Loma Linda University Medical Center

All Charges

Charge

Type

Price

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$34,005.88

Service Code	APR-DRG 6631
Min. Negotiated Rate	$4,741.30
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$4,741.30
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$5,650.04

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$34,005.88

Service Code	APR-DRG 6634
Min. Negotiated Rate	$15,479.51
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$15,479.51
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$18,446.41

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$34,005.88

Service Code	APR-DRG 6633
Min. Negotiated Rate	$9,363.86
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$9,363.86
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$11,158.60

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

Facility IP

$34,005.88

Service Code	TRIS-DRG 818
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 817
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 819
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility IP

$34,005.88

Service Code	TRIS-DRG 832
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 831
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 833
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$34,005.88

Service Code	APR-DRG 3471
Min. Negotiated Rate	$5,901.70
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$5,901.70
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$7,032.85

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$34,005.88

Service Code	APR-DRG 3472
Min. Negotiated Rate	$7,441.81
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$7,441.81
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$8,868.16

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$34,005.88

Service Code	APR-DRG 3474
Min. Negotiated Rate	$17,362.36
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$17,362.36
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$20,690.14

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility IP

$34,005.88

Service Code	APR-DRG 3473
Min. Negotiated Rate	$10,071.76
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$10,071.76
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$12,002.18

OTHER BLADDER PROCEDURES

Facility IP

$34,005.88

Service Code	APR-DRG 4452
Min. Negotiated Rate	$12,092.39
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$12,092.39
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$14,410.10

OTHER BLADDER PROCEDURES

Facility IP

$34,005.88

Service Code	APR-DRG 4453
Min. Negotiated Rate	$16,982.65
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$16,982.65
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$20,237.66

OTHER BLADDER PROCEDURES

Facility IP

$37,792.45

Service Code	APR-DRG 4454
Min. Negotiated Rate	$31,713.95
Max. Negotiated Rate	$37,792.45
Rate for Payer: Adventist Health Medi-Cal	$31,713.95
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$37,792.45

OTHER BLADDER PROCEDURES

Facility IP

$34,005.88

Service Code	APR-DRG 4451
Min. Negotiated Rate	$9,503.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$9,503.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$11,325.46

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$34,181.92

Service Code	APR-DRG 1671
Min. Negotiated Rate	$28,684.13
Max. Negotiated Rate	$34,181.92
Rate for Payer: Adventist Health Medi-Cal	$28,684.13
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$34,181.92

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$53,638.74

Service Code	APR-DRG 1673
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$53,638.74
Rate for Payer: Adventist Health Medi-Cal	$45,011.53
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$53,638.74

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$35,530.02

Service Code	APR-DRG 1672
Min. Negotiated Rate	$29,815.40
Max. Negotiated Rate	$35,530.02
Rate for Payer: Adventist Health Medi-Cal	$29,815.40
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$35,530.02

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$86,120.18

Service Code	APR-DRG 1674
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$86,120.18
Rate for Payer: Adventist Health Medi-Cal	$72,268.68
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$86,120.18

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 228
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility IP

$34,005.88

Service Code	TRIS-DRG 229
Min. Negotiated Rate	$34,005.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88

OTHER CHEMOTHERAPY

Facility IP

$34,005.88

Service Code	APR-DRG 6962
Min. Negotiated Rate	$8,182.19
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$8,182.19
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$9,750.44

OTHER CHEMOTHERAPY

Facility IP

$34,005.88

Service Code	APR-DRG 6963
Min. Negotiated Rate	$12,180.88
Max. Negotiated Rate	$34,005.88
Rate for Payer: Adventist Health Medi-Cal	$12,180.88
Rate for Payer: Anthem Blue Cross of CA HMO/PPO	$34,005.88
Rate for Payer: IEHP medi-cal	$14,515.54

Price Transparency.

All Charges