Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$33,966.43

Service Code	APR-DRG 1104
Min. Negotiated Rate	$21,452.48
Max. Negotiated Rate	$33,966.43
Rate for Payer: Adventist Health Medi-Cal	$21,452.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,564.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,966.43

APR-DRG 41.00: EATING DISORDERS

Facility

$12,768.08

Service Code	APR-DRG 7591
Min. Negotiated Rate	$8,064.05
Max. Negotiated Rate	$12,768.08
Rate for Payer: Adventist Health Medi-Cal	$8,064.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,609.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,768.08

APR-DRG 41.00: EATING DISORDERS

Facility

$14,808.62

Service Code	APR-DRG 7592
Min. Negotiated Rate	$9,352.81
Max. Negotiated Rate	$14,808.62
Rate for Payer: Adventist Health Medi-Cal	$9,352.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,145.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,808.62

APR-DRG 41.00: EATING DISORDERS

Facility

$21,358.11

Service Code	APR-DRG 7593
Min. Negotiated Rate	$13,489.33
Max. Negotiated Rate	$21,358.11
Rate for Payer: Adventist Health Medi-Cal	$13,489.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,074.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,358.11

APR-DRG 41.00: EATING DISORDERS

Facility

$59,630.02

Service Code	APR-DRG 7594
Min. Negotiated Rate	$37,661.06
Max. Negotiated Rate	$59,630.02
Rate for Payer: Adventist Health Medi-Cal	$37,661.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$44,879.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,630.02

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$26,494.63

Service Code	APR-DRG 3242
Min. Negotiated Rate	$16,733.45
Max. Negotiated Rate	$26,494.63
Rate for Payer: Adventist Health Medi-Cal	$16,733.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,940.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,494.63

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$57,882.34

Service Code	APR-DRG 3244
Min. Negotiated Rate	$36,557.27
Max. Negotiated Rate	$57,882.34
Rate for Payer: Adventist Health Medi-Cal	$36,557.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,564.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,882.34

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$24,317.17

Service Code	APR-DRG 3241
Min. Negotiated Rate	$15,358.21
Max. Negotiated Rate	$24,317.17
Rate for Payer: Adventist Health Medi-Cal	$15,358.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,301.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,317.17

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$36,356.90

Service Code	APR-DRG 3243
Min. Negotiated Rate	$22,962.25
Max. Negotiated Rate	$36,356.90
Rate for Payer: Adventist Health Medi-Cal	$22,962.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,363.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,356.90

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$25,558.99

Service Code	APR-DRG 3262
Min. Negotiated Rate	$16,142.52
Max. Negotiated Rate	$25,558.99
Rate for Payer: Adventist Health Medi-Cal	$16,142.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,236.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,558.99

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$36,606.01

Service Code	APR-DRG 3263
Min. Negotiated Rate	$23,119.58
Max. Negotiated Rate	$36,606.01
Rate for Payer: Adventist Health Medi-Cal	$23,119.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,550.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,606.01

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$49,912.28

Service Code	APR-DRG 3264
Min. Negotiated Rate	$31,523.54
Max. Negotiated Rate	$49,912.28
Rate for Payer: Adventist Health Medi-Cal	$31,523.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,565.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,912.28

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$24,201.15

Service Code	APR-DRG 3261
Min. Negotiated Rate	$15,284.94
Max. Negotiated Rate	$24,201.15
Rate for Payer: Adventist Health Medi-Cal	$15,284.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,214.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,201.15

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$35,651.35

Service Code	APR-DRG 9112
Min. Negotiated Rate	$22,516.64
Max. Negotiated Rate	$35,651.35
Rate for Payer: Adventist Health Medi-Cal	$22,516.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,832.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,651.35

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$97,814.45

Service Code	APR-DRG 9114
Min. Negotiated Rate	$61,777.55
Max. Negotiated Rate	$97,814.45
Rate for Payer: Adventist Health Medi-Cal	$61,777.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,618.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$97,814.45

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$24,942.82

Service Code	APR-DRG 9111
Min. Negotiated Rate	$15,753.36
Max. Negotiated Rate	$24,942.82
Rate for Payer: Adventist Health Medi-Cal	$15,753.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,772.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,942.82

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$47,166.21

Service Code	APR-DRG 9113
Min. Negotiated Rate	$29,789.18
Max. Negotiated Rate	$47,166.21
Rate for Payer: Adventist Health Medi-Cal	$29,789.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,498.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,166.21

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$78,177.40

Service Code	APR-DRG 7924
Min. Negotiated Rate	$49,375.20
Max. Negotiated Rate	$78,177.40
Rate for Payer: Adventist Health Medi-Cal	$49,375.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$58,838.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$78,177.40

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$22,742.54

Service Code	APR-DRG 7921
Min. Negotiated Rate	$14,363.71
Max. Negotiated Rate	$22,742.54
Rate for Payer: Adventist Health Medi-Cal	$14,363.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,116.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,742.54

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$28,447.67

Service Code	APR-DRG 7922
Min. Negotiated Rate	$17,966.95
Max. Negotiated Rate	$28,447.67
Rate for Payer: Adventist Health Medi-Cal	$17,966.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,410.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,447.67

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$41,255.69

Service Code	APR-DRG 7923
Min. Negotiated Rate	$26,056.22
Max. Negotiated Rate	$41,255.69
Rate for Payer: Adventist Health Medi-Cal	$26,056.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,050.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,255.69

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$89,756.91

Service Code	APR-DRG 9504
Min. Negotiated Rate	$56,688.58
Max. Negotiated Rate	$89,756.91
Rate for Payer: Adventist Health Medi-Cal	$56,688.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$67,553.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$89,756.91

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$24,549.18

Service Code	APR-DRG 9501
Min. Negotiated Rate	$15,504.74
Max. Negotiated Rate	$24,549.18
Rate for Payer: Adventist Health Medi-Cal	$15,504.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,476.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,549.18

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$32,543.96

Service Code	APR-DRG 9502
Min. Negotiated Rate	$20,554.08
Max. Negotiated Rate	$32,543.96
Rate for Payer: Adventist Health Medi-Cal	$20,554.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,493.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,543.96

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$49,364.58

Service Code	APR-DRG 9503
Min. Negotiated Rate	$31,177.63
Max. Negotiated Rate	$49,364.58
Rate for Payer: Adventist Health Medi-Cal	$31,177.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,153.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,364.58

Know your out-of-pocket cost for care.

All Charges