Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

MS-DRG 29.00: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC

Facility

$150,921.05

Service Code	MSDRG 216
Min. Negotiated Rate	$28,410.00
Max. Negotiated Rate	$150,921.05
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC

Facility

$101,668.37

Service Code	MSDRG 218
Min. Negotiated Rate	$28,410.00
Max. Negotiated Rate	$101,668.37
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC

Facility

$82,589.23

Service Code	MSDRG 220
Min. Negotiated Rate	$28,410.00
Max. Negotiated Rate	$82,589.23
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC

Facility

$118,605.48

Service Code	MSDRG 219
Min. Negotiated Rate	$28,410.00
Max. Negotiated Rate	$118,605.48
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC

Facility

$78,096.21

Service Code	MSDRG 221
Min. Negotiated Rate	$28,410.00
Max. Negotiated Rate	$78,096.21
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CAROTID ARTERY STENT PROCEDURE W CC

Facility

$37,408.83

Service Code	MSDRG 035
Min. Negotiated Rate	$14,752.00
Max. Negotiated Rate	$37,408.83
Rate for Payer: Cigna of CA HMO/PPO	$24,300.00

MS-DRG 29.00: CAROTID ARTERY STENT PROCEDURE W MCC

Facility

$60,137.99

Service Code	MSDRG 034
Min. Negotiated Rate	$14,752.00
Max. Negotiated Rate	$60,137.99
Rate for Payer: Cigna of CA HMO/PPO	$24,300.00

MS-DRG 29.00: CAROTID ARTERY STENT PROCEDURE W/O CC/MCC

Facility

$30,534.19

Service Code	MSDRG 036
Min. Negotiated Rate	$14,752.00
Max. Negotiated Rate	$30,534.19
Rate for Payer: Cigna of CA HMO/PPO	$24,300.00

MS-DRG 29.00: CERVICAL SPINAL FUSION W CC

Facility

$45,940.32

Service Code	MSDRG 472
Min. Negotiated Rate	$3,928.00
Max. Negotiated Rate	$45,940.32
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: CERVICAL SPINAL FUSION W MCC

Facility

$74,848.54

Service Code	MSDRG 471
Min. Negotiated Rate	$3,928.00
Max. Negotiated Rate	$74,848.54
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: CERVICAL SPINAL FUSION W/O CC/MCC

Facility

$38,188.89

Service Code	MSDRG 473
Min. Negotiated Rate	$3,928.00
Max. Negotiated Rate	$38,188.89
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: CESAREAN SECTION W CC/MCC

Facility

$8,851.00

Service Code	MSDRG 765
Min. Negotiated Rate	$7,435.00
Max. Negotiated Rate	$8,851.00
Rate for Payer: Cigna of CA HMO/PPO	$7,435.00

MS-DRG 29.00: CESAREAN SECTION W/O CC/MCC

Facility

$8,851.00

Service Code	MSDRG 766
Min. Negotiated Rate	$7,435.00
Max. Negotiated Rate	$8,851.00
Rate for Payer: Cigna of CA HMO/PPO	$7,435.00

MS-DRG 29.00: CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC

Facility

$34,680.16

Service Code	MSDRG 286
Min. Negotiated Rate	$8,633.00
Max. Negotiated Rate	$34,680.16
Rate for Payer: Cigna of CA HMO/PPO	$11,000.00

MS-DRG 29.00: CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC

Facility

$17,133.47

Service Code	MSDRG 287
Min. Negotiated Rate	$8,633.00
Max. Negotiated Rate	$17,133.47
Rate for Payer: Cigna of CA HMO/PPO	$11,000.00

MS-DRG 29.00: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC

Facility

$28,410.00

Service Code	MSDRG 454
Min. Negotiated Rate	$21,600.00
Max. Negotiated Rate	$28,410.00
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC

Facility

$28,410.00

Service Code	MSDRG 453
Min. Negotiated Rate	$21,600.00
Max. Negotiated Rate	$28,410.00
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC

Facility

$28,410.00

Service Code	MSDRG 455
Min. Negotiated Rate	$21,600.00
Max. Negotiated Rate	$28,410.00
Rate for Payer: Cigna of CA HMO/PPO	$21,600.00

MS-DRG 29.00: CORONARY BYPASS W CARDIAC CATH W MCC

Facility

$118,097.20

Service Code	MSDRG 233
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$118,097.20
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CORONARY BYPASS W CARDIAC CATH W/O MCC

Facility

$84,583.90

Service Code	MSDRG 234
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$84,583.90
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CORONARY BYPASS W/O CARDIAC CATH W MCC

Facility

$90,816.68

Service Code	MSDRG 235
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$90,816.68
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CORONARY BYPASS W/O CARDIAC CATH W/O MCC

Facility

$65,022.58

Service Code	MSDRG 236
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$65,022.58
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CORONARY BYPASS W PTCA W MCC

Facility

$130,146.63

Service Code	MSDRG 231
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$130,146.63
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: CORONARY BYPASS W PTCA W/O MCC

Facility

$93,795.65

Service Code	MSDRG 232
Min. Negotiated Rate	$23,752.00
Max. Negotiated Rate	$93,795.65
Rate for Payer: Cigna of CA HMO/PPO	$32,400.00

MS-DRG 29.00: LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC

Facility

$26,676.91

Service Code	MSDRG 418
Min. Negotiated Rate	$14,580.00
Max. Negotiated Rate	$26,676.91
Rate for Payer: Cigna of CA HMO/PPO	$14,580.00

Know your out-of-pocket cost for care.

All Charges