Loma Linda University Medical Center

All Charges

Charge

Type

Price

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

OTHER OPEN CRANIOTOMY

Facility IP

$36,851.44

Service Code	APR-DRG 0273
Min. Negotiated Rate	$30,924.29
Max. Negotiated Rate	$36,851.44
Rate for Payer: Adventist Health Medi-Cal	$30,924.29
Rate for Payer: IEHP medi-cal	$36,851.44

OTHER OPEN CRANIOTOMY

Facility IP

$22,680.27

Service Code	APR-DRG 0272
Min. Negotiated Rate	$19,032.40
Max. Negotiated Rate	$22,680.27
Rate for Payer: Adventist Health Medi-Cal	$19,032.40
Rate for Payer: IEHP medi-cal	$22,680.27

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$13,728.03

Service Code	APR-DRG 6811
Min. Negotiated Rate	$11,520.02
Max. Negotiated Rate	$13,728.03
Rate for Payer: Adventist Health Medi-Cal	$11,520.02
Rate for Payer: IEHP medi-cal	$13,728.03

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$30,923.76

Service Code	APR-DRG 6813
Min. Negotiated Rate	$25,950.01
Max. Negotiated Rate	$30,923.76
Rate for Payer: Adventist Health Medi-Cal	$25,950.01
Rate for Payer: IEHP medi-cal	$30,923.76

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$18,016.61

Service Code	APR-DRG 6812
Min. Negotiated Rate	$15,118.84
Max. Negotiated Rate	$18,016.61
Rate for Payer: Adventist Health Medi-Cal	$15,118.84
Rate for Payer: IEHP medi-cal	$18,016.61

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$65,795.76

Service Code	APR-DRG 6814
Min. Negotiated Rate	$55,213.22
Max. Negotiated Rate	$65,795.76
Rate for Payer: Adventist Health Medi-Cal	$55,213.22
Rate for Payer: IEHP medi-cal	$65,795.76

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$22,074.30

Service Code	APR-DRG 0291
Min. Negotiated Rate	$18,523.88
Max. Negotiated Rate	$22,074.30
Rate for Payer: Adventist Health Medi-Cal	$18,523.88
Rate for Payer: IEHP medi-cal	$22,074.30

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$49,259.40

Service Code	APR-DRG 0294
Min. Negotiated Rate	$41,336.56
Max. Negotiated Rate	$49,259.40
Rate for Payer: Adventist Health Medi-Cal	$41,336.56
Rate for Payer: IEHP medi-cal	$49,259.40

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$29,823.92

Service Code	APR-DRG 0293
Min. Negotiated Rate	$25,027.07
Max. Negotiated Rate	$29,823.92
Rate for Payer: Adventist Health Medi-Cal	$25,027.07
Rate for Payer: IEHP medi-cal	$29,823.92

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$23,178.14

Service Code	APR-DRG 0292
Min. Negotiated Rate	$19,450.19
Max. Negotiated Rate	$23,178.14
Rate for Payer: Adventist Health Medi-Cal	$19,450.19
Rate for Payer: IEHP medi-cal	$23,178.14

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$28,968.34

Service Code	APR-DRG 1823
Min. Negotiated Rate	$24,309.10
Max. Negotiated Rate	$28,968.34
Rate for Payer: Adventist Health Medi-Cal	$24,309.10
Rate for Payer: IEHP medi-cal	$28,968.34

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$23,936.28

Service Code	APR-DRG 1822
Min. Negotiated Rate	$20,086.39
Max. Negotiated Rate	$23,936.28
Rate for Payer: Adventist Health Medi-Cal	$20,086.39
Rate for Payer: IEHP medi-cal	$23,936.28

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$22,043.59

Service Code	APR-DRG 1821
Min. Negotiated Rate	$18,498.12
Max. Negotiated Rate	$22,043.59
Rate for Payer: Adventist Health Medi-Cal	$18,498.12
Rate for Payer: IEHP medi-cal	$22,043.59

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$51,888.88

Service Code	APR-DRG 1824
Min. Negotiated Rate	$43,543.12
Max. Negotiated Rate	$51,888.88
Rate for Payer: Adventist Health Medi-Cal	$43,543.12
Rate for Payer: IEHP medi-cal	$51,888.88

OTHER PNEUMONIA

Facility IP

$15,444.53

Service Code	APR-DRG 1394
Min. Negotiated Rate	$12,960.44
Max. Negotiated Rate	$15,444.53
Rate for Payer: Adventist Health Medi-Cal	$12,960.44
Rate for Payer: IEHP medi-cal	$15,444.53

OTHER PNEUMONIA

Facility IP

$7,409.26

Service Code	APR-DRG 1392
Min. Negotiated Rate	$6,217.56
Max. Negotiated Rate	$7,409.26
Rate for Payer: Adventist Health Medi-Cal	$6,217.56
Rate for Payer: IEHP medi-cal	$7,409.26

OTHER PNEUMONIA

Facility IP

$10,269.66

Service Code	APR-DRG 1393
Min. Negotiated Rate	$8,617.90
Max. Negotiated Rate	$10,269.66
Rate for Payer: Adventist Health Medi-Cal	$8,617.90
Rate for Payer: IEHP medi-cal	$10,269.66

OTHER PNEUMONIA

Facility IP

$5,341.72

Service Code	APR-DRG 1391
Min. Negotiated Rate	$4,482.56
Max. Negotiated Rate	$5,341.72
Rate for Payer: Adventist Health Medi-Cal	$4,482.56
Rate for Payer: IEHP medi-cal	$5,341.72

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$17,437.33

Service Code	APR-DRG 4052
Min. Negotiated Rate	$14,632.73
Max. Negotiated Rate	$17,437.33
Rate for Payer: Adventist Health Medi-Cal	$14,632.73
Rate for Payer: IEHP medi-cal	$17,437.33

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$52,558.92

Service Code	APR-DRG 4054
Min. Negotiated Rate	$44,105.39
Max. Negotiated Rate	$52,558.92
Rate for Payer: Adventist Health Medi-Cal	$44,105.39
Rate for Payer: IEHP medi-cal	$52,558.92

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$26,487.02

Service Code	APR-DRG 4053
Min. Negotiated Rate	$22,226.87
Max. Negotiated Rate	$26,487.02
Rate for Payer: Adventist Health Medi-Cal	$22,226.87
Rate for Payer: IEHP medi-cal	$26,487.02

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$15,465.89

Service Code	APR-DRG 4051
Min. Negotiated Rate	$12,978.37
Max. Negotiated Rate	$15,465.89
Rate for Payer: Adventist Health Medi-Cal	$12,978.37
Rate for Payer: IEHP medi-cal	$15,465.89

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$12,522.74

Service Code	APR-DRG 6511
Min. Negotiated Rate	$10,508.59
Max. Negotiated Rate	$12,522.74
Rate for Payer: Adventist Health Medi-Cal	$10,508.59
Rate for Payer: IEHP medi-cal	$12,522.74

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$24,786.53

Service Code	APR-DRG 6513
Min. Negotiated Rate	$20,799.89
Max. Negotiated Rate	$24,786.53
Rate for Payer: Adventist Health Medi-Cal	$20,799.89
Rate for Payer: IEHP medi-cal	$24,786.53

Price Transparency.

All Charges