Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$62,646.14

Service Code	APR-DRG 1662
Min. Negotiated Rate	$39,565.98
Max. Negotiated Rate	$62,646.14
Rate for Payer: Adventist Health Medi-Cal	$39,565.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,149.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,646.14

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$74,043.08

Service Code	APR-DRG 1663
Min. Negotiated Rate	$46,764.05
Max. Negotiated Rate	$74,043.08
Rate for Payer: Adventist Health Medi-Cal	$46,764.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$55,727.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$74,043.08

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$56,172.70

Service Code	APR-DRG 1661
Min. Negotiated Rate	$35,477.50
Max. Negotiated Rate	$56,172.70
Rate for Payer: Adventist Health Medi-Cal	$35,477.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,277.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,172.70

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$108,884.31

Service Code	APR-DRG 1664
Min. Negotiated Rate	$68,769.04
Max. Negotiated Rate	$108,884.31
Rate for Payer: Adventist Health Medi-Cal	$68,769.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$81,949.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$108,884.31

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$68,436.84

Service Code	APR-DRG 9103
Min. Negotiated Rate	$43,223.27
Max. Negotiated Rate	$68,436.84
Rate for Payer: Adventist Health Medi-Cal	$43,223.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$51,507.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,436.84

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$43,518.74

Service Code	APR-DRG 9101
Min. Negotiated Rate	$27,485.52
Max. Negotiated Rate	$43,518.74
Rate for Payer: Adventist Health Medi-Cal	$27,485.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,753.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$43,518.74

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$45,808.39

Service Code	APR-DRG 9102
Min. Negotiated Rate	$28,931.62
Max. Negotiated Rate	$45,808.39
Rate for Payer: Adventist Health Medi-Cal	$28,931.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,476.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,808.39

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$109,761.01

Service Code	APR-DRG 9104
Min. Negotiated Rate	$69,322.74
Max. Negotiated Rate	$109,761.01
Rate for Payer: Adventist Health Medi-Cal	$69,322.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$82,609.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$109,761.01

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$32,848.25

Service Code	APR-DRG 0454
Min. Negotiated Rate	$20,746.26
Max. Negotiated Rate	$32,848.25
Rate for Payer: Adventist Health Medi-Cal	$20,746.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,722.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,848.25

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$21,392.33

Service Code	APR-DRG 0453
Min. Negotiated Rate	$13,510.94
Max. Negotiated Rate	$21,392.33
Rate for Payer: Adventist Health Medi-Cal	$13,510.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,100.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,392.33

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$15,928.73

Service Code	APR-DRG 0452
Min. Negotiated Rate	$10,060.25
Max. Negotiated Rate	$15,928.73
Rate for Payer: Adventist Health Medi-Cal	$10,060.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,988.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,928.73

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$12,830.83

Service Code	APR-DRG 0451
Min. Negotiated Rate	$8,103.68
Max. Negotiated Rate	$12,830.83
Rate for Payer: Adventist Health Medi-Cal	$8,103.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,656.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,830.83

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$24,104.18

Service Code	APR-DRG 1312
Min. Negotiated Rate	$15,223.69
Max. Negotiated Rate	$24,104.18
Rate for Payer: Adventist Health Medi-Cal	$15,223.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,141.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,104.18

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$32,663.77

Service Code	APR-DRG 1313
Min. Negotiated Rate	$20,629.75
Max. Negotiated Rate	$32,663.77
Rate for Payer: Adventist Health Medi-Cal	$20,629.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,583.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,663.77

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$18,372.41

Service Code	APR-DRG 1311
Min. Negotiated Rate	$11,603.63
Max. Negotiated Rate	$18,372.41
Rate for Payer: Adventist Health Medi-Cal	$11,603.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,827.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,372.41

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$42,404.33

Service Code	APR-DRG 1314
Min. Negotiated Rate	$26,781.68
Max. Negotiated Rate	$42,404.33
Rate for Payer: Adventist Health Medi-Cal	$26,781.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,914.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,404.33

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$63,151.99

Service Code	APR-DRG 1792
Min. Negotiated Rate	$39,885.47
Max. Negotiated Rate	$63,151.99
Rate for Payer: Adventist Health Medi-Cal	$39,885.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,530.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,151.99

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$55,877.94

Service Code	APR-DRG 1791
Min. Negotiated Rate	$35,291.33
Max. Negotiated Rate	$55,877.94
Rate for Payer: Adventist Health Medi-Cal	$35,291.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,055.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,877.94

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$76,722.59

Service Code	APR-DRG 1793
Min. Negotiated Rate	$48,456.37
Max. Negotiated Rate	$76,722.59
Rate for Payer: Adventist Health Medi-Cal	$48,456.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$57,743.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$76,722.59

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$109,924.54

Service Code	APR-DRG 1794
Min. Negotiated Rate	$69,426.02
Max. Negotiated Rate	$109,924.54
Rate for Payer: Adventist Health Medi-Cal	$69,426.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$82,732.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$109,924.54

APR-DRG 41.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$10,894.90

Service Code	APR-DRG 0421
Min. Negotiated Rate	$6,880.99
Max. Negotiated Rate	$10,894.90
Rate for Payer: Adventist Health Medi-Cal	$6,880.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,199.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,894.90

APR-DRG 41.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$13,876.78

Service Code	APR-DRG 0422
Min. Negotiated Rate	$8,764.28
Max. Negotiated Rate	$13,876.78
Rate for Payer: Adventist Health Medi-Cal	$8,764.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,444.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,876.78

APR-DRG 41.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$18,883.99

Service Code	APR-DRG 0423
Min. Negotiated Rate	$11,926.73
Max. Negotiated Rate	$18,883.99
Rate for Payer: Adventist Health Medi-Cal	$11,926.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,212.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,883.99

APR-DRG 41.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$34,236.48

Service Code	APR-DRG 0424
Min. Negotiated Rate	$21,623.04
Max. Negotiated Rate	$34,236.48
Rate for Payer: Adventist Health Medi-Cal	$21,623.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,767.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,236.48

APR-DRG 41.00: DENTAL DISEASES AND DISORDERS

Facility

$9,035.03

Service Code	APR-DRG 1142
Min. Negotiated Rate	$5,706.34
Max. Negotiated Rate	$9,035.03
Rate for Payer: Adventist Health Medi-Cal	$5,706.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,800.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,035.03

Know your out-of-pocket cost for care.

All Charges