Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: PERITONEAL ADHESIOLYSIS

Facility

$22,579.01

Service Code	APR-DRG 2241
Min. Negotiated Rate	$14,260.43
Max. Negotiated Rate	$22,579.01
Rate for Payer: Adventist Health Medi-Cal	$14,260.43
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,993.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,579.01

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$51,821.61

Service Code	APR-DRG 1703
Min. Negotiated Rate	$32,729.44
Max. Negotiated Rate	$51,821.61
Rate for Payer: Adventist Health Medi-Cal	$32,729.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$39,002.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$51,821.61

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$37,182.24

Service Code	APR-DRG 1701
Min. Negotiated Rate	$23,483.52
Max. Negotiated Rate	$37,182.24
Rate for Payer: Adventist Health Medi-Cal	$23,483.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,984.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,182.24

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$72,778.44

Service Code	APR-DRG 1704
Min. Negotiated Rate	$45,965.33
Max. Negotiated Rate	$72,778.44
Rate for Payer: Adventist Health Medi-Cal	$45,965.33
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$54,775.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$72,778.44

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$38,585.69

Service Code	APR-DRG 1702
Min. Negotiated Rate	$24,369.91
Max. Negotiated Rate	$38,585.69
Rate for Payer: Adventist Health Medi-Cal	$24,369.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,040.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,585.69

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$39,045.91

Service Code	APR-DRG 1713
Min. Negotiated Rate	$24,660.58
Max. Negotiated Rate	$39,045.91
Rate for Payer: Adventist Health Medi-Cal	$24,660.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,387.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,045.91

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$26,521.24

Service Code	APR-DRG 1711
Min. Negotiated Rate	$16,750.26
Max. Negotiated Rate	$26,521.24
Rate for Payer: Adventist Health Medi-Cal	$16,750.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,960.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,521.24

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$61,065.81

Service Code	APR-DRG 1714
Min. Negotiated Rate	$38,567.88
Max. Negotiated Rate	$61,065.81
Rate for Payer: Adventist Health Medi-Cal	$38,567.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,960.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,065.81

APR-DRG 41.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$30,081.26

Service Code	APR-DRG 1712
Min. Negotiated Rate	$18,998.69
Max. Negotiated Rate	$30,081.26
Rate for Payer: Adventist Health Medi-Cal	$18,998.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,640.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,081.26

APR-DRG 41.00: POISONING OF MEDICINAL AGENTS

Facility

$5,697.53

Service Code	APR-DRG 8121
Min. Negotiated Rate	$3,598.44
Max. Negotiated Rate	$5,697.53
Rate for Payer: Adventist Health Medi-Cal	$3,598.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,288.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,697.53

APR-DRG 41.00: POISONING OF MEDICINAL AGENTS

Facility

$12,547.49

Service Code	APR-DRG 8123
Min. Negotiated Rate	$7,924.73
Max. Negotiated Rate	$12,547.49
Rate for Payer: Adventist Health Medi-Cal	$7,924.73
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,443.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,547.49

APR-DRG 41.00: POISONING OF MEDICINAL AGENTS

Facility

$8,268.63

Service Code	APR-DRG 8122
Min. Negotiated Rate	$5,222.29
Max. Negotiated Rate	$8,268.63
Rate for Payer: Adventist Health Medi-Cal	$5,222.29
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,223.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,268.63

APR-DRG 41.00: POISONING OF MEDICINAL AGENTS

Facility

$23,900.69

Service Code	APR-DRG 8124
Min. Negotiated Rate	$15,095.17
Max. Negotiated Rate	$23,900.69
Rate for Payer: Adventist Health Medi-Cal	$15,095.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,988.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,900.69

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$64,720.90

Service Code	APR-DRG 7114
Min. Negotiated Rate	$40,876.36
Max. Negotiated Rate	$64,720.90
Rate for Payer: Adventist Health Medi-Cal	$40,876.36
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$48,710.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$64,720.90

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$17,353.10

Service Code	APR-DRG 7111
Min. Negotiated Rate	$10,959.85
Max. Negotiated Rate	$17,353.10
Rate for Payer: Adventist Health Medi-Cal	$10,959.85
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,060.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,353.10

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$22,423.06

Service Code	APR-DRG 7112
Min. Negotiated Rate	$14,161.93
Max. Negotiated Rate	$22,423.06
Rate for Payer: Adventist Health Medi-Cal	$14,161.93
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,876.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,423.06

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$36,621.23

Service Code	APR-DRG 7113
Min. Negotiated Rate	$23,129.20
Max. Negotiated Rate	$36,621.23
Rate for Payer: Adventist Health Medi-Cal	$23,129.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,562.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,621.23

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$19,148.31

Service Code	APR-DRG 7213
Min. Negotiated Rate	$12,093.67
Max. Negotiated Rate	$19,148.31
Rate for Payer: Adventist Health Medi-Cal	$12,093.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,411.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,148.31

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$9,234.70

Service Code	APR-DRG 7211
Min. Negotiated Rate	$5,832.44
Max. Negotiated Rate	$9,234.70
Rate for Payer: Adventist Health Medi-Cal	$5,832.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,950.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,234.70

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$33,688.79

Service Code	APR-DRG 7214
Min. Negotiated Rate	$21,277.13
Max. Negotiated Rate	$33,688.79
Rate for Payer: Adventist Health Medi-Cal	$21,277.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,355.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,688.79

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$12,170.94

Service Code	APR-DRG 7212
Min. Negotiated Rate	$7,686.91
Max. Negotiated Rate	$12,170.94
Rate for Payer: Adventist Health Medi-Cal	$7,686.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,160.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,170.94

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$10,333.06

Service Code	APR-DRG 5613
Min. Negotiated Rate	$6,526.14
Max. Negotiated Rate	$10,333.06
Rate for Payer: Adventist Health Medi-Cal	$6,526.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,776.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,333.06

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$6,374.01

Service Code	APR-DRG 5612
Min. Negotiated Rate	$4,025.69
Max. Negotiated Rate	$6,374.01
Rate for Payer: Adventist Health Medi-Cal	$4,025.69
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,797.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,374.01

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$4,219.10

Service Code	APR-DRG 5611
Min. Negotiated Rate	$2,664.70
Max. Negotiated Rate	$4,219.10
Rate for Payer: Adventist Health Medi-Cal	$2,664.70
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$3,175.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,219.10

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$24,188.42

Service Code	APR-DRG 5614
Min. Negotiated Rate	$15,276.90
Max. Negotiated Rate	$24,188.42
Rate for Payer: Adventist Health Medi-Cal	$15,276.90
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,204.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,188.42

Know your out-of-pocket cost for care.

All Charges