Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 PROCEDURES FOR MALIGNANCY

Facility

$67,714.20

Service Code	APR-DRG 4424
Min. Negotiated Rate	$42,766.86
Max. Negotiated Rate	$67,714.20
Rate for Payer: Adventist Health Medi-Cal	$42,766.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,963.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,714.20

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$23,062.03

Service Code	APR-DRG 4421
Min. Negotiated Rate	$14,565.49
Max. Negotiated Rate	$23,062.03
Rate for Payer: Adventist Health Medi-Cal	$14,565.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,357.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,062.03

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$26,563.08

Service Code	APR-DRG 4422
Min. Negotiated Rate	$16,776.68
Max. Negotiated Rate	$26,563.08
Rate for Payer: Adventist Health Medi-Cal	$16,776.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,992.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,563.08

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$38,319.47

Service Code	APR-DRG 4423
Min. Negotiated Rate	$24,201.77
Max. Negotiated Rate	$38,319.47
Rate for Payer: Adventist Health Medi-Cal	$24,201.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,840.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,319.47

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$54,601.90

Service Code	APR-DRG 4434
Min. Negotiated Rate	$34,485.41
Max. Negotiated Rate	$54,601.90
Rate for Payer: Adventist Health Medi-Cal	$34,485.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$41,095.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,601.90

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$22,343.18

Service Code	APR-DRG 4432
Min. Negotiated Rate	$14,111.48
Max. Negotiated Rate	$22,343.18
Rate for Payer: Adventist Health Medi-Cal	$14,111.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,816.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,343.18

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$19,564.79

Service Code	APR-DRG 4431
Min. Negotiated Rate	$12,356.71
Max. Negotiated Rate	$19,564.79
Rate for Payer: Adventist Health Medi-Cal	$12,356.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,725.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,564.79

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$32,559.18

Service Code	APR-DRG 4433
Min. Negotiated Rate	$20,563.69
Max. Negotiated Rate	$32,559.18
Rate for Payer: Adventist Health Medi-Cal	$20,563.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,505.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,559.18

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$81,737.39

Service Code	APR-DRG 4402
Min. Negotiated Rate	$51,623.62
Max. Negotiated Rate	$81,737.39
Rate for Payer: Adventist Health Medi-Cal	$51,623.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,563.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$81,737.39

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$92,967.00

Service Code	APR-DRG 4403
Min. Negotiated Rate	$58,716.00
Max. Negotiated Rate	$92,967.00
Rate for Payer: Adventist Health Medi-Cal	$58,716.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$83,670.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$92,967.00

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$73,290.01

Service Code	APR-DRG 4401
Min. Negotiated Rate	$46,288.43
Max. Negotiated Rate	$73,290.01
Rate for Payer: Adventist Health Medi-Cal	$46,288.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,961.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$73,290.01

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$148,776.48

Service Code	APR-DRG 4404
Min. Negotiated Rate	$93,964.09
Max. Negotiated Rate	$148,776.48
Rate for Payer: Adventist Health Medi-Cal	$93,964.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$133,898.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$148,776.48

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$22,234.79

Service Code	APR-DRG 3131
Min. Negotiated Rate	$14,043.02
Max. Negotiated Rate	$22,234.79
Rate for Payer: Adventist Health Medi-Cal	$14,043.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,734.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,234.79

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$28,670.18

Service Code	APR-DRG 3132
Min. Negotiated Rate	$18,107.48
Max. Negotiated Rate	$28,670.18
Rate for Payer: Adventist Health Medi-Cal	$18,107.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,578.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,670.18

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$41,189.13

Service Code	APR-DRG 3133
Min. Negotiated Rate	$26,014.19
Max. Negotiated Rate	$41,189.13
Rate for Payer: Adventist Health Medi-Cal	$26,014.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,000.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,189.13

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$65,920.88

Service Code	APR-DRG 3134
Min. Negotiated Rate	$41,634.24
Max. Negotiated Rate	$65,920.88
Rate for Payer: Adventist Health Medi-Cal	$41,634.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,614.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,920.88

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$116,837.25

Service Code	APR-DRG 0012
Min. Negotiated Rate	$73,791.95
Max. Negotiated Rate	$116,837.25
Rate for Payer: Adventist Health Medi-Cal	$73,791.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$87,935.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$116,837.25

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$246,117.41

Service Code	APR-DRG 0014
Min. Negotiated Rate	$155,442.58
Max. Negotiated Rate	$246,117.41
Rate for Payer: Adventist Health Medi-Cal	$155,442.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$185,235.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$246,117.41

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$140,038.11

Service Code	APR-DRG 0013
Min. Negotiated Rate	$88,445.12
Max. Negotiated Rate	$140,038.11
Rate for Payer: Adventist Health Medi-Cal	$88,445.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$105,397.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$140,038.11

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$104,137.63

Service Code	APR-DRG 0011
Min. Negotiated Rate	$65,771.14
Max. Negotiated Rate	$104,137.63
Rate for Payer: Adventist Health Medi-Cal	$65,771.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$78,377.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$104,137.63

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$35,280.53

Service Code	APR-DRG 1812
Min. Negotiated Rate	$22,282.44
Max. Negotiated Rate	$35,280.53
Rate for Payer: Adventist Health Medi-Cal	$22,282.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,553.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,280.53

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$25,579.91

Service Code	APR-DRG 1811
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: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$53,472.29

Service Code	APR-DRG 1813
Min. Negotiated Rate	$33,771.97
Max. Negotiated Rate	$53,472.29
Rate for Payer: Adventist Health Medi-Cal	$33,771.97
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$40,244.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,472.29

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$82,351.64

Service Code	APR-DRG 1814
Min. Negotiated Rate	$52,011.56
Max. Negotiated Rate	$82,351.64
Rate for Payer: Adventist Health Medi-Cal	$52,011.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$61,980.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$82,351.64

Know your out-of-pocket cost for care.

All Charges