Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$26,608.99

Service Code	APR-DRG 4843
Min. Negotiated Rate	$16,805.68
Max. Negotiated Rate	$26,608.99
Rate for Payer: Adventist Health Medi-Cal	$16,805.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,026.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,608.99

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$58,653.65

Service Code	APR-DRG 4844
Min. Negotiated Rate	$37,044.41
Max. Negotiated Rate	$58,653.65
Rate for Payer: Adventist Health Medi-Cal	$37,044.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$44,144.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,653.65

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$17,362.18

Service Code	APR-DRG 4841
Min. Negotiated Rate	$10,965.59
Max. Negotiated Rate	$17,362.18
Rate for Payer: Adventist Health Medi-Cal	$10,965.59
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,067.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,362.18

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$22,189.53

Service Code	APR-DRG 4842
Min. Negotiated Rate	$14,014.44
Max. Negotiated Rate	$22,189.53
Rate for Payer: Adventist Health Medi-Cal	$14,014.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,700.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,189.53

OTHER MENTAL HEALTH DISORDERS

Facility

$13,966.01

Service Code	APR-DRG 7603
Min. Negotiated Rate	$8,820.64
Max. Negotiated Rate	$13,966.01
Rate for Payer: Adventist Health Medi-Cal	$8,820.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,511.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,966.01

OTHER MENTAL HEALTH DISORDERS

Facility

$23,422.08

Service Code	APR-DRG 7604
Min. Negotiated Rate	$14,792.89
Max. Negotiated Rate	$23,422.08
Rate for Payer: Adventist Health Medi-Cal	$14,792.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,628.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,422.08

OTHER MENTAL HEALTH DISORDERS

Facility

$8,120.68

Service Code	APR-DRG 7601
Min. Negotiated Rate	$5,128.85
Max. Negotiated Rate	$8,120.68
Rate for Payer: Adventist Health Medi-Cal	$5,128.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,111.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,120.68

OTHER MENTAL HEALTH DISORDERS

Facility

$9,981.04

Service Code	APR-DRG 7602
Min. Negotiated Rate	$6,303.82
Max. Negotiated Rate	$9,981.04
Rate for Payer: Adventist Health Medi-Cal	$6,303.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,512.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,981.04

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$7,476.90

Service Code	APR-DRG 3511
Min. Negotiated Rate	$4,722.25
Max. Negotiated Rate	$7,476.90
Rate for Payer: Adventist Health Medi-Cal	$4,722.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,627.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,476.90

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,479.14

Service Code	APR-DRG 3512
Min. Negotiated Rate	$5,986.82
Max. Negotiated Rate	$9,479.14
Rate for Payer: Adventist Health Medi-Cal	$5,986.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,134.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,479.14

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$25,779.01

Service Code	APR-DRG 3514
Min. Negotiated Rate	$16,281.48
Max. Negotiated Rate	$25,779.01
Rate for Payer: Adventist Health Medi-Cal	$16,281.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,402.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,779.01

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$14,675.39

Service Code	APR-DRG 3513
Min. Negotiated Rate	$9,268.67
Max. Negotiated Rate	$14,675.39
Rate for Payer: Adventist Health Medi-Cal	$9,268.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,045.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,675.39

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$23,056.75

Service Code	APR-DRG 3202
Min. Negotiated Rate	$14,562.16
Max. Negotiated Rate	$23,056.75
Rate for Payer: Adventist Health Medi-Cal	$14,562.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,353.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,056.75

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$16,642.16

Service Code	APR-DRG 3201
Min. Negotiated Rate	$10,510.84
Max. Negotiated Rate	$16,642.16
Rate for Payer: Adventist Health Medi-Cal	$10,510.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,525.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,642.16

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$57,304.04

Service Code	APR-DRG 3204
Min. Negotiated Rate	$36,192.02
Max. Negotiated Rate	$57,304.04
Rate for Payer: Adventist Health Medi-Cal	$36,192.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,128.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,304.04

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$33,587.55

Service Code	APR-DRG 3203
Min. Negotiated Rate	$21,213.19
Max. Negotiated Rate	$33,587.55
Rate for Payer: Adventist Health Medi-Cal	$21,213.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,279.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,587.55

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$19,470.82

Service Code	APR-DRG 0261
Min. Negotiated Rate	$12,297.36
Max. Negotiated Rate	$19,470.82
Rate for Payer: Adventist Health Medi-Cal	$12,297.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,654.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,470.82

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$70,413.45

Service Code	APR-DRG 0264
Min. Negotiated Rate	$44,471.65
Max. Negotiated Rate	$70,413.45
Rate for Payer: Adventist Health Medi-Cal	$44,471.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,995.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,413.45

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$24,667.05

Service Code	APR-DRG 0262
Min. Negotiated Rate	$15,579.19
Max. Negotiated Rate	$24,667.05
Rate for Payer: Adventist Health Medi-Cal	$15,579.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,565.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,667.05

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$37,714.39

Service Code	APR-DRG 0263
Min. Negotiated Rate	$23,819.62
Max. Negotiated Rate	$37,714.39
Rate for Payer: Adventist Health Medi-Cal	$23,819.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,385.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,714.39

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$11,288.07

Service Code	APR-DRG 4253
Min. Negotiated Rate	$7,129.31
Max. Negotiated Rate	$11,288.07
Rate for Payer: Adventist Health Medi-Cal	$7,129.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,495.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,288.07

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$8,340.58

Service Code	APR-DRG 4252
Min. Negotiated Rate	$5,267.74
Max. Negotiated Rate	$8,340.58
Rate for Payer: Adventist Health Medi-Cal	$5,267.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,277.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,340.58

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,810.09

Service Code	APR-DRG 4251
Min. Negotiated Rate	$4,301.11
Max. Negotiated Rate	$6,810.09
Rate for Payer: Adventist Health Medi-Cal	$4,301.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,125.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,810.09

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$22,317.23

Service Code	APR-DRG 4254
Min. Negotiated Rate	$14,095.09
Max. Negotiated Rate	$22,317.23
Rate for Payer: Adventist Health Medi-Cal	$14,095.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,796.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,317.23

OTHER OPEN CRANIOTOMY

Facility

$30,134.63

Service Code	APR-DRG 0272
Min. Negotiated Rate	$19,032.40
Max. Negotiated Rate	$30,134.63
Rate for Payer: Adventist Health Medi-Cal	$19,032.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,680.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,134.63

Know your out-of-pocket cost for care.

All Charges