Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

$0.46

Service Code	APR-DRG 5663
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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$2.84

Service Code	APR-DRG 2334
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.84

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$1.02

Service Code	APR-DRG 2331
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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$1.30

Service Code	APR-DRG 2332
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.30

APR-DRG 41.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$1.83

Service Code	APR-DRG 2333
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.83

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$0.82

Service Code	APR-DRG 2341
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: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$1.04

Service Code	APR-DRG 2342
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.04

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$1.51

Service Code	APR-DRG 2343
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

APR-DRG 41.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$2.61

Service Code	APR-DRG 2344
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$2.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.61

APR-DRG 41.00: ASTHMA

Facility

$0.38

Service Code	APR-DRG 1411
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.38

APR-DRG 41.00: ASTHMA

Facility

$0.55

Service Code	APR-DRG 1412
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: ASTHMA

Facility

$1.28

Service Code	APR-DRG 1414
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: ASTHMA

Facility

$0.66

Service Code	APR-DRG 1413
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: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$4.35

Service Code	APR-DRG 0083
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.35

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$2.26

Service Code	APR-DRG 0081
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.26

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$7.26

Service Code	APR-DRG 0084
Min. Negotiated Rate	$7.26
Max. Negotiated Rate	$7.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.26

APR-DRG 41.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$3.63

Service Code	APR-DRG 0082
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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$2.00

Service Code	APR-DRG 0493
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.00

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$3.29

Service Code	APR-DRG 0494
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$3.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.29

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$0.85

Service Code	APR-DRG 0491
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.85

APR-DRG 41.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$1.80

Service Code	APR-DRG 0492
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: BEHAVIORAL DISORDERS

Facility

$0.35

Service Code	APR-DRG 7581
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.35

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$0.44

Service Code	APR-DRG 7582
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.44

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$0.77

Service Code	APR-DRG 7583
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.77

Know your out-of-pocket cost for care.

All Charges