Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$0.66

Service Code	APR-DRG 0522
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.66

APR-DRG 41.00: ALTERATION IN CONSCIOUSNESS

Facility

$1.80

Service Code	APR-DRG 0524
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.80

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

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$1.36

Service Code	APR-DRG 3052
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.36

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$2.03

Service Code	APR-DRG 3053
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.03

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$3.63

Service Code	APR-DRG 3054
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$3.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.63

APR-DRG 41.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$1.02

Service Code	APR-DRG 3051
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.02

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$2.60

Service Code	APR-DRG 2264
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.60

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$0.95

Service Code	APR-DRG 2262
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.95

APR-DRG 41.00: ANAL AND PERINEAL PROCEDURES

Facility

$0.76

Service Code	APR-DRG 2261
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: ANAL AND PERINEAL PROCEDURES

Facility

$1.43

Service Code	APR-DRG 2263
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.43

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$0.55

Service Code	APR-DRG 1982
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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$0.72

Service Code	APR-DRG 1983
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.72

APR-DRG 41.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$0.46

Service Code	APR-DRG 1981
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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$1.29

Service Code	APR-DRG 1984
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.29

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$1.70

Service Code	APR-DRG 0594
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$1.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.70

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$0.52

Service Code	APR-DRG 0591
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.52

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$0.83

Service Code	APR-DRG 0592
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.83

APR-DRG 41.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$1.19

Service Code	APR-DRG 0593
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.19

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$0.58

Service Code	APR-DRG 5471
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: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$0.83

Service Code	APR-DRG 5472
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.83

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$1.27

Service Code	APR-DRG 5473
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.27

APR-DRG 41.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$2.30

Service Code	APR-DRG 5474
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$2.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.30

APR-DRG 41.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$0.24

Service Code	APR-DRG 5661
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.24

APR-DRG 41.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$0.31

Service Code	APR-DRG 5662
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.31

Know your out-of-pocket cost for care.

All Charges