Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$38,125.48

Service Code	APR-DRG 2824
Min. Negotiated Rate	$24,079.25
Max. Negotiated Rate	$38,125.48
Rate for Payer: Adventist Health Medi-Cal	$24,079.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,694.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,125.48

APR-DRG 41.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$17,440.58

Service Code	APR-DRG 2823
Min. Negotiated Rate	$11,015.10
Max. Negotiated Rate	$17,440.58
Rate for Payer: Adventist Health Medi-Cal	$11,015.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,126.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,440.58

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$16,430.78

Service Code	APR-DRG 7523
Min. Negotiated Rate	$10,377.34
Max. Negotiated Rate	$16,430.78
Rate for Payer: Adventist Health Medi-Cal	$10,377.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,366.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,430.78

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$4,661.10

Service Code	APR-DRG 7521
Min. Negotiated Rate	$2,943.85
Max. Negotiated Rate	$4,661.10
Rate for Payer: Adventist Health Medi-Cal	$2,943.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,508.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,661.10

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$6,608.45

Service Code	APR-DRG 7522
Min. Negotiated Rate	$4,173.76
Max. Negotiated Rate	$6,608.45
Rate for Payer: Adventist Health Medi-Cal	$4,173.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,973.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,608.45

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$59,966.62

Service Code	APR-DRG 7524
Min. Negotiated Rate	$37,873.66
Max. Negotiated Rate	$59,966.62
Rate for Payer: Adventist Health Medi-Cal	$37,873.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,132.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,966.62

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$17,020.31

Service Code	APR-DRG 2443
Min. Negotiated Rate	$10,749.67
Max. Negotiated Rate	$17,020.31
Rate for Payer: Adventist Health Medi-Cal	$10,749.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,810.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,020.31

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$8,593.83

Service Code	APR-DRG 2441
Min. Negotiated Rate	$5,427.68
Max. Negotiated Rate	$8,593.83
Rate for Payer: Adventist Health Medi-Cal	$5,427.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,467.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,593.83

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$29,843.53

Service Code	APR-DRG 2444
Min. Negotiated Rate	$18,848.54
Max. Negotiated Rate	$29,843.53
Rate for Payer: Adventist Health Medi-Cal	$18,848.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,461.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,843.53

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$11,250.51

Service Code	APR-DRG 2442
Min. Negotiated Rate	$7,105.58
Max. Negotiated Rate	$11,250.51
Rate for Payer: Adventist Health Medi-Cal	$7,105.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,467.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,250.51

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$46,048.00

Service Code	APR-DRG 3041
Min. Negotiated Rate	$29,082.95
Max. Negotiated Rate	$46,048.00
Rate for Payer: Adventist Health Medi-Cal	$29,082.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,657.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,048.00

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$54,484.00

Service Code	APR-DRG 3042
Min. Negotiated Rate	$34,410.95
Max. Negotiated Rate	$54,484.00
Rate for Payer: Adventist Health Medi-Cal	$34,410.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$41,006.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,484.00

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$75,764.13

Service Code	APR-DRG 3043
Min. Negotiated Rate	$47,851.03
Max. Negotiated Rate	$75,764.13
Rate for Payer: Adventist Health Medi-Cal	$47,851.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$57,022.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,764.13

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$116,447.41

Service Code	APR-DRG 3044
Min. Negotiated Rate	$73,545.73
Max. Negotiated Rate	$116,447.41
Rate for Payer: Adventist Health Medi-Cal	$73,545.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$87,642.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$116,447.41

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$66,828.00

Service Code	APR-DRG 3031
Min. Negotiated Rate	$42,207.16
Max. Negotiated Rate	$66,828.00
Rate for Payer: Adventist Health Medi-Cal	$42,207.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,296.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$66,828.00

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$160,321.75

Service Code	APR-DRG 3034
Min. Negotiated Rate	$101,255.84
Max. Negotiated Rate	$160,321.75
Rate for Payer: Adventist Health Medi-Cal	$101,255.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$120,663.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$160,321.75

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$109,610.75

Service Code	APR-DRG 3033
Min. Negotiated Rate	$69,227.84
Max. Negotiated Rate	$109,610.75
Rate for Payer: Adventist Health Medi-Cal	$69,227.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$82,496.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$109,610.75

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$79,539.02

Service Code	APR-DRG 3032
Min. Negotiated Rate	$50,235.17
Max. Negotiated Rate	$79,539.02
Rate for Payer: Adventist Health Medi-Cal	$50,235.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$59,863.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$79,539.02

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$6,404.96

Service Code	APR-DRG 7702
Min. Negotiated Rate	$4,045.24
Max. Negotiated Rate	$6,404.96
Rate for Payer: Adventist Health Medi-Cal	$4,045.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,820.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,404.96

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$9,999.19

Service Code	APR-DRG 7703
Min. Negotiated Rate	$6,315.28
Max. Negotiated Rate	$9,999.19
Rate for Payer: Adventist Health Medi-Cal	$6,315.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,525.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,999.19

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$4,284.56

Service Code	APR-DRG 7701
Min. Negotiated Rate	$2,706.04
Max. Negotiated Rate	$4,284.56
Rate for Payer: Adventist Health Medi-Cal	$2,706.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,224.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,284.56

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$21,476.00

Service Code	APR-DRG 7704
Min. Negotiated Rate	$13,563.79
Max. Negotiated Rate	$21,476.00
Rate for Payer: Adventist Health Medi-Cal	$13,563.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,163.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,476.00

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$11,900.90

Service Code	APR-DRG 1101
Min. Negotiated Rate	$7,516.36
Max. Negotiated Rate	$11,900.90
Rate for Payer: Adventist Health Medi-Cal	$7,516.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,956.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,900.90

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$13,464.10

Service Code	APR-DRG 1102
Min. Negotiated Rate	$8,503.64
Max. Negotiated Rate	$13,464.10
Rate for Payer: Adventist Health Medi-Cal	$8,503.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,133.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,464.10

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$19,606.63

Service Code	APR-DRG 1103
Min. Negotiated Rate	$12,383.14
Max. Negotiated Rate	$19,606.63
Rate for Payer: Adventist Health Medi-Cal	$12,383.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,756.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,606.63

Know your out-of-pocket cost for care.

All Charges