Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$8,677.51

Service Code	APR-DRG 3491
Min. Negotiated Rate	$5,480.53
Max. Negotiated Rate	$8,677.51
Rate for Payer: Adventist Health Medi-Cal	$5,480.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,530.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,677.51

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

Facility

$17,706.82

Service Code	APR-DRG 3493
Min. Negotiated Rate	$11,183.26
Max. Negotiated Rate	$17,706.82
Rate for Payer: Adventist Health Medi-Cal	$11,183.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,326.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,706.82

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

Facility

$12,305.96

Service Code	APR-DRG 3492
Min. Negotiated Rate	$7,772.18
Max. Negotiated Rate	$12,305.96
Rate for Payer: Adventist Health Medi-Cal	$7,772.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,261.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,305.96

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

Facility

$29,632.44

Service Code	APR-DRG 3494
Min. Negotiated Rate	$18,715.22
Max. Negotiated Rate	$29,632.44
Rate for Payer: Adventist Health Medi-Cal	$18,715.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,302.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,632.44

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$17,172.45

Service Code	APR-DRG 5003
Min. Negotiated Rate	$10,845.76
Max. Negotiated Rate	$17,172.45
Rate for Payer: Adventist Health Medi-Cal	$10,845.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,924.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,172.45

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$31,393.43

Service Code	APR-DRG 5004
Min. Negotiated Rate	$19,827.43
Max. Negotiated Rate	$31,393.43
Rate for Payer: Adventist Health Medi-Cal	$19,827.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,627.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,393.43

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$11,189.67

Service Code	APR-DRG 5002
Min. Negotiated Rate	$7,067.16
Max. Negotiated Rate	$11,189.67
Rate for Payer: Adventist Health Medi-Cal	$7,067.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,421.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,189.67

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$8,880.98

Service Code	APR-DRG 5001
Min. Negotiated Rate	$5,609.04
Max. Negotiated Rate	$8,880.98
Rate for Payer: Adventist Health Medi-Cal	$5,609.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,684.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,880.98

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,842.55

Service Code	APR-DRG 2812
Min. Negotiated Rate	$8,742.66
Max. Negotiated Rate	$13,842.55
Rate for Payer: Adventist Health Medi-Cal	$8,742.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,418.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,842.55

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$18,026.31

Service Code	APR-DRG 2813
Min. Negotiated Rate	$11,385.04
Max. Negotiated Rate	$18,026.31
Rate for Payer: Adventist Health Medi-Cal	$11,385.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,567.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,026.31

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$26,576.40

Service Code	APR-DRG 2814
Min. Negotiated Rate	$16,785.10
Max. Negotiated Rate	$26,576.40
Rate for Payer: Adventist Health Medi-Cal	$16,785.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,002.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,576.40

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$10,023.91

Service Code	APR-DRG 2811
Min. Negotiated Rate	$6,330.89
Max. Negotiated Rate	$10,023.91
Rate for Payer: Adventist Health Medi-Cal	$6,330.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,544.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,023.91

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$9,101.59

Service Code	APR-DRG 3821
Min. Negotiated Rate	$5,748.37
Max. Negotiated Rate	$9,101.59
Rate for Payer: Adventist Health Medi-Cal	$5,748.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,850.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,101.59

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$11,651.77

Service Code	APR-DRG 3822
Min. Negotiated Rate	$7,359.01
Max. Negotiated Rate	$11,651.77
Rate for Payer: Adventist Health Medi-Cal	$7,359.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,769.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,651.77

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$25,072.15

Service Code	APR-DRG 3824
Min. Negotiated Rate	$15,835.04
Max. Negotiated Rate	$25,072.15
Rate for Payer: Adventist Health Medi-Cal	$15,835.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,870.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,072.15

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$16,704.63

Service Code	APR-DRG 3823
Min. Negotiated Rate	$10,550.29
Max. Negotiated Rate	$16,704.63
Rate for Payer: Adventist Health Medi-Cal	$10,550.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,572.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,704.63

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$9,942.15

Service Code	APR-DRG 4212
Min. Negotiated Rate	$6,279.25
Max. Negotiated Rate	$9,942.15
Rate for Payer: Adventist Health Medi-Cal	$6,279.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,482.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,942.15

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$29,712.31

Service Code	APR-DRG 4214
Min. Negotiated Rate	$18,765.67
Max. Negotiated Rate	$29,712.31
Rate for Payer: Adventist Health Medi-Cal	$18,765.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,362.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,712.31

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$6,652.19

Service Code	APR-DRG 4211
Min. Negotiated Rate	$4,201.38
Max. Negotiated Rate	$6,652.19
Rate for Payer: Adventist Health Medi-Cal	$4,201.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,006.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,652.19

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$15,297.36

Service Code	APR-DRG 4213
Min. Negotiated Rate	$9,661.49
Max. Negotiated Rate	$15,297.36
Rate for Payer: Adventist Health Medi-Cal	$9,661.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,513.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,297.36

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$35,841.52

Service Code	APR-DRG 3623
Min. Negotiated Rate	$22,636.75
Max. Negotiated Rate	$35,841.52
Rate for Payer: Adventist Health Medi-Cal	$22,636.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,975.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,841.52

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$20,937.83

Service Code	APR-DRG 3621
Min. Negotiated Rate	$13,223.89
Max. Negotiated Rate	$20,937.83
Rate for Payer: Adventist Health Medi-Cal	$13,223.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,758.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,937.83

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$58,882.65

Service Code	APR-DRG 3624
Min. Negotiated Rate	$37,189.04
Max. Negotiated Rate	$58,882.65
Rate for Payer: Adventist Health Medi-Cal	$37,189.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$44,316.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,882.65

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$31,783.28

Service Code	APR-DRG 3622
Min. Negotiated Rate	$20,073.65
Max. Negotiated Rate	$31,783.28
Rate for Payer: Adventist Health Medi-Cal	$20,073.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,921.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,783.28

APR-DRG 41.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$6,728.24

Service Code	APR-DRG 5321
Min. Negotiated Rate	$4,249.42
Max. Negotiated Rate	$6,728.24
Rate for Payer: Adventist Health Medi-Cal	$4,249.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,063.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,728.24

Know your out-of-pocket cost for care.

All Charges