Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$106,902.72

Service Code	APR-DRG 1623
Min. Negotiated Rate	$67,517.51
Max. Negotiated Rate	$106,902.72
Rate for Payer: Adventist Health Medi-Cal	$67,517.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$80,458.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$106,902.72

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

Facility

$157,836.23

Service Code	APR-DRG 1624
Min. Negotiated Rate	$99,686.04
Max. Negotiated Rate	$157,836.23
Rate for Payer: Adventist Health Medi-Cal	$99,686.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$118,792.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$157,836.23

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

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$87,969.30

Service Code	APR-DRG 1633
Min. Negotiated Rate	$55,559.56
Max. Negotiated Rate	$87,969.30
Rate for Payer: Adventist Health Medi-Cal	$55,559.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$66,208.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,969.30

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$133,541.88

Service Code	APR-DRG 1634
Min. Negotiated Rate	$84,342.24
Max. Negotiated Rate	$133,541.88
Rate for Payer: Adventist Health Medi-Cal	$84,342.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$100,507.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$133,541.88

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$62,790.67

Service Code	APR-DRG 1631
Min. Negotiated Rate	$39,657.26
Max. Negotiated Rate	$62,790.67
Rate for Payer: Adventist Health Medi-Cal	$39,657.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,258.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,790.67

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$70,150.28

Service Code	APR-DRG 1632
Min. Negotiated Rate	$44,305.44
Max. Negotiated Rate	$70,150.28
Rate for Payer: Adventist Health Medi-Cal	$44,305.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,797.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,150.28

APR-DRG 41.00: CARDIOMYOPATHY

Facility

$31,475.21

Service Code	APR-DRG 2054
Min. Negotiated Rate	$19,879.08
Max. Negotiated Rate	$31,475.21
Rate for Payer: Adventist Health Medi-Cal	$19,879.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,689.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,475.21

APR-DRG 41.00: CARDIOMYOPATHY

Facility

$7,973.86

Service Code	APR-DRG 2051
Min. Negotiated Rate	$5,036.12
Max. Negotiated Rate	$7,973.86
Rate for Payer: Adventist Health Medi-Cal	$5,036.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,001.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,973.86

APR-DRG 41.00: CARDIOMYOPATHY

Facility

$14,839.04

Service Code	APR-DRG 2053
Min. Negotiated Rate	$9,372.02
Max. Negotiated Rate	$14,839.04
Rate for Payer: Adventist Health Medi-Cal	$9,372.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,168.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,839.04

APR-DRG 41.00: CARDIOMYOPATHY

Facility

$9,983.99

Service Code	APR-DRG 2052
Min. Negotiated Rate	$6,305.68
Max. Negotiated Rate	$9,983.99
Rate for Payer: Adventist Health Medi-Cal	$6,305.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,514.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,983.99

APR-DRG 41.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$9,839.45

Service Code	APR-DRG 3832
Min. Negotiated Rate	$6,214.39
Max. Negotiated Rate	$9,839.45
Rate for Payer: Adventist Health Medi-Cal	$6,214.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,405.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,839.45

APR-DRG 41.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$14,821.92

Service Code	APR-DRG 3833
Min. Negotiated Rate	$9,361.21
Max. Negotiated Rate	$14,821.92
Rate for Payer: Adventist Health Medi-Cal	$9,361.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,155.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,821.92

APR-DRG 41.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$28,428.65

Service Code	APR-DRG 3834
Min. Negotiated Rate	$17,954.94
Max. Negotiated Rate	$28,428.65
Rate for Payer: Adventist Health Medi-Cal	$17,954.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,396.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,428.65

APR-DRG 41.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$7,222.70

Service Code	APR-DRG 3831
Min. Negotiated Rate	$4,561.70
Max. Negotiated Rate	$7,222.70
Rate for Payer: Adventist Health Medi-Cal	$4,561.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,436.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,222.70

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$12,647.22

Service Code	APR-DRG 5402
Min. Negotiated Rate	$7,987.72
Max. Negotiated Rate	$12,647.22
Rate for Payer: Adventist Health Medi-Cal	$7,987.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,518.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,647.22

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$16,070.07

Service Code	APR-DRG 5403
Min. Negotiated Rate	$10,149.52
Max. Negotiated Rate	$16,070.07
Rate for Payer: Adventist Health Medi-Cal	$10,149.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,094.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,070.07

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$10,316.92

Service Code	APR-DRG 5401
Min. Negotiated Rate	$6,515.95
Max. Negotiated Rate	$10,316.92
Rate for Payer: Adventist Health Medi-Cal	$6,515.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,764.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,316.92

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$31,413.78

Service Code	APR-DRG 5404
Min. Negotiated Rate	$19,840.28
Max. Negotiated Rate	$31,413.78
Rate for Payer: Adventist Health Medi-Cal	$19,840.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,643.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,413.78

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$41,471.55

Service Code	APR-DRG 5394
Min. Negotiated Rate	$26,192.56
Max. Negotiated Rate	$41,471.55
Rate for Payer: Adventist Health Medi-Cal	$26,192.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,212.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,471.55

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$12,229.94

Service Code	APR-DRG 5392
Min. Negotiated Rate	$7,724.17
Max. Negotiated Rate	$12,229.94
Rate for Payer: Adventist Health Medi-Cal	$7,724.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,204.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,229.94

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$10,570.92

Service Code	APR-DRG 5391
Min. Negotiated Rate	$6,676.37
Max. Negotiated Rate	$10,570.92
Rate for Payer: Adventist Health Medi-Cal	$6,676.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,956.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,570.92

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$17,297.69

Service Code	APR-DRG 5393
Min. Negotiated Rate	$10,924.86
Max. Negotiated Rate	$17,297.69
Rate for Payer: Adventist Health Medi-Cal	$10,924.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,018.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,297.69

APR-DRG 41.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$12,794.71

Service Code	APR-DRG 6952
Min. Negotiated Rate	$8,080.87
Max. Negotiated Rate	$12,794.71
Rate for Payer: Adventist Health Medi-Cal	$8,080.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,629.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,794.71

APR-DRG 41.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$9,894.59

Service Code	APR-DRG 6951
Min. Negotiated Rate	$6,249.22
Max. Negotiated Rate	$9,894.59
Rate for Payer: Adventist Health Medi-Cal	$6,249.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,446.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,894.59

Know your out-of-pocket cost for care.

All Charges