Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$27,050.23

Service Code	APR-DRG 1203
Min. Negotiated Rate	$27,050.23
Max. Negotiated Rate	$27,050.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,050.23

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$13,668.88

Service Code	APR-DRG 1374
Min. Negotiated Rate	$13,668.88
Max. Negotiated Rate	$13,668.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,668.88

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$5,447.06

Service Code	APR-DRG 1371
Min. Negotiated Rate	$5,447.06
Max. Negotiated Rate	$5,447.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,447.06

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$9,462.45

Service Code	APR-DRG 1373
Min. Negotiated Rate	$9,462.45
Max. Negotiated Rate	$9,462.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,462.45

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$6,942.38

Service Code	APR-DRG 1372
Min. Negotiated Rate	$6,942.38
Max. Negotiated Rate	$6,942.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,942.38

MAJOR SKIN DISORDERS

Facility

$10,840.39

Service Code	APR-DRG 3813
Min. Negotiated Rate	$10,840.39
Max. Negotiated Rate	$10,840.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,840.39

MAJOR SKIN DISORDERS

Facility

$5,391.34

Service Code	APR-DRG 3812
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$5,391.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,391.34

MAJOR SKIN DISORDERS

Facility

$21,345.50

Service Code	APR-DRG 3814
Min. Negotiated Rate	$21,345.50
Max. Negotiated Rate	$21,345.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,345.50

MAJOR SKIN DISORDERS

Facility

$3,272.22

Service Code	APR-DRG 3811
Min. Negotiated Rate	$3,272.22
Max. Negotiated Rate	$3,272.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,272.22

MAJOR SMALL BOWEL PROCEDURES

Facility

$23,708.38

Service Code	APR-DRG 2303
Min. Negotiated Rate	$23,708.38
Max. Negotiated Rate	$23,708.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,708.38

MAJOR SMALL BOWEL PROCEDURES

Facility

$43,620.22

Service Code	APR-DRG 2304
Min. Negotiated Rate	$43,620.22
Max. Negotiated Rate	$43,620.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,620.22

MAJOR SMALL BOWEL PROCEDURES

Facility

$11,676.10

Service Code	APR-DRG 2301
Min. Negotiated Rate	$11,676.10
Max. Negotiated Rate	$11,676.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,676.10

MAJOR SMALL BOWEL PROCEDURES

Facility

$16,008.87

Service Code	APR-DRG 2302
Min. Negotiated Rate	$16,008.87
Max. Negotiated Rate	$16,008.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,008.87

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$12,468.04

Service Code	APR-DRG 2201
Min. Negotiated Rate	$12,468.04
Max. Negotiated Rate	$12,468.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,468.04

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$17,892.21

Service Code	APR-DRG 2202
Min. Negotiated Rate	$17,892.21
Max. Negotiated Rate	$17,892.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,892.21

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$48,668.32

Service Code	APR-DRG 2204
Min. Negotiated Rate	$48,668.32
Max. Negotiated Rate	$48,668.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$48,668.32

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$27,248.22

Service Code	APR-DRG 2203
Min. Negotiated Rate	$27,248.22
Max. Negotiated Rate	$27,248.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,248.22

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$7,826.85

Service Code	APR-DRG 5013
Min. Negotiated Rate	$7,826.85
Max. Negotiated Rate	$7,826.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,826.85

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$5,331.65

Service Code	APR-DRG 5012
Min. Negotiated Rate	$5,331.65
Max. Negotiated Rate	$5,331.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,331.65

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,972.62

Service Code	APR-DRG 5011
Min. Negotiated Rate	$3,972.62
Max. Negotiated Rate	$3,972.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,972.62

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$15,977.03

Service Code	APR-DRG 5014
Min. Negotiated Rate	$15,977.03
Max. Negotiated Rate	$15,977.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,977.03

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$8,811.80

Service Code	APR-DRG 2523
Min. Negotiated Rate	$8,811.80
Max. Negotiated Rate	$8,811.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,811.80

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$16,767.97

Service Code	APR-DRG 2524
Min. Negotiated Rate	$16,767.97
Max. Negotiated Rate	$16,767.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,767.97

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$5,007.31

Service Code	APR-DRG 2521
Min. Negotiated Rate	$5,007.31
Max. Negotiated Rate	$5,007.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,007.31

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$6,199.20

Service Code	APR-DRG 2522
Min. Negotiated Rate	$6,199.20
Max. Negotiated Rate	$6,199.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,199.20

Know your out-of-pocket cost for care.

All Charges