Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$36,469.09

Service Code	APR-DRG 1934
Min. Negotiated Rate	$23,033.11
Max. Negotiated Rate	$36,469.09
Rate for Payer: Adventist Health Medi-Cal	$23,033.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,447.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,469.09

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$7,139.02

Service Code	APR-DRG 7561
Min. Negotiated Rate	$4,508.86
Max. Negotiated Rate	$7,139.02
Rate for Payer: Adventist Health Medi-Cal	$4,508.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,373.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,139.02

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$9,232.80

Service Code	APR-DRG 7562
Min. Negotiated Rate	$5,831.24
Max. Negotiated Rate	$9,232.80
Rate for Payer: Adventist Health Medi-Cal	$5,831.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,948.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,232.80

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$9,904.11

Service Code	APR-DRG 7563
Min. Negotiated Rate	$6,255.23
Max. Negotiated Rate	$9,904.11
Rate for Payer: Adventist Health Medi-Cal	$6,255.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,454.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,904.11

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$22,470.60

Service Code	APR-DRG 7564
Min. Negotiated Rate	$14,191.96
Max. Negotiated Rate	$22,470.60
Rate for Payer: Adventist Health Medi-Cal	$14,191.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,912.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,470.60

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$7,739.95

Service Code	APR-DRG 1451
Min. Negotiated Rate	$4,888.39
Max. Negotiated Rate	$7,739.95
Rate for Payer: Adventist Health Medi-Cal	$4,888.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,825.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,739.95

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$23,132.40

Service Code	APR-DRG 1454
Min. Negotiated Rate	$14,609.94
Max. Negotiated Rate	$23,132.40
Rate for Payer: Adventist Health Medi-Cal	$14,609.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,410.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,132.40

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$12,912.61

Service Code	APR-DRG 1453
Min. Negotiated Rate	$8,155.33
Max. Negotiated Rate	$12,912.61
Rate for Payer: Adventist Health Medi-Cal	$8,155.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,718.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,912.61

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$9,778.60

Service Code	APR-DRG 1452
Min. Negotiated Rate	$6,175.96
Max. Negotiated Rate	$9,778.60
Rate for Payer: Adventist Health Medi-Cal	$6,175.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,359.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,778.60

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$31,347.80

Service Code	APR-DRG 4694
Min. Negotiated Rate	$19,798.61
Max. Negotiated Rate	$31,347.80
Rate for Payer: Adventist Health Medi-Cal	$19,798.61
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,593.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,347.80

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$7,648.68

Service Code	APR-DRG 4691
Min. Negotiated Rate	$4,830.74
Max. Negotiated Rate	$7,648.68
Rate for Payer: Adventist Health Medi-Cal	$4,830.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,756.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,648.68

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$9,964.97

Service Code	APR-DRG 4692
Min. Negotiated Rate	$6,293.66
Max. Negotiated Rate	$9,964.97
Rate for Payer: Adventist Health Medi-Cal	$6,293.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,499.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,964.97

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$15,873.57

Service Code	APR-DRG 4693
Min. Negotiated Rate	$10,025.41
Max. Negotiated Rate	$15,873.57
Rate for Payer: Adventist Health Medi-Cal	$10,025.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,946.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,873.57

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$46,089.84

Service Code	APR-DRG 6903
Min. Negotiated Rate	$29,109.37
Max. Negotiated Rate	$46,089.84
Rate for Payer: Adventist Health Medi-Cal	$29,109.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,688.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,089.84

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$26,116.18

Service Code	APR-DRG 6902
Min. Negotiated Rate	$16,494.43
Max. Negotiated Rate	$26,116.18
Rate for Payer: Adventist Health Medi-Cal	$16,494.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,655.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,116.18

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$91,354.34

Service Code	APR-DRG 6904
Min. Negotiated Rate	$57,697.48
Max. Negotiated Rate	$91,354.34
Rate for Payer: Adventist Health Medi-Cal	$57,697.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$68,756.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$91,354.34

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$14,211.49

Service Code	APR-DRG 6901
Min. Negotiated Rate	$8,975.68
Max. Negotiated Rate	$14,211.49
Rate for Payer: Adventist Health Medi-Cal	$8,975.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,696.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,211.49

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$18,182.24

Service Code	APR-DRG 1903
Min. Negotiated Rate	$11,483.52
Max. Negotiated Rate	$18,182.24
Rate for Payer: Adventist Health Medi-Cal	$11,483.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,684.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,182.24

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$12,910.71

Service Code	APR-DRG 1901
Min. Negotiated Rate	$8,154.13
Max. Negotiated Rate	$12,910.71
Rate for Payer: Adventist Health Medi-Cal	$8,154.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,717.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,910.71

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$13,964.26

Service Code	APR-DRG 1902
Min. Negotiated Rate	$8,819.53
Max. Negotiated Rate	$13,964.26
Rate for Payer: Adventist Health Medi-Cal	$8,819.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,509.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,964.26

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$28,521.85

Service Code	APR-DRG 1904
Min. Negotiated Rate	$18,013.80
Max. Negotiated Rate	$28,521.85
Rate for Payer: Adventist Health Medi-Cal	$18,013.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,466.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,521.85

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$11,014.70

Service Code	APR-DRG 7553
Min. Negotiated Rate	$6,956.65
Max. Negotiated Rate	$11,014.70
Rate for Payer: Adventist Health Medi-Cal	$6,956.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,290.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,014.70

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$7,015.41

Service Code	APR-DRG 7552
Min. Negotiated Rate	$4,430.78
Max. Negotiated Rate	$7,015.41
Rate for Payer: Adventist Health Medi-Cal	$4,430.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,280.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,015.41

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$4,836.05

Service Code	APR-DRG 7551
Min. Negotiated Rate	$3,054.35
Max. Negotiated Rate	$4,836.05
Rate for Payer: Adventist Health Medi-Cal	$3,054.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,639.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,836.05

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$19,155.93

Service Code	APR-DRG 7554
Min. Negotiated Rate	$12,098.48
Max. Negotiated Rate	$19,155.93
Rate for Payer: Adventist Health Medi-Cal	$12,098.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,417.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,155.93

Know your out-of-pocket cost for care.

All Charges