Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OPIOID ABUSE AND DEPENDENCE

Facility

$6,855.66

Service Code	APR-DRG 7732
Min. Negotiated Rate	$4,329.89
Max. Negotiated Rate	$6,855.66
Rate for Payer: Adventist Health Medi-Cal	$4,329.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,159.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,855.66

APR-DRG 41.00: OPIOID ABUSE AND DEPENDENCE

Facility

$12,929.73

Service Code	APR-DRG 7733
Min. Negotiated Rate	$8,166.14
Max. Negotiated Rate	$12,929.73
Rate for Payer: Adventist Health Medi-Cal	$8,166.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,731.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,929.73

APR-DRG 41.00: OPIOID ABUSE AND DEPENDENCE

Facility

$29,834.03

Service Code	APR-DRG 7734
Min. Negotiated Rate	$18,842.54
Max. Negotiated Rate	$29,834.03
Rate for Payer: Adventist Health Medi-Cal	$18,842.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,454.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,834.03

APR-DRG 41.00: ORBIT AND EYE PROCEDURES

Facility

$53,715.70

Service Code	APR-DRG 0734
Min. Negotiated Rate	$33,925.70
Max. Negotiated Rate	$53,715.70
Rate for Payer: Adventist Health Medi-Cal	$33,925.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$40,428.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,715.70

APR-DRG 41.00: ORBIT AND EYE PROCEDURES

Facility

$15,215.58

Service Code	APR-DRG 0731
Min. Negotiated Rate	$9,609.84
Max. Negotiated Rate	$15,215.58
Rate for Payer: Adventist Health Medi-Cal	$9,609.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,451.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,215.58

APR-DRG 41.00: ORBIT AND EYE PROCEDURES

Facility

$18,710.93

Service Code	APR-DRG 0732
Min. Negotiated Rate	$11,817.43
Max. Negotiated Rate	$18,710.93
Rate for Payer: Adventist Health Medi-Cal	$11,817.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,082.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,710.93

APR-DRG 41.00: ORBIT AND EYE PROCEDURES

Facility

$29,463.19

Service Code	APR-DRG 0733
Min. Negotiated Rate	$18,608.33
Max. Negotiated Rate	$29,463.19
Rate for Payer: Adventist Health Medi-Cal	$18,608.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,174.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,463.19

APR-DRG 41.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$10,212.18

Service Code	APR-DRG 7572
Min. Negotiated Rate	$6,449.80
Max. Negotiated Rate	$10,212.18
Rate for Payer: Adventist Health Medi-Cal	$6,449.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,686.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,212.18

APR-DRG 41.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$16,364.21

Service Code	APR-DRG 7573
Min. Negotiated Rate	$10,335.29
Max. Negotiated Rate	$16,364.21
Rate for Payer: Adventist Health Medi-Cal	$10,335.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,316.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,364.21

APR-DRG 41.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$32,593.42

Service Code	APR-DRG 7574
Min. Negotiated Rate	$20,585.32
Max. Negotiated Rate	$32,593.42
Rate for Payer: Adventist Health Medi-Cal	$20,585.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,530.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,593.42

APR-DRG 41.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$7,736.15

Service Code	APR-DRG 7571
Min. Negotiated Rate	$4,885.99
Max. Negotiated Rate	$7,736.15
Rate for Payer: Adventist Health Medi-Cal	$4,885.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,822.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,736.15

APR-DRG 41.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$10,936.74

Service Code	APR-DRG 3441
Min. Negotiated Rate	$6,907.42
Max. Negotiated Rate	$10,936.74
Rate for Payer: Adventist Health Medi-Cal	$6,907.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,231.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,936.74

APR-DRG 41.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$31,363.00

Service Code	APR-DRG 3444
Min. Negotiated Rate	$19,808.21
Max. Negotiated Rate	$31,363.00
Rate for Payer: Adventist Health Medi-Cal	$19,808.21
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,604.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,363.00

APR-DRG 41.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$20,055.43

Service Code	APR-DRG 3443
Min. Negotiated Rate	$12,666.59
Max. Negotiated Rate	$20,055.43
Rate for Payer: Adventist Health Medi-Cal	$12,666.59
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,094.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,055.43

APR-DRG 41.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$13,859.66

Service Code	APR-DRG 3442
Min. Negotiated Rate	$8,753.47
Max. Negotiated Rate	$13,859.66
Rate for Payer: Adventist Health Medi-Cal	$8,753.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,431.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,859.66

APR-DRG 41.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$5,393.24

Service Code	APR-DRG 8621
Min. Negotiated Rate	$3,406.26
Max. Negotiated Rate	$5,393.24
Rate for Payer: Adventist Health Medi-Cal	$3,406.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,059.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,393.24

APR-DRG 41.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$9,662.58

Service Code	APR-DRG 8623
Min. Negotiated Rate	$6,102.68
Max. Negotiated Rate	$9,662.58
Rate for Payer: Adventist Health Medi-Cal	$6,102.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,272.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,662.58

APR-DRG 41.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$10,145.62

Service Code	APR-DRG 8624
Min. Negotiated Rate	$6,407.76
Max. Negotiated Rate	$10,145.62
Rate for Payer: Adventist Health Medi-Cal	$6,407.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,635.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,145.62

APR-DRG 41.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$7,526.96

Service Code	APR-DRG 8622
Min. Negotiated Rate	$4,753.87
Max. Negotiated Rate	$7,526.96
Rate for Payer: Adventist Health Medi-Cal	$4,753.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,665.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,526.96

APR-DRG 41.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$29,761.77

Service Code	APR-DRG 2534
Min. Negotiated Rate	$18,796.91
Max. Negotiated Rate	$29,761.77
Rate for Payer: Adventist Health Medi-Cal	$18,796.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,399.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,761.77

APR-DRG 41.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$12,165.24

Service Code	APR-DRG 2532
Min. Negotiated Rate	$7,683.31
Max. Negotiated Rate	$12,165.24
Rate for Payer: Adventist Health Medi-Cal	$7,683.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,155.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,165.24

APR-DRG 41.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$17,297.96

Service Code	APR-DRG 2533
Min. Negotiated Rate	$10,925.03
Max. Negotiated Rate	$17,297.96
Rate for Payer: Adventist Health Medi-Cal	$10,925.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,018.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,297.96

APR-DRG 41.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$9,430.57

Service Code	APR-DRG 2531
Min. Negotiated Rate	$5,956.15
Max. Negotiated Rate	$9,430.57
Rate for Payer: Adventist Health Medi-Cal	$5,956.15
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,097.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,430.57

APR-DRG 41.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$7,897.81

Service Code	APR-DRG 6631
Min. Negotiated Rate	$4,988.09
Max. Negotiated Rate	$7,897.81
Rate for Payer: Adventist Health Medi-Cal	$4,988.09
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,944.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,897.81

APR-DRG 41.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$11,326.58

Service Code	APR-DRG 6632
Min. Negotiated Rate	$7,153.63
Max. Negotiated Rate	$11,326.58
Rate for Payer: Adventist Health Medi-Cal	$7,153.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,524.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,326.58

Know your out-of-pocket cost for care.

All Charges