Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

OTHER OPEN CRANIOTOMY

Facility

$80,729.67

Service Code	APR-DRG 0274
Min. Negotiated Rate	$50,987.16
Max. Negotiated Rate	$80,729.67
Rate for Payer: Adventist Health Medi-Cal	$50,987.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$60,759.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$80,729.67

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

OTHER OPEN CRANIOTOMY

Facility

$48,963.46

Service Code	APR-DRG 0273
Min. Negotiated Rate	$30,924.29
Max. Negotiated Rate	$48,963.46
Rate for Payer: Adventist Health Medi-Cal	$30,924.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,851.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,963.46

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

Facility

$18,240.04

Service Code	APR-DRG 6811
Min. Negotiated Rate	$11,520.02
Max. Negotiated Rate	$18,240.04
Rate for Payer: Adventist Health Medi-Cal	$11,520.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,728.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,240.04

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

Facility

$23,938.16

Service Code	APR-DRG 6812
Min. Negotiated Rate	$15,118.84
Max. Negotiated Rate	$23,938.16
Rate for Payer: Adventist Health Medi-Cal	$15,118.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,016.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,938.16

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

Facility

$41,087.52

Service Code	APR-DRG 6813
Min. Negotiated Rate	$25,950.01
Max. Negotiated Rate	$41,087.52
Rate for Payer: Adventist Health Medi-Cal	$25,950.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,923.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,087.52

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

Facility

$87,420.94

Service Code	APR-DRG 6814
Min. Negotiated Rate	$55,213.22
Max. Negotiated Rate	$87,420.94
Rate for Payer: Adventist Health Medi-Cal	$55,213.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,795.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,420.94

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$65,449.55

Service Code	APR-DRG 0294
Min. Negotiated Rate	$41,336.56
Max. Negotiated Rate	$65,449.55
Rate for Payer: Adventist Health Medi-Cal	$41,336.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,259.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,449.55

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$39,626.19

Service Code	APR-DRG 0293
Min. Negotiated Rate	$25,027.07
Max. Negotiated Rate	$39,626.19
Rate for Payer: Adventist Health Medi-Cal	$25,027.07
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,823.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,626.19

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$30,796.13

Service Code	APR-DRG 0292
Min. Negotiated Rate	$19,450.19
Max. Negotiated Rate	$30,796.13
Rate for Payer: Adventist Health Medi-Cal	$19,450.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,178.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,796.13

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$29,329.48

Service Code	APR-DRG 0291
Min. Negotiated Rate	$18,523.88
Max. Negotiated Rate	$29,329.48
Rate for Payer: Adventist Health Medi-Cal	$18,523.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,074.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,329.48

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$68,943.27

Service Code	APR-DRG 1824
Min. Negotiated Rate	$43,543.12
Max. Negotiated Rate	$68,943.27
Rate for Payer: Adventist Health Medi-Cal	$43,543.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$51,888.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,943.27

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$29,288.69

Service Code	APR-DRG 1821
Min. Negotiated Rate	$18,498.12
Max. Negotiated Rate	$29,288.69
Rate for Payer: Adventist Health Medi-Cal	$18,498.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,043.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,288.69

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$38,489.40

Service Code	APR-DRG 1823
Min. Negotiated Rate	$24,309.10
Max. Negotiated Rate	$38,489.40
Rate for Payer: Adventist Health Medi-Cal	$24,309.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,968.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,489.40

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$31,803.45

Service Code	APR-DRG 1822
Min. Negotiated Rate	$20,086.39
Max. Negotiated Rate	$31,803.45
Rate for Payer: Adventist Health Medi-Cal	$20,086.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,936.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,803.45

OTHER PNEUMONIA

Facility

$7,097.39

Service Code	APR-DRG 1391
Min. Negotiated Rate	$4,482.56
Max. Negotiated Rate	$7,097.39
Rate for Payer: Adventist Health Medi-Cal	$4,482.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,341.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,097.39

OTHER PNEUMONIA

Facility

$20,520.70

Service Code	APR-DRG 1394
Min. Negotiated Rate	$12,960.44
Max. Negotiated Rate	$20,520.70
Rate for Payer: Adventist Health Medi-Cal	$12,960.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,444.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,520.70

OTHER PNEUMONIA

Facility

$9,844.47

Service Code	APR-DRG 1392
Min. Negotiated Rate	$6,217.56
Max. Negotiated Rate	$9,844.47
Rate for Payer: Adventist Health Medi-Cal	$6,217.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,409.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,844.47

OTHER PNEUMONIA

Facility

$13,645.00

Service Code	APR-DRG 1393
Min. Negotiated Rate	$8,617.90
Max. Negotiated Rate	$13,645.00
Rate for Payer: Adventist Health Medi-Cal	$8,617.90
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,269.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,645.00

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$23,168.49

Service Code	APR-DRG 4052
Min. Negotiated Rate	$14,632.73
Max. Negotiated Rate	$23,168.49
Rate for Payer: Adventist Health Medi-Cal	$14,632.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,437.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,168.49

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$20,549.09

Service Code	APR-DRG 4051
Min. Negotiated Rate	$12,978.37
Max. Negotiated Rate	$20,549.09
Rate for Payer: Adventist Health Medi-Cal	$12,978.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,465.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,549.09

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$69,833.53

Service Code	APR-DRG 4054
Min. Negotiated Rate	$44,105.39
Max. Negotiated Rate	$69,833.53
Rate for Payer: Adventist Health Medi-Cal	$44,105.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,558.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,833.53

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$35,192.54

Service Code	APR-DRG 4053
Min. Negotiated Rate	$22,226.87
Max. Negotiated Rate	$35,192.54
Rate for Payer: Adventist Health Medi-Cal	$22,226.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,487.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,192.54

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$75,669.99

Service Code	APR-DRG 6514
Min. Negotiated Rate	$47,791.57
Max. Negotiated Rate	$75,669.99
Rate for Payer: Adventist Health Medi-Cal	$47,791.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$56,951.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,669.99

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$16,638.60

Service Code	APR-DRG 6511
Min. Negotiated Rate	$10,508.59
Max. Negotiated Rate	$16,638.60
Rate for Payer: Adventist Health Medi-Cal	$10,508.59
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,522.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,638.60

Know your out-of-pocket cost for care.

All Charges