Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$2.89

Service Code	APR-DRG 4013
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.89

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$4.78

Service Code	APR-DRG 4014
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$4.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.78

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$1.28

Service Code	APR-DRG 4011
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$1.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.28

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$2.21

Service Code	APR-DRG 4012
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.21

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$0.37

Service Code	APR-DRG 7751
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.37

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$0.50

Service Code	APR-DRG 7752
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.50

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$0.86

Service Code	APR-DRG 7753
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.86

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$1.99

Service Code	APR-DRG 7754
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.99

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$1.86

Service Code	APR-DRG 7724
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.86

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$0.45

Service Code	APR-DRG 7721
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: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$0.55

Service Code	APR-DRG 7722
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: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$0.69

Service Code	APR-DRG 7723
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.69

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$0.50

Service Code	APR-DRG 2801
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.50

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$0.65

Service Code	APR-DRG 2802
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: ALCOHOLIC LIVER DISEASE

Facility

$0.99

Service Code	APR-DRG 2803
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.99

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$2.07

Service Code	APR-DRG 2804
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.07

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$1.88

Service Code	APR-DRG 8114
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.88

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$0.31

Service Code	APR-DRG 8111
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.31

APR-DRG 41.00: ALLERGIC REACTIONS

Facility

$0.46

Service Code	APR-DRG 8112
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: ALLERGIC REACTIONS

Facility

$0.92

Service Code	APR-DRG 8113
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.92

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$6.75

Service Code	APR-DRG 0072
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.75

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$5.32

Service Code	APR-DRG 0071
Min. Negotiated Rate	$5.32
Max. Negotiated Rate	$5.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.32

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$8.57

Service Code	APR-DRG 0073
Min. Negotiated Rate	$8.57
Max. Negotiated Rate	$8.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8.57

APR-DRG 41.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$14.95

Service Code	APR-DRG 0074
Min. Negotiated Rate	$14.95
Max. Negotiated Rate	$14.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14.95

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$0.56

Service Code	APR-DRG 0521
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.56

Know your out-of-pocket cost for care.

All Charges