Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MAJOR SKIN DISORDERS

Facility

$39,878.85

Service Code	APR-DRG 3814
Min. Negotiated Rate	$25,186.64
Max. Negotiated Rate	$39,878.85
Rate for Payer: Adventist Health Medi-Cal	$25,186.64
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,014.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,878.85

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$29,873.97

Service Code	APR-DRG 2302
Min. Negotiated Rate	$18,867.77
Max. Negotiated Rate	$29,873.97
Rate for Payer: Adventist Health Medi-Cal	$18,867.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,484.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,873.97

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$77,433.84

Service Code	APR-DRG 2304
Min. Negotiated Rate	$48,905.58
Max. Negotiated Rate	$77,433.84
Rate for Payer: Adventist Health Medi-Cal	$48,905.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$58,279.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$77,433.84

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$43,421.75

Service Code	APR-DRG 2303
Min. Negotiated Rate	$27,424.26
Max. Negotiated Rate	$43,421.75
Rate for Payer: Adventist Health Medi-Cal	$27,424.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$32,680.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$43,421.75

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$21,825.93

Service Code	APR-DRG 2301
Min. Negotiated Rate	$13,784.80
Max. Negotiated Rate	$21,825.93
Rate for Payer: Adventist Health Medi-Cal	$13,784.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,426.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,825.93

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$23,598.32

Service Code	APR-DRG 2201
Min. Negotiated Rate	$14,904.20
Max. Negotiated Rate	$23,598.32
Rate for Payer: Adventist Health Medi-Cal	$14,904.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,760.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,598.32

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$49,472.98

Service Code	APR-DRG 2203
Min. Negotiated Rate	$31,246.09
Max. Negotiated Rate	$49,472.98
Rate for Payer: Adventist Health Medi-Cal	$31,246.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,234.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,472.98

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$92,027.54

Service Code	APR-DRG 2204
Min. Negotiated Rate	$58,122.66
Max. Negotiated Rate	$92,027.54
Rate for Payer: Adventist Health Medi-Cal	$58,122.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$69,262.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$92,027.54

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$32,971.84

Service Code	APR-DRG 2202
Min. Negotiated Rate	$20,824.32
Max. Negotiated Rate	$32,971.84
Rate for Payer: Adventist Health Medi-Cal	$20,824.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,815.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,971.84

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$10,080.96

Service Code	APR-DRG 5012
Min. Negotiated Rate	$6,366.92
Max. Negotiated Rate	$10,080.96
Rate for Payer: Adventist Health Medi-Cal	$6,366.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,587.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,080.96

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$7,563.10

Service Code	APR-DRG 5011
Min. Negotiated Rate	$4,776.70
Max. Negotiated Rate	$7,563.10
Rate for Payer: Adventist Health Medi-Cal	$4,776.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,692.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,563.10

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$29,790.29

Service Code	APR-DRG 5014
Min. Negotiated Rate	$18,814.92
Max. Negotiated Rate	$29,790.29
Rate for Payer: Adventist Health Medi-Cal	$18,814.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,421.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,790.29

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$14,875.18

Service Code	APR-DRG 5013
Min. Negotiated Rate	$9,394.85
Max. Negotiated Rate	$14,875.18
Rate for Payer: Adventist Health Medi-Cal	$9,394.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,195.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,875.18

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$11,427.38

Service Code	APR-DRG 2522
Min. Negotiated Rate	$7,217.29
Max. Negotiated Rate	$11,427.38
Rate for Payer: Adventist Health Medi-Cal	$7,217.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,600.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,427.38

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$16,362.31

Service Code	APR-DRG 2523
Min. Negotiated Rate	$10,334.09
Max. Negotiated Rate	$16,362.31
Rate for Payer: Adventist Health Medi-Cal	$10,334.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,314.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,362.31

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$30,898.98

Service Code	APR-DRG 2524
Min. Negotiated Rate	$19,515.14
Max. Negotiated Rate	$30,898.98
Rate for Payer: Adventist Health Medi-Cal	$19,515.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,255.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,898.98

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$9,322.18

Service Code	APR-DRG 2521
Min. Negotiated Rate	$5,887.69
Max. Negotiated Rate	$9,322.18
Rate for Payer: Adventist Health Medi-Cal	$5,887.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,016.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,322.18

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$10,685.71

Service Code	APR-DRG 2062
Min. Negotiated Rate	$6,748.87
Max. Negotiated Rate	$10,685.71
Rate for Payer: Adventist Health Medi-Cal	$6,748.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,042.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,685.71

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$31,420.05

Service Code	APR-DRG 2064
Min. Negotiated Rate	$19,844.24
Max. Negotiated Rate	$31,420.05
Rate for Payer: Adventist Health Medi-Cal	$19,844.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,647.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,420.05

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$10,425.17

Service Code	APR-DRG 2061
Min. Negotiated Rate	$6,584.32
Max. Negotiated Rate	$10,425.17
Rate for Payer: Adventist Health Medi-Cal	$6,584.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,846.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,425.17

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$15,902.11

Service Code	APR-DRG 2063
Min. Negotiated Rate	$10,043.44
Max. Negotiated Rate	$15,902.11
Rate for Payer: Adventist Health Medi-Cal	$10,043.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,968.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,902.11

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$10,061.94

Service Code	APR-DRG 4662
Min. Negotiated Rate	$6,354.91
Max. Negotiated Rate	$10,061.94
Rate for Payer: Adventist Health Medi-Cal	$6,354.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,572.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,061.94

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$23,370.11

Service Code	APR-DRG 4664
Min. Negotiated Rate	$14,760.07
Max. Negotiated Rate	$23,370.11
Rate for Payer: Adventist Health Medi-Cal	$14,760.07
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,589.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,370.11

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$7,150.42

Service Code	APR-DRG 4661
Min. Negotiated Rate	$4,516.06
Max. Negotiated Rate	$7,150.42
Rate for Payer: Adventist Health Medi-Cal	$4,516.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,381.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,150.42

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$14,192.47

Service Code	APR-DRG 4663
Min. Negotiated Rate	$8,963.66
Max. Negotiated Rate	$14,192.47
Rate for Payer: Adventist Health Medi-Cal	$8,963.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,681.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,192.47

Know your out-of-pocket cost for care.

All Charges