Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$44,144.59

Service Code	APR-DRG 4844
Min. Negotiated Rate	$37,044.41
Max. Negotiated Rate	$44,144.59
Rate for Payer: Adventist Health Medi-Cal	$37,044.41
Rate for Payer: IEHP medi-cal	$44,144.59

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$13,067.33

Service Code	APR-DRG 4841
Min. Negotiated Rate	$10,965.59
Max. Negotiated Rate	$13,067.33
Rate for Payer: Adventist Health Medi-Cal	$10,965.59
Rate for Payer: IEHP medi-cal	$13,067.33

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$16,700.54

Service Code	APR-DRG 4842
Min. Negotiated Rate	$14,014.44
Max. Negotiated Rate	$16,700.54
Rate for Payer: Adventist Health Medi-Cal	$14,014.44
Rate for Payer: IEHP medi-cal	$16,700.54

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$20,026.76

Service Code	APR-DRG 4843
Min. Negotiated Rate	$16,805.68
Max. Negotiated Rate	$20,026.76
Rate for Payer: Adventist Health Medi-Cal	$16,805.68
Rate for Payer: IEHP medi-cal	$20,026.76

OTHER MENTAL HEALTH DISORDERS

Facility IP

$17,628.20

Service Code	APR-DRG 7604
Min. Negotiated Rate	$14,792.89
Max. Negotiated Rate	$17,628.20
Rate for Payer: Adventist Health Medi-Cal	$14,792.89
Rate for Payer: IEHP medi-cal	$17,628.20

OTHER MENTAL HEALTH DISORDERS

Facility IP

$6,111.88

Service Code	APR-DRG 7601
Min. Negotiated Rate	$5,128.85
Max. Negotiated Rate	$6,111.88
Rate for Payer: Adventist Health Medi-Cal	$5,128.85
Rate for Payer: IEHP medi-cal	$6,111.88

OTHER MENTAL HEALTH DISORDERS

Facility IP

$7,512.05

Service Code	APR-DRG 7602
Min. Negotiated Rate	$6,303.82
Max. Negotiated Rate	$7,512.05
Rate for Payer: Adventist Health Medi-Cal	$6,303.82
Rate for Payer: IEHP medi-cal	$7,512.05

OTHER MENTAL HEALTH DISORDERS

Facility IP

$10,511.26

Service Code	APR-DRG 7603
Min. Negotiated Rate	$8,820.64
Max. Negotiated Rate	$10,511.26
Rate for Payer: Adventist Health Medi-Cal	$8,820.64
Rate for Payer: IEHP medi-cal	$10,511.26

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$11,045.16

Service Code	APR-DRG 3513
Min. Negotiated Rate	$9,268.67
Max. Negotiated Rate	$11,045.16
Rate for Payer: Adventist Health Medi-Cal	$9,268.67
Rate for Payer: IEHP medi-cal	$11,045.16

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$7,134.30

Service Code	APR-DRG 3512
Min. Negotiated Rate	$5,986.82
Max. Negotiated Rate	$7,134.30
Rate for Payer: Adventist Health Medi-Cal	$5,986.82
Rate for Payer: IEHP medi-cal	$7,134.30

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$19,402.10

Service Code	APR-DRG 3514
Min. Negotiated Rate	$16,281.48
Max. Negotiated Rate	$19,402.10
Rate for Payer: Adventist Health Medi-Cal	$16,281.48
Rate for Payer: IEHP medi-cal	$19,402.10

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$5,627.35

Service Code	APR-DRG 3511
Min. Negotiated Rate	$4,722.25
Max. Negotiated Rate	$5,627.35
Rate for Payer: Adventist Health Medi-Cal	$4,722.25
Rate for Payer: IEHP medi-cal	$5,627.35

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$12,525.41

Service Code	APR-DRG 3201
Min. Negotiated Rate	$10,510.84
Max. Negotiated Rate	$12,525.41
Rate for Payer: Adventist Health Medi-Cal	$10,510.84
Rate for Payer: IEHP medi-cal	$12,525.41

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$25,279.05

Service Code	APR-DRG 3203
Min. Negotiated Rate	$21,213.19
Max. Negotiated Rate	$25,279.05
Rate for Payer: Adventist Health Medi-Cal	$21,213.19
Rate for Payer: IEHP medi-cal	$25,279.05

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$17,353.24

Service Code	APR-DRG 3202
Min. Negotiated Rate	$14,562.16
Max. Negotiated Rate	$17,353.24
Rate for Payer: Adventist Health Medi-Cal	$14,562.16
Rate for Payer: IEHP medi-cal	$17,353.24

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$43,128.83

Service Code	APR-DRG 3204
Min. Negotiated Rate	$36,192.02
Max. Negotiated Rate	$43,128.83
Rate for Payer: Adventist Health Medi-Cal	$36,192.02
Rate for Payer: IEHP medi-cal	$43,128.83

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$14,654.35

Service Code	APR-DRG 0261
Min. Negotiated Rate	$12,297.36
Max. Negotiated Rate	$14,654.35
Rate for Payer: Adventist Health Medi-Cal	$12,297.36
Rate for Payer: IEHP medi-cal	$14,654.35

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$28,385.04

Service Code	APR-DRG 0263
Min. Negotiated Rate	$23,819.62
Max. Negotiated Rate	$28,385.04
Rate for Payer: Adventist Health Medi-Cal	$23,819.62
Rate for Payer: IEHP medi-cal	$28,385.04

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$52,995.39

Service Code	APR-DRG 0264
Min. Negotiated Rate	$44,471.65
Max. Negotiated Rate	$52,995.39
Rate for Payer: Adventist Health Medi-Cal	$44,471.65
Rate for Payer: IEHP medi-cal	$52,995.39

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$18,565.20

Service Code	APR-DRG 0262
Min. Negotiated Rate	$15,579.19
Max. Negotiated Rate	$18,565.20
Rate for Payer: Adventist Health Medi-Cal	$15,579.19
Rate for Payer: IEHP medi-cal	$18,565.20

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$6,277.39

Service Code	APR-DRG 4252
Min. Negotiated Rate	$5,267.74
Max. Negotiated Rate	$6,277.39
Rate for Payer: Adventist Health Medi-Cal	$5,267.74
Rate for Payer: IEHP medi-cal	$6,277.39

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$16,796.65

Service Code	APR-DRG 4254
Min. Negotiated Rate	$14,095.09
Max. Negotiated Rate	$16,796.65
Rate for Payer: Adventist Health Medi-Cal	$14,095.09
Rate for Payer: IEHP medi-cal	$16,796.65

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$8,495.76

Service Code	APR-DRG 4253
Min. Negotiated Rate	$7,129.31
Max. Negotiated Rate	$8,495.76
Rate for Payer: Adventist Health Medi-Cal	$7,129.31
Rate for Payer: IEHP medi-cal	$8,495.76

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$5,125.49

Service Code	APR-DRG 4251
Min. Negotiated Rate	$4,301.11
Max. Negotiated Rate	$5,125.49
Rate for Payer: Adventist Health Medi-Cal	$4,301.11
Rate for Payer: IEHP medi-cal	$5,125.49

OTHER OPEN CRANIOTOMY

Facility IP

$60,759.70

Service Code	APR-DRG 0274
Min. Negotiated Rate	$50,987.16
Max. Negotiated Rate	$60,759.70
Rate for Payer: Adventist Health Medi-Cal	$50,987.16
Rate for Payer: IEHP medi-cal	$60,759.70

Price Transparency.

All Charges