Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$58,382.50

Service Code	APR-DRG 1804
Min. Negotiated Rate	$36,873.16
Max. Negotiated Rate	$58,382.50
Rate for Payer: Adventist Health Medi-Cal	$36,873.16
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,940.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,382.50

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$11,117.39

Service Code	APR-DRG 8132
Min. Negotiated Rate	$7,021.51
Max. Negotiated Rate	$11,117.39
Rate for Payer: Adventist Health Medi-Cal	$7,021.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,367.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,117.39

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$28,698.70

Service Code	APR-DRG 8134
Min. Negotiated Rate	$18,125.50
Max. Negotiated Rate	$28,698.70
Rate for Payer: Adventist Health Medi-Cal	$18,125.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,599.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,698.70

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$16,166.43

Service Code	APR-DRG 8133
Min. Negotiated Rate	$10,210.38
Max. Negotiated Rate	$16,166.43
Rate for Payer: Adventist Health Medi-Cal	$10,210.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,167.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,166.43

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$9,177.65

Service Code	APR-DRG 8131
Min. Negotiated Rate	$5,796.41
Max. Negotiated Rate	$9,177.65
Rate for Payer: Adventist Health Medi-Cal	$5,796.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,907.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,177.65

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$25,549.47

Service Code	APR-DRG 2292
Min. Negotiated Rate	$16,136.51
Max. Negotiated Rate	$25,549.47
Rate for Payer: Adventist Health Medi-Cal	$16,136.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,229.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,549.47

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$65,686.97

Service Code	APR-DRG 2294
Min. Negotiated Rate	$41,486.51
Max. Negotiated Rate	$65,686.97
Rate for Payer: Adventist Health Medi-Cal	$41,486.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,438.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,686.97

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$18,678.60

Service Code	APR-DRG 2291
Min. Negotiated Rate	$11,797.01
Max. Negotiated Rate	$18,678.60
Rate for Payer: Adventist Health Medi-Cal	$11,797.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,058.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,678.60

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$38,386.02

Service Code	APR-DRG 2293
Min. Negotiated Rate	$24,243.80
Max. Negotiated Rate	$38,386.02
Rate for Payer: Adventist Health Medi-Cal	$24,243.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,890.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,386.02

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$28,445.77

Service Code	APR-DRG 2544
Min. Negotiated Rate	$17,965.75
Max. Negotiated Rate	$28,445.77
Rate for Payer: Adventist Health Medi-Cal	$17,965.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,409.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,445.77

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$8,198.27

Service Code	APR-DRG 2541
Min. Negotiated Rate	$5,177.86
Max. Negotiated Rate	$8,198.27
Rate for Payer: Adventist Health Medi-Cal	$5,177.86
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,170.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,198.27

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$16,282.45

Service Code	APR-DRG 2543
Min. Negotiated Rate	$10,283.65
Max. Negotiated Rate	$16,282.45
Rate for Payer: Adventist Health Medi-Cal	$10,283.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,254.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,282.45

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$11,254.33

Service Code	APR-DRG 2542
Min. Negotiated Rate	$7,108.00
Max. Negotiated Rate	$11,254.33
Rate for Payer: Adventist Health Medi-Cal	$7,108.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,470.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,254.33

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$31,125.29

Service Code	APR-DRG 0584
Min. Negotiated Rate	$19,658.08
Max. Negotiated Rate	$31,125.29
Rate for Payer: Adventist Health Medi-Cal	$19,658.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,425.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,125.29

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$17,307.46

Service Code	APR-DRG 0582
Min. Negotiated Rate	$10,931.03
Max. Negotiated Rate	$17,307.46
Rate for Payer: Adventist Health Medi-Cal	$10,931.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,026.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,307.46

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$12,842.25

Service Code	APR-DRG 0581
Min. Negotiated Rate	$8,110.90
Max. Negotiated Rate	$12,842.25
Rate for Payer: Adventist Health Medi-Cal	$8,110.90
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,665.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,842.25

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$22,364.10

Service Code	APR-DRG 0583
Min. Negotiated Rate	$14,124.70
Max. Negotiated Rate	$22,364.10
Rate for Payer: Adventist Health Medi-Cal	$14,124.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,831.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,364.10

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$15,538.86

Service Code	APR-DRG 2833
Min. Negotiated Rate	$9,814.02
Max. Negotiated Rate	$15,538.86
Rate for Payer: Adventist Health Medi-Cal	$9,814.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,695.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,538.86

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$28,664.48

Service Code	APR-DRG 2834
Min. Negotiated Rate	$18,103.88
Max. Negotiated Rate	$28,664.48
Rate for Payer: Adventist Health Medi-Cal	$18,103.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,573.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,664.48

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$10,577.32

Service Code	APR-DRG 2832
Min. Negotiated Rate	$6,680.41
Max. Negotiated Rate	$10,577.32
Rate for Payer: Adventist Health Medi-Cal	$6,680.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,960.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,577.32

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$8,173.55

Service Code	APR-DRG 2831
Min. Negotiated Rate	$5,162.24
Max. Negotiated Rate	$8,173.55
Rate for Payer: Adventist Health Medi-Cal	$5,162.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,151.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,173.55

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$12,458.11

Service Code	APR-DRG 7763
Min. Negotiated Rate	$7,868.28
Max. Negotiated Rate	$12,458.11
Rate for Payer: Adventist Health Medi-Cal	$7,868.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,376.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,458.11

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$7,019.21

Service Code	APR-DRG 7762
Min. Negotiated Rate	$4,433.18
Max. Negotiated Rate	$7,019.21
Rate for Payer: Adventist Health Medi-Cal	$4,433.18
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,282.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,019.21

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$23,425.27

Service Code	APR-DRG 7764
Min. Negotiated Rate	$14,794.91
Max. Negotiated Rate	$23,425.27
Rate for Payer: Adventist Health Medi-Cal	$14,794.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,630.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,425.27

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,190.07

Service Code	APR-DRG 7761
Min. Negotiated Rate	$3,909.52
Max. Negotiated Rate	$6,190.07
Rate for Payer: Adventist Health Medi-Cal	$3,909.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,658.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,190.07

Know your out-of-pocket cost for care.

All Charges