Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

$78,576.76

Service Code	APR-DRG 6954
Min. Negotiated Rate	$49,627.43
Max. Negotiated Rate	$78,576.76
Rate for Payer: Adventist Health Medi-Cal	$49,627.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$59,139.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$78,576.76

APR-DRG 41.00: CHEST PAIN

Facility

$9,331.70

Service Code	APR-DRG 2032
Min. Negotiated Rate	$5,893.70
Max. Negotiated Rate	$9,331.70
Rate for Payer: Adventist Health Medi-Cal	$5,893.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,023.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,331.70

APR-DRG 41.00: CHEST PAIN

Facility

$11,741.16

Service Code	APR-DRG 2033
Min. Negotiated Rate	$7,415.47
Max. Negotiated Rate	$11,741.16
Rate for Payer: Adventist Health Medi-Cal	$7,415.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,836.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,741.16

APR-DRG 41.00: CHEST PAIN

Facility

$18,918.21

Service Code	APR-DRG 2034
Min. Negotiated Rate	$11,948.34
Max. Negotiated Rate	$18,918.21
Rate for Payer: Adventist Health Medi-Cal	$11,948.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,238.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,918.21

APR-DRG 41.00: CHEST PAIN

Facility

$7,865.47

Service Code	APR-DRG 2031
Min. Negotiated Rate	$4,967.66
Max. Negotiated Rate	$7,865.47
Rate for Payer: Adventist Health Medi-Cal	$4,967.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,919.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,865.47

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$116,911.43

Service Code	APR-DRG 0112
Min. Negotiated Rate	$73,838.80
Max. Negotiated Rate	$116,911.43
Rate for Payer: Adventist Health Medi-Cal	$73,838.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$87,991.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$116,911.43

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$163,674.47

Service Code	APR-DRG 0113
Min. Negotiated Rate	$103,373.35
Max. Negotiated Rate	$163,674.47
Rate for Payer: Adventist Health Medi-Cal	$103,373.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$123,186.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$163,674.47

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$304,606.40

Service Code	APR-DRG 0114
Min. Negotiated Rate	$192,382.99
Max. Negotiated Rate	$304,606.40
Rate for Payer: Adventist Health Medi-Cal	$192,382.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$229,256.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$304,606.40

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$58,430.04

Service Code	APR-DRG 0111
Min. Negotiated Rate	$36,903.18
Max. Negotiated Rate	$58,430.04
Rate for Payer: Adventist Health Medi-Cal	$36,903.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,976.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,430.04

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$17,862.76

Service Code	APR-DRG 2631
Min. Negotiated Rate	$11,281.74
Max. Negotiated Rate	$17,862.76
Rate for Payer: Adventist Health Medi-Cal	$11,281.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,444.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,862.76

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$53,405.71

Service Code	APR-DRG 2634
Min. Negotiated Rate	$33,729.92
Max. Negotiated Rate	$53,405.71
Rate for Payer: Adventist Health Medi-Cal	$33,729.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$40,194.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,405.71

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$22,559.99

Service Code	APR-DRG 2632
Min. Negotiated Rate	$14,248.42
Max. Negotiated Rate	$22,559.99
Rate for Payer: Adventist Health Medi-Cal	$14,248.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,979.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,559.99

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$28,542.77

Service Code	APR-DRG 2633
Min. Negotiated Rate	$18,027.01
Max. Negotiated Rate	$28,542.77
Rate for Payer: Adventist Health Medi-Cal	$18,027.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,482.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,542.77

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$14,279.94

Service Code	APR-DRG 4703
Min. Negotiated Rate	$9,018.91
Max. Negotiated Rate	$14,279.94
Rate for Payer: Adventist Health Medi-Cal	$9,018.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,747.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,279.94

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$6,463.91

Service Code	APR-DRG 4701
Min. Negotiated Rate	$4,082.47
Max. Negotiated Rate	$6,463.91
Rate for Payer: Adventist Health Medi-Cal	$4,082.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,864.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,463.91

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$27,266.71

Service Code	APR-DRG 4704
Min. Negotiated Rate	$17,221.08
Max. Negotiated Rate	$27,266.71
Rate for Payer: Adventist Health Medi-Cal	$17,221.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,521.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,266.71

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$8,310.47

Service Code	APR-DRG 4702
Min. Negotiated Rate	$5,248.72
Max. Negotiated Rate	$8,310.47
Rate for Payer: Adventist Health Medi-Cal	$5,248.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,254.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,310.47

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$8,770.68

Service Code	APR-DRG 1401
Min. Negotiated Rate	$5,539.38
Max. Negotiated Rate	$8,770.68
Rate for Payer: Adventist Health Medi-Cal	$5,539.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,601.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,770.68

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$13,410.86

Service Code	APR-DRG 1403
Min. Negotiated Rate	$8,470.02
Max. Negotiated Rate	$13,410.86
Rate for Payer: Adventist Health Medi-Cal	$8,470.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,093.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,410.86

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$10,809.33

Service Code	APR-DRG 1402
Min. Negotiated Rate	$6,826.94
Max. Negotiated Rate	$10,809.33
Rate for Payer: Adventist Health Medi-Cal	$6,826.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,135.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,809.33

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$24,600.52

Service Code	APR-DRG 1404
Min. Negotiated Rate	$15,537.17
Max. Negotiated Rate	$24,600.52
Rate for Payer: Adventist Health Medi-Cal	$15,537.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,515.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,600.52

APR-DRG 41.00: CLEFT LIP AND PALATE REPAIR

Facility

$13,772.19

Service Code	APR-DRG 0951
Min. Negotiated Rate	$8,698.22
Max. Negotiated Rate	$13,772.19
Rate for Payer: Adventist Health Medi-Cal	$8,698.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,365.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,772.19

APR-DRG 41.00: CLEFT LIP AND PALATE REPAIR

Facility

$22,054.14

Service Code	APR-DRG 0953
Min. Negotiated Rate	$13,928.93
Max. Negotiated Rate	$22,054.14
Rate for Payer: Adventist Health Medi-Cal	$13,928.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,598.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,054.14

APR-DRG 41.00: CLEFT LIP AND PALATE REPAIR

Facility

$15,459.01

Service Code	APR-DRG 0952
Min. Negotiated Rate	$9,763.58
Max. Negotiated Rate	$15,459.01
Rate for Payer: Adventist Health Medi-Cal	$9,763.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,634.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,459.01

Know your out-of-pocket cost for care.

All Charges