Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: CARDIAC ARREST AND SHOCK

Facility

$26,863.55

Service Code	APR-DRG 1964
Min. Negotiated Rate	$16,966.45
Max. Negotiated Rate	$26,863.55
Rate for Payer: Adventist Health Medi-Cal	$16,966.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,218.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,863.55

APR-DRG 41.00: CARDIAC ARREST AND SHOCK

Facility

$9,253.72

Service Code	APR-DRG 1962
Min. Negotiated Rate	$5,844.46
Max. Negotiated Rate	$9,253.72
Rate for Payer: Adventist Health Medi-Cal	$5,844.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,964.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,253.72

APR-DRG 41.00: CARDIAC ARREST AND SHOCK

Facility

$6,616.05

Service Code	APR-DRG 1961
Min. Negotiated Rate	$4,178.56
Max. Negotiated Rate	$6,616.05
Rate for Payer: Adventist Health Medi-Cal	$4,178.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,979.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,616.05

APR-DRG 41.00: CARDIAC ARREST AND SHOCK

Facility

$14,622.25

Service Code	APR-DRG 1963
Min. Negotiated Rate	$9,235.10
Max. Negotiated Rate	$14,622.25
Rate for Payer: Adventist Health Medi-Cal	$9,235.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,005.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,622.25

APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$9,478.13

Service Code	APR-DRG 2012
Min. Negotiated Rate	$5,986.19
Max. Negotiated Rate	$9,478.13
Rate for Payer: Adventist Health Medi-Cal	$5,986.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,133.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,478.13

APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$7,336.79

Service Code	APR-DRG 2011
Min. Negotiated Rate	$4,633.76
Max. Negotiated Rate	$7,336.79
Rate for Payer: Adventist Health Medi-Cal	$4,633.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,521.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,336.79

APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$26,293.04

Service Code	APR-DRG 2014
Min. Negotiated Rate	$16,606.13
Max. Negotiated Rate	$26,293.04
Rate for Payer: Adventist Health Medi-Cal	$16,606.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,788.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,293.04

APR-DRG 41.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$14,428.28

Service Code	APR-DRG 2013
Min. Negotiated Rate	$9,112.60
Max. Negotiated Rate	$14,428.28
Rate for Payer: Adventist Health Medi-Cal	$9,112.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,859.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,428.28

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$15,274.54

Service Code	APR-DRG 1911
Min. Negotiated Rate	$9,647.08
Max. Negotiated Rate	$15,274.54
Rate for Payer: Adventist Health Medi-Cal	$9,647.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,496.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,274.54

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$17,784.80

Service Code	APR-DRG 1912
Min. Negotiated Rate	$11,232.50
Max. Negotiated Rate	$17,784.80
Rate for Payer: Adventist Health Medi-Cal	$11,232.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,385.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,784.80

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$38,271.91

Service Code	APR-DRG 1914
Min. Negotiated Rate	$24,171.73
Max. Negotiated Rate	$38,271.91
Rate for Payer: Adventist Health Medi-Cal	$24,171.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,804.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,271.91

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$23,147.60

Service Code	APR-DRG 1913
Min. Negotiated Rate	$14,619.54
Max. Negotiated Rate	$23,147.60
Rate for Payer: Adventist Health Medi-Cal	$14,619.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,421.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,147.60

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$49,588.99

Service Code	APR-DRG 1924
Min. Negotiated Rate	$31,319.36
Max. Negotiated Rate	$49,588.99
Rate for Payer: Adventist Health Medi-Cal	$31,319.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,322.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,588.99

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$28,588.41

Service Code	APR-DRG 1923
Min. Negotiated Rate	$18,055.84
Max. Negotiated Rate	$28,588.41
Rate for Payer: Adventist Health Medi-Cal	$18,055.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,516.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,588.41

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$16,303.37

Service Code	APR-DRG 1921
Min. Negotiated Rate	$10,296.86
Max. Negotiated Rate	$16,303.37
Rate for Payer: Adventist Health Medi-Cal	$10,296.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,270.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,303.37

APR-DRG 41.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$20,196.16

Service Code	APR-DRG 1922
Min. Negotiated Rate	$12,755.47
Max. Negotiated Rate	$20,196.16
Rate for Payer: Adventist Health Medi-Cal	$12,755.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,200.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,196.16

APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$38,642.75

Service Code	APR-DRG 1773
Min. Negotiated Rate	$24,405.95
Max. Negotiated Rate	$38,642.75
Rate for Payer: Adventist Health Medi-Cal	$24,405.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,083.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,642.75

APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$53,835.51

Service Code	APR-DRG 1774
Min. Negotiated Rate	$34,001.38
Max. Negotiated Rate	$53,835.51
Rate for Payer: Adventist Health Medi-Cal	$34,001.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$40,518.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,835.51

APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$28,055.93

Service Code	APR-DRG 1772
Min. Negotiated Rate	$17,719.54
Max. Negotiated Rate	$28,055.93
Rate for Payer: Adventist Health Medi-Cal	$17,719.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,115.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,055.93

APR-DRG 41.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$19,545.78

Service Code	APR-DRG 1771
Min. Negotiated Rate	$12,344.70
Max. Negotiated Rate	$19,545.78
Rate for Payer: Adventist Health Medi-Cal	$12,344.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,710.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,545.78

APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$15,466.61

Service Code	APR-DRG 2003
Min. Negotiated Rate	$9,768.38
Max. Negotiated Rate	$15,466.61
Rate for Payer: Adventist Health Medi-Cal	$9,768.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,640.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,466.61

APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$27,445.48

Service Code	APR-DRG 2004
Min. Negotiated Rate	$17,333.99
Max. Negotiated Rate	$27,445.48
Rate for Payer: Adventist Health Medi-Cal	$17,333.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,656.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,445.48

APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$10,556.40

Service Code	APR-DRG 2002
Min. Negotiated Rate	$6,667.20
Max. Negotiated Rate	$10,556.40
Rate for Payer: Adventist Health Medi-Cal	$6,667.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,945.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,556.40

APR-DRG 41.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$7,481.33

Service Code	APR-DRG 2001
Min. Negotiated Rate	$4,725.05
Max. Negotiated Rate	$7,481.33
Rate for Payer: Adventist Health Medi-Cal	$4,725.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,630.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,481.33

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$72,529.33

Service Code	APR-DRG 1621
Min. Negotiated Rate	$45,808.00
Max. Negotiated Rate	$72,529.33
Rate for Payer: Adventist Health Medi-Cal	$45,808.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$54,587.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$72,529.33

Know your out-of-pocket cost for care.

All Charges