Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$33,877.06

Service Code	APR-DRG 6944
Min. Negotiated Rate	$21,396.04
Max. Negotiated Rate	$33,877.06
Rate for Payer: Adventist Health Medi-Cal	$21,396.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,496.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,877.06

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$10,018.21

Service Code	APR-DRG 6941
Min. Negotiated Rate	$6,327.29
Max. Negotiated Rate	$10,018.21
Rate for Payer: Adventist Health Medi-Cal	$6,327.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,540.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,018.21

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$12,655.88

Service Code	APR-DRG 6942
Min. Negotiated Rate	$7,993.19
Max. Negotiated Rate	$12,655.88
Rate for Payer: Adventist Health Medi-Cal	$7,993.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,525.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,655.88

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$18,954.34

Service Code	APR-DRG 6943
Min. Negotiated Rate	$11,971.16
Max. Negotiated Rate	$18,954.34
Rate for Payer: Adventist Health Medi-Cal	$11,971.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,265.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,954.34

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$52,780.06

Service Code	APR-DRG 6914
Min. Negotiated Rate	$33,334.78
Max. Negotiated Rate	$52,780.06
Rate for Payer: Adventist Health Medi-Cal	$33,334.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$39,723.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,780.06

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$18,604.42

Service Code	APR-DRG 6912
Min. Negotiated Rate	$11,750.16
Max. Negotiated Rate	$18,604.42
Rate for Payer: Adventist Health Medi-Cal	$11,750.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,002.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,604.42

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$14,063.15

Service Code	APR-DRG 6911
Min. Negotiated Rate	$8,881.99
Max. Negotiated Rate	$14,063.15
Rate for Payer: Adventist Health Medi-Cal	$8,881.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,584.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,063.15

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$27,512.04

Service Code	APR-DRG 6913
Min. Negotiated Rate	$17,376.02
Max. Negotiated Rate	$27,512.04
Rate for Payer: Adventist Health Medi-Cal	$17,376.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,706.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,512.04

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$62,165.00

Service Code	APR-DRG 1693
Min. Negotiated Rate	$39,262.10
Max. Negotiated Rate	$62,165.00
Rate for Payer: Adventist Health Medi-Cal	$39,262.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,787.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,165.00

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$47,379.20

Service Code	APR-DRG 1691
Min. Negotiated Rate	$29,923.70
Max. Negotiated Rate	$47,379.20
Rate for Payer: Adventist Health Medi-Cal	$29,923.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,659.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,379.20

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$48,265.40

Service Code	APR-DRG 1692
Min. Negotiated Rate	$30,483.41
Max. Negotiated Rate	$48,265.40
Rate for Payer: Adventist Health Medi-Cal	$30,483.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,326.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,265.40

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$97,597.66

Service Code	APR-DRG 1694
Min. Negotiated Rate	$61,640.63
Max. Negotiated Rate	$97,597.66
Rate for Payer: Adventist Health Medi-Cal	$61,640.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,455.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$97,597.66

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$24,239.19

Service Code	APR-DRG 2611
Min. Negotiated Rate	$15,308.96
Max. Negotiated Rate	$24,239.19
Rate for Payer: Adventist Health Medi-Cal	$15,308.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,243.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,239.19

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$30,976.95

Service Code	APR-DRG 2612
Min. Negotiated Rate	$19,564.39
Max. Negotiated Rate	$30,976.95
Rate for Payer: Adventist Health Medi-Cal	$19,564.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,314.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,976.95

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$42,664.86

Service Code	APR-DRG 2613
Min. Negotiated Rate	$26,946.23
Max. Negotiated Rate	$42,664.86
Rate for Payer: Adventist Health Medi-Cal	$26,946.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,110.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,664.86

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$83,099.03

Service Code	APR-DRG 2614
Min. Negotiated Rate	$52,483.60
Max. Negotiated Rate	$83,099.03
Rate for Payer: Adventist Health Medi-Cal	$52,483.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$62,542.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$83,099.03

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$23,402.45

Service Code	APR-DRG 4411
Min. Negotiated Rate	$14,780.50
Max. Negotiated Rate	$23,402.45
Rate for Payer: Adventist Health Medi-Cal	$14,780.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,613.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,402.45

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$88,378.18

Service Code	APR-DRG 4414
Min. Negotiated Rate	$55,817.80
Max. Negotiated Rate	$88,378.18
Rate for Payer: Adventist Health Medi-Cal	$55,817.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$66,516.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$88,378.18

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$48,940.50

Service Code	APR-DRG 4413
Min. Negotiated Rate	$30,909.79
Max. Negotiated Rate	$48,940.50
Rate for Payer: Adventist Health Medi-Cal	$30,909.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,834.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,940.50

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$37,596.80

Service Code	APR-DRG 4412
Min. Negotiated Rate	$23,745.35
Max. Negotiated Rate	$37,596.80
Rate for Payer: Adventist Health Medi-Cal	$23,745.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,296.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,596.80

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$184,564.77

Service Code	APR-DRG 1604
Min. Negotiated Rate	$116,567.22
Max. Negotiated Rate	$184,564.77
Rate for Payer: Adventist Health Medi-Cal	$116,567.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$138,909.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$184,564.77

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$56,440.85

Service Code	APR-DRG 1602
Min. Negotiated Rate	$35,646.85
Max. Negotiated Rate	$56,440.85
Rate for Payer: Adventist Health Medi-Cal	$35,646.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,479.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,440.85

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$47,514.23

Service Code	APR-DRG 1601
Min. Negotiated Rate	$30,008.99
Max. Negotiated Rate	$47,514.23
Rate for Payer: Adventist Health Medi-Cal	$30,008.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,760.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,514.23

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$87,176.29

Service Code	APR-DRG 1603
Min. Negotiated Rate	$55,058.71
Max. Negotiated Rate	$87,176.29
Rate for Payer: Adventist Health Medi-Cal	$55,058.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,611.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,176.29

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$13,289.15

Service Code	APR-DRG 1352
Min. Negotiated Rate	$8,393.15
Max. Negotiated Rate	$13,289.15
Rate for Payer: Adventist Health Medi-Cal	$8,393.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,001.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,289.15

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All Charges