Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$2.15

Service Code	APR-DRG 1934
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$2.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.15

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$0.55

Service Code	APR-DRG 7562
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$0.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.55

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$0.43

Service Code	APR-DRG 7561
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.43

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$1.32

Service Code	APR-DRG 7564
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.32

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$0.58

Service Code	APR-DRG 7563
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.58

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$0.57

Service Code	APR-DRG 1452
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.57

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$0.76

Service Code	APR-DRG 1453
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.76

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$1.37

Service Code	APR-DRG 1454
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$1.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.37

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$0.46

Service Code	APR-DRG 1451
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.46

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$0.58

Service Code	APR-DRG 4692
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.58

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$0.45

Service Code	APR-DRG 4691
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.45

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$0.93

Service Code	APR-DRG 4693
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.93

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$1.85

Service Code	APR-DRG 4694
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$1.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.85

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$0.84

Service Code	APR-DRG 6901
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.84

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$1.53

Service Code	APR-DRG 6902
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.53

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$2.71

Service Code	APR-DRG 6903
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$2.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.71

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$5.38

Service Code	APR-DRG 6904
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.38

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$1.08

Service Code	APR-DRG 1903
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.08

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$1.68

Service Code	APR-DRG 1904
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.68

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$0.82

Service Code	APR-DRG 1902
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.82

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$0.76

Service Code	APR-DRG 1901
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.76

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$0.65

Service Code	APR-DRG 7553
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.65

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$1.13

Service Code	APR-DRG 7554
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.13

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$0.41

Service Code	APR-DRG 7552
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.41

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$0.28

Service Code	APR-DRG 7551
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.28

Know your out-of-pocket cost for care.

All Charges