Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$4,610.35

Service Code	APR-DRG 2481
Min. Negotiated Rate	$4,610.35
Max. Negotiated Rate	$4,610.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,610.35

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

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$5,333.63

Service Code	APR-DRG 6601
Min. Negotiated Rate	$5,333.63
Max. Negotiated Rate	$5,333.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,333.63

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$9,770.88

Service Code	APR-DRG 6603
Min. Negotiated Rate	$9,770.88
Max. Negotiated Rate	$9,770.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,770.88

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$21,318.63

Service Code	APR-DRG 6604
Min. Negotiated Rate	$21,318.63
Max. Negotiated Rate	$21,318.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,318.63

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$6,267.84

Service Code	APR-DRG 6602
Min. Negotiated Rate	$6,267.84
Max. Negotiated Rate	$6,267.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,267.84

MAJOR LARGE BOWEL PROCEDURES

Facility

$23,408.90

Service Code	APR-DRG 2313
Min. Negotiated Rate	$23,408.90
Max. Negotiated Rate	$23,408.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,408.90

MAJOR LARGE BOWEL PROCEDURES

Facility

$38,380.10

Service Code	APR-DRG 2314
Min. Negotiated Rate	$38,380.10
Max. Negotiated Rate	$38,380.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,380.10

MAJOR LARGE BOWEL PROCEDURES

Facility

$16,375.99

Service Code	APR-DRG 2312
Min. Negotiated Rate	$16,375.99
Max. Negotiated Rate	$16,375.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,375.99

MAJOR LARGE BOWEL PROCEDURES

Facility

$13,336.59

Service Code	APR-DRG 2311
Min. Negotiated Rate	$13,336.59
Max. Negotiated Rate	$13,336.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,336.59

MAJOR MALE PELVIC PROCEDURES

Facility

$32,440.58

Service Code	APR-DRG 4804
Min. Negotiated Rate	$32,440.58
Max. Negotiated Rate	$32,440.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,440.58

MAJOR MALE PELVIC PROCEDURES

Facility

$13,245.06

Service Code	APR-DRG 4802
Min. Negotiated Rate	$13,245.06
Max. Negotiated Rate	$13,245.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,245.06

MAJOR MALE PELVIC PROCEDURES

Facility

$11,523.88

Service Code	APR-DRG 4801
Min. Negotiated Rate	$11,523.88
Max. Negotiated Rate	$11,523.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,523.88

MAJOR MALE PELVIC PROCEDURES

Facility

$19,751.67

Service Code	APR-DRG 4803
Min. Negotiated Rate	$19,751.67
Max. Negotiated Rate	$19,751.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,751.67

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$30,020.99

Service Code	APR-DRG 6803
Min. Negotiated Rate	$30,020.99
Max. Negotiated Rate	$30,020.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$30,020.99

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$18,254.35

Service Code	APR-DRG 6802
Min. Negotiated Rate	$18,254.35
Max. Negotiated Rate	$18,254.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,254.35

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$57,513.94

Service Code	APR-DRG 6804
Min. Negotiated Rate	$57,513.94
Max. Negotiated Rate	$57,513.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$57,513.94

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$13,835.03

Service Code	APR-DRG 6801
Min. Negotiated Rate	$13,835.03
Max. Negotiated Rate	$13,835.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,835.03

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$50,726.76

Service Code	APR-DRG 2604
Min. Negotiated Rate	$50,726.76
Max. Negotiated Rate	$50,726.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$50,726.76

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$15,464.66

Service Code	APR-DRG 2601
Min. Negotiated Rate	$15,464.66
Max. Negotiated Rate	$15,464.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,464.66

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$26,868.16

Service Code	APR-DRG 2603
Min. Negotiated Rate	$26,868.16
Max. Negotiated Rate	$26,868.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,868.16

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$19,603.43

Service Code	APR-DRG 2602
Min. Negotiated Rate	$19,603.43
Max. Negotiated Rate	$19,603.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,603.43

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$19,916.82

Service Code	APR-DRG 1202
Min. Negotiated Rate	$19,916.82
Max. Negotiated Rate	$19,916.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,916.82

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$47,183.94

Service Code	APR-DRG 1204
Min. Negotiated Rate	$47,183.94
Max. Negotiated Rate	$47,183.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,183.94

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$16,220.78

Service Code	APR-DRG 1201
Min. Negotiated Rate	$16,220.78
Max. Negotiated Rate	$16,220.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,220.78

Know your out-of-pocket cost for care.

All Charges