Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$18,331.63

Service Code	APR-DRG 6512
Min. Negotiated Rate	$15,383.18
Max. Negotiated Rate	$18,331.63
Rate for Payer: Adventist Health Medi-Cal	$15,383.18
Rate for Payer: IEHP medi-cal	$18,331.63

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$56,951.62

Service Code	APR-DRG 6514
Min. Negotiated Rate	$47,791.57
Max. Negotiated Rate	$56,951.62
Rate for Payer: Adventist Health Medi-Cal	$47,791.57
Rate for Payer: IEHP medi-cal	$56,951.62

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$31,168.02

Service Code	APR-DRG 1213
Min. Negotiated Rate	$26,154.98
Max. Negotiated Rate	$31,168.02
Rate for Payer: Adventist Health Medi-Cal	$26,154.98
Rate for Payer: IEHP medi-cal	$31,168.02

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$15,850.31

Service Code	APR-DRG 1211
Min. Negotiated Rate	$13,300.96
Max. Negotiated Rate	$15,850.31
Rate for Payer: Adventist Health Medi-Cal	$13,300.96
Rate for Payer: IEHP medi-cal	$15,850.31

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$20,491.27

Service Code	APR-DRG 1212
Min. Negotiated Rate	$17,195.47
Max. Negotiated Rate	$20,491.27
Rate for Payer: Adventist Health Medi-Cal	$17,195.47
Rate for Payer: IEHP medi-cal	$20,491.27

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$51,758.06

Service Code	APR-DRG 1214
Min. Negotiated Rate	$43,433.34
Max. Negotiated Rate	$51,758.06
Rate for Payer: Adventist Health Medi-Cal	$43,433.34
Rate for Payer: IEHP medi-cal	$51,758.06

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$8,422.34

Service Code	APR-DRG 1432
Min. Negotiated Rate	$7,067.70
Max. Negotiated Rate	$8,422.34
Rate for Payer: Adventist Health Medi-Cal	$7,067.70
Rate for Payer: IEHP medi-cal	$8,422.34

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$12,050.24

Service Code	APR-DRG 1433
Min. Negotiated Rate	$10,112.09
Max. Negotiated Rate	$12,050.24
Rate for Payer: Adventist Health Medi-Cal	$10,112.09
Rate for Payer: IEHP medi-cal	$12,050.24

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$18,559.87

Service Code	APR-DRG 1434
Min. Negotiated Rate	$15,574.72
Max. Negotiated Rate	$18,559.87
Rate for Payer: Adventist Health Medi-Cal	$15,574.72
Rate for Payer: IEHP medi-cal	$18,559.87

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$5,943.69

Service Code	APR-DRG 1431
Min. Negotiated Rate	$4,987.72
Max. Negotiated Rate	$5,943.69
Rate for Payer: Adventist Health Medi-Cal	$4,987.72
Rate for Payer: IEHP medi-cal	$5,943.69

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility IP

$16,151.95

Service Code	APR-DRG 3091
Min. Negotiated Rate	$13,554.08
Max. Negotiated Rate	$16,151.95
Rate for Payer: Adventist Health Medi-Cal	$13,554.08
Rate for Payer: IEHP medi-cal	$16,151.95

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility IP

$30,551.36

Service Code	APR-DRG 3093
Min. Negotiated Rate	$25,637.51
Max. Negotiated Rate	$30,551.36
Rate for Payer: Adventist Health Medi-Cal	$25,637.51
Rate for Payer: IEHP medi-cal	$30,551.36

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility IP

$21,481.66

Service Code	APR-DRG 3092
Min. Negotiated Rate	$18,026.57
Max. Negotiated Rate	$21,481.66
Rate for Payer: Adventist Health Medi-Cal	$18,026.57
Rate for Payer: IEHP medi-cal	$21,481.66

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility IP

$48,869.64

Service Code	APR-DRG 3094
Min. Negotiated Rate	$41,009.48
Max. Negotiated Rate	$48,869.64
Rate for Payer: Adventist Health Medi-Cal	$41,009.48
Rate for Payer: IEHP medi-cal	$48,869.64

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility IP

$20,659.45

Service Code	APR-DRG 3854
Min. Negotiated Rate	$17,336.60
Max. Negotiated Rate	$20,659.45
Rate for Payer: Adventist Health Medi-Cal	$17,336.60
Rate for Payer: IEHP medi-cal	$20,659.45

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility IP

$6,632.43

Service Code	APR-DRG 3852
Min. Negotiated Rate	$5,565.67
Max. Negotiated Rate	$6,632.43
Rate for Payer: Adventist Health Medi-Cal	$5,565.67
Rate for Payer: IEHP medi-cal	$6,632.43

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility IP

$5,028.05

Service Code	APR-DRG 3851
Min. Negotiated Rate	$4,219.34
Max. Negotiated Rate	$5,028.05
Rate for Payer: Adventist Health Medi-Cal	$4,219.34
Rate for Payer: IEHP medi-cal	$5,028.05

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility IP

$10,297.69

Service Code	APR-DRG 3853
Min. Negotiated Rate	$8,641.42
Max. Negotiated Rate	$10,297.69
Rate for Payer: Adventist Health Medi-Cal	$8,641.42
Rate for Payer: IEHP medi-cal	$10,297.69

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility IP

$8,889.51

Service Code	APR-DRG 3641
Min. Negotiated Rate	$7,459.73
Max. Negotiated Rate	$8,889.51
Rate for Payer: Adventist Health Medi-Cal	$7,459.73
Rate for Payer: IEHP medi-cal	$8,889.51

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility IP

$35,058.85

Service Code	APR-DRG 3644
Min. Negotiated Rate	$29,420.02
Max. Negotiated Rate	$35,058.85
Rate for Payer: Adventist Health Medi-Cal	$29,420.02
Rate for Payer: IEHP medi-cal	$35,058.85

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility IP

$12,282.48

Service Code	APR-DRG 3642
Min. Negotiated Rate	$10,306.98
Max. Negotiated Rate	$12,282.48
Rate for Payer: Adventist Health Medi-Cal	$10,306.98
Rate for Payer: IEHP medi-cal	$12,282.48

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility IP

$19,614.32

Service Code	APR-DRG 3643
Min. Negotiated Rate	$16,459.57
Max. Negotiated Rate	$19,614.32
Rate for Payer: Adventist Health Medi-Cal	$16,459.57
Rate for Payer: IEHP medi-cal	$19,614.32

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility IP

$18,585.22

Service Code	APR-DRG 2232
Min. Negotiated Rate	$15,595.99
Max. Negotiated Rate	$18,585.22
Rate for Payer: Adventist Health Medi-Cal	$15,595.99
Rate for Payer: IEHP medi-cal	$18,585.22

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility IP

$12,285.14

Service Code	APR-DRG 2231
Min. Negotiated Rate	$10,309.21
Max. Negotiated Rate	$12,285.14
Rate for Payer: Adventist Health Medi-Cal	$10,309.21
Rate for Payer: IEHP medi-cal	$12,285.14

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility IP

$46,097.34

Service Code	APR-DRG 2234
Min. Negotiated Rate	$38,683.08
Max. Negotiated Rate	$46,097.34
Rate for Payer: Adventist Health Medi-Cal	$38,683.08
Rate for Payer: IEHP medi-cal	$46,097.34

Price Transparency.

All Charges