Loma Linda University Medical Center

All Charges

Charge

Type

Price

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$4,758.09

Service Code	APR-DRG 6263
Min. Negotiated Rate	$4,758.09
Max. Negotiated Rate	$4,758.09
Rate for Payer: IEHP Medi-Cal	$4,758.09

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$37,750.33

Service Code	APR-DRG 6264
Min. Negotiated Rate	$37,750.33
Max. Negotiated Rate	$37,750.33
Rate for Payer: IEHP Medi-Cal	$37,750.33

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$1,377.93

Service Code	APR-DRG 6261
Min. Negotiated Rate	$1,377.93
Max. Negotiated Rate	$1,377.93
Rate for Payer: IEHP Medi-Cal	$1,377.93

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$9,850.71

Service Code	APR-DRG 6231
Min. Negotiated Rate	$9,850.71
Max. Negotiated Rate	$9,850.71
Rate for Payer: IEHP Medi-Cal	$9,850.71

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$61,390.85

Service Code	APR-DRG 6234
Min. Negotiated Rate	$61,390.85
Max. Negotiated Rate	$61,390.85
Rate for Payer: IEHP Medi-Cal	$61,390.85

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$15,978.03

Service Code	APR-DRG 6232
Min. Negotiated Rate	$15,978.03
Max. Negotiated Rate	$15,978.03
Rate for Payer: IEHP Medi-Cal	$15,978.03

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$35,155.89

Service Code	APR-DRG 6233
Min. Negotiated Rate	$35,155.89
Max. Negotiated Rate	$35,155.89
Rate for Payer: IEHP Medi-Cal	$35,155.89

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$14,526.72

Service Code	APR-DRG 6212
Min. Negotiated Rate	$14,526.72
Max. Negotiated Rate	$14,526.72
Rate for Payer: IEHP Medi-Cal	$14,526.72

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$4,485.74

Service Code	APR-DRG 6211
Min. Negotiated Rate	$4,485.74
Max. Negotiated Rate	$4,485.74
Rate for Payer: IEHP Medi-Cal	$4,485.74

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$84,748.42

Service Code	APR-DRG 6214
Min. Negotiated Rate	$84,748.42
Max. Negotiated Rate	$84,748.42
Rate for Payer: IEHP Medi-Cal	$84,748.42

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$34,546.52

Service Code	APR-DRG 6213
Min. Negotiated Rate	$34,546.52
Max. Negotiated Rate	$34,546.52
Rate for Payer: IEHP Medi-Cal	$34,546.52

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$15,476.85

Service Code	APR-DRG 6252
Min. Negotiated Rate	$15,476.85
Max. Negotiated Rate	$15,476.85
Rate for Payer: IEHP Medi-Cal	$15,476.85

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$56,555.66

Service Code	APR-DRG 6254
Min. Negotiated Rate	$56,555.66
Max. Negotiated Rate	$56,555.66
Rate for Payer: IEHP Medi-Cal	$56,555.66

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$27,990.15

Service Code	APR-DRG 6253
Min. Negotiated Rate	$27,990.15
Max. Negotiated Rate	$27,990.15
Rate for Payer: IEHP Medi-Cal	$27,990.15

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$11,381.61

Service Code	APR-DRG 6251
Min. Negotiated Rate	$11,381.61
Max. Negotiated Rate	$11,381.61
Rate for Payer: IEHP Medi-Cal	$11,381.61

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$23,855.12

Service Code	APR-DRG 6222
Min. Negotiated Rate	$23,855.12
Max. Negotiated Rate	$23,855.12
Rate for Payer: IEHP Medi-Cal	$23,855.12

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$66,892.23

Service Code	APR-DRG 6224
Min. Negotiated Rate	$66,892.23
Max. Negotiated Rate	$66,892.23
Rate for Payer: IEHP Medi-Cal	$66,892.23

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$15,949.43

Service Code	APR-DRG 6221
Min. Negotiated Rate	$15,949.43
Max. Negotiated Rate	$15,949.43
Rate for Payer: IEHP Medi-Cal	$15,949.43

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$27,052.47

Service Code	APR-DRG 6223
Min. Negotiated Rate	$27,052.47
Max. Negotiated Rate	$27,052.47
Rate for Payer: IEHP Medi-Cal	$27,052.47

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$1,268.49

Service Code	APR-DRG 6402
Min. Negotiated Rate	$1,268.49
Max. Negotiated Rate	$1,268.49
Rate for Payer: IEHP Medi-Cal	$1,268.49

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$959.08

Service Code	APR-DRG 6401
Min. Negotiated Rate	$959.08
Max. Negotiated Rate	$959.08
Rate for Payer: IEHP Medi-Cal	$959.08

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$31,149.40

Service Code	APR-DRG 6404
Min. Negotiated Rate	$31,149.40
Max. Negotiated Rate	$31,149.40
Rate for Payer: IEHP Medi-Cal	$31,149.40

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$2,293.24

Service Code	APR-DRG 6403
Min. Negotiated Rate	$2,293.24
Max. Negotiated Rate	$2,293.24
Rate for Payer: IEHP Medi-Cal	$2,293.24

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$10,160.38

Service Code	APR-DRG 6362
Min. Negotiated Rate	$10,160.38
Max. Negotiated Rate	$10,160.38
Rate for Payer: IEHP Medi-Cal	$10,160.38

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$5,424.67

Service Code	APR-DRG 6361
Min. Negotiated Rate	$5,424.67
Max. Negotiated Rate	$5,424.67
Rate for Payer: IEHP Medi-Cal	$5,424.67

Price Transparency.

All Charges