Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$28,731.04

Service Code	APR-DRG 1212
Min. Negotiated Rate	$18,145.92
Max. Negotiated Rate	$28,731.04
Rate for Payer: Adventist Health Medi-Cal	$18,145.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$21,623.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,731.04

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$75,113.74

Service Code	APR-DRG 1214
Min. Negotiated Rate	$47,440.26
Max. Negotiated Rate	$75,113.74
Rate for Payer: Adventist Health Medi-Cal	$47,440.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$56,532.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,113.74

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$43,937.10

Service Code	APR-DRG 1213
Min. Negotiated Rate	$27,749.75
Max. Negotiated Rate	$43,937.10
Rate for Payer: Adventist Health Medi-Cal	$27,749.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$33,068.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$43,937.10

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$22,191.05

Service Code	APR-DRG 1211
Min. Negotiated Rate	$14,015.40
Max. Negotiated Rate	$22,191.05
Rate for Payer: Adventist Health Medi-Cal	$14,015.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,701.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,191.05

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$11,718.34

Service Code	APR-DRG 1432
Min. Negotiated Rate	$7,401.06
Max. Negotiated Rate	$11,718.34
Rate for Payer: Adventist Health Medi-Cal	$7,401.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,819.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,718.34

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$8,386.54

Service Code	APR-DRG 1431
Min. Negotiated Rate	$5,296.76
Max. Negotiated Rate	$8,386.54
Rate for Payer: Adventist Health Medi-Cal	$5,296.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,311.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,386.54

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$27,825.82

Service Code	APR-DRG 1434
Min. Negotiated Rate	$17,574.20
Max. Negotiated Rate	$27,825.82
Rate for Payer: Adventist Health Medi-Cal	$17,574.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,942.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,825.82

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$17,339.80

Service Code	APR-DRG 1433
Min. Negotiated Rate	$10,951.45
Max. Negotiated Rate	$17,339.80
Rate for Payer: Adventist Health Medi-Cal	$10,951.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,050.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,339.80

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$42,379.61

Service Code	APR-DRG 3093
Min. Negotiated Rate	$26,766.07
Max. Negotiated Rate	$42,379.61
Rate for Payer: Adventist Health Medi-Cal	$26,766.07
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,896.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,379.61

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$23,208.46

Service Code	APR-DRG 3091
Min. Negotiated Rate	$14,657.98
Max. Negotiated Rate	$23,208.46
Rate for Payer: Adventist Health Medi-Cal	$14,657.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,467.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,208.46

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$66,445.76

Service Code	APR-DRG 3094
Min. Negotiated Rate	$41,965.74
Max. Negotiated Rate	$66,445.76
Rate for Payer: Adventist Health Medi-Cal	$41,965.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,009.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$66,445.76

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$30,124.99

Service Code	APR-DRG 3092
Min. Negotiated Rate	$19,026.31
Max. Negotiated Rate	$30,124.99
Rate for Payer: Adventist Health Medi-Cal	$19,026.31
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,673.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,124.99

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$7,152.32

Service Code	APR-DRG 3851
Min. Negotiated Rate	$4,517.26
Max. Negotiated Rate	$7,152.32
Rate for Payer: Adventist Health Medi-Cal	$4,517.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,383.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,152.32

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$14,709.72

Service Code	APR-DRG 3853
Min. Negotiated Rate	$9,290.35
Max. Negotiated Rate	$14,709.72
Rate for Payer: Adventist Health Medi-Cal	$9,290.35
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,071.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,709.72

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$9,451.49

Service Code	APR-DRG 3852
Min. Negotiated Rate	$5,969.36
Max. Negotiated Rate	$9,451.49
Rate for Payer: Adventist Health Medi-Cal	$5,969.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,113.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,451.49

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$26,509.85

Service Code	APR-DRG 3854
Min. Negotiated Rate	$16,743.06
Max. Negotiated Rate	$26,509.85
Rate for Payer: Adventist Health Medi-Cal	$16,743.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,952.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,509.85

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$27,000.48

Service Code	APR-DRG 3643
Min. Negotiated Rate	$17,052.94
Max. Negotiated Rate	$27,000.48
Rate for Payer: Adventist Health Medi-Cal	$17,052.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,321.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,000.48

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$17,086.87

Service Code	APR-DRG 3642
Min. Negotiated Rate	$10,791.71
Max. Negotiated Rate	$17,086.87
Rate for Payer: Adventist Health Medi-Cal	$10,791.71
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,860.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,086.87

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$47,559.87

Service Code	APR-DRG 3644
Min. Negotiated Rate	$30,037.81
Max. Negotiated Rate	$47,559.87
Rate for Payer: Adventist Health Medi-Cal	$30,037.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$35,795.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,559.87

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$12,509.45

Service Code	APR-DRG 3641
Min. Negotiated Rate	$7,900.70
Max. Negotiated Rate	$12,509.45
Rate for Payer: Adventist Health Medi-Cal	$7,900.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,415.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,509.45

APR-DRG 41.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$33,319.86

Service Code	APR-DRG 2233
Min. Negotiated Rate	$21,044.12
Max. Negotiated Rate	$33,319.86
Rate for Payer: Adventist Health Medi-Cal	$21,044.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,077.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,319.86

APR-DRG 41.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$60,556.15

Service Code	APR-DRG 2234
Min. Negotiated Rate	$38,245.99
Max. Negotiated Rate	$60,556.15
Rate for Payer: Adventist Health Medi-Cal	$38,245.99
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,576.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,556.15

APR-DRG 41.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$19,720.73

Service Code	APR-DRG 2231
Min. Negotiated Rate	$12,455.20
Max. Negotiated Rate	$19,720.73
Rate for Payer: Adventist Health Medi-Cal	$12,455.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,842.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,720.73

APR-DRG 41.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$24,490.22

Service Code	APR-DRG 2232
Min. Negotiated Rate	$15,467.51
Max. Negotiated Rate	$24,490.22
Rate for Payer: Adventist Health Medi-Cal	$15,467.51
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,432.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,490.22

APR-DRG 41.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$31,226.08

Service Code	APR-DRG 2223
Min. Negotiated Rate	$19,721.74
Max. Negotiated Rate	$31,226.08
Rate for Payer: Adventist Health Medi-Cal	$19,721.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,501.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,226.08

Know your out-of-pocket cost for care.

All Charges