Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$5,246.96

Service Code	APR-DRG 2491
Min. Negotiated Rate	$4,403.04
Max. Negotiated Rate	$5,246.96
Rate for Payer: Adventist Health Medi-Cal	$4,403.04
Rate for Payer: IEHP medi-cal	$5,246.96

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$25,000.09

Service Code	APR-DRG 2643
Min. Negotiated Rate	$20,979.10
Max. Negotiated Rate	$25,000.09
Rate for Payer: Adventist Health Medi-Cal	$20,979.10
Rate for Payer: IEHP medi-cal	$25,000.09

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$17,201.08

Service Code	APR-DRG 2642
Min. Negotiated Rate	$14,434.48
Max. Negotiated Rate	$17,201.08
Rate for Payer: Adventist Health Medi-Cal	$14,434.48
Rate for Payer: IEHP medi-cal	$17,201.08

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$53,135.54

Service Code	APR-DRG 2644
Min. Negotiated Rate	$44,589.26
Max. Negotiated Rate	$53,135.54
Rate for Payer: Adventist Health Medi-Cal	$44,589.26
Rate for Payer: IEHP medi-cal	$53,135.54

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$15,722.16

Service Code	APR-DRG 2641
Min. Negotiated Rate	$13,193.42
Max. Negotiated Rate	$15,722.16
Rate for Payer: Adventist Health Medi-Cal	$13,193.42
Rate for Payer: IEHP medi-cal	$15,722.16

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$13,191.45

Service Code	APR-DRG 7243
Min. Negotiated Rate	$11,069.75
Max. Negotiated Rate	$13,191.45
Rate for Payer: Adventist Health Medi-Cal	$11,069.75
Rate for Payer: IEHP medi-cal	$13,191.45

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$7,907.13

Service Code	APR-DRG 7242
Min. Negotiated Rate	$6,635.35
Max. Negotiated Rate	$7,907.13
Rate for Payer: Adventist Health Medi-Cal	$6,635.35
Rate for Payer: IEHP medi-cal	$7,907.13

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$6,599.06

Service Code	APR-DRG 7241
Min. Negotiated Rate	$5,537.68
Max. Negotiated Rate	$6,599.06
Rate for Payer: Adventist Health Medi-Cal	$5,537.68
Rate for Payer: IEHP medi-cal	$6,599.06

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$26,580.45

Service Code	APR-DRG 7244
Min. Negotiated Rate	$22,305.28
Max. Negotiated Rate	$26,580.45
Rate for Payer: Adventist Health Medi-Cal	$22,305.28
Rate for Payer: IEHP medi-cal	$26,580.45

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$10,612.69

Service Code	APR-DRG 8153
Min. Negotiated Rate	$8,905.75
Max. Negotiated Rate	$10,612.69
Rate for Payer: Adventist Health Medi-Cal	$8,905.75
Rate for Payer: IEHP medi-cal	$10,612.69

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$6,477.60

Service Code	APR-DRG 8152
Min. Negotiated Rate	$5,435.75
Max. Negotiated Rate	$6,477.60
Rate for Payer: Adventist Health Medi-Cal	$5,435.75
Rate for Payer: IEHP medi-cal	$6,477.60

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$22,287.85

Service Code	APR-DRG 8154
Min. Negotiated Rate	$18,703.09
Max. Negotiated Rate	$22,287.85
Rate for Payer: Adventist Health Medi-Cal	$18,703.09
Rate for Payer: IEHP medi-cal	$22,287.85

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$4,548.87

Service Code	APR-DRG 8151
Min. Negotiated Rate	$3,817.24
Max. Negotiated Rate	$4,548.87
Rate for Payer: Adventist Health Medi-Cal	$3,817.24
Rate for Payer: IEHP medi-cal	$4,548.87

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$18,679.99

Service Code	APR-DRG 4684
Min. Negotiated Rate	$15,675.52
Max. Negotiated Rate	$18,679.99
Rate for Payer: Adventist Health Medi-Cal	$15,675.52
Rate for Payer: IEHP medi-cal	$18,679.99

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$5,427.14

Service Code	APR-DRG 4681
Min. Negotiated Rate	$4,554.24
Max. Negotiated Rate	$5,427.14
Rate for Payer: Adventist Health Medi-Cal	$4,554.24
Rate for Payer: IEHP medi-cal	$5,427.14

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$10,656.75

Service Code	APR-DRG 4683
Min. Negotiated Rate	$8,942.72
Max. Negotiated Rate	$10,656.75
Rate for Payer: Adventist Health Medi-Cal	$8,942.72
Rate for Payer: IEHP medi-cal	$10,656.75

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$7,463.99

Service Code	APR-DRG 4682
Min. Negotiated Rate	$6,263.48
Max. Negotiated Rate	$7,463.99
Rate for Payer: Adventist Health Medi-Cal	$6,263.48
Rate for Payer: IEHP medi-cal	$7,463.99

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$17,887.14

Service Code	APR-DRG 4472
Min. Negotiated Rate	$15,010.19
Max. Negotiated Rate	$17,887.14
Rate for Payer: Adventist Health Medi-Cal	$15,010.19
Rate for Payer: IEHP medi-cal	$17,887.14

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$24,968.06

Service Code	APR-DRG 4473
Min. Negotiated Rate	$20,952.22
Max. Negotiated Rate	$24,968.06
Rate for Payer: Adventist Health Medi-Cal	$20,952.22
Rate for Payer: IEHP medi-cal	$24,968.06

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$50,899.82

Service Code	APR-DRG 4474
Min. Negotiated Rate	$42,713.14
Max. Negotiated Rate	$50,899.82
Rate for Payer: Adventist Health Medi-Cal	$42,713.14
Rate for Payer: IEHP medi-cal	$50,899.82

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$14,774.47

Service Code	APR-DRG 4471
Min. Negotiated Rate	$12,398.16
Max. Negotiated Rate	$14,774.47
Rate for Payer: Adventist Health Medi-Cal	$12,398.16
Rate for Payer: IEHP medi-cal	$14,774.47

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$26,154.66

Service Code	APR-DRG 0912
Min. Negotiated Rate	$21,947.96
Max. Negotiated Rate	$26,154.66
Rate for Payer: Adventist Health Medi-Cal	$21,947.96
Rate for Payer: IEHP medi-cal	$26,154.66

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$17,422.65

Service Code	APR-DRG 0911
Min. Negotiated Rate	$14,620.40
Max. Negotiated Rate	$17,422.65
Rate for Payer: Adventist Health Medi-Cal	$14,620.40
Rate for Payer: IEHP medi-cal	$17,422.65

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$72,952.75

Service Code	APR-DRG 0914
Min. Negotiated Rate	$61,219.09
Max. Negotiated Rate	$72,952.75
Rate for Payer: Adventist Health Medi-Cal	$61,219.09
Rate for Payer: IEHP medi-cal	$72,952.75

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$46,564.50

Service Code	APR-DRG 0913
Min. Negotiated Rate	$39,075.11
Max. Negotiated Rate	$46,564.50
Rate for Payer: Adventist Health Medi-Cal	$39,075.11
Rate for Payer: IEHP medi-cal	$46,564.50

Price Transparency.

All Charges