Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$7,119.85

Service Code	APR-DRG 5481
Min. Negotiated Rate	$4,496.75
Max. Negotiated Rate	$7,119.85
Rate for Payer: Adventist Health Medi-Cal	$4,496.75
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,358.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,119.85

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$57,162.74

Service Code	APR-DRG 5484
Min. Negotiated Rate	$36,102.78
Max. Negotiated Rate	$57,162.74
Rate for Payer: Adventist Health Medi-Cal	$36,102.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$43,022.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,162.74

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$14,675.12

Service Code	APR-DRG 5482
Min. Negotiated Rate	$9,268.50
Max. Negotiated Rate	$14,675.12
Rate for Payer: Adventist Health Medi-Cal	$9,268.50
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,044.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,675.12

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$25,115.02

Service Code	APR-DRG 5483
Min. Negotiated Rate	$15,862.12
Max. Negotiated Rate	$25,115.02
Rate for Payer: Adventist Health Medi-Cal	$15,862.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,902.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,115.02

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$31,994.37

Service Code	APR-DRG 4033
Min. Negotiated Rate	$20,206.97
Max. Negotiated Rate	$31,994.37
Rate for Payer: Adventist Health Medi-Cal	$20,206.97
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,079.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,994.37

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$18,758.47

Service Code	APR-DRG 4031
Min. Negotiated Rate	$11,847.46
Max. Negotiated Rate	$18,758.47
Rate for Payer: Adventist Health Medi-Cal	$11,847.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,118.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,758.47

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$69,492.29

Service Code	APR-DRG 4034
Min. Negotiated Rate	$43,889.87
Max. Negotiated Rate	$69,492.29
Rate for Payer: Adventist Health Medi-Cal	$43,889.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$52,302.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,492.29

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$21,523.56

Service Code	APR-DRG 4032
Min. Negotiated Rate	$13,593.83
Max. Negotiated Rate	$21,523.56
Rate for Payer: Adventist Health Medi-Cal	$13,593.83
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,199.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,523.56

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$102,521.19

Service Code	APR-DRG 8504
Min. Negotiated Rate	$64,750.22
Max. Negotiated Rate	$102,521.19
Rate for Payer: Adventist Health Medi-Cal	$64,750.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$77,160.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,521.19

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$36,756.26

Service Code	APR-DRG 8502
Min. Negotiated Rate	$23,214.48
Max. Negotiated Rate	$36,756.26
Rate for Payer: Adventist Health Medi-Cal	$23,214.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$27,663.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,756.26

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$27,645.15

Service Code	APR-DRG 8501
Min. Negotiated Rate	$17,460.10
Max. Negotiated Rate	$27,645.15
Rate for Payer: Adventist Health Medi-Cal	$17,460.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,806.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,645.15

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$45,787.47

Service Code	APR-DRG 8503
Min. Negotiated Rate	$28,918.40
Max. Negotiated Rate	$45,787.47
Rate for Payer: Adventist Health Medi-Cal	$28,918.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$34,461.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,787.47

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$9,453.39

Service Code	APR-DRG 1341
Min. Negotiated Rate	$5,970.56
Max. Negotiated Rate	$9,453.39
Rate for Payer: Adventist Health Medi-Cal	$5,970.56
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,114.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,453.39

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$29,543.06

Service Code	APR-DRG 1344
Min. Negotiated Rate	$18,658.78
Max. Negotiated Rate	$29,543.06
Rate for Payer: Adventist Health Medi-Cal	$18,658.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,235.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,543.06

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$17,864.65

Service Code	APR-DRG 1343
Min. Negotiated Rate	$11,282.94
Max. Negotiated Rate	$17,864.65
Rate for Payer: Adventist Health Medi-Cal	$11,282.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,445.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,864.65

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$12,068.25

Service Code	APR-DRG 1342
Min. Negotiated Rate	$7,622.05
Max. Negotiated Rate	$12,068.25
Rate for Payer: Adventist Health Medi-Cal	$7,622.05
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,082.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,068.25

APR-DRG 41.00: RADIOTHERAPY

Facility

$32,043.82

Service Code	APR-DRG 6923
Min. Negotiated Rate	$20,238.20
Max. Negotiated Rate	$32,043.82
Rate for Payer: Adventist Health Medi-Cal	$20,238.20
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,117.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,043.82

APR-DRG 41.00: RADIOTHERAPY

Facility

$19,576.19

Service Code	APR-DRG 6922
Min. Negotiated Rate	$12,363.91
Max. Negotiated Rate	$19,576.19
Rate for Payer: Adventist Health Medi-Cal	$12,363.91
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,733.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,576.19

APR-DRG 41.00: RADIOTHERAPY

Facility

$52,123.97

Service Code	APR-DRG 6924
Min. Negotiated Rate	$32,920.40
Max. Negotiated Rate	$52,123.97
Rate for Payer: Adventist Health Medi-Cal	$32,920.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$39,230.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,123.97

APR-DRG 41.00: RADIOTHERAPY

Facility

$10,208.38

Service Code	APR-DRG 6921
Min. Negotiated Rate	$6,447.40
Max. Negotiated Rate	$10,208.38
Rate for Payer: Adventist Health Medi-Cal	$6,447.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,683.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,208.38

APR-DRG 41.00: REHABILITATION

Facility

$16,210.17

Service Code	APR-DRG 8601
Min. Negotiated Rate	$10,238.00
Max. Negotiated Rate	$16,210.17
Rate for Payer: Adventist Health Medi-Cal	$10,238.00
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,200.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,210.17

APR-DRG 41.00: REHABILITATION

Facility

$30,434.96

Service Code	APR-DRG 8604
Min. Negotiated Rate	$19,222.08
Max. Negotiated Rate	$30,434.96
Rate for Payer: Adventist Health Medi-Cal	$19,222.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,906.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,434.96

APR-DRG 41.00: REHABILITATION

Facility

$19,749.26

Service Code	APR-DRG 8602
Min. Negotiated Rate	$12,473.22
Max. Negotiated Rate	$19,749.26
Rate for Payer: Adventist Health Medi-Cal	$12,473.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,863.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,749.26

APR-DRG 41.00: REHABILITATION

Facility

$24,815.41

Service Code	APR-DRG 8603
Min. Negotiated Rate	$15,672.89
Max. Negotiated Rate	$24,815.41
Rate for Payer: Adventist Health Medi-Cal	$15,672.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$18,676.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,815.41

APR-DRG 41.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$14,873.28

Service Code	APR-DRG 4441
Min. Negotiated Rate	$9,393.65
Max. Negotiated Rate	$14,873.28
Rate for Payer: Adventist Health Medi-Cal	$9,393.65
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,194.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,873.28

Know your out-of-pocket cost for care.

All Charges