Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$72,103.33

Service Code	APR-DRG 2644
Min. Negotiated Rate	$45,538.94
Max. Negotiated Rate	$72,103.33
Rate for Payer: Adventist Health Medi-Cal	$45,538.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$54,267.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$72,103.33

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

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

Facility

$35,158.82

Service Code	APR-DRG 2643
Min. Negotiated Rate	$22,205.57
Max. Negotiated Rate	$35,158.82
Rate for Payer: Adventist Health Medi-Cal	$22,205.57
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,461.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,158.82

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$9,466.71

Service Code	APR-DRG 7241
Min. Negotiated Rate	$5,978.98
Max. Negotiated Rate	$9,466.71
Rate for Payer: Adventist Health Medi-Cal	$5,978.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,124.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,466.71

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$11,286.65

Service Code	APR-DRG 7242
Min. Negotiated Rate	$7,128.41
Max. Negotiated Rate	$11,286.65
Rate for Payer: Adventist Health Medi-Cal	$7,128.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,494.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,286.65

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$37,256.40

Service Code	APR-DRG 7244
Min. Negotiated Rate	$23,530.36
Max. Negotiated Rate	$37,256.40
Rate for Payer: Adventist Health Medi-Cal	$23,530.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,040.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,256.40

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$18,535.96

Service Code	APR-DRG 7243
Min. Negotiated Rate	$11,706.92
Max. Negotiated Rate	$18,535.96
Rate for Payer: Adventist Health Medi-Cal	$11,706.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,950.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,535.96

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$6,374.54

Service Code	APR-DRG 8151
Min. Negotiated Rate	$4,026.02
Max. Negotiated Rate	$6,374.54
Rate for Payer: Adventist Health Medi-Cal	$4,026.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,797.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,374.54

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$8,861.96

Service Code	APR-DRG 8152
Min. Negotiated Rate	$5,597.03
Max. Negotiated Rate	$8,861.96
Rate for Payer: Adventist Health Medi-Cal	$5,597.03
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,669.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,861.96

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$32,500.22

Service Code	APR-DRG 8154
Min. Negotiated Rate	$20,526.46
Max. Negotiated Rate	$32,500.22
Rate for Payer: Adventist Health Medi-Cal	$20,526.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,460.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,500.22

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$15,196.56

Service Code	APR-DRG 8153
Min. Negotiated Rate	$9,597.83
Max. Negotiated Rate	$15,196.56
Rate for Payer: Adventist Health Medi-Cal	$9,597.83
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,437.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,196.56

APR-DRG 41.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$7,648.68

Service Code	APR-DRG 4681
Min. Negotiated Rate	$4,830.74
Max. Negotiated Rate	$7,648.68
Rate for Payer: Adventist Health Medi-Cal	$4,830.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,756.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,648.68

APR-DRG 41.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$10,322.49

Service Code	APR-DRG 4682
Min. Negotiated Rate	$6,519.47
Max. Negotiated Rate	$10,322.49
Rate for Payer: Adventist Health Medi-Cal	$6,519.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,769.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,322.49

APR-DRG 41.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$15,063.45

Service Code	APR-DRG 4683
Min. Negotiated Rate	$9,513.76
Max. Negotiated Rate	$15,063.45
Rate for Payer: Adventist Health Medi-Cal	$9,513.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,337.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,063.45

APR-DRG 41.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$28,474.31

Service Code	APR-DRG 4684
Min. Negotiated Rate	$17,983.78
Max. Negotiated Rate	$28,474.31
Rate for Payer: Adventist Health Medi-Cal	$17,983.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,430.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,474.31

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$34,055.83

Service Code	APR-DRG 4473
Min. Negotiated Rate	$21,508.94
Max. Negotiated Rate	$34,055.83
Rate for Payer: Adventist Health Medi-Cal	$21,508.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,631.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,055.83

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$24,786.89

Service Code	APR-DRG 4472
Min. Negotiated Rate	$15,654.88
Max. Negotiated Rate	$24,786.89
Rate for Payer: Adventist Health Medi-Cal	$15,654.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,655.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,786.89

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$20,876.97

Service Code	APR-DRG 4471
Min. Negotiated Rate	$13,185.46
Max. Negotiated Rate	$20,876.97
Rate for Payer: Adventist Health Medi-Cal	$13,185.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,712.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,876.97

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$67,993.74

Service Code	APR-DRG 4474
Min. Negotiated Rate	$42,943.42
Max. Negotiated Rate	$67,993.74
Rate for Payer: Adventist Health Medi-Cal	$42,943.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$51,174.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,993.74

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$36,733.42

Service Code	APR-DRG 0912
Min. Negotiated Rate	$23,200.06
Max. Negotiated Rate	$36,733.42
Rate for Payer: Adventist Health Medi-Cal	$23,200.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,646.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,733.42

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$25,018.90

Service Code	APR-DRG 0911
Min. Negotiated Rate	$15,801.41
Max. Negotiated Rate	$25,018.90
Rate for Payer: Adventist Health Medi-Cal	$15,801.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,830.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,018.90

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$66,232.76

Service Code	APR-DRG 0913
Min. Negotiated Rate	$41,831.22
Max. Negotiated Rate	$66,232.76
Rate for Payer: Adventist Health Medi-Cal	$41,831.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,848.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$66,232.76

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$106,191.49

Service Code	APR-DRG 0914
Min. Negotiated Rate	$67,068.31
Max. Negotiated Rate	$106,191.49
Rate for Payer: Adventist Health Medi-Cal	$67,068.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$79,923.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$106,191.49

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

Facility

$23,157.12

Service Code	APR-DRG 4842
Min. Negotiated Rate	$14,625.55
Max. Negotiated Rate	$23,157.12
Rate for Payer: Adventist Health Medi-Cal	$14,625.55
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,428.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,157.12

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

Facility

$27,934.22

Service Code	APR-DRG 4843
Min. Negotiated Rate	$17,642.66
Max. Negotiated Rate	$27,934.22
Rate for Payer: Adventist Health Medi-Cal	$17,642.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,024.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,934.22

Know your out-of-pocket cost for care.

All Charges