Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$47,316.44

Service Code	APR-DRG 9304
Min. Negotiated Rate	$29,884.07
Max. Negotiated Rate	$47,316.44
Rate for Payer: Adventist Health Medi-Cal	$29,884.07
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,611.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,316.44

APR-DRG 41.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$12,787.09

Service Code	APR-DRG 9301
Min. Negotiated Rate	$8,076.06
Max. Negotiated Rate	$12,787.09
Rate for Payer: Adventist Health Medi-Cal	$8,076.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,623.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,787.09

APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$33,568.99

Service Code	APR-DRG 9121
Min. Negotiated Rate	$21,201.47
Max. Negotiated Rate	$33,568.99
Rate for Payer: Adventist Health Medi-Cal	$21,201.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,265.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,568.99

APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$97,932.37

Service Code	APR-DRG 9124
Min. Negotiated Rate	$61,852.02
Max. Negotiated Rate	$97,932.37
Rate for Payer: Adventist Health Medi-Cal	$61,852.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$73,706.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$97,932.37

APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$35,335.67

Service Code	APR-DRG 9122
Min. Negotiated Rate	$22,317.26
Max. Negotiated Rate	$35,335.67
Rate for Payer: Adventist Health Medi-Cal	$22,317.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,594.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,335.67

APR-DRG 41.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$55,140.09

Service Code	APR-DRG 9123
Min. Negotiated Rate	$34,825.32
Max. Negotiated Rate	$55,140.09
Rate for Payer: Adventist Health Medi-Cal	$34,825.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$41,500.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,140.09

APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$21,806.91

Service Code	APR-DRG 3433
Min. Negotiated Rate	$13,772.78
Max. Negotiated Rate	$21,806.91
Rate for Payer: Adventist Health Medi-Cal	$13,772.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,412.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,806.91

APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$12,399.15

Service Code	APR-DRG 3431
Min. Negotiated Rate	$7,831.04
Max. Negotiated Rate	$12,399.15
Rate for Payer: Adventist Health Medi-Cal	$7,831.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,331.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,399.15

APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$14,898.00

Service Code	APR-DRG 3432
Min. Negotiated Rate	$9,409.26
Max. Negotiated Rate	$14,898.00
Rate for Payer: Adventist Health Medi-Cal	$9,409.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,212.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,898.00

APR-DRG 41.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$36,309.34

Service Code	APR-DRG 3434
Min. Negotiated Rate	$22,932.22
Max. Negotiated Rate	$36,309.34
Rate for Payer: Adventist Health Medi-Cal	$22,932.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,327.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,309.34

APR-DRG 41.00: NEONATAL AFTERCARE

Facility

$24,976.58

Service Code	APR-DRG 8631
Min. Negotiated Rate	$15,774.68
Max. Negotiated Rate	$24,976.58
Rate for Payer: Adventist Health Medi-Cal	$15,774.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,798.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,976.58

APR-DRG 41.00: NEONATAL AFTERCARE

Facility

$120,137.21

Service Code	APR-DRG 8633
Min. Negotiated Rate	$75,876.13
Max. Negotiated Rate	$120,137.21
Rate for Payer: Adventist Health Medi-Cal	$75,876.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$90,419.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$120,137.21

APR-DRG 41.00: NEONATAL AFTERCARE

Facility

$61,687.66

Service Code	APR-DRG 8632
Min. Negotiated Rate	$38,960.63
Max. Negotiated Rate	$61,687.66
Rate for Payer: Adventist Health Medi-Cal	$38,960.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,428.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,687.66

APR-DRG 41.00: NEONATAL AFTERCARE

Facility

$296,473.93

Service Code	APR-DRG 8634
Min. Negotiated Rate	$187,246.69
Max. Negotiated Rate	$296,473.93
Rate for Payer: Adventist Health Medi-Cal	$187,246.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$223,135.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$296,473.93

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$91,716.15

Service Code	APR-DRG 6032
Min. Negotiated Rate	$57,925.99
Max. Negotiated Rate	$91,716.15
Rate for Payer: Adventist Health Medi-Cal	$57,925.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$69,028.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$91,716.15

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$4,396.28

Service Code	APR-DRG 6031
Min. Negotiated Rate	$2,776.60
Max. Negotiated Rate	$4,396.28
Rate for Payer: Adventist Health Medi-Cal	$2,776.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,308.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,396.28

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$497,744.82

Service Code	APR-DRG 6034
Min. Negotiated Rate	$314,365.15
Max. Negotiated Rate	$497,744.82
Rate for Payer: Adventist Health Medi-Cal	$314,365.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$374,618.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$497,744.82

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$182,873.20

Service Code	APR-DRG 6033
Min. Negotiated Rate	$115,498.86
Max. Negotiated Rate	$182,873.20
Rate for Payer: Adventist Health Medi-Cal	$115,498.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$137,636.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$182,873.20

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$478,792.57

Service Code	APR-DRG 6024
Min. Negotiated Rate	$302,395.31
Max. Negotiated Rate	$478,792.57
Rate for Payer: Adventist Health Medi-Cal	$302,395.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$360,354.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$478,792.57

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$33,952.18

Service Code	APR-DRG 6021
Min. Negotiated Rate	$21,443.48
Max. Negotiated Rate	$33,952.18
Rate for Payer: Adventist Health Medi-Cal	$21,443.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,553.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,952.18

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$275,201.68

Service Code	APR-DRG 6023
Min. Negotiated Rate	$173,811.59
Max. Negotiated Rate	$275,201.68
Rate for Payer: Adventist Health Medi-Cal	$173,811.59
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$207,125.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$275,201.68

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$213,497.38

Service Code	APR-DRG 6022
Min. Negotiated Rate	$134,840.45
Max. Negotiated Rate	$213,497.38
Rate for Payer: Adventist Health Medi-Cal	$134,840.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$160,684.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$213,497.38

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$203,265.42

Service Code	APR-DRG 6084
Min. Negotiated Rate	$128,378.16
Max. Negotiated Rate	$203,265.42
Rate for Payer: Adventist Health Medi-Cal	$128,378.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$152,983.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$203,265.42

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$21,645.26

Service Code	APR-DRG 6081
Min. Negotiated Rate	$13,670.69
Max. Negotiated Rate	$21,645.26
Rate for Payer: Adventist Health Medi-Cal	$13,670.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,290.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,645.26

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$108,735.50

Service Code	APR-DRG 6082
Min. Negotiated Rate	$68,675.05
Max. Negotiated Rate	$108,735.50
Rate for Payer: Adventist Health Medi-Cal	$68,675.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$81,837.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$108,735.50

Know your out-of-pocket cost for care.

All Charges