Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$32,933.16

Service Code	APR-DRG 6513
Min. Negotiated Rate	$20,799.89
Max. Negotiated Rate	$32,933.16
Rate for Payer: Adventist Health Medi-Cal	$20,799.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,786.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,933.16

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$24,356.71

Service Code	APR-DRG 6512
Min. Negotiated Rate	$15,383.18
Max. Negotiated Rate	$24,356.71
Rate for Payer: Adventist Health Medi-Cal	$15,383.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,331.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,356.71

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$41,412.06

Service Code	APR-DRG 1213
Min. Negotiated Rate	$26,154.98
Max. Negotiated Rate	$41,412.06
Rate for Payer: Adventist Health Medi-Cal	$26,154.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,168.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,412.06

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$27,226.16

Service Code	APR-DRG 1212
Min. Negotiated Rate	$17,195.47
Max. Negotiated Rate	$27,226.16
Rate for Payer: Adventist Health Medi-Cal	$17,195.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,491.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,226.16

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$21,059.85

Service Code	APR-DRG 1211
Min. Negotiated Rate	$13,300.96
Max. Negotiated Rate	$21,059.85
Rate for Payer: Adventist Health Medi-Cal	$13,300.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,850.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,059.85

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$68,769.46

Service Code	APR-DRG 1214
Min. Negotiated Rate	$43,433.34
Max. Negotiated Rate	$68,769.46
Rate for Payer: Adventist Health Medi-Cal	$43,433.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$51,758.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,769.46

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$16,010.81

Service Code	APR-DRG 1433
Min. Negotiated Rate	$10,112.09
Max. Negotiated Rate	$16,010.81
Rate for Payer: Adventist Health Medi-Cal	$10,112.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,050.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,010.81

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$7,897.22

Service Code	APR-DRG 1431
Min. Negotiated Rate	$4,987.72
Max. Negotiated Rate	$7,897.22
Rate for Payer: Adventist Health Medi-Cal	$4,987.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,943.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,897.22

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$24,659.97

Service Code	APR-DRG 1434
Min. Negotiated Rate	$15,574.72
Max. Negotiated Rate	$24,659.97
Rate for Payer: Adventist Health Medi-Cal	$15,574.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,559.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,659.97

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$11,190.52

Service Code	APR-DRG 1432
Min. Negotiated Rate	$7,067.70
Max. Negotiated Rate	$11,190.52
Rate for Payer: Adventist Health Medi-Cal	$7,067.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,422.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,190.52

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$40,592.72

Service Code	APR-DRG 3093
Min. Negotiated Rate	$25,637.51
Max. Negotiated Rate	$40,592.72
Rate for Payer: Adventist Health Medi-Cal	$25,637.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,551.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,592.72

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$21,460.63

Service Code	APR-DRG 3091
Min. Negotiated Rate	$13,554.08
Max. Negotiated Rate	$21,460.63
Rate for Payer: Adventist Health Medi-Cal	$13,554.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,151.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,460.63

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$64,931.68

Service Code	APR-DRG 3094
Min. Negotiated Rate	$41,009.48
Max. Negotiated Rate	$64,931.68
Rate for Payer: Adventist Health Medi-Cal	$41,009.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$48,869.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$64,931.68

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$28,542.07

Service Code	APR-DRG 3092
Min. Negotiated Rate	$18,026.57
Max. Negotiated Rate	$28,542.07
Rate for Payer: Adventist Health Medi-Cal	$18,026.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,481.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,542.07

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$13,682.24

Service Code	APR-DRG 3853
Min. Negotiated Rate	$8,641.42
Max. Negotiated Rate	$13,682.24
Rate for Payer: Adventist Health Medi-Cal	$8,641.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,297.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,682.24

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$8,812.31

Service Code	APR-DRG 3852
Min. Negotiated Rate	$5,565.67
Max. Negotiated Rate	$8,812.31
Rate for Payer: Adventist Health Medi-Cal	$5,565.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,632.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,812.31

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$27,449.62

Service Code	APR-DRG 3854
Min. Negotiated Rate	$17,336.60
Max. Negotiated Rate	$27,449.62
Rate for Payer: Adventist Health Medi-Cal	$17,336.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,659.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,449.62

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$6,680.63

Service Code	APR-DRG 3851
Min. Negotiated Rate	$4,219.34
Max. Negotiated Rate	$6,680.63
Rate for Payer: Adventist Health Medi-Cal	$4,219.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,028.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,680.63

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$11,811.24

Service Code	APR-DRG 3641
Min. Negotiated Rate	$7,459.73
Max. Negotiated Rate	$11,811.24
Rate for Payer: Adventist Health Medi-Cal	$7,459.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,889.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,811.24

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$46,581.69

Service Code	APR-DRG 3644
Min. Negotiated Rate	$29,420.02
Max. Negotiated Rate	$46,581.69
Rate for Payer: Adventist Health Medi-Cal	$29,420.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,058.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,581.69

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$16,319.38

Service Code	APR-DRG 3642
Min. Negotiated Rate	$10,306.98
Max. Negotiated Rate	$16,319.38
Rate for Payer: Adventist Health Medi-Cal	$10,306.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,282.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,319.38

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$26,060.99

Service Code	APR-DRG 3643
Min. Negotiated Rate	$16,459.57
Max. Negotiated Rate	$26,060.99
Rate for Payer: Adventist Health Medi-Cal	$16,459.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,614.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,060.99

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$16,322.92

Service Code	APR-DRG 2231
Min. Negotiated Rate	$10,309.21
Max. Negotiated Rate	$16,322.92
Rate for Payer: Adventist Health Medi-Cal	$10,309.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,285.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,322.92

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$24,693.65

Service Code	APR-DRG 2232
Min. Negotiated Rate	$15,595.99
Max. Negotiated Rate	$24,693.65
Rate for Payer: Adventist Health Medi-Cal	$15,595.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,585.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,693.65

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$34,706.62

Service Code	APR-DRG 2233
Min. Negotiated Rate	$21,919.97
Max. Negotiated Rate	$34,706.62
Rate for Payer: Adventist Health Medi-Cal	$21,919.97
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,121.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,706.62

Know your out-of-pocket cost for care.

All Charges