Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: BEHAVIORAL DISORDERS

Facility

$1.01

Service Code	APR-DRG 7584
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.01

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$1.79

Service Code	APR-DRG 7534
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.79

APR-DRG 41.00: BIPOLAR DISORDERS

Facility

$0.38

Service Code	APR-DRG 7531
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: BIPOLAR DISORDERS

Facility

$0.52

Service Code	APR-DRG 7532
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: BIPOLAR DISORDERS

Facility

$0.91

Service Code	APR-DRG 7533
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.91

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$0.35

Service Code	APR-DRG 1321
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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$0.47

Service Code	APR-DRG 1322
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.47

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$0.87

Service Code	APR-DRG 1323
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.87

APR-DRG 41.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$1.31

Service Code	APR-DRG 1324
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.31

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$1.18

Service Code	APR-DRG 0563
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.18

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$0.58

Service Code	APR-DRG 0561
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$0.77

Service Code	APR-DRG 0562
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.77

APR-DRG 41.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$1.87

Service Code	APR-DRG 0564
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$1.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.87

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$1.01

Service Code	APR-DRG 3631
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.01

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$1.92

Service Code	APR-DRG 3632
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.92

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$2.37

Service Code	APR-DRG 3633
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.37

APR-DRG 41.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$3.47

Service Code	APR-DRG 3634
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$3.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.47

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$0.28

Service Code	APR-DRG 1381
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.28

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$0.40

Service Code	APR-DRG 1382
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.40

APR-DRG 41.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$0.65

Service Code	APR-DRG 1383
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: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$1.53

Service Code	APR-DRG 1384
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: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$1.15

Service Code	APR-DRG 8421
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.15

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$1.79

Service Code	APR-DRG 8422
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.79

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$3.34

Service Code	APR-DRG 8423
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$3.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.34

APR-DRG 41.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$9.34

Service Code	APR-DRG 8424
Min. Negotiated Rate	$9.34
Max. Negotiated Rate	$9.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.34

Know your out-of-pocket cost for care.

All Charges