Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$81,222.04

Service Code	APR-DRG 4014
Min. Negotiated Rate	$51,298.13
Max. Negotiated Rate	$81,222.04
Rate for Payer: Adventist Health Medi-Cal	$51,298.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$61,130.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$81,222.04

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$37,419.95

Service Code	APR-DRG 4012
Min. Negotiated Rate	$23,633.65
Max. Negotiated Rate	$37,419.95
Rate for Payer: Adventist Health Medi-Cal	$23,633.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,163.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,419.95

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$49,094.54

Service Code	APR-DRG 4013
Min. Negotiated Rate	$31,007.08
Max. Negotiated Rate	$49,094.54
Rate for Payer: Adventist Health Medi-Cal	$31,007.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,950.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,094.54

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$21,622.44

Service Code	APR-DRG 4011
Min. Negotiated Rate	$13,656.28
Max. Negotiated Rate	$21,622.44
Rate for Payer: Adventist Health Medi-Cal	$13,656.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,273.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,622.44

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$8,552.00

Service Code	APR-DRG 7752
Min. Negotiated Rate	$5,401.26
Max. Negotiated Rate	$8,552.00
Rate for Payer: Adventist Health Medi-Cal	$5,401.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,436.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,552.00

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$33,920.79

Service Code	APR-DRG 7754
Min. Negotiated Rate	$21,423.66
Max. Negotiated Rate	$33,920.79
Rate for Payer: Adventist Health Medi-Cal	$21,423.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,529.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,920.79

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$6,332.70

Service Code	APR-DRG 7751
Min. Negotiated Rate	$3,999.60
Max. Negotiated Rate	$6,332.70
Rate for Payer: Adventist Health Medi-Cal	$3,999.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,766.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,332.70

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$14,707.82

Service Code	APR-DRG 7753
Min. Negotiated Rate	$9,289.15
Max. Negotiated Rate	$14,707.82
Rate for Payer: Adventist Health Medi-Cal	$9,289.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,069.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,707.82

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$9,367.82

Service Code	APR-DRG 7722
Min. Negotiated Rate	$5,916.52
Max. Negotiated Rate	$9,367.82
Rate for Payer: Adventist Health Medi-Cal	$5,916.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,050.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,367.82

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$7,669.60

Service Code	APR-DRG 7721
Min. Negotiated Rate	$4,843.96
Max. Negotiated Rate	$7,669.60
Rate for Payer: Adventist Health Medi-Cal	$4,843.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,772.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,669.60

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$31,631.14

Service Code	APR-DRG 7724
Min. Negotiated Rate	$19,977.56
Max. Negotiated Rate	$31,631.14
Rate for Payer: Adventist Health Medi-Cal	$19,977.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,806.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,631.14

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$11,705.03

Service Code	APR-DRG 7723
Min. Negotiated Rate	$7,392.65
Max. Negotiated Rate	$11,705.03
Rate for Payer: Adventist Health Medi-Cal	$7,392.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,809.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,705.03

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$8,538.68

Service Code	APR-DRG 2801
Min. Negotiated Rate	$5,392.85
Max. Negotiated Rate	$8,538.68
Rate for Payer: Adventist Health Medi-Cal	$5,392.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,426.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,538.68

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$35,132.20

Service Code	APR-DRG 2804
Min. Negotiated Rate	$22,188.76
Max. Negotiated Rate	$35,132.20
Rate for Payer: Adventist Health Medi-Cal	$22,188.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,441.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,132.20

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$11,028.02

Service Code	APR-DRG 2802
Min. Negotiated Rate	$6,965.06
Max. Negotiated Rate	$11,028.02
Rate for Payer: Adventist Health Medi-Cal	$6,965.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,300.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,028.02

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$16,795.90

Service Code	APR-DRG 2803
Min. Negotiated Rate	$10,607.94
Max. Negotiated Rate	$16,795.90
Rate for Payer: Adventist Health Medi-Cal	$10,607.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,641.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,795.90

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$7,829.35

Service Code	APR-DRG 8112
Min. Negotiated Rate	$4,944.85
Max. Negotiated Rate	$7,829.35
Rate for Payer: Adventist Health Medi-Cal	$4,944.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,892.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,829.35

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$31,865.05

Service Code	APR-DRG 8114
Min. Negotiated Rate	$20,125.30
Max. Negotiated Rate	$31,865.05
Rate for Payer: Adventist Health Medi-Cal	$20,125.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,982.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,865.05

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$15,672.00

Service Code	APR-DRG 8113
Min. Negotiated Rate	$9,898.10
Max. Negotiated Rate	$15,672.00
Rate for Payer: Adventist Health Medi-Cal	$9,898.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,795.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,672.00

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$5,290.55

Service Code	APR-DRG 8111
Min. Negotiated Rate	$3,341.40
Max. Negotiated Rate	$5,290.55
Rate for Payer: Adventist Health Medi-Cal	$3,341.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,981.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,290.55

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$253,868.79

Service Code	APR-DRG 0074
Min. Negotiated Rate	$160,338.18
Max. Negotiated Rate	$253,868.79
Rate for Payer: Adventist Health Medi-Cal	$160,338.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$191,069.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$253,868.79

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$114,629.38

Service Code	APR-DRG 0072
Min. Negotiated Rate	$72,397.50
Max. Negotiated Rate	$114,629.38
Rate for Payer: Adventist Health Medi-Cal	$72,397.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$86,273.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$114,629.38

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$90,405.40

Service Code	APR-DRG 0071
Min. Negotiated Rate	$57,098.15
Max. Negotiated Rate	$90,405.40
Rate for Payer: Adventist Health Medi-Cal	$57,098.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$68,041.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$90,405.40

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$145,524.55

Service Code	APR-DRG 0073
Min. Negotiated Rate	$91,910.24
Max. Negotiated Rate	$145,524.55
Rate for Payer: Adventist Health Medi-Cal	$91,910.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$109,526.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$145,524.55

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$14,901.80

Service Code	APR-DRG 0523
Min. Negotiated Rate	$9,411.66
Max. Negotiated Rate	$14,901.80
Rate for Payer: Adventist Health Medi-Cal	$9,411.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,215.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,901.80

Know your out-of-pocket cost for care.

All Charges