Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$62,235.36

Service Code	APR-DRG 4844
Min. Negotiated Rate	$39,306.54
Max. Negotiated Rate	$62,235.36
Rate for Payer: Adventist Health Medi-Cal	$39,306.54
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,840.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,235.36

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

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$15,209.88

Service Code	APR-DRG 7603
Min. Negotiated Rate	$9,606.24
Max. Negotiated Rate	$15,209.88
Rate for Payer: Adventist Health Medi-Cal	$9,606.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,447.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,209.88

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$28,421.06

Service Code	APR-DRG 7604
Min. Negotiated Rate	$17,950.14
Max. Negotiated Rate	$28,421.06
Rate for Payer: Adventist Health Medi-Cal	$17,950.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,390.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,421.06

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$10,383.33

Service Code	APR-DRG 7602
Min. Negotiated Rate	$6,557.89
Max. Negotiated Rate	$10,383.33
Rate for Payer: Adventist Health Medi-Cal	$6,557.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,814.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,383.33

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$7,336.79

Service Code	APR-DRG 7601
Min. Negotiated Rate	$4,633.76
Max. Negotiated Rate	$7,336.79
Rate for Payer: Adventist Health Medi-Cal	$4,633.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,521.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,336.79

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$8,010.00

Service Code	APR-DRG 3511
Min. Negotiated Rate	$5,058.95
Max. Negotiated Rate	$8,010.00
Rate for Payer: Adventist Health Medi-Cal	$5,058.95
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,028.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,010.00

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$10,020.11

Service Code	APR-DRG 3512
Min. Negotiated Rate	$6,328.49
Max. Negotiated Rate	$10,020.11
Rate for Payer: Adventist Health Medi-Cal	$6,328.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,541.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,020.11

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$29,027.71

Service Code	APR-DRG 3514
Min. Negotiated Rate	$18,333.29
Max. Negotiated Rate	$29,027.71
Rate for Payer: Adventist Health Medi-Cal	$18,333.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,847.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,027.71

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$15,491.33

Service Code	APR-DRG 3513
Min. Negotiated Rate	$9,784.00
Max. Negotiated Rate	$15,491.33
Rate for Payer: Adventist Health Medi-Cal	$9,784.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,659.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,491.33

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$17,560.39

Service Code	APR-DRG 3201
Min. Negotiated Rate	$11,090.77
Max. Negotiated Rate	$17,560.39
Rate for Payer: Adventist Health Medi-Cal	$11,090.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,216.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,560.39

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$24,300.05

Service Code	APR-DRG 3202
Min. Negotiated Rate	$15,347.40
Max. Negotiated Rate	$24,300.05
Rate for Payer: Adventist Health Medi-Cal	$15,347.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,288.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,300.05

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$61,246.48

Service Code	APR-DRG 3204
Min. Negotiated Rate	$38,681.99
Max. Negotiated Rate	$61,246.48
Rate for Payer: Adventist Health Medi-Cal	$38,681.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,096.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,246.48

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$35,269.11

Service Code	APR-DRG 3203
Min. Negotiated Rate	$22,275.23
Max. Negotiated Rate	$35,269.11
Rate for Payer: Adventist Health Medi-Cal	$22,275.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,544.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,269.11

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$39,566.99

Service Code	APR-DRG 0263
Min. Negotiated Rate	$24,989.68
Max. Negotiated Rate	$39,566.99
Rate for Payer: Adventist Health Medi-Cal	$24,989.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,779.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,566.99

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$25,720.62

Service Code	APR-DRG 0262
Min. Negotiated Rate	$16,244.60
Max. Negotiated Rate	$25,720.62
Rate for Payer: Adventist Health Medi-Cal	$16,244.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,358.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,720.62

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$69,309.72

Service Code	APR-DRG 0264
Min. Negotiated Rate	$43,774.56
Max. Negotiated Rate	$69,309.72
Rate for Payer: Adventist Health Medi-Cal	$43,774.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,164.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,309.72

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$20,740.06

Service Code	APR-DRG 0261
Min. Negotiated Rate	$13,098.98
Max. Negotiated Rate	$20,740.06
Rate for Payer: Adventist Health Medi-Cal	$13,098.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,609.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,740.06

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$12,364.92

Service Code	APR-DRG 4253
Min. Negotiated Rate	$7,809.42
Max. Negotiated Rate	$12,364.92
Rate for Payer: Adventist Health Medi-Cal	$7,809.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,306.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,364.92

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$7,266.44

Service Code	APR-DRG 4251
Min. Negotiated Rate	$4,589.33
Max. Negotiated Rate	$7,266.44
Rate for Payer: Adventist Health Medi-Cal	$4,589.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,468.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,266.44

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$26,825.53

Service Code	APR-DRG 4254
Min. Negotiated Rate	$16,942.44
Max. Negotiated Rate	$26,825.53
Rate for Payer: Adventist Health Medi-Cal	$16,942.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,189.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,825.53

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$8,880.98

Service Code	APR-DRG 4252
Min. Negotiated Rate	$5,609.04
Max. Negotiated Rate	$8,880.98
Rate for Payer: Adventist Health Medi-Cal	$5,609.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,684.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,880.98

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$28,238.48

Service Code	APR-DRG 0271
Min. Negotiated Rate	$17,834.83
Max. Negotiated Rate	$28,238.48
Rate for Payer: Adventist Health Medi-Cal	$17,834.83
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,253.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,238.48

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$84,704.07

Service Code	APR-DRG 0274
Min. Negotiated Rate	$53,497.31
Max. Negotiated Rate	$84,704.07
Rate for Payer: Adventist Health Medi-Cal	$53,497.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$63,750.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$84,704.07

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$31,454.29

Service Code	APR-DRG 0272
Min. Negotiated Rate	$19,865.87
Max. Negotiated Rate	$31,454.29
Rate for Payer: Adventist Health Medi-Cal	$19,865.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,673.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,454.29

Know your out-of-pocket cost for care.

All Charges