Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: NEONATE WITH ECMO

Facility

$562,690.32

Service Code	APR-DRG 5832
Min. Negotiated Rate	$355,383.36
Max. Negotiated Rate	$562,690.32
Rate for Payer: Adventist Health Medi-Cal	$355,383.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$423,498.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$562,690.32

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$7,104.78

Service Code	APR-DRG 4621
Min. Negotiated Rate	$4,487.23
Max. Negotiated Rate	$7,104.78
Rate for Payer: Adventist Health Medi-Cal	$4,487.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,347.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,104.78

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$10,330.09

Service Code	APR-DRG 4622
Min. Negotiated Rate	$6,524.27
Max. Negotiated Rate	$10,330.09
Rate for Payer: Adventist Health Medi-Cal	$6,524.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,774.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,330.09

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$18,878.27

Service Code	APR-DRG 4623
Min. Negotiated Rate	$11,923.12
Max. Negotiated Rate	$18,878.27
Rate for Payer: Adventist Health Medi-Cal	$11,923.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,208.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,878.27

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$36,413.94

Service Code	APR-DRG 4624
Min. Negotiated Rate	$22,998.28
Max. Negotiated Rate	$36,413.94
Rate for Payer: Adventist Health Medi-Cal	$22,998.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,406.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,413.94

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$13,108.48

Service Code	APR-DRG 0412
Min. Negotiated Rate	$8,279.04
Max. Negotiated Rate	$13,108.48
Rate for Payer: Adventist Health Medi-Cal	$8,279.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,865.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,108.48

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$25,330.78

Service Code	APR-DRG 0414
Min. Negotiated Rate	$15,998.39
Max. Negotiated Rate	$25,330.78
Rate for Payer: Adventist Health Medi-Cal	$15,998.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,064.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,330.78

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$12,591.22

Service Code	APR-DRG 0411
Min. Negotiated Rate	$7,952.35
Max. Negotiated Rate	$12,591.22
Rate for Payer: Adventist Health Medi-Cal	$7,952.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,476.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,591.22

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$17,341.70

Service Code	APR-DRG 0413
Min. Negotiated Rate	$10,952.65
Max. Negotiated Rate	$17,341.70
Rate for Payer: Adventist Health Medi-Cal	$10,952.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,051.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,341.70

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$18,868.77

Service Code	APR-DRG 0502
Min. Negotiated Rate	$11,917.12
Max. Negotiated Rate	$18,868.77
Rate for Payer: Adventist Health Medi-Cal	$11,917.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,201.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,868.77

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$11,164.93

Service Code	APR-DRG 0501
Min. Negotiated Rate	$7,051.54
Max. Negotiated Rate	$11,164.93
Rate for Payer: Adventist Health Medi-Cal	$7,051.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,403.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,164.93

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$29,813.11

Service Code	APR-DRG 0503
Min. Negotiated Rate	$18,829.33
Max. Negotiated Rate	$29,813.11
Rate for Payer: Adventist Health Medi-Cal	$18,829.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,438.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,813.11

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$58,854.11

Service Code	APR-DRG 0504
Min. Negotiated Rate	$37,171.02
Max. Negotiated Rate	$58,854.11
Rate for Payer: Adventist Health Medi-Cal	$37,171.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$44,295.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,854.11

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$31,022.59

Service Code	APR-DRG 3232
Min. Negotiated Rate	$19,593.22
Max. Negotiated Rate	$31,022.59
Rate for Payer: Adventist Health Medi-Cal	$19,593.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,348.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,022.59

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$41,461.08

Service Code	APR-DRG 3233
Min. Negotiated Rate	$26,185.94
Max. Negotiated Rate	$41,461.08
Rate for Payer: Adventist Health Medi-Cal	$26,185.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,204.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,461.08

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$58,342.56

Service Code	APR-DRG 3234
Min. Negotiated Rate	$36,847.93
Max. Negotiated Rate	$58,342.56
Rate for Payer: Adventist Health Medi-Cal	$36,847.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,910.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,342.56

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$27,618.53

Service Code	APR-DRG 3231
Min. Negotiated Rate	$17,443.28
Max. Negotiated Rate	$27,618.53
Rate for Payer: Adventist Health Medi-Cal	$17,443.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,786.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,618.53

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$72,576.87

Service Code	APR-DRG 3254
Min. Negotiated Rate	$45,838.02
Max. Negotiated Rate	$72,576.87
Rate for Payer: Adventist Health Medi-Cal	$45,838.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$54,623.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$72,576.87

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$39,120.07

Service Code	APR-DRG 3252
Min. Negotiated Rate	$24,707.41
Max. Negotiated Rate	$39,120.07
Rate for Payer: Adventist Health Medi-Cal	$24,707.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,443.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,120.07

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$33,987.35

Service Code	APR-DRG 3251
Min. Negotiated Rate	$21,465.70
Max. Negotiated Rate	$33,987.35
Rate for Payer: Adventist Health Medi-Cal	$21,465.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,579.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,987.35

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$51,794.97

Service Code	APR-DRG 3253
Min. Negotiated Rate	$32,712.61
Max. Negotiated Rate	$51,794.97
Rate for Payer: Adventist Health Medi-Cal	$32,712.61
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$38,982.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$51,794.97

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$13,935.74

Service Code	APR-DRG 7941
Min. Negotiated Rate	$8,801.52
Max. Negotiated Rate	$13,935.74
Rate for Payer: Adventist Health Medi-Cal	$8,801.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,488.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,935.74

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$17,965.45

Service Code	APR-DRG 7942
Min. Negotiated Rate	$11,346.60
Max. Negotiated Rate	$17,965.45
Rate for Payer: Adventist Health Medi-Cal	$11,346.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,521.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,965.45

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$26,454.69

Service Code	APR-DRG 7943
Min. Negotiated Rate	$16,708.22
Max. Negotiated Rate	$26,454.69
Rate for Payer: Adventist Health Medi-Cal	$16,708.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,910.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,454.69

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$50,832.71

Service Code	APR-DRG 7944
Min. Negotiated Rate	$32,104.87
Max. Negotiated Rate	$50,832.71
Rate for Payer: Adventist Health Medi-Cal	$32,104.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$38,258.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,832.71

Know your out-of-pocket cost for care.

All Charges