Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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: COAGULATION AND PLATELET DISORDERS

Facility

$19,621.85

Service Code	APR-DRG 6613
Min. Negotiated Rate	$12,392.75
Max. Negotiated Rate	$19,621.85
Rate for Payer: Adventist Health Medi-Cal	$12,392.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,768.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,621.85

APR-DRG 41.00: COAGULATION AND PLATELET DISORDERS

Facility

$38,589.49

Service Code	APR-DRG 6614
Min. Negotiated Rate	$24,372.31
Max. Negotiated Rate	$38,589.49
Rate for Payer: Adventist Health Medi-Cal	$24,372.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,043.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,589.49

APR-DRG 41.00: COAGULATION AND PLATELET DISORDERS

Facility

$15,420.97

Service Code	APR-DRG 6612
Min. Negotiated Rate	$9,739.56
Max. Negotiated Rate	$15,420.97
Rate for Payer: Adventist Health Medi-Cal	$9,739.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,606.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,420.97

APR-DRG 41.00: COAGULATION AND PLATELET DISORDERS

Facility

$11,710.73

Service Code	APR-DRG 6611
Min. Negotiated Rate	$7,396.25
Max. Negotiated Rate	$11,710.73
Rate for Payer: Adventist Health Medi-Cal	$7,396.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,813.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,710.73

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$6,547.59

Service Code	APR-DRG 7742
Min. Negotiated Rate	$4,135.32
Max. Negotiated Rate	$6,547.59
Rate for Payer: Adventist Health Medi-Cal	$4,135.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,927.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,547.59

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$28,748.16

Service Code	APR-DRG 7744
Min. Negotiated Rate	$18,156.73
Max. Negotiated Rate	$28,748.16
Rate for Payer: Adventist Health Medi-Cal	$18,156.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,636.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,748.16

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$11,851.46

Service Code	APR-DRG 7743
Min. Negotiated Rate	$7,485.13
Max. Negotiated Rate	$11,851.46
Rate for Payer: Adventist Health Medi-Cal	$7,485.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,919.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,851.46

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$5,360.93

Service Code	APR-DRG 7741
Min. Negotiated Rate	$3,385.85
Max. Negotiated Rate	$5,360.93
Rate for Payer: Adventist Health Medi-Cal	$3,385.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,034.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,360.93

APR-DRG 41.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$13,460.30

Service Code	APR-DRG 0572
Min. Negotiated Rate	$8,501.24
Max. Negotiated Rate	$13,460.30
Rate for Payer: Adventist Health Medi-Cal	$8,501.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,130.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,460.30

APR-DRG 41.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$30,904.70

Service Code	APR-DRG 0574
Min. Negotiated Rate	$19,518.76
Max. Negotiated Rate	$30,904.70
Rate for Payer: Adventist Health Medi-Cal	$19,518.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,259.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,904.70

APR-DRG 41.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$8,909.52

Service Code	APR-DRG 0571
Min. Negotiated Rate	$5,627.06
Max. Negotiated Rate	$8,909.52
Rate for Payer: Adventist Health Medi-Cal	$5,627.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,705.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,909.52

APR-DRG 41.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$19,675.09

Service Code	APR-DRG 0573
Min. Negotiated Rate	$12,426.37
Max. Negotiated Rate	$19,675.09
Rate for Payer: Adventist Health Medi-Cal	$12,426.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,808.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,675.09

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$20,749.56

Service Code	APR-DRG 3463
Min. Negotiated Rate	$13,104.98
Max. Negotiated Rate	$20,749.56
Rate for Payer: Adventist Health Medi-Cal	$13,104.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,616.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,749.56

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$42,923.49

Service Code	APR-DRG 3464
Min. Negotiated Rate	$27,109.57
Max. Negotiated Rate	$42,923.49
Rate for Payer: Adventist Health Medi-Cal	$27,109.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,305.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,923.49

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$10,181.76

Service Code	APR-DRG 3461
Min. Negotiated Rate	$6,430.58
Max. Negotiated Rate	$10,181.76
Rate for Payer: Adventist Health Medi-Cal	$6,430.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,663.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,181.76

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$13,699.91

Service Code	APR-DRG 3462
Min. Negotiated Rate	$8,652.58
Max. Negotiated Rate	$13,699.91
Rate for Payer: Adventist Health Medi-Cal	$8,652.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,310.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,699.91

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$11,530.07

Service Code	APR-DRG 3842
Min. Negotiated Rate	$7,282.15
Max. Negotiated Rate	$11,530.07
Rate for Payer: Adventist Health Medi-Cal	$7,282.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,677.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,530.07

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$9,272.74

Service Code	APR-DRG 3841
Min. Negotiated Rate	$5,856.47
Max. Negotiated Rate	$9,272.74
Rate for Payer: Adventist Health Medi-Cal	$5,856.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,978.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,272.74

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$28,160.53

Service Code	APR-DRG 3844
Min. Negotiated Rate	$17,785.60
Max. Negotiated Rate	$28,160.53
Rate for Payer: Adventist Health Medi-Cal	$17,785.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,194.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,160.53

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$16,955.64

Service Code	APR-DRG 3843
Min. Negotiated Rate	$10,708.82
Max. Negotiated Rate	$16,955.64
Rate for Payer: Adventist Health Medi-Cal	$10,708.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,761.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,955.64

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$88,777.52

Service Code	APR-DRG 1653
Min. Negotiated Rate	$56,070.01
Max. Negotiated Rate	$88,777.52
Rate for Payer: Adventist Health Medi-Cal	$56,070.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$66,816.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$88,777.52

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$123,694.83

Service Code	APR-DRG 1654
Min. Negotiated Rate	$78,123.05
Max. Negotiated Rate	$123,694.83
Rate for Payer: Adventist Health Medi-Cal	$78,123.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$93,096.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$123,694.83

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$73,843.40

Service Code	APR-DRG 1652
Min. Negotiated Rate	$46,637.94
Max. Negotiated Rate	$73,843.40
Rate for Payer: Adventist Health Medi-Cal	$46,637.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$55,576.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$73,843.40

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$63,595.09

Service Code	APR-DRG 1651
Min. Negotiated Rate	$40,165.32
Max. Negotiated Rate	$63,595.09
Rate for Payer: Adventist Health Medi-Cal	$40,165.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,863.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,595.09

Know your out-of-pocket cost for care.

All Charges