Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$19,220.59

Service Code	APR-DRG 6811
Min. Negotiated Rate	$12,139.32
Max. Negotiated Rate	$19,220.59
Rate for Payer: Adventist Health Medi-Cal	$12,139.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,466.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,220.59

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$40,664.26

Service Code	APR-DRG 6813
Min. Negotiated Rate	$25,682.69
Max. Negotiated Rate	$40,664.26
Rate for Payer: Adventist Health Medi-Cal	$25,682.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,605.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,664.26

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$92,056.08

Service Code	APR-DRG 6814
Min. Negotiated Rate	$58,140.68
Max. Negotiated Rate	$92,056.08
Rate for Payer: Adventist Health Medi-Cal	$58,140.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$69,284.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$92,056.08

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$24,872.46

Service Code	APR-DRG 6812
Min. Negotiated Rate	$15,708.92
Max. Negotiated Rate	$24,872.46
Rate for Payer: Adventist Health Medi-Cal	$15,708.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,719.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,872.46

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$65,968.42

Service Code	APR-DRG 0294
Min. Negotiated Rate	$41,664.26
Max. Negotiated Rate	$65,968.42
Rate for Payer: Adventist Health Medi-Cal	$41,664.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$49,649.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,968.42

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$41,767.26

Service Code	APR-DRG 0293
Min. Negotiated Rate	$26,379.32
Max. Negotiated Rate	$41,767.26
Rate for Payer: Adventist Health Medi-Cal	$26,379.32
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,435.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,767.26

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$33,068.83

Service Code	APR-DRG 0291
Min. Negotiated Rate	$20,885.58
Max. Negotiated Rate	$33,068.83
Rate for Payer: Adventist Health Medi-Cal	$20,885.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,888.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,068.83

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$37,418.05

Service Code	APR-DRG 0292
Min. Negotiated Rate	$23,632.45
Max. Negotiated Rate	$37,418.05
Rate for Payer: Adventist Health Medi-Cal	$23,632.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,162.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,418.05

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$33,363.60

Service Code	APR-DRG 1822
Min. Negotiated Rate	$21,071.75
Max. Negotiated Rate	$33,363.60
Rate for Payer: Adventist Health Medi-Cal	$21,071.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,110.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,363.60

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$70,443.15

Service Code	APR-DRG 1824
Min. Negotiated Rate	$44,490.41
Max. Negotiated Rate	$70,443.15
Rate for Payer: Adventist Health Medi-Cal	$44,490.41
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,017.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,443.15

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$40,097.56

Service Code	APR-DRG 1823
Min. Negotiated Rate	$25,324.78
Max. Negotiated Rate	$40,097.56
Rate for Payer: Adventist Health Medi-Cal	$25,324.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$30,178.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,097.56

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$30,229.59

Service Code	APR-DRG 1821
Min. Negotiated Rate	$19,092.37
Max. Negotiated Rate	$30,229.59
Rate for Payer: Adventist Health Medi-Cal	$19,092.37
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,751.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,229.59

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$14,677.41

Service Code	APR-DRG 1393
Min. Negotiated Rate	$9,269.94
Max. Negotiated Rate	$14,677.41
Rate for Payer: Adventist Health Medi-Cal	$9,269.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,046.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,677.41

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$25,330.78

Service Code	APR-DRG 1394
Min. Negotiated Rate	$15,998.39
Max. Negotiated Rate	$25,330.78
Rate for Payer: Adventist Health Medi-Cal	$15,998.39
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,064.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,330.78

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$10,290.15

Service Code	APR-DRG 1392
Min. Negotiated Rate	$6,499.04
Max. Negotiated Rate	$10,290.15
Rate for Payer: Adventist Health Medi-Cal	$6,499.04
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,744.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,290.15

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$7,542.18

Service Code	APR-DRG 1391
Min. Negotiated Rate	$4,763.48
Max. Negotiated Rate	$7,542.18
Rate for Payer: Adventist Health Medi-Cal	$4,763.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,676.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,542.18

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$24,068.04

Service Code	APR-DRG 4052
Min. Negotiated Rate	$15,200.87
Max. Negotiated Rate	$24,068.04
Rate for Payer: Adventist Health Medi-Cal	$15,200.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,114.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,068.04

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$71,336.94

Service Code	APR-DRG 4054
Min. Negotiated Rate	$45,054.91
Max. Negotiated Rate	$71,336.94
Rate for Payer: Adventist Health Medi-Cal	$45,054.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,690.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$71,336.94

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$36,324.56

Service Code	APR-DRG 4053
Min. Negotiated Rate	$22,941.83
Max. Negotiated Rate	$36,324.56
Rate for Payer: Adventist Health Medi-Cal	$22,941.83
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,339.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,324.56

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$21,086.16

Service Code	APR-DRG 4051
Min. Negotiated Rate	$13,317.58
Max. Negotiated Rate	$21,086.16
Rate for Payer: Adventist Health Medi-Cal	$13,317.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,870.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,086.16

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$17,440.58

Service Code	APR-DRG 6511
Min. Negotiated Rate	$11,015.10
Max. Negotiated Rate	$17,440.58
Rate for Payer: Adventist Health Medi-Cal	$11,015.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,126.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,440.58

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$25,287.04

Service Code	APR-DRG 6512
Min. Negotiated Rate	$15,970.76
Max. Negotiated Rate	$25,287.04
Rate for Payer: Adventist Health Medi-Cal	$15,970.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,031.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,287.04

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$35,554.38

Service Code	APR-DRG 6513
Min. Negotiated Rate	$22,455.40
Max. Negotiated Rate	$35,554.38
Rate for Payer: Adventist Health Medi-Cal	$22,455.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$26,759.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,554.38

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$70,745.51

Service Code	APR-DRG 6514
Min. Negotiated Rate	$44,681.38
Max. Negotiated Rate	$70,745.51
Rate for Payer: Adventist Health Medi-Cal	$44,681.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,245.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,745.51

Know your out-of-pocket cost for care.

All Charges