Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$17,271.32

Service Code	APR-DRG 8433
Min. Negotiated Rate	$10,908.20
Max. Negotiated Rate	$17,271.32
Rate for Payer: Adventist Health Medi-Cal	$10,908.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,998.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,271.32

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$11,244.81

Service Code	APR-DRG 8432
Min. Negotiated Rate	$7,101.98
Max. Negotiated Rate	$11,244.81
Rate for Payer: Adventist Health Medi-Cal	$7,101.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,463.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,244.81

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$8,049.94

Service Code	APR-DRG 8431
Min. Negotiated Rate	$5,084.17
Max. Negotiated Rate	$8,049.94
Rate for Payer: Adventist Health Medi-Cal	$5,084.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,058.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,049.94

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$32,977.56

Service Code	APR-DRG 8434
Min. Negotiated Rate	$20,827.93
Max. Negotiated Rate	$32,977.56
Rate for Payer: Adventist Health Medi-Cal	$20,827.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,819.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,977.56

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$27,437.88

Service Code	APR-DRG 8411
Min. Negotiated Rate	$17,329.19
Max. Negotiated Rate	$27,437.88
Rate for Payer: Adventist Health Medi-Cal	$17,329.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,650.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,437.88

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$290,714.40

Service Code	APR-DRG 8414
Min. Negotiated Rate	$183,609.10
Max. Negotiated Rate	$290,714.40
Rate for Payer: Adventist Health Medi-Cal	$183,609.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$218,800.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$290,714.40

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$31,233.68

Service Code	APR-DRG 8412
Min. Negotiated Rate	$19,726.54
Max. Negotiated Rate	$31,233.68
Rate for Payer: Adventist Health Medi-Cal	$19,726.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,507.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,233.68

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$95,562.84

Service Code	APR-DRG 8413
Min. Negotiated Rate	$60,355.48
Max. Negotiated Rate	$95,562.84
Rate for Payer: Adventist Health Medi-Cal	$60,355.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$71,923.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$95,562.84

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$87,265.67

Service Code	APR-DRG 1782
Min. Negotiated Rate	$55,115.16
Max. Negotiated Rate	$87,265.67
Rate for Payer: Adventist Health Medi-Cal	$55,115.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,678.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,265.67

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$79,778.64

Service Code	APR-DRG 1781
Min. Negotiated Rate	$50,386.51
Max. Negotiated Rate	$79,778.64
Rate for Payer: Adventist Health Medi-Cal	$50,386.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$60,043.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$79,778.64

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$98,320.31

Service Code	APR-DRG 1783
Min. Negotiated Rate	$62,097.04
Max. Negotiated Rate	$98,320.31
Rate for Payer: Adventist Health Medi-Cal	$62,097.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,998.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$98,320.31

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$128,312.17

Service Code	APR-DRG 1784
Min. Negotiated Rate	$81,039.26
Max. Negotiated Rate	$128,312.17
Rate for Payer: Adventist Health Medi-Cal	$81,039.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$96,571.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$128,312.17

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$118,316.78

Service Code	APR-DRG 0093
Min. Negotiated Rate	$74,726.39
Max. Negotiated Rate	$118,316.78
Rate for Payer: Adventist Health Medi-Cal	$74,726.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$89,048.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$118,316.78

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$261,274.04

Service Code	APR-DRG 0094
Min. Negotiated Rate	$165,015.18
Max. Negotiated Rate	$261,274.04
Rate for Payer: Adventist Health Medi-Cal	$165,015.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$196,643.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$261,274.04

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$69,079.61

Service Code	APR-DRG 0092
Min. Negotiated Rate	$43,629.23
Max. Negotiated Rate	$69,079.61
Rate for Payer: Adventist Health Medi-Cal	$43,629.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$51,991.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,079.61

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$65,624.21

Service Code	APR-DRG 0091
Min. Negotiated Rate	$41,446.87
Max. Negotiated Rate	$65,624.21
Rate for Payer: Adventist Health Medi-Cal	$41,446.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,390.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,624.21

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$16,052.34

Service Code	APR-DRG 0823
Min. Negotiated Rate	$10,138.32
Max. Negotiated Rate	$16,052.34
Rate for Payer: Adventist Health Medi-Cal	$10,138.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,081.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,052.34

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$9,004.59

Service Code	APR-DRG 0821
Min. Negotiated Rate	$5,687.11
Max. Negotiated Rate	$9,004.59
Rate for Payer: Adventist Health Medi-Cal	$5,687.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,777.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,004.59

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$29,482.21

Service Code	APR-DRG 0824
Min. Negotiated Rate	$18,620.34
Max. Negotiated Rate	$29,482.21
Rate for Payer: Adventist Health Medi-Cal	$18,620.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,189.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,482.21

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$11,016.60

Service Code	APR-DRG 0822
Min. Negotiated Rate	$6,957.85
Max. Negotiated Rate	$11,016.60
Rate for Payer: Adventist Health Medi-Cal	$6,957.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,291.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,016.60

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$76,405.00

Service Code	APR-DRG 0924
Min. Negotiated Rate	$48,255.79
Max. Negotiated Rate	$76,405.00
Rate for Payer: Adventist Health Medi-Cal	$48,255.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$57,504.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$76,405.00

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$27,278.13

Service Code	APR-DRG 0922
Min. Negotiated Rate	$17,228.29
Max. Negotiated Rate	$27,278.13
Rate for Payer: Adventist Health Medi-Cal	$17,228.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,530.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,278.13

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$21,325.77

Service Code	APR-DRG 0921
Min. Negotiated Rate	$13,468.91
Max. Negotiated Rate	$21,325.77
Rate for Payer: Adventist Health Medi-Cal	$13,468.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,050.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,325.77

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$42,575.49

Service Code	APR-DRG 0923
Min. Negotiated Rate	$26,889.78
Max. Negotiated Rate	$42,575.49
Rate for Payer: Adventist Health Medi-Cal	$26,889.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,043.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,575.49

APR-DRG 41.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$16,430.78

Service Code	APR-DRG 5313
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

Know your out-of-pocket cost for care.

All Charges