Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$30,693.61

Service Code	APR-DRG 0524
Min. Negotiated Rate	$19,385.44
Max. Negotiated Rate	$30,693.61
Rate for Payer: Adventist Health Medi-Cal	$19,385.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,100.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,693.61

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

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$9,430.57

Service Code	APR-DRG 0521
Min. Negotiated Rate	$5,956.15
Max. Negotiated Rate	$9,430.57
Rate for Payer: Adventist Health Medi-Cal	$5,956.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,097.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,430.57

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$22,968.85

Service Code	APR-DRG 3052
Min. Negotiated Rate	$14,506.64
Max. Negotiated Rate	$22,968.85
Rate for Payer: Adventist Health Medi-Cal	$14,506.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,287.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,968.85

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$17,259.92

Service Code	APR-DRG 3051
Min. Negotiated Rate	$10,901.00
Max. Negotiated Rate	$17,259.92
Rate for Payer: Adventist Health Medi-Cal	$10,901.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,990.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,259.92

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$61,655.34

Service Code	APR-DRG 3054
Min. Negotiated Rate	$38,940.22
Max. Negotiated Rate	$61,655.34
Rate for Payer: Adventist Health Medi-Cal	$38,940.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,403.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,655.34

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$34,415.25

Service Code	APR-DRG 3053
Min. Negotiated Rate	$21,735.95
Max. Negotiated Rate	$34,415.25
Rate for Payer: Adventist Health Medi-Cal	$21,735.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,902.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,415.25

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$44,068.33

Service Code	APR-DRG 2264
Min. Negotiated Rate	$27,832.63
Max. Negotiated Rate	$44,068.33
Rate for Payer: Adventist Health Medi-Cal	$27,832.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$33,167.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,068.33

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$24,389.43

Service Code	APR-DRG 2263
Min. Negotiated Rate	$15,403.85
Max. Negotiated Rate	$24,389.43
Rate for Payer: Adventist Health Medi-Cal	$15,403.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,356.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,389.43

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$12,847.95

Service Code	APR-DRG 2261
Min. Negotiated Rate	$8,114.50
Max. Negotiated Rate	$12,847.95
Rate for Payer: Adventist Health Medi-Cal	$8,114.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,669.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,847.95

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$16,200.67

Service Code	APR-DRG 2262
Min. Negotiated Rate	$10,232.00
Max. Negotiated Rate	$16,200.67
Rate for Payer: Adventist Health Medi-Cal	$10,232.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,193.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,200.67

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$9,238.50

Service Code	APR-DRG 1982
Min. Negotiated Rate	$5,834.84
Max. Negotiated Rate	$9,238.50
Rate for Payer: Adventist Health Medi-Cal	$5,834.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,953.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,238.50

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$21,780.29

Service Code	APR-DRG 1984
Min. Negotiated Rate	$13,755.97
Max. Negotiated Rate	$21,780.29
Rate for Payer: Adventist Health Medi-Cal	$13,755.97
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,392.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,780.29

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$12,131.01

Service Code	APR-DRG 1983
Min. Negotiated Rate	$7,661.69
Max. Negotiated Rate	$12,131.01
Rate for Payer: Adventist Health Medi-Cal	$7,661.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,130.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,131.01

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$7,774.19

Service Code	APR-DRG 1981
Min. Negotiated Rate	$4,910.02
Max. Negotiated Rate	$7,774.19
Rate for Payer: Adventist Health Medi-Cal	$4,910.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,851.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,774.19

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$20,089.67

Service Code	APR-DRG 0593
Min. Negotiated Rate	$12,688.21
Max. Negotiated Rate	$20,089.67
Rate for Payer: Adventist Health Medi-Cal	$12,688.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,120.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,089.67

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$28,833.74

Service Code	APR-DRG 0594
Min. Negotiated Rate	$18,210.78
Max. Negotiated Rate	$28,833.74
Rate for Payer: Adventist Health Medi-Cal	$18,210.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,701.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,833.74

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$14,021.32

Service Code	APR-DRG 0592
Min. Negotiated Rate	$8,855.57
Max. Negotiated Rate	$14,021.32
Rate for Payer: Adventist Health Medi-Cal	$8,855.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,552.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,021.32

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$8,784.00

Service Code	APR-DRG 0591
Min. Negotiated Rate	$5,547.79
Max. Negotiated Rate	$8,784.00
Rate for Payer: Adventist Health Medi-Cal	$5,547.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,611.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,784.00

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$42,940.04

Service Code	APR-DRG 5474
Min. Negotiated Rate	$27,120.02
Max. Negotiated Rate	$42,940.04
Rate for Payer: Adventist Health Medi-Cal	$27,120.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,318.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,940.04

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$10,460.05

Service Code	APR-DRG 5471
Min. Negotiated Rate	$6,606.35
Max. Negotiated Rate	$10,460.05
Rate for Payer: Adventist Health Medi-Cal	$6,606.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,872.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,460.05

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$14,874.68

Service Code	APR-DRG 5472
Min. Negotiated Rate	$9,394.54
Max. Negotiated Rate	$14,874.68
Rate for Payer: Adventist Health Medi-Cal	$9,394.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,195.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,874.68

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$22,825.04

Service Code	APR-DRG 5473
Min. Negotiated Rate	$14,415.82
Max. Negotiated Rate	$22,825.04
Rate for Payer: Adventist Health Medi-Cal	$14,415.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,178.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,825.04

APR-DRG 41.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$19,483.78

Service Code	APR-DRG 5664
Min. Negotiated Rate	$12,305.54
Max. Negotiated Rate	$19,483.78
Rate for Payer: Adventist Health Medi-Cal	$12,305.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,664.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,483.78

APR-DRG 41.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$4,132.42

Service Code	APR-DRG 5661
Min. Negotiated Rate	$2,609.95
Max. Negotiated Rate	$4,132.42
Rate for Payer: Adventist Health Medi-Cal	$2,609.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,110.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,132.42

Know your out-of-pocket cost for care.

All Charges