Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$5,703.74

Service Code	APR-DRG 2062
Min. Negotiated Rate	$5,703.74
Max. Negotiated Rate	$5,703.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,703.74

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$8,551.13

Service Code	APR-DRG 2063
Min. Negotiated Rate	$8,551.13
Max. Negotiated Rate	$8,551.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,551.13

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$16,935.12

Service Code	APR-DRG 2064
Min. Negotiated Rate	$16,935.12
Max. Negotiated Rate	$16,935.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,935.12

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$5,593.31

Service Code	APR-DRG 2061
Min. Negotiated Rate	$5,593.31
Max. Negotiated Rate	$5,593.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,593.31

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$7,628.86

Service Code	APR-DRG 4663
Min. Negotiated Rate	$7,628.86
Max. Negotiated Rate	$7,628.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,628.86

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$3,747.77

Service Code	APR-DRG 4661
Min. Negotiated Rate	$3,747.77
Max. Negotiated Rate	$3,747.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,747.77

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$12,773.47

Service Code	APR-DRG 4664
Min. Negotiated Rate	$12,773.47
Max. Negotiated Rate	$12,773.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,773.47

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$5,368.46

Service Code	APR-DRG 4662
Min. Negotiated Rate	$5,368.46
Max. Negotiated Rate	$5,368.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,368.46

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$6,574.27

Service Code	APR-DRG 3492
Min. Negotiated Rate	$6,574.27
Max. Negotiated Rate	$6,574.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,574.27

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$4,643.18

Service Code	APR-DRG 3491
Min. Negotiated Rate	$4,643.18
Max. Negotiated Rate	$4,643.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,643.18

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$16,798.82

Service Code	APR-DRG 3494
Min. Negotiated Rate	$16,798.82
Max. Negotiated Rate	$16,798.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,798.82

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$9,443.55

Service Code	APR-DRG 3493
Min. Negotiated Rate	$9,443.55
Max. Negotiated Rate	$9,443.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,443.55

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$5,984.30

Service Code	APR-DRG 5002
Min. Negotiated Rate	$5,984.30
Max. Negotiated Rate	$5,984.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,984.30

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,366.60

Service Code	APR-DRG 5001
Min. Negotiated Rate	$4,366.60
Max. Negotiated Rate	$4,366.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,366.60

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$9,222.68

Service Code	APR-DRG 5003
Min. Negotiated Rate	$9,222.68
Max. Negotiated Rate	$9,222.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,222.68

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$16,393.89

Service Code	APR-DRG 5004
Min. Negotiated Rate	$16,393.89
Max. Negotiated Rate	$16,393.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,393.89

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$5,502.77

Service Code	APR-DRG 2811
Min. Negotiated Rate	$5,502.77
Max. Negotiated Rate	$5,502.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,502.77

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$9,497.28

Service Code	APR-DRG 2813
Min. Negotiated Rate	$9,497.28
Max. Negotiated Rate	$9,497.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,497.28

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,962.37

Service Code	APR-DRG 2814
Min. Negotiated Rate	$13,962.37
Max. Negotiated Rate	$13,962.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,962.37

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$7,297.56

Service Code	APR-DRG 2812
Min. Negotiated Rate	$7,297.56
Max. Negotiated Rate	$7,297.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,297.56

MALIGNANT BREAST DISORDERS

Facility

$6,123.59

Service Code	APR-DRG 3822
Min. Negotiated Rate	$6,123.59
Max. Negotiated Rate	$6,123.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,123.59

MALIGNANT BREAST DISORDERS

Facility

$12,845.10

Service Code	APR-DRG 3824
Min. Negotiated Rate	$12,845.10
Max. Negotiated Rate	$12,845.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,845.10

MALIGNANT BREAST DISORDERS

Facility

$8,673.50

Service Code	APR-DRG 3823
Min. Negotiated Rate	$8,673.50
Max. Negotiated Rate	$8,673.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,673.50

MALIGNANT BREAST DISORDERS

Facility

$5,200.32

Service Code	APR-DRG 3821
Min. Negotiated Rate	$5,200.32
Max. Negotiated Rate	$5,200.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,200.32

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$3,508.00

Service Code	APR-DRG 4211
Min. Negotiated Rate	$3,508.00
Max. Negotiated Rate	$3,508.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,508.00

Know your out-of-pocket cost for care.

All Charges