Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$19,058.94

Service Code	APR-DRG 0982
Min. Negotiated Rate	$12,037.22
Max. Negotiated Rate	$19,058.94
Rate for Payer: Adventist Health Medi-Cal	$12,037.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,344.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,058.94

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$61,189.42

Service Code	APR-DRG 0984
Min. Negotiated Rate	$38,645.95
Max. Negotiated Rate	$61,189.42
Rate for Payer: Adventist Health Medi-Cal	$38,645.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,053.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,189.42

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$13,905.30

Service Code	APR-DRG 0981
Min. Negotiated Rate	$8,782.30
Max. Negotiated Rate	$13,905.30
Rate for Payer: Adventist Health Medi-Cal	$8,782.30
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,465.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,905.30

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$32,060.92

Service Code	APR-DRG 0983
Min. Negotiated Rate	$20,249.00
Max. Negotiated Rate	$32,060.92
Rate for Payer: Adventist Health Medi-Cal	$20,249.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,130.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,060.92

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$16,232.99

Service Code	APR-DRG 1153
Min. Negotiated Rate	$10,252.42
Max. Negotiated Rate	$16,232.99
Rate for Payer: Adventist Health Medi-Cal	$10,252.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,217.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,232.99

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$28,829.92

Service Code	APR-DRG 1154
Min. Negotiated Rate	$18,208.37
Max. Negotiated Rate	$28,829.92
Rate for Payer: Adventist Health Medi-Cal	$18,208.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,698.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,829.92

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$7,557.40

Service Code	APR-DRG 1151
Min. Negotiated Rate	$4,773.10
Max. Negotiated Rate	$7,557.40
Rate for Payer: Adventist Health Medi-Cal	$4,773.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,687.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,557.40

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$10,455.60

Service Code	APR-DRG 1152
Min. Negotiated Rate	$6,603.54
Max. Negotiated Rate	$10,455.60
Rate for Payer: Adventist Health Medi-Cal	$6,603.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,869.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,455.60

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$16,697.01

Service Code	APR-DRG 4243
Min. Negotiated Rate	$10,545.48
Max. Negotiated Rate	$16,697.01
Rate for Payer: Adventist Health Medi-Cal	$10,545.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,566.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,697.01

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$11,309.47

Service Code	APR-DRG 4242
Min. Negotiated Rate	$7,142.82
Max. Negotiated Rate	$11,309.47
Rate for Payer: Adventist Health Medi-Cal	$7,142.82
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,511.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,309.47

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$30,107.88

Service Code	APR-DRG 4244
Min. Negotiated Rate	$19,015.50
Max. Negotiated Rate	$30,107.88
Rate for Payer: Adventist Health Medi-Cal	$19,015.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,660.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,107.88

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$8,120.30

Service Code	APR-DRG 4241
Min. Negotiated Rate	$5,128.61
Max. Negotiated Rate	$8,120.30
Rate for Payer: Adventist Health Medi-Cal	$5,128.61
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,111.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,120.30

APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS

Facility

$29,704.71

Service Code	APR-DRG 2434
Min. Negotiated Rate	$18,760.87
Max. Negotiated Rate	$29,704.71
Rate for Payer: Adventist Health Medi-Cal	$18,760.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,356.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,704.71

APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS

Facility

$8,740.27

Service Code	APR-DRG 2431
Min. Negotiated Rate	$5,520.17
Max. Negotiated Rate	$8,740.27
Rate for Payer: Adventist Health Medi-Cal	$5,520.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,578.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,740.27

APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS

Facility

$11,105.99

Service Code	APR-DRG 2432
Min. Negotiated Rate	$7,014.31
Max. Negotiated Rate	$11,105.99
Rate for Payer: Adventist Health Medi-Cal	$7,014.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,358.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,105.99

APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS

Facility

$16,295.75

Service Code	APR-DRG 2433
Min. Negotiated Rate	$10,292.05
Max. Negotiated Rate	$16,295.75
Rate for Payer: Adventist Health Medi-Cal	$10,292.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,264.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,295.75

APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$32,810.21

Service Code	APR-DRG 5183
Min. Negotiated Rate	$20,722.24
Max. Negotiated Rate	$32,810.21
Rate for Payer: Adventist Health Medi-Cal	$20,722.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,694.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,810.21

APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$62,210.64

Service Code	APR-DRG 5184
Min. Negotiated Rate	$39,290.93
Max. Negotiated Rate	$62,210.64
Rate for Payer: Adventist Health Medi-Cal	$39,290.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,821.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,210.64

APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$13,698.01

Service Code	APR-DRG 5181
Min. Negotiated Rate	$8,651.38
Max. Negotiated Rate	$13,698.01
Rate for Payer: Adventist Health Medi-Cal	$8,651.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,309.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,698.01

APR-DRG 41.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$19,621.85

Service Code	APR-DRG 5182
Min. Negotiated Rate	$12,392.75
Max. Negotiated Rate	$19,621.85
Rate for Payer: Adventist Health Medi-Cal	$12,392.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,768.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,621.85

APR-DRG 41.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$13,448.88

Service Code	APR-DRG 2493
Min. Negotiated Rate	$8,494.03
Max. Negotiated Rate	$13,448.88
Rate for Payer: Adventist Health Medi-Cal	$8,494.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,122.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,448.88

APR-DRG 41.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$24,754.57

Service Code	APR-DRG 2494
Min. Negotiated Rate	$15,634.46
Max. Negotiated Rate	$24,754.57
Rate for Payer: Adventist Health Medi-Cal	$15,634.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,631.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,754.57

APR-DRG 41.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$7,490.85

Service Code	APR-DRG 2491
Min. Negotiated Rate	$4,731.06
Max. Negotiated Rate	$7,490.85
Rate for Payer: Adventist Health Medi-Cal	$4,731.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,637.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,490.85

APR-DRG 41.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$9,356.42

Service Code	APR-DRG 2492
Min. Negotiated Rate	$5,909.32
Max. Negotiated Rate	$9,356.42
Rate for Payer: Adventist Health Medi-Cal	$5,909.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,041.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,356.42

APR-DRG 41.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$23,195.16

Service Code	APR-DRG 2642
Min. Negotiated Rate	$14,649.58
Max. Negotiated Rate	$23,195.16
Rate for Payer: Adventist Health Medi-Cal	$14,649.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,457.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,195.16

Know your out-of-pocket cost for care.

All Charges