Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$13,374.73

Service Code	APR-DRG 3413
Min. Negotiated Rate	$8,447.20
Max. Negotiated Rate	$13,374.73
Rate for Payer: Adventist Health Medi-Cal	$8,447.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,066.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,374.73

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$10,189.36

Service Code	APR-DRG 3412
Min. Negotiated Rate	$6,435.38
Max. Negotiated Rate	$10,189.36
Rate for Payer: Adventist Health Medi-Cal	$6,435.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,668.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,189.36

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$15,898.29

Service Code	APR-DRG 3423
Min. Negotiated Rate	$10,041.02
Max. Negotiated Rate	$15,898.29
Rate for Payer: Adventist Health Medi-Cal	$10,041.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,965.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,898.29

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$27,472.10

Service Code	APR-DRG 3424
Min. Negotiated Rate	$17,350.80
Max. Negotiated Rate	$27,472.10
Rate for Payer: Adventist Health Medi-Cal	$17,350.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,676.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,472.10

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$11,163.03

Service Code	APR-DRG 3422
Min. Negotiated Rate	$7,050.34
Max. Negotiated Rate	$11,163.03
Rate for Payer: Adventist Health Medi-Cal	$7,050.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,401.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,163.03

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$8,455.00

Service Code	APR-DRG 3421
Min. Negotiated Rate	$5,340.00
Max. Negotiated Rate	$8,455.00
Rate for Payer: Adventist Health Medi-Cal	$5,340.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,363.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,455.00

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$18,790.79

Service Code	APR-DRG 2321
Min. Negotiated Rate	$11,867.87
Max. Negotiated Rate	$18,790.79
Rate for Payer: Adventist Health Medi-Cal	$11,867.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,142.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,790.79

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$22,367.92

Service Code	APR-DRG 2322
Min. Negotiated Rate	$14,127.11
Max. Negotiated Rate	$22,367.92
Rate for Payer: Adventist Health Medi-Cal	$14,127.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,834.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,367.92

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$31,096.77

Service Code	APR-DRG 2323
Min. Negotiated Rate	$19,640.06
Max. Negotiated Rate	$31,096.77
Rate for Payer: Adventist Health Medi-Cal	$19,640.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,404.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,096.77

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$74,714.38

Service Code	APR-DRG 2324
Min. Negotiated Rate	$47,188.03
Max. Negotiated Rate	$74,714.38
Rate for Payer: Adventist Health Medi-Cal	$47,188.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$56,232.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$74,714.38

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$25,579.91

Service Code	APR-DRG 2464
Min. Negotiated Rate	$16,155.73
Max. Negotiated Rate	$25,579.91
Rate for Payer: Adventist Health Medi-Cal	$16,155.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,252.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,579.91

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$9,852.75

Service Code	APR-DRG 2461
Min. Negotiated Rate	$6,222.79
Max. Negotiated Rate	$9,852.75
Rate for Payer: Adventist Health Medi-Cal	$6,222.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,415.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,852.75

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$12,361.11

Service Code	APR-DRG 2462
Min. Negotiated Rate	$7,807.02
Max. Negotiated Rate	$12,361.11
Rate for Payer: Adventist Health Medi-Cal	$7,807.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,303.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,361.11

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$17,239.00

Service Code	APR-DRG 2463
Min. Negotiated Rate	$10,887.79
Max. Negotiated Rate	$17,239.00
Rate for Payer: Adventist Health Medi-Cal	$10,887.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,974.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,239.00

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$30,832.42

Service Code	APR-DRG 8512
Min. Negotiated Rate	$19,473.11
Max. Negotiated Rate	$30,832.42
Rate for Payer: Adventist Health Medi-Cal	$19,473.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,205.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,832.42

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$139,697.71

Service Code	APR-DRG 8514
Min. Negotiated Rate	$88,230.13
Max. Negotiated Rate	$139,697.71
Rate for Payer: Adventist Health Medi-Cal	$88,230.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$105,140.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$139,697.71

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$45,374.79

Service Code	APR-DRG 8513
Min. Negotiated Rate	$28,657.76
Max. Negotiated Rate	$45,374.79
Rate for Payer: Adventist Health Medi-Cal	$28,657.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,150.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,374.79

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$26,774.17

Service Code	APR-DRG 8511
Min. Negotiated Rate	$16,910.00
Max. Negotiated Rate	$26,774.17
Rate for Payer: Adventist Health Medi-Cal	$16,910.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,151.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,774.17

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$51,827.31

Service Code	APR-DRG 3164
Min. Negotiated Rate	$32,733.04
Max. Negotiated Rate	$51,827.31
Rate for Payer: Adventist Health Medi-Cal	$32,733.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$39,006.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$51,827.31

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$18,235.50

Service Code	APR-DRG 3162
Min. Negotiated Rate	$11,517.16
Max. Negotiated Rate	$18,235.50
Rate for Payer: Adventist Health Medi-Cal	$11,517.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,724.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,235.50

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$28,040.71

Service Code	APR-DRG 3163
Min. Negotiated Rate	$17,709.92
Max. Negotiated Rate	$28,040.71
Rate for Payer: Adventist Health Medi-Cal	$17,709.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,104.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,040.71

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$13,665.69

Service Code	APR-DRG 3161
Min. Negotiated Rate	$8,630.96
Max. Negotiated Rate	$13,665.69
Rate for Payer: Adventist Health Medi-Cal	$8,630.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,285.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,665.69

APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$39,785.68

Service Code	APR-DRG 0554
Min. Negotiated Rate	$25,127.80
Max. Negotiated Rate	$39,785.68
Rate for Payer: Adventist Health Medi-Cal	$25,127.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,943.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,785.68

APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$14,664.09

Service Code	APR-DRG 0552
Min. Negotiated Rate	$9,261.53
Max. Negotiated Rate	$14,664.09
Rate for Payer: Adventist Health Medi-Cal	$9,261.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,036.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,664.09

APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$22,135.91

Service Code	APR-DRG 0553
Min. Negotiated Rate	$13,980.58
Max. Negotiated Rate	$22,135.91
Rate for Payer: Adventist Health Medi-Cal	$13,980.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,660.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,135.91

Know your out-of-pocket cost for care.

All Charges