Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

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

Facility

$32,709.41

Service Code	APR-DRG 1762
Min. Negotiated Rate	$20,658.58
Max. Negotiated Rate	$32,709.41
Rate for Payer: Adventist Health Medi-Cal	$20,658.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,618.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,709.41

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$13,583.92

Service Code	APR-DRG 8173
Min. Negotiated Rate	$8,579.32
Max. Negotiated Rate	$13,583.92
Rate for Payer: Adventist Health Medi-Cal	$8,579.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,223.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,583.92

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$6,241.40

Service Code	APR-DRG 8171
Min. Negotiated Rate	$3,941.94
Max. Negotiated Rate	$6,241.40
Rate for Payer: Adventist Health Medi-Cal	$3,941.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,697.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,241.40

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$7,975.76

Service Code	APR-DRG 8172
Min. Negotiated Rate	$5,037.32
Max. Negotiated Rate	$7,975.76
Rate for Payer: Adventist Health Medi-Cal	$5,037.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,002.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,975.76

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$26,983.36

Service Code	APR-DRG 8174
Min. Negotiated Rate	$17,042.12
Max. Negotiated Rate	$26,983.36
Rate for Payer: Adventist Health Medi-Cal	$17,042.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,308.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,983.36

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$11,919.92

Service Code	APR-DRG 1422
Min. Negotiated Rate	$7,528.37
Max. Negotiated Rate	$11,919.92
Rate for Payer: Adventist Health Medi-Cal	$7,528.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,971.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,919.92

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$17,316.98

Service Code	APR-DRG 1423
Min. Negotiated Rate	$10,937.04
Max. Negotiated Rate	$17,316.98
Rate for Payer: Adventist Health Medi-Cal	$10,937.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,033.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,316.98

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$29,740.85

Service Code	APR-DRG 1424
Min. Negotiated Rate	$18,783.70
Max. Negotiated Rate	$29,740.85
Rate for Payer: Adventist Health Medi-Cal	$18,783.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,383.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,740.85

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$10,128.50

Service Code	APR-DRG 1421
Min. Negotiated Rate	$6,396.95
Max. Negotiated Rate	$10,128.50
Rate for Payer: Adventist Health Medi-Cal	$6,396.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,623.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,128.50

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$7,785.59

Service Code	APR-DRG 2471
Min. Negotiated Rate	$4,917.22
Max. Negotiated Rate	$7,785.59
Rate for Payer: Adventist Health Medi-Cal	$4,917.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,859.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,785.59

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$10,006.81

Service Code	APR-DRG 2472
Min. Negotiated Rate	$6,320.09
Max. Negotiated Rate	$10,006.81
Rate for Payer: Adventist Health Medi-Cal	$6,320.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,531.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,006.81

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$15,004.49

Service Code	APR-DRG 2473
Min. Negotiated Rate	$9,476.52
Max. Negotiated Rate	$15,004.49
Rate for Payer: Adventist Health Medi-Cal	$9,476.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,292.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,004.49

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$27,496.82

Service Code	APR-DRG 2474
Min. Negotiated Rate	$17,366.41
Max. Negotiated Rate	$27,496.82
Rate for Payer: Adventist Health Medi-Cal	$17,366.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,694.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,496.82

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$12,233.70

Service Code	APR-DRG 0441
Min. Negotiated Rate	$7,726.55
Max. Negotiated Rate	$12,233.70
Rate for Payer: Adventist Health Medi-Cal	$7,726.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,207.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,233.70

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$17,018.40

Service Code	APR-DRG 0442
Min. Negotiated Rate	$10,748.46
Max. Negotiated Rate	$17,018.40
Rate for Payer: Adventist Health Medi-Cal	$10,748.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,808.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,018.40

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$22,202.47

Service Code	APR-DRG 0443
Min. Negotiated Rate	$14,022.61
Max. Negotiated Rate	$22,202.47
Rate for Payer: Adventist Health Medi-Cal	$14,022.61
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,710.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,202.47

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$25,456.29

Service Code	APR-DRG 0444
Min. Negotiated Rate	$16,077.66
Max. Negotiated Rate	$25,456.29
Rate for Payer: Adventist Health Medi-Cal	$16,077.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,159.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,456.29

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$7,884.49

Service Code	APR-DRG 4631
Min. Negotiated Rate	$4,979.68
Max. Negotiated Rate	$7,884.49
Rate for Payer: Adventist Health Medi-Cal	$4,979.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,934.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,884.49

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$13,253.01

Service Code	APR-DRG 4633
Min. Negotiated Rate	$8,370.32
Max. Negotiated Rate	$13,253.01
Rate for Payer: Adventist Health Medi-Cal	$8,370.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,974.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,253.01

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$9,822.33

Service Code	APR-DRG 4632
Min. Negotiated Rate	$6,203.58
Max. Negotiated Rate	$9,822.33
Rate for Payer: Adventist Health Medi-Cal	$6,203.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,392.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,822.33

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$21,947.64

Service Code	APR-DRG 4634
Min. Negotiated Rate	$13,861.67
Max. Negotiated Rate	$21,947.64
Rate for Payer: Adventist Health Medi-Cal	$13,861.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,518.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,947.64

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$27,397.94

Service Code	APR-DRG 4614
Min. Negotiated Rate	$17,303.96
Max. Negotiated Rate	$27,397.94
Rate for Payer: Adventist Health Medi-Cal	$17,303.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,620.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,397.94

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$9,630.26

Service Code	APR-DRG 4611
Min. Negotiated Rate	$6,082.27
Max. Negotiated Rate	$9,630.26
Rate for Payer: Adventist Health Medi-Cal	$6,082.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,248.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,630.26

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$12,212.78

Service Code	APR-DRG 4612
Min. Negotiated Rate	$7,713.34
Max. Negotiated Rate	$12,212.78
Rate for Payer: Adventist Health Medi-Cal	$7,713.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,191.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,212.78

Know your out-of-pocket cost for care.

All Charges