max. Negotiated Rate	$29,613.23
Rate for Payer: Adventist Health Medi-Cal	$18,703.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,287.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,613.23

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$7,210.88

Service Code	APR-DRG 4681
Min. Negotiated Rate	$4,554.24
Max. Negotiated Rate	$7,210.88
Rate for Payer: Adventist Health Medi-Cal	$4,554.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,427.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,210.88

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$14,159.31

Service Code	APR-DRG 4683
Min. Negotiated Rate	$8,942.72
Max. Negotiated Rate	$14,159.31
Rate for Payer: Adventist Health Medi-Cal	$8,942.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,656.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,159.31

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$24,819.57

Service Code	APR-DRG 4684
Min. Negotiated Rate	$15,675.52
Max. Negotiated Rate	$24,819.57
Rate for Payer: Adventist Health Medi-Cal	$15,675.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,679.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,819.57

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$9,917.18

Service Code	APR-DRG 4682
Min. Negotiated Rate	$6,263.48
Max. Negotiated Rate	$9,917.18
Rate for Payer: Adventist Health Medi-Cal	$6,263.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,463.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,917.18

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$23,766.13

Service Code	APR-DRG 4472
Min. Negotiated Rate	$15,010.19
Max. Negotiated Rate	$23,766.13
Rate for Payer: Adventist Health Medi-Cal	$15,010.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,887.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,766.13

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$33,174.34

Service Code	APR-DRG 4473
Min. Negotiated Rate	$20,952.22
Max. Negotiated Rate	$33,174.34
Rate for Payer: Adventist Health Medi-Cal	$20,952.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,968.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,174.34

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$19,630.42

Service Code	APR-DRG 4471
Min. Negotiated Rate	$12,398.16
Max. Negotiated Rate	$19,630.42
Rate for Payer: Adventist Health Medi-Cal	$12,398.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,774.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,630.42

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$67,629.13

Service Code	APR-DRG 4474
Min. Negotiated Rate	$42,713.14
Max. Negotiated Rate	$67,629.13
Rate for Payer: Adventist Health Medi-Cal	$42,713.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,899.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,629.13

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$61,868.92

Service Code	APR-DRG 0913
Min. Negotiated Rate	$39,075.11
Max. Negotiated Rate	$61,868.92
Rate for Payer: Adventist Health Medi-Cal	$39,075.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,564.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,868.92

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$34,750.94

Service Code	APR-DRG 0912
Min. Negotiated Rate	$21,947.96
Max. Negotiated Rate	$34,750.94
Rate for Payer: Adventist Health Medi-Cal	$21,947.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,154.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,750.94

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$23,148.97

Service Code	APR-DRG 0911
Min. Negotiated Rate	$14,620.40
Max. Negotiated Rate	$23,148.97
Rate for Payer: Adventist Health Medi-Cal	$14,620.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,422.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,148.97

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$96,930.23

Service Code	APR-DRG 0914
Min. Negotiated Rate	$61,219.09
Max. Negotiated Rate	$96,930.23
Rate for Payer: Adventist Health Medi-Cal	$61,219.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$72,952.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$96,930.23

Know your out-of-pocket cost for care.

All Charges