Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$32,696.09

Service Code	APR-DRG 9523
Min. Negotiated Rate	$20,650.16
Max. Negotiated Rate	$32,696.09
Rate for Payer: Adventist Health Medi-Cal	$20,650.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,608.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,696.09

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$20,302.66

Service Code	APR-DRG 9522
Min. Negotiated Rate	$12,822.73
Max. Negotiated Rate	$20,302.66
Rate for Payer: Adventist Health Medi-Cal	$12,822.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,280.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,302.66

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$15,135.70

Service Code	APR-DRG 9521
Min. Negotiated Rate	$9,559.39
Max. Negotiated Rate	$15,135.70
Rate for Payer: Adventist Health Medi-Cal	$9,559.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,391.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,135.70

APR-DRG 41.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$61,164.71

Service Code	APR-DRG 9524
Min. Negotiated Rate	$38,630.34
Max. Negotiated Rate	$61,164.71
Rate for Payer: Adventist Health Medi-Cal	$38,630.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,034.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,164.71

APR-DRG 41.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$27,205.87

Service Code	APR-DRG 4264
Min. Negotiated Rate	$17,182.66
Max. Negotiated Rate	$27,205.87
Rate for Payer: Adventist Health Medi-Cal	$17,182.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,476.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,205.87

APR-DRG 41.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$15,149.02

Service Code	APR-DRG 4263
Min. Negotiated Rate	$9,567.80
Max. Negotiated Rate	$15,149.02
Rate for Payer: Adventist Health Medi-Cal	$9,567.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,401.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,149.02

APR-DRG 41.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$10,124.70

Service Code	APR-DRG 4262
Min. Negotiated Rate	$6,394.55
Max. Negotiated Rate	$10,124.70
Rate for Payer: Adventist Health Medi-Cal	$6,394.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,620.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,124.70

APR-DRG 41.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$7,692.42

Service Code	APR-DRG 4261
Min. Negotiated Rate	$4,858.37
Max. Negotiated Rate	$7,692.42
Rate for Payer: Adventist Health Medi-Cal	$4,858.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,789.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,692.42

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$13,038.12

Service Code	APR-DRG 0462
Min. Negotiated Rate	$8,234.60
Max. Negotiated Rate	$13,038.12
Rate for Payer: Adventist Health Medi-Cal	$8,234.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,812.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,038.12

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$10,885.39

Service Code	APR-DRG 0461
Min. Negotiated Rate	$6,874.98
Max. Negotiated Rate	$10,885.39
Rate for Payer: Adventist Health Medi-Cal	$6,874.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,192.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,885.39

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$32,011.49

Service Code	APR-DRG 0464
Min. Negotiated Rate	$20,217.78
Max. Negotiated Rate	$32,011.49
Rate for Payer: Adventist Health Medi-Cal	$20,217.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,092.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,011.49

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$16,396.54

Service Code	APR-DRG 0463
Min. Negotiated Rate	$10,355.71
Max. Negotiated Rate	$16,396.54
Rate for Payer: Adventist Health Medi-Cal	$10,355.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,340.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,396.54

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$41,069.34

Service Code	APR-DRG 0212
Min. Negotiated Rate	$25,938.53
Max. Negotiated Rate	$41,069.34
Rate for Payer: Adventist Health Medi-Cal	$25,938.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,910.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,069.34

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$60,879.44

Service Code	APR-DRG 0213
Min. Negotiated Rate	$38,450.17
Max. Negotiated Rate	$60,879.44
Rate for Payer: Adventist Health Medi-Cal	$38,450.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,819.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,879.44

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$32,285.33

Service Code	APR-DRG 0211
Min. Negotiated Rate	$20,390.74
Max. Negotiated Rate	$32,285.33
Rate for Payer: Adventist Health Medi-Cal	$20,390.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,298.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,285.33

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$95,541.92

Service Code	APR-DRG 0214
Min. Negotiated Rate	$60,342.26
Max. Negotiated Rate	$95,541.92
Rate for Payer: Adventist Health Medi-Cal	$60,342.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$71,907.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$95,541.92

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$40,247.79

Service Code	APR-DRG 0202
Min. Negotiated Rate	$25,419.66
Max. Negotiated Rate	$40,247.79
Rate for Payer: Adventist Health Medi-Cal	$25,419.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,291.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,247.79

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$56,362.87

Service Code	APR-DRG 0203
Min. Negotiated Rate	$35,597.60
Max. Negotiated Rate	$56,362.87
Rate for Payer: Adventist Health Medi-Cal	$35,597.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,420.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,362.87

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$34,365.79

Service Code	APR-DRG 0201
Min. Negotiated Rate	$21,704.71
Max. Negotiated Rate	$34,365.79
Rate for Payer: Adventist Health Medi-Cal	$21,704.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,864.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,365.79

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$89,743.59

Service Code	APR-DRG 0204
Min. Negotiated Rate	$56,680.16
Max. Negotiated Rate	$89,743.59
Rate for Payer: Adventist Health Medi-Cal	$56,680.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$67,543.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$89,743.59

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$17,370.22

Service Code	APR-DRG 0241
Min. Negotiated Rate	$10,970.66
Max. Negotiated Rate	$17,370.22
Rate for Payer: Adventist Health Medi-Cal	$10,970.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,073.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,370.22

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$21,580.60

Service Code	APR-DRG 0242
Min. Negotiated Rate	$13,629.85
Max. Negotiated Rate	$21,580.60
Rate for Payer: Adventist Health Medi-Cal	$13,629.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,242.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,580.60

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$37,577.78

Service Code	APR-DRG 0243
Min. Negotiated Rate	$23,733.34
Max. Negotiated Rate	$37,577.78
Rate for Payer: Adventist Health Medi-Cal	$23,733.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,282.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,577.78

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$66,472.37

Service Code	APR-DRG 0244
Min. Negotiated Rate	$41,982.55
Max. Negotiated Rate	$66,472.37
Rate for Payer: Adventist Health Medi-Cal	$41,982.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,029.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$66,472.37

APR-DRG 41.00: OPIOID ABUSE AND DEPENDENCE

Facility

$4,758.07

Service Code	APR-DRG 7731
Min. Negotiated Rate	$3,005.10
Max. Negotiated Rate	$4,758.07
Rate for Payer: Adventist Health Medi-Cal	$3,005.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,581.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,758.07

Know your out-of-pocket cost for care.

All Charges