Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$6,534.27

Service Code	APR-DRG 7531
Min. Negotiated Rate	$4,126.91
Max. Negotiated Rate	$6,534.27
Rate for Payer: Adventist Health Medi-Cal	$4,126.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,917.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,534.27

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$8,816.32

Service Code	APR-DRG 7532
Min. Negotiated Rate	$5,568.20
Max. Negotiated Rate	$8,816.32
Rate for Payer: Adventist Health Medi-Cal	$5,568.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,635.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,816.32

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$30,434.96

Service Code	APR-DRG 7534
Min. Negotiated Rate	$19,222.08
Max. Negotiated Rate	$30,434.96
Rate for Payer: Adventist Health Medi-Cal	$19,222.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,906.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,434.96

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$15,318.27

Service Code	APR-DRG 7533
Min. Negotiated Rate	$9,674.70
Max. Negotiated Rate	$15,318.27
Rate for Payer: Adventist Health Medi-Cal	$9,674.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,529.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,318.27

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$7,924.43

Service Code	APR-DRG 1322
Min. Negotiated Rate	$5,004.90
Max. Negotiated Rate	$7,924.43
Rate for Payer: Adventist Health Medi-Cal	$5,004.90
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,964.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,924.43

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$14,759.16

Service Code	APR-DRG 1323
Min. Negotiated Rate	$9,321.58
Max. Negotiated Rate	$14,759.16
Rate for Payer: Adventist Health Medi-Cal	$9,321.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,108.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,759.16

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$22,189.15

Service Code	APR-DRG 1324
Min. Negotiated Rate	$14,014.20
Max. Negotiated Rate	$22,189.15
Rate for Payer: Adventist Health Medi-Cal	$14,014.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,700.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,189.15

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$5,859.16

Service Code	APR-DRG 1321
Min. Negotiated Rate	$3,700.52
Max. Negotiated Rate	$5,859.16
Rate for Payer: Adventist Health Medi-Cal	$3,700.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,409.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,859.16

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$9,847.05

Service Code	APR-DRG 0561
Min. Negotiated Rate	$6,219.19
Max. Negotiated Rate	$9,847.05
Rate for Payer: Adventist Health Medi-Cal	$6,219.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,411.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,847.05

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$31,827.01

Service Code	APR-DRG 0564
Min. Negotiated Rate	$20,101.27
Max. Negotiated Rate	$31,827.01
Rate for Payer: Adventist Health Medi-Cal	$20,101.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,954.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,827.01

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$19,914.70

Service Code	APR-DRG 0563
Min. Negotiated Rate	$12,577.70
Max. Negotiated Rate	$19,914.70
Rate for Payer: Adventist Health Medi-Cal	$12,577.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,988.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,914.70

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$13,154.14

Service Code	APR-DRG 0562
Min. Negotiated Rate	$8,307.88
Max. Negotiated Rate	$13,154.14
Rate for Payer: Adventist Health Medi-Cal	$8,307.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,900.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,154.14

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$32,445.06

Service Code	APR-DRG 3632
Min. Negotiated Rate	$20,491.62
Max. Negotiated Rate	$32,445.06
Rate for Payer: Adventist Health Medi-Cal	$20,491.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,419.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,445.06

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$40,230.68

Service Code	APR-DRG 3633
Min. Negotiated Rate	$25,408.85
Max. Negotiated Rate	$40,230.68
Rate for Payer: Adventist Health Medi-Cal	$25,408.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,278.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,230.68

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$58,956.81

Service Code	APR-DRG 3634
Min. Negotiated Rate	$37,235.88
Max. Negotiated Rate	$58,956.81
Rate for Payer: Adventist Health Medi-Cal	$37,235.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$44,372.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,956.81

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$17,031.71

Service Code	APR-DRG 3631
Min. Negotiated Rate	$10,756.87
Max. Negotiated Rate	$17,031.71
Rate for Payer: Adventist Health Medi-Cal	$10,756.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,818.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,031.71

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$26,139.00

Service Code	APR-DRG 1384
Min. Negotiated Rate	$16,508.84
Max. Negotiated Rate	$26,139.00
Rate for Payer: Adventist Health Medi-Cal	$16,508.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,673.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,139.00

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$4,744.77

Service Code	APR-DRG 1381
Min. Negotiated Rate	$2,996.70
Max. Negotiated Rate	$4,744.77
Rate for Payer: Adventist Health Medi-Cal	$2,996.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,571.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,744.77

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$6,908.91

Service Code	APR-DRG 1382
Min. Negotiated Rate	$4,363.52
Max. Negotiated Rate	$6,908.91
Rate for Payer: Adventist Health Medi-Cal	$4,363.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,199.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,908.91

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$11,043.24

Service Code	APR-DRG 1383
Min. Negotiated Rate	$6,974.68
Max. Negotiated Rate	$11,043.24
Rate for Payer: Adventist Health Medi-Cal	$6,974.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,311.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,043.24

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$30,488.22

Service Code	APR-DRG 8422
Min. Negotiated Rate	$19,255.72
Max. Negotiated Rate	$30,488.22
Rate for Payer: Adventist Health Medi-Cal	$19,255.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,946.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,488.22

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$19,610.43

Service Code	APR-DRG 8421
Min. Negotiated Rate	$12,385.54
Max. Negotiated Rate	$19,610.43
Rate for Payer: Adventist Health Medi-Cal	$12,385.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,759.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,610.43

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$56,631.02

Service Code	APR-DRG 8423
Min. Negotiated Rate	$35,766.96
Max. Negotiated Rate	$56,631.02
Rate for Payer: Adventist Health Medi-Cal	$35,766.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,622.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,631.02

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$158,682.49

Service Code	APR-DRG 8424
Min. Negotiated Rate	$100,220.52
Max. Negotiated Rate	$158,682.49
Rate for Payer: Adventist Health Medi-Cal	$100,220.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$119,429.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$158,682.49

Know your out-of-pocket cost for care.

All Charges