Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$245,974.78

Service Code	APR-DRG 1612
Min. Negotiated Rate	$155,352.49
Max. Negotiated Rate	$245,974.78
Rate for Payer: Adventist Health Medi-Cal	$155,352.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$185,128.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$245,974.78

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$233,955.97

Service Code	APR-DRG 1611
Min. Negotiated Rate	$147,761.66
Max. Negotiated Rate	$233,955.97
Rate for Payer: Adventist Health Medi-Cal	$147,761.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$176,082.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$233,955.97

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$306,723.00

Service Code	APR-DRG 1613
Min. Negotiated Rate	$193,719.79
Max. Negotiated Rate	$306,723.00
Rate for Payer: Adventist Health Medi-Cal	$193,719.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$230,849.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$306,723.00

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$8,759.28

Service Code	APR-DRG 4231
Min. Negotiated Rate	$5,532.18
Max. Negotiated Rate	$8,759.28
Rate for Payer: Adventist Health Medi-Cal	$5,532.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,592.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,759.28

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$17,830.44

Service Code	APR-DRG 4233
Min. Negotiated Rate	$11,261.33
Max. Negotiated Rate	$17,830.44
Rate for Payer: Adventist Health Medi-Cal	$11,261.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,419.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,830.44

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$11,136.41

Service Code	APR-DRG 4232
Min. Negotiated Rate	$7,033.52
Max. Negotiated Rate	$11,136.41
Rate for Payer: Adventist Health Medi-Cal	$7,033.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,381.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,136.41

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$41,578.99

Service Code	APR-DRG 4234
Min. Negotiated Rate	$26,260.42
Max. Negotiated Rate	$41,578.99
Rate for Payer: Adventist Health Medi-Cal	$26,260.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,293.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,578.99

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$7,874.99

Service Code	APR-DRG 1132
Min. Negotiated Rate	$4,973.68
Max. Negotiated Rate	$7,874.99
Rate for Payer: Adventist Health Medi-Cal	$4,973.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,926.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,874.99

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$5,408.46

Service Code	APR-DRG 1131
Min. Negotiated Rate	$3,415.87
Max. Negotiated Rate	$5,408.46
Rate for Payer: Adventist Health Medi-Cal	$3,415.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,070.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,408.46

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$11,826.74

Service Code	APR-DRG 1133
Min. Negotiated Rate	$7,469.52
Max. Negotiated Rate	$11,826.74
Rate for Payer: Adventist Health Medi-Cal	$7,469.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,901.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,826.74

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$23,423.37

Service Code	APR-DRG 1134
Min. Negotiated Rate	$14,793.71
Max. Negotiated Rate	$23,423.37
Rate for Payer: Adventist Health Medi-Cal	$14,793.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,629.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,423.37

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$16,504.94

Service Code	APR-DRG 7101
Min. Negotiated Rate	$10,424.17
Max. Negotiated Rate	$16,504.94
Rate for Payer: Adventist Health Medi-Cal	$10,424.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,422.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,504.94

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$24,088.96

Service Code	APR-DRG 7102
Min. Negotiated Rate	$15,214.08
Max. Negotiated Rate	$24,088.96
Rate for Payer: Adventist Health Medi-Cal	$15,214.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,130.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,088.96

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$70,973.72

Service Code	APR-DRG 7104
Min. Negotiated Rate	$44,825.51
Max. Negotiated Rate	$70,973.72
Rate for Payer: Adventist Health Medi-Cal	$44,825.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,417.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,973.72

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$39,559.37

Service Code	APR-DRG 7103
Min. Negotiated Rate	$24,984.86
Max. Negotiated Rate	$39,559.37
Rate for Payer: Adventist Health Medi-Cal	$24,984.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,773.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,559.37

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$28,945.93

Service Code	APR-DRG 2454
Min. Negotiated Rate	$18,281.64
Max. Negotiated Rate	$28,945.93
Rate for Payer: Adventist Health Medi-Cal	$18,281.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,785.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,945.93

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$9,240.40

Service Code	APR-DRG 2451
Min. Negotiated Rate	$5,836.04
Max. Negotiated Rate	$9,240.40
Rate for Payer: Adventist Health Medi-Cal	$5,836.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,954.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,240.40

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$11,796.30

Service Code	APR-DRG 2452
Min. Negotiated Rate	$7,450.30
Max. Negotiated Rate	$11,796.30
Rate for Payer: Adventist Health Medi-Cal	$7,450.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,878.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,796.30

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$16,847.24

Service Code	APR-DRG 2453
Min. Negotiated Rate	$10,640.36
Max. Negotiated Rate	$16,847.24
Rate for Payer: Adventist Health Medi-Cal	$10,640.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,679.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,847.24

APR-DRG 41.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$14,977.87

Service Code	APR-DRG 2281
Min. Negotiated Rate	$9,459.71
Max. Negotiated Rate	$14,977.87
Rate for Payer: Adventist Health Medi-Cal	$9,459.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,272.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,977.87

APR-DRG 41.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$26,081.95

Service Code	APR-DRG 2283
Min. Negotiated Rate	$16,472.81
Max. Negotiated Rate	$26,081.95
Rate for Payer: Adventist Health Medi-Cal	$16,472.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,630.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,081.95

APR-DRG 41.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$19,039.92

Service Code	APR-DRG 2282
Min. Negotiated Rate	$12,025.21
Max. Negotiated Rate	$19,039.92
Rate for Payer: Adventist Health Medi-Cal	$12,025.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,330.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,039.92

APR-DRG 41.00: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$48,750.33

Service Code	APR-DRG 2284
Min. Negotiated Rate	$30,789.68
Max. Negotiated Rate	$48,750.33
Rate for Payer: Adventist Health Medi-Cal	$30,789.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,691.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,750.33

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$48,581.08

Service Code	APR-DRG 1763
Min. Negotiated Rate	$30,682.79
Max. Negotiated Rate	$48,581.08
Rate for Payer: Adventist Health Medi-Cal	$30,682.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,563.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,581.08

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$27,316.17

Service Code	APR-DRG 1761
Min. Negotiated Rate	$17,252.32
Max. Negotiated Rate	$27,316.17
Rate for Payer: Adventist Health Medi-Cal	$17,252.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,559.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,316.17

Know your out-of-pocket cost for care.

All Charges