Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$22,763.46

Service Code	APR-DRG 2044
Min. Negotiated Rate	$14,376.92
Max. Negotiated Rate	$22,763.46
Rate for Payer: Adventist Health Medi-Cal	$14,376.92
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,132.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,763.46

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$9,088.27

Service Code	APR-DRG 2041
Min. Negotiated Rate	$5,739.96
Max. Negotiated Rate	$9,088.27
Rate for Payer: Adventist Health Medi-Cal	$5,739.96
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,840.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,088.27

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$10,719.93

Service Code	APR-DRG 2042
Min. Negotiated Rate	$6,770.48
Max. Negotiated Rate	$10,719.93
Rate for Payer: Adventist Health Medi-Cal	$6,770.48
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$8,068.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,719.93

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$13,730.35

Service Code	APR-DRG 2043
Min. Negotiated Rate	$8,671.80
Max. Negotiated Rate	$13,730.35
Rate for Payer: Adventist Health Medi-Cal	$8,671.80
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$10,333.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,730.35

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$15,951.55

Service Code	APR-DRG 3171
Min. Negotiated Rate	$10,074.66
Max. Negotiated Rate	$15,951.55
Rate for Payer: Adventist Health Medi-Cal	$10,074.66
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,005.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,951.55

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$20,574.61

Service Code	APR-DRG 3172
Min. Negotiated Rate	$12,994.49
Max. Negotiated Rate	$20,574.61
Rate for Payer: Adventist Health Medi-Cal	$12,994.49
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,485.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,574.61

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$31,056.83

Service Code	APR-DRG 3173
Min. Negotiated Rate	$19,614.84
Max. Negotiated Rate	$31,056.83
Rate for Payer: Adventist Health Medi-Cal	$19,614.84
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$23,374.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,056.83

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$56,022.47

Service Code	APR-DRG 3174
Min. Negotiated Rate	$35,382.61
Max. Negotiated Rate	$56,022.47
Rate for Payer: Adventist Health Medi-Cal	$35,382.61
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$42,164.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$56,022.47

APR-DRG 41.00: THYROID DISORDERS

Facility

$7,502.24

Service Code	APR-DRG 4271
Min. Negotiated Rate	$4,738.26
Max. Negotiated Rate	$7,502.24
Rate for Payer: Adventist Health Medi-Cal	$4,738.26
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$5,646.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,502.24

APR-DRG 41.00: THYROID DISORDERS

Facility

$33,350.28

Service Code	APR-DRG 4274
Min. Negotiated Rate	$21,063.34
Max. Negotiated Rate	$33,350.28
Rate for Payer: Adventist Health Medi-Cal	$21,063.34
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$25,100.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,350.28

APR-DRG 41.00: THYROID DISORDERS

Facility

$16,482.12

Service Code	APR-DRG 4273
Min. Negotiated Rate	$10,409.76
Max. Negotiated Rate	$16,482.12
Rate for Payer: Adventist Health Medi-Cal	$10,409.76
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$12,404.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,482.12

APR-DRG 41.00: THYROID DISORDERS

Facility

$10,255.92

Service Code	APR-DRG 4272
Min. Negotiated Rate	$6,477.42
Max. Negotiated Rate	$10,255.92
Rate for Payer: Adventist Health Medi-Cal	$6,477.42
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$7,718.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,255.92

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$37,290.64

Service Code	APR-DRG 4043
Min. Negotiated Rate	$23,551.98
Max. Negotiated Rate	$37,290.64
Rate for Payer: Adventist Health Medi-Cal	$23,551.98
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$28,066.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,290.64

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$15,639.66

Service Code	APR-DRG 4041
Min. Negotiated Rate	$9,877.68
Max. Negotiated Rate	$15,639.66
Rate for Payer: Adventist Health Medi-Cal	$9,877.68
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$11,770.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,639.66

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$71,074.52

Service Code	APR-DRG 4044
Min. Negotiated Rate	$44,889.17
Max. Negotiated Rate	$71,074.52
Rate for Payer: Adventist Health Medi-Cal	$44,889.17
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$53,492.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$71,074.52

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$22,727.34

Service Code	APR-DRG 4042
Min. Negotiated Rate	$14,354.11
Max. Negotiated Rate	$22,727.34
Rate for Payer: Adventist Health Medi-Cal	$14,354.11
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,105.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,727.34

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$13,192.16

Service Code	APR-DRG 0972
Min. Negotiated Rate	$8,331.89
Max. Negotiated Rate	$13,192.16
Rate for Payer: Adventist Health Medi-Cal	$8,331.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,928.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,192.16

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$8,964.66

Service Code	APR-DRG 0971
Min. Negotiated Rate	$5,661.89
Max. Negotiated Rate	$8,964.66
Rate for Payer: Adventist Health Medi-Cal	$5,661.89
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,747.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,964.66

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$20,981.57

Service Code	APR-DRG 0973
Min. Negotiated Rate	$13,251.52
Max. Negotiated Rate	$20,981.57
Rate for Payer: Adventist Health Medi-Cal	$13,251.52
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$15,791.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,981.57

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$39,582.19

Service Code	APR-DRG 0974
Min. Negotiated Rate	$24,999.28
Max. Negotiated Rate	$39,582.19
Rate for Payer: Adventist Health Medi-Cal	$24,999.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$29,790.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,582.19

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$23,202.76

Service Code	APR-DRG 8164
Min. Negotiated Rate	$14,654.38
Max. Negotiated Rate	$23,202.76
Rate for Payer: Adventist Health Medi-Cal	$14,654.38
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$17,463.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,202.76

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$9,299.36

Service Code	APR-DRG 8162
Min. Negotiated Rate	$5,873.28
Max. Negotiated Rate	$9,299.36
Rate for Payer: Adventist Health Medi-Cal	$5,873.28
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,998.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,299.36

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$12,342.10

Service Code	APR-DRG 8163
Min. Negotiated Rate	$7,795.01
Max. Negotiated Rate	$12,342.10
Rate for Payer: Adventist Health Medi-Cal	$7,795.01
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$9,289.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,342.10

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$8,586.21

Service Code	APR-DRG 8161
Min. Negotiated Rate	$5,422.87
Max. Negotiated Rate	$8,586.21
Rate for Payer: Adventist Health Medi-Cal	$5,422.87
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$6,462.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,586.21

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$169,491.80

Service Code	APR-DRG 0043
Min. Negotiated Rate	$107,047.45
Max. Negotiated Rate	$169,491.80
Rate for Payer: Adventist Health Medi-Cal	$107,047.45
Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal	$127,564.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$169,491.80

Know your out-of-pocket cost for care.

All Charges