Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR BLADDER PROCEDURES

Facility

$13,103.78

Service Code	APR-DRG 4411
Min. Negotiated Rate	$13,103.78
Max. Negotiated Rate	$13,103.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,103.78

MAJOR BLADDER PROCEDURES

Facility

$19,940.70

Service Code	APR-DRG 4412
Min. Negotiated Rate	$19,940.70
Max. Negotiated Rate	$19,940.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,940.70

MAJOR BLADDER PROCEDURES

Facility

$51,371.45

Service Code	APR-DRG 4414
Min. Negotiated Rate	$51,371.45
Max. Negotiated Rate	$51,371.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$51,371.45

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$47,765.95

Service Code	APR-DRG 1603
Min. Negotiated Rate	$47,765.95
Max. Negotiated Rate	$47,765.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,765.95

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$25,133.06

Service Code	APR-DRG 1601
Min. Negotiated Rate	$25,133.06
Max. Negotiated Rate	$25,133.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,133.06

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$88,981.51

Service Code	APR-DRG 1604
Min. Negotiated Rate	$88,981.51
Max. Negotiated Rate	$88,981.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$88,981.51

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$30,958.18

Service Code	APR-DRG 1602
Min. Negotiated Rate	$30,958.18
Max. Negotiated Rate	$30,958.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$30,958.18

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$17,251.50

Service Code	APR-DRG 1354
Min. Negotiated Rate	$17,251.50
Max. Negotiated Rate	$17,251.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,251.50

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$10,240.46

Service Code	APR-DRG 1353
Min. Negotiated Rate	$10,240.46
Max. Negotiated Rate	$10,240.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,240.46

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$7,138.38

Service Code	APR-DRG 1352
Min. Negotiated Rate	$7,138.38
Max. Negotiated Rate	$7,138.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,138.38

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$6,134.53

Service Code	APR-DRG 1351
Min. Negotiated Rate	$6,134.53
Max. Negotiated Rate	$6,134.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,134.53

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$48,338.01

Service Code	APR-DRG 0894
Min. Negotiated Rate	$48,338.01
Max. Negotiated Rate	$48,338.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$48,338.01

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$13,729.56

Service Code	APR-DRG 0891
Min. Negotiated Rate	$13,729.56
Max. Negotiated Rate	$13,729.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,729.56

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$18,377.72

Service Code	APR-DRG 0892
Min. Negotiated Rate	$18,377.72
Max. Negotiated Rate	$18,377.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,377.72

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$33,570.77

Service Code	APR-DRG 0893
Min. Negotiated Rate	$33,570.77
Max. Negotiated Rate	$33,570.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$33,570.77

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$3,207.55

Service Code	APR-DRG 7511
Min. Negotiated Rate	$3,207.55
Max. Negotiated Rate	$3,207.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,207.55

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$7,943.25

Service Code	APR-DRG 7513
Min. Negotiated Rate	$7,943.25
Max. Negotiated Rate	$7,943.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,943.25

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$4,319.84

Service Code	APR-DRG 7512
Min. Negotiated Rate	$4,319.84
Max. Negotiated Rate	$4,319.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,319.84

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$16,155.13

Service Code	APR-DRG 7514
Min. Negotiated Rate	$16,155.13
Max. Negotiated Rate	$16,155.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,155.13

MAJOR ESOPHAGEAL DISORDERS

Facility

$9,028.68

Service Code	APR-DRG 2423
Min. Negotiated Rate	$9,028.68
Max. Negotiated Rate	$9,028.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,028.68

MAJOR ESOPHAGEAL DISORDERS

Facility

$4,867.03

Service Code	APR-DRG 2421
Min. Negotiated Rate	$4,867.03
Max. Negotiated Rate	$4,867.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,867.03

MAJOR ESOPHAGEAL DISORDERS

Facility

$6,295.70

Service Code	APR-DRG 2422
Min. Negotiated Rate	$6,295.70
Max. Negotiated Rate	$6,295.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,295.70

MAJOR ESOPHAGEAL DISORDERS

Facility

$18,527.95

Service Code	APR-DRG 2424
Min. Negotiated Rate	$18,527.95
Max. Negotiated Rate	$18,527.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,527.95

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$6,069.86

Service Code	APR-DRG 2482
Min. Negotiated Rate	$6,069.86
Max. Negotiated Rate	$6,069.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,069.86

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$8,916.25

Service Code	APR-DRG 2483
Min. Negotiated Rate	$8,916.25
Max. Negotiated Rate	$8,916.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,916.25

Know your out-of-pocket cost for care.

All Charges