Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$22,175.83

Service Code	APR-DRG 4442
Min. Negotiated Rate	$14,005.79
Max. Negotiated Rate	$22,175.83
Rate for Payer: Adventist Health Medi-Cal	$14,005.79
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$16,690.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,175.83

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

APR-DRG 41.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$32,969.94

Service Code	APR-DRG 4443
Min. Negotiated Rate	$20,823.12
Max. Negotiated Rate	$32,969.94
Rate for Payer: Adventist Health Medi-Cal	$20,823.12
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,814.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,969.94

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$6,224.31

Service Code	APR-DRG 1331
Min. Negotiated Rate	$3,931.14
Max. Negotiated Rate	$6,224.31
Rate for Payer: Adventist Health Medi-Cal	$3,931.14
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,684.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,224.31

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$11,779.18

Service Code	APR-DRG 1332
Min. Negotiated Rate	$7,439.48
Max. Negotiated Rate	$11,779.18
Rate for Payer: Adventist Health Medi-Cal	$7,439.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,865.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,779.18

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$29,339.59

Service Code	APR-DRG 1334
Min. Negotiated Rate	$18,530.27
Max. Negotiated Rate	$29,339.59
Rate for Payer: Adventist Health Medi-Cal	$18,530.27
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,081.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,339.59

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$17,737.24

Service Code	APR-DRG 1333
Min. Negotiated Rate	$11,202.47
Max. Negotiated Rate	$17,737.24
Rate for Payer: Adventist Health Medi-Cal	$11,202.47
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,349.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,737.24

APR-DRG 41.00: RESPIRATORY MALIGNANCY

Facility

$29,615.34

Service Code	APR-DRG 1364
Min. Negotiated Rate	$18,704.42
Max. Negotiated Rate	$29,615.34
Rate for Payer: Adventist Health Medi-Cal	$18,704.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,289.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,615.34

APR-DRG 41.00: RESPIRATORY MALIGNANCY

Facility

$13,903.40

Service Code	APR-DRG 1362
Min. Negotiated Rate	$8,781.10
Max. Negotiated Rate	$13,903.40
Rate for Payer: Adventist Health Medi-Cal	$8,781.10
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,464.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,903.40

APR-DRG 41.00: RESPIRATORY MALIGNANCY

Facility

$19,848.14

Service Code	APR-DRG 1363
Min. Negotiated Rate	$12,535.67
Max. Negotiated Rate	$19,848.14
Rate for Payer: Adventist Health Medi-Cal	$12,535.67
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$14,938.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,848.14

APR-DRG 41.00: RESPIRATORY MALIGNANCY

Facility

$10,198.88

Service Code	APR-DRG 1361
Min. Negotiated Rate	$6,441.40
Max. Negotiated Rate	$10,198.88
Rate for Payer: Adventist Health Medi-Cal	$6,441.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,676.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,198.88

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

Facility

$8,133.61

Service Code	APR-DRG 1441
Min. Negotiated Rate	$5,137.02
Max. Negotiated Rate	$8,133.61
Rate for Payer: Adventist Health Medi-Cal	$5,137.02
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,121.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,133.61

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

Facility

$15,854.55

Service Code	APR-DRG 1443
Min. Negotiated Rate	$10,013.40
Max. Negotiated Rate	$15,854.55
Rate for Payer: Adventist Health Medi-Cal	$10,013.40
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,932.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,854.55

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

Facility

$26,817.91

Service Code	APR-DRG 1444
Min. Negotiated Rate	$16,937.63
Max. Negotiated Rate	$26,817.91
Rate for Payer: Adventist Health Medi-Cal	$16,937.63
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$20,184.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,817.91

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

Facility

$10,613.44

Service Code	APR-DRG 1442
Min. Negotiated Rate	$6,703.22
Max. Negotiated Rate	$10,613.44
Rate for Payer: Adventist Health Medi-Cal	$6,703.22
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,988.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,613.44

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$56,330.55

Service Code	APR-DRG 1302
Min. Negotiated Rate	$35,577.19
Max. Negotiated Rate	$56,330.55
Rate for Payer: Adventist Health Medi-Cal	$35,577.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,396.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,330.55

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$87,408.30

Service Code	APR-DRG 1304
Min. Negotiated Rate	$55,205.24
Max. Negotiated Rate	$87,408.30
Rate for Payer: Adventist Health Medi-Cal	$55,205.24
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$65,786.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,408.30

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$49,803.88

Service Code	APR-DRG 1301
Min. Negotiated Rate	$31,455.08
Max. Negotiated Rate	$49,803.88
Rate for Payer: Adventist Health Medi-Cal	$31,455.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,483.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,803.88

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$66,862.22

Service Code	APR-DRG 1303
Min. Negotiated Rate	$42,228.77
Max. Negotiated Rate	$66,862.22
Rate for Payer: Adventist Health Medi-Cal	$42,228.77
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$50,322.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$66,862.22

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$11,024.22

Service Code	APR-DRG 7502
Min. Negotiated Rate	$6,962.66
Max. Negotiated Rate	$11,024.22
Rate for Payer: Adventist Health Medi-Cal	$6,962.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,297.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,024.22

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$17,689.70

Service Code	APR-DRG 7503
Min. Negotiated Rate	$11,172.44
Max. Negotiated Rate	$17,689.70
Rate for Payer: Adventist Health Medi-Cal	$11,172.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,313.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,689.70

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$8,683.21

Service Code	APR-DRG 7501
Min. Negotiated Rate	$5,484.13
Max. Negotiated Rate	$8,683.21
Rate for Payer: Adventist Health Medi-Cal	$5,484.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,535.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,683.21

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$39,403.43

Service Code	APR-DRG 7504
Min. Negotiated Rate	$24,886.38
Max. Negotiated Rate	$39,403.43
Rate for Payer: Adventist Health Medi-Cal	$24,886.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,656.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,403.43

APR-DRG 41.00: SEIZURE

Facility

$13,960.46

Service Code	APR-DRG 0533
Min. Negotiated Rate	$8,817.13
Max. Negotiated Rate	$13,960.46
Rate for Payer: Adventist Health Medi-Cal	$8,817.13
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,507.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,960.46

APR-DRG 41.00: SEIZURE

Facility

$10,221.70

Service Code	APR-DRG 0532
Min. Negotiated Rate	$6,455.81
Max. Negotiated Rate	$10,221.70
Rate for Payer: Adventist Health Medi-Cal	$6,455.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,693.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,221.70

Know your out-of-pocket cost for care.

All Charges