Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

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

Facility

$26,932.03

Service Code	APR-DRG 6634
Min. Negotiated Rate	$17,009.70
Max. Negotiated Rate	$26,932.03
Rate for Payer: Adventist Health Medi-Cal	$17,009.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,269.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,932.03

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$17,134.41

Service Code	APR-DRG 3473
Min. Negotiated Rate	$10,821.73
Max. Negotiated Rate	$17,134.41
Rate for Payer: Adventist Health Medi-Cal	$10,821.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,895.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,134.41

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$31,404.83

Service Code	APR-DRG 3474
Min. Negotiated Rate	$19,834.63
Max. Negotiated Rate	$31,404.83
Rate for Payer: Adventist Health Medi-Cal	$19,834.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,636.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,404.83

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$12,486.63

Service Code	APR-DRG 3472
Min. Negotiated Rate	$7,886.29
Max. Negotiated Rate	$12,486.63
Rate for Payer: Adventist Health Medi-Cal	$7,886.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,397.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,486.63

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$9,854.65

Service Code	APR-DRG 3471
Min. Negotiated Rate	$6,223.99
Max. Negotiated Rate	$9,854.65
Rate for Payer: Adventist Health Medi-Cal	$6,223.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,416.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,854.65

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$19,812.02

Service Code	APR-DRG 4452
Min. Negotiated Rate	$12,512.86
Max. Negotiated Rate	$19,812.02
Rate for Payer: Adventist Health Medi-Cal	$12,512.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,911.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,812.02

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$53,177.52

Service Code	APR-DRG 4454
Min. Negotiated Rate	$33,585.80
Max. Negotiated Rate	$53,177.52
Rate for Payer: Adventist Health Medi-Cal	$33,585.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$40,023.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,177.52

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$16,162.64

Service Code	APR-DRG 4451
Min. Negotiated Rate	$10,207.98
Max. Negotiated Rate	$16,162.64
Rate for Payer: Adventist Health Medi-Cal	$10,207.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,164.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,162.64

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$27,837.22

Service Code	APR-DRG 4453
Min. Negotiated Rate	$17,581.40
Max. Negotiated Rate	$27,837.22
Rate for Payer: Adventist Health Medi-Cal	$17,581.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,951.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,837.22

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$50,421.93

Service Code	APR-DRG 1672
Min. Negotiated Rate	$31,845.43
Max. Negotiated Rate	$50,421.93
Rate for Payer: Adventist Health Medi-Cal	$31,845.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,949.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,421.93

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$48,077.12

Service Code	APR-DRG 1671
Min. Negotiated Rate	$30,364.50
Max. Negotiated Rate	$48,077.12
Rate for Payer: Adventist Health Medi-Cal	$30,364.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$36,184.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,077.12

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$74,691.57

Service Code	APR-DRG 1673
Min. Negotiated Rate	$47,173.62
Max. Negotiated Rate	$74,691.57
Rate for Payer: Adventist Health Medi-Cal	$47,173.62
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$56,215.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$74,691.57

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$123,464.72

Service Code	APR-DRG 1674
Min. Negotiated Rate	$77,977.72
Max. Negotiated Rate	$123,464.72
Rate for Payer: Adventist Health Medi-Cal	$77,977.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$92,923.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$123,464.72

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$19,418.36

Service Code	APR-DRG 6963
Min. Negotiated Rate	$12,264.23
Max. Negotiated Rate	$19,418.36
Rate for Payer: Adventist Health Medi-Cal	$12,264.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,614.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,418.36

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$13,247.31

Service Code	APR-DRG 6962
Min. Negotiated Rate	$8,366.72
Max. Negotiated Rate	$13,247.31
Rate for Payer: Adventist Health Medi-Cal	$8,366.72
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,970.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,247.31

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$39,677.28

Service Code	APR-DRG 6964
Min. Negotiated Rate	$25,059.34
Max. Negotiated Rate	$39,677.28
Rate for Payer: Adventist Health Medi-Cal	$25,059.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,862.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,677.28

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$10,314.87

Service Code	APR-DRG 6961
Min. Negotiated Rate	$6,514.66
Max. Negotiated Rate	$10,314.87
Rate for Payer: Adventist Health Medi-Cal	$6,514.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,763.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,314.87

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$27,624.23

Service Code	APR-DRG 2074
Min. Negotiated Rate	$17,446.88
Max. Negotiated Rate	$27,624.23
Rate for Payer: Adventist Health Medi-Cal	$17,446.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,790.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,624.23

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$15,485.63

Service Code	APR-DRG 2073
Min. Negotiated Rate	$9,780.40
Max. Negotiated Rate	$15,485.63
Rate for Payer: Adventist Health Medi-Cal	$9,780.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,654.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,485.63

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$10,940.54

Service Code	APR-DRG 2072
Min. Negotiated Rate	$6,909.82
Max. Negotiated Rate	$10,940.54
Rate for Payer: Adventist Health Medi-Cal	$6,909.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,234.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,940.54

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$8,763.08

Service Code	APR-DRG 2071
Min. Negotiated Rate	$5,534.58
Max. Negotiated Rate	$8,763.08
Rate for Payer: Adventist Health Medi-Cal	$5,534.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,595.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,763.08

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$33,458.68

Service Code	APR-DRG 1803
Min. Negotiated Rate	$21,131.80
Max. Negotiated Rate	$33,458.68
Rate for Payer: Adventist Health Medi-Cal	$21,131.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,182.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,458.68

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$19,580.01

Service Code	APR-DRG 1801
Min. Negotiated Rate	$12,366.32
Max. Negotiated Rate	$19,580.01
Rate for Payer: Adventist Health Medi-Cal	$12,366.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,736.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,580.01

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$24,050.92

Service Code	APR-DRG 1802
Min. Negotiated Rate	$15,190.06
Max. Negotiated Rate	$24,050.92
Rate for Payer: Adventist Health Medi-Cal	$15,190.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,101.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,050.92

Know your out-of-pocket cost for care.

All Charges