Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: SEIZURE

Facility

$31,431.47

Service Code	APR-DRG 0534
Min. Negotiated Rate	$19,851.46
Max. Negotiated Rate	$31,431.47
Rate for Payer: Adventist Health Medi-Cal	$19,851.46
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,656.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,431.47

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

APR-DRG 41.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$12,115.79

Service Code	APR-DRG 7202
Min. Negotiated Rate	$7,652.08
Max. Negotiated Rate	$12,115.79
Rate for Payer: Adventist Health Medi-Cal	$7,652.08
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,118.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,115.79

APR-DRG 41.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$9,462.91

Service Code	APR-DRG 7201
Min. Negotiated Rate	$5,976.58
Max. Negotiated Rate	$9,462.91
Rate for Payer: Adventist Health Medi-Cal	$5,976.58
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,122.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,462.91

APR-DRG 41.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$18,100.48

Service Code	APR-DRG 7203
Min. Negotiated Rate	$11,431.88
Max. Negotiated Rate	$18,100.48
Rate for Payer: Adventist Health Medi-Cal	$11,431.88
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$13,623.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,100.48

APR-DRG 41.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$33,160.11

Service Code	APR-DRG 7204
Min. Negotiated Rate	$20,943.23
Max. Negotiated Rate	$33,160.11
Rate for Payer: Adventist Health Medi-Cal	$20,943.23
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,957.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,160.11

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$29,790.29

Service Code	APR-DRG 3221
Min. Negotiated Rate	$18,814.92
Max. Negotiated Rate	$29,790.29
Rate for Payer: Adventist Health Medi-Cal	$18,814.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,421.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,790.29

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$60,900.36

Service Code	APR-DRG 3224
Min. Negotiated Rate	$38,463.38
Max. Negotiated Rate	$60,900.36
Rate for Payer: Adventist Health Medi-Cal	$38,463.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$45,835.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,900.36

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$42,326.36

Service Code	APR-DRG 3223
Min. Negotiated Rate	$26,732.44
Max. Negotiated Rate	$42,326.36
Rate for Payer: Adventist Health Medi-Cal	$26,732.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$31,856.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,326.36

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$32,148.40

Service Code	APR-DRG 3222
Min. Negotiated Rate	$20,304.25
Max. Negotiated Rate	$32,148.40
Rate for Payer: Adventist Health Medi-Cal	$20,304.25
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$24,195.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,148.40

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$16,280.53

Service Code	APR-DRG 3151
Min. Negotiated Rate	$10,282.44
Max. Negotiated Rate	$16,280.53
Rate for Payer: Adventist Health Medi-Cal	$10,282.44
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,253.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,280.53

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$25,674.99

Service Code	APR-DRG 3152
Min. Negotiated Rate	$16,215.78
Max. Negotiated Rate	$25,674.99
Rate for Payer: Adventist Health Medi-Cal	$16,215.78
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$19,323.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,674.99

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$38,133.10

Service Code	APR-DRG 3153
Min. Negotiated Rate	$24,084.06
Max. Negotiated Rate	$38,133.10
Rate for Payer: Adventist Health Medi-Cal	$24,084.06
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,700.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,133.10

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$61,950.11

Service Code	APR-DRG 3154
Min. Negotiated Rate	$39,126.38
Max. Negotiated Rate	$61,950.11
Rate for Payer: Adventist Health Medi-Cal	$39,126.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$46,625.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,950.11

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$8,340.91

Service Code	APR-DRG 6621
Min. Negotiated Rate	$5,267.94
Max. Negotiated Rate	$8,340.91
Rate for Payer: Adventist Health Medi-Cal	$5,267.94
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,277.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,340.91

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$11,395.04

Service Code	APR-DRG 6622
Min. Negotiated Rate	$7,196.87
Max. Negotiated Rate	$11,395.04
Rate for Payer: Adventist Health Medi-Cal	$7,196.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,576.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,395.04

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$34,297.34

Service Code	APR-DRG 6624
Min. Negotiated Rate	$21,661.48
Max. Negotiated Rate	$34,297.34
Rate for Payer: Adventist Health Medi-Cal	$21,661.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,813.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,297.34

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$16,434.58

Service Code	APR-DRG 6623
Min. Negotiated Rate	$10,379.74
Max. Negotiated Rate	$16,434.58
Rate for Payer: Adventist Health Medi-Cal	$10,379.74
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,369.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,434.58

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$14,764.88

Service Code	APR-DRG 8613
Min. Negotiated Rate	$9,325.19
Max. Negotiated Rate	$14,764.88
Rate for Payer: Adventist Health Medi-Cal	$9,325.19
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,112.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,764.88

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$10,158.94

Service Code	APR-DRG 8612
Min. Negotiated Rate	$6,416.17
Max. Negotiated Rate	$10,158.94
Rate for Payer: Adventist Health Medi-Cal	$6,416.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,645.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,158.94

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$21,207.88

Service Code	APR-DRG 8614
Min. Negotiated Rate	$13,394.45
Max. Negotiated Rate	$21,207.88
Rate for Payer: Adventist Health Medi-Cal	$13,394.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,961.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,207.88

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$6,218.59

Service Code	APR-DRG 8611
Min. Negotiated Rate	$3,927.53
Max. Negotiated Rate	$6,218.59
Rate for Payer: Adventist Health Medi-Cal	$3,927.53
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$4,680.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,218.59

APR-DRG 41.00: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$50,357.28

Service Code	APR-DRG 3123
Min. Negotiated Rate	$31,804.60
Max. Negotiated Rate	$50,357.28
Rate for Payer: Adventist Health Medi-Cal	$31,804.60
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$37,900.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,357.28

APR-DRG 41.00: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$30,225.77

Service Code	APR-DRG 3122
Min. Negotiated Rate	$19,089.96
Max. Negotiated Rate	$30,225.77
Rate for Payer: Adventist Health Medi-Cal	$19,089.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$22,748.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,225.77

APR-DRG 41.00: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$89,815.87

Service Code	APR-DRG 3124
Min. Negotiated Rate	$56,725.81
Max. Negotiated Rate	$89,815.87
Rate for Payer: Adventist Health Medi-Cal	$56,725.81
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$67,598.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$89,815.87

Know your out-of-pocket cost for care.

All Charges