Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$11,619.45

Service Code	APR-DRG 1351
Min. Negotiated Rate	$7,338.60
Max. Negotiated Rate	$11,619.45
Rate for Payer: Adventist Health Medi-Cal	$7,338.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,745.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,619.45

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

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$33,658.37

Service Code	APR-DRG 1354
Min. Negotiated Rate	$21,257.92
Max. Negotiated Rate	$33,658.37
Rate for Payer: Adventist Health Medi-Cal	$21,257.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,332.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,658.37

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$25,039.81

Service Code	APR-DRG 0891
Min. Negotiated Rate	$15,814.62
Max. Negotiated Rate	$25,039.81
Rate for Payer: Adventist Health Medi-Cal	$15,814.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,845.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,039.81

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$33,253.31

Service Code	APR-DRG 0892
Min. Negotiated Rate	$21,002.09
Max. Negotiated Rate	$33,253.31
Rate for Payer: Adventist Health Medi-Cal	$21,002.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,027.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,253.31

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$63,480.98

Service Code	APR-DRG 0893
Min. Negotiated Rate	$40,093.25
Max. Negotiated Rate	$63,480.98
Rate for Payer: Adventist Health Medi-Cal	$40,093.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$47,777.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,480.98

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$90,093.52

Service Code	APR-DRG 0894
Min. Negotiated Rate	$56,901.17
Max. Negotiated Rate	$90,093.52
Rate for Payer: Adventist Health Medi-Cal	$56,901.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$67,807.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$90,093.52

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$6,055.05

Service Code	APR-DRG 7511
Min. Negotiated Rate	$3,824.24
Max. Negotiated Rate	$6,055.05
Rate for Payer: Adventist Health Medi-Cal	$3,824.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,557.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,055.05

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$14,464.42

Service Code	APR-DRG 7513
Min. Negotiated Rate	$9,135.42
Max. Negotiated Rate	$14,464.42
Rate for Payer: Adventist Health Medi-Cal	$9,135.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,886.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,464.42

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$8,105.10

Service Code	APR-DRG 7512
Min. Negotiated Rate	$5,119.01
Max. Negotiated Rate	$8,105.10
Rate for Payer: Adventist Health Medi-Cal	$5,119.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,100.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,105.10

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$31,768.06

Service Code	APR-DRG 7514
Min. Negotiated Rate	$20,064.04
Max. Negotiated Rate	$31,768.06
Rate for Payer: Adventist Health Medi-Cal	$20,064.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,909.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,768.06

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$16,955.64

Service Code	APR-DRG 2423
Min. Negotiated Rate	$10,708.82
Max. Negotiated Rate	$16,955.64
Rate for Payer: Adventist Health Medi-Cal	$10,708.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,761.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,955.64

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$34,141.40

Service Code	APR-DRG 2424
Min. Negotiated Rate	$21,562.99
Max. Negotiated Rate	$34,141.40
Rate for Payer: Adventist Health Medi-Cal	$21,562.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,695.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,141.40

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$8,993.19

Service Code	APR-DRG 2421
Min. Negotiated Rate	$5,679.91
Max. Negotiated Rate	$8,993.19
Rate for Payer: Adventist Health Medi-Cal	$5,679.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,768.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,993.19

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$11,798.20

Service Code	APR-DRG 2422
Min. Negotiated Rate	$7,451.50
Max. Negotiated Rate	$11,798.20
Rate for Payer: Adventist Health Medi-Cal	$7,451.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,879.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,798.20

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$8,747.87

Service Code	APR-DRG 2481
Min. Negotiated Rate	$5,524.97
Max. Negotiated Rate	$8,747.87
Rate for Payer: Adventist Health Medi-Cal	$5,524.97
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,583.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,747.87

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$30,197.25

Service Code	APR-DRG 2484
Min. Negotiated Rate	$19,071.95
Max. Negotiated Rate	$30,197.25
Rate for Payer: Adventist Health Medi-Cal	$19,071.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,727.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,197.25

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$11,410.26

Service Code	APR-DRG 2482
Min. Negotiated Rate	$7,206.48
Max. Negotiated Rate	$11,410.26
Rate for Payer: Adventist Health Medi-Cal	$7,206.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,587.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,410.26

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$16,847.24

Service Code	APR-DRG 2483
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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$18,172.74

Service Code	APR-DRG 6603
Min. Negotiated Rate	$11,477.52
Max. Negotiated Rate	$18,172.74
Rate for Payer: Adventist Health Medi-Cal	$11,477.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,677.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,172.74

APR-DRG 41.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$10,138.02

Service Code	APR-DRG 6601
Min. Negotiated Rate	$6,402.96
Max. Negotiated Rate	$10,138.02
Rate for Payer: Adventist Health Medi-Cal	$6,402.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,630.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,138.02

APR-DRG 41.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$38,249.09

Service Code	APR-DRG 6604
Min. Negotiated Rate	$24,157.32
Max. Negotiated Rate	$38,249.09
Rate for Payer: Adventist Health Medi-Cal	$24,157.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,787.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,249.09

APR-DRG 41.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$11,906.60

Service Code	APR-DRG 6602
Min. Negotiated Rate	$7,519.96
Max. Negotiated Rate	$11,906.60
Rate for Payer: Adventist Health Medi-Cal	$7,519.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,961.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,906.60

APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$30,636.55

Service Code	APR-DRG 2312
Min. Negotiated Rate	$19,349.40
Max. Negotiated Rate	$30,636.55
Rate for Payer: Adventist Health Medi-Cal	$19,349.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,058.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,636.55

APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$25,066.43

Service Code	APR-DRG 2311
Min. Negotiated Rate	$15,831.43
Max. Negotiated Rate	$25,066.43
Rate for Payer: Adventist Health Medi-Cal	$15,831.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,865.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,066.43

Know your out-of-pocket cost for care.

All Charges