Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

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

Facility

$5,561.62

Service Code	APR-DRG 5662
Min. Negotiated Rate	$3,512.60
Max. Negotiated Rate	$5,561.62
Rate for Payer: Adventist Health Medi-Cal	$3,512.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,185.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,561.62

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$30,975.05

Service Code	APR-DRG 2333
Min. Negotiated Rate	$19,563.19
Max. Negotiated Rate	$30,975.05
Rate for Payer: Adventist Health Medi-Cal	$19,563.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,312.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,975.05

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$17,235.20

Service Code	APR-DRG 2331
Min. Negotiated Rate	$10,885.39
Max. Negotiated Rate	$17,235.20
Rate for Payer: Adventist Health Medi-Cal	$10,885.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,971.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,235.20

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$48,331.95

Service Code	APR-DRG 2334
Min. Negotiated Rate	$30,525.44
Max. Negotiated Rate	$48,331.95
Rate for Payer: Adventist Health Medi-Cal	$30,525.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,376.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,331.95

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$22,031.32

Service Code	APR-DRG 2332
Min. Negotiated Rate	$13,914.52
Max. Negotiated Rate	$22,031.32
Rate for Payer: Adventist Health Medi-Cal	$13,914.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,581.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,031.32

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$13,840.65

Service Code	APR-DRG 2341
Min. Negotiated Rate	$8,741.46
Max. Negotiated Rate	$13,840.65
Rate for Payer: Adventist Health Medi-Cal	$8,741.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,416.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,840.65

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$25,669.28

Service Code	APR-DRG 2343
Min. Negotiated Rate	$16,212.18
Max. Negotiated Rate	$25,669.28
Rate for Payer: Adventist Health Medi-Cal	$16,212.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,319.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,669.28

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$17,606.03

Service Code	APR-DRG 2342
Min. Negotiated Rate	$11,119.60
Max. Negotiated Rate	$17,606.03
Rate for Payer: Adventist Health Medi-Cal	$11,119.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,250.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,606.03

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$44,245.19

Service Code	APR-DRG 2344
Min. Negotiated Rate	$27,944.33
Max. Negotiated Rate	$44,245.19
Rate for Payer: Adventist Health Medi-Cal	$27,944.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$33,300.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,245.19

APR-DRG 41.00: ASTHMA

Facility

$21,768.87

Service Code	APR-DRG 1414
Min. Negotiated Rate	$13,748.76
Max. Negotiated Rate	$21,768.87
Rate for Payer: Adventist Health Medi-Cal	$13,748.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,383.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,768.87

APR-DRG 41.00: ASTHMA

Facility

$6,418.28

Service Code	APR-DRG 1411
Min. Negotiated Rate	$4,053.65
Max. Negotiated Rate	$6,418.28
Rate for Payer: Adventist Health Medi-Cal	$4,053.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,830.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,418.28

APR-DRG 41.00: ASTHMA

Facility

$9,400.16

Service Code	APR-DRG 1412
Min. Negotiated Rate	$5,936.94
Max. Negotiated Rate	$9,400.16
Rate for Payer: Adventist Health Medi-Cal	$5,936.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,074.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,400.16

APR-DRG 41.00: ASTHMA

Facility

$11,151.63

Service Code	APR-DRG 1413
Min. Negotiated Rate	$7,043.14
Max. Negotiated Rate	$11,151.63
Rate for Payer: Adventist Health Medi-Cal	$7,043.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,393.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,151.63

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$61,687.66

Service Code	APR-DRG 0082
Min. Negotiated Rate	$38,960.63
Max. Negotiated Rate	$61,687.66
Rate for Payer: Adventist Health Medi-Cal	$38,960.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,428.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,687.66

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$73,849.10

Service Code	APR-DRG 0083
Min. Negotiated Rate	$46,641.54
Max. Negotiated Rate	$73,849.10
Rate for Payer: Adventist Health Medi-Cal	$46,641.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$55,581.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$73,849.10

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$123,228.91

Service Code	APR-DRG 0084
Min. Negotiated Rate	$77,828.78
Max. Negotiated Rate	$123,228.91
Rate for Payer: Adventist Health Medi-Cal	$77,828.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$92,745.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$123,228.91

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$38,334.67

Service Code	APR-DRG 0081
Min. Negotiated Rate	$24,211.37
Max. Negotiated Rate	$38,334.67
Rate for Payer: Adventist Health Medi-Cal	$24,211.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,851.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,334.67

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$55,959.71

Service Code	APR-DRG 0494
Min. Negotiated Rate	$35,342.98
Max. Negotiated Rate	$55,959.71
Rate for Payer: Adventist Health Medi-Cal	$35,342.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,117.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,959.71

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$14,401.66

Service Code	APR-DRG 0491
Min. Negotiated Rate	$9,095.78
Max. Negotiated Rate	$14,401.66
Rate for Payer: Adventist Health Medi-Cal	$9,095.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,839.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,401.66

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$30,678.39

Service Code	APR-DRG 0492
Min. Negotiated Rate	$19,375.82
Max. Negotiated Rate	$30,678.39
Rate for Payer: Adventist Health Medi-Cal	$19,375.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,089.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,678.39

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$34,029.19

Service Code	APR-DRG 0493
Min. Negotiated Rate	$21,492.12
Max. Negotiated Rate	$34,029.19
Rate for Payer: Adventist Health Medi-Cal	$21,492.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,611.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,029.19

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$7,460.41

Service Code	APR-DRG 7582
Min. Negotiated Rate	$4,711.84
Max. Negotiated Rate	$7,460.41
Rate for Payer: Adventist Health Medi-Cal	$4,711.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,614.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,460.41

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$5,847.76

Service Code	APR-DRG 7581
Min. Negotiated Rate	$3,693.32
Max. Negotiated Rate	$5,847.76
Rate for Payer: Adventist Health Medi-Cal	$3,693.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,401.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,847.76

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$13,043.82

Service Code	APR-DRG 7583
Min. Negotiated Rate	$8,238.20
Max. Negotiated Rate	$13,043.82
Rate for Payer: Adventist Health Medi-Cal	$8,238.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,817.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,043.82

Know your out-of-pocket cost for care.

All Charges