Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4.92

Service Code	APR-DRG 1622
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$4.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.92

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$6.29

Service Code	APR-DRG 1623
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$6.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.29

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4.27

Service Code	APR-DRG 1621
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.27

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$7.86

Service Code	APR-DRG 1634
Min. Negotiated Rate	$7.86
Max. Negotiated Rate	$7.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.86

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4.13

Service Code	APR-DRG 1632
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$4.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.13

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$3.70

Service Code	APR-DRG 1631
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$3.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.70

APR-DRG 41.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5.19

Service Code	APR-DRG 1633
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.19

APR-DRG 41.00: CARDIOMYOPATHY

Facility

$0.87

Service Code	APR-DRG 2053
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: CARDIOMYOPATHY

Facility

$1.86

Service Code	APR-DRG 2054
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: CARDIOMYOPATHY

Facility

$0.47

Service Code	APR-DRG 2051
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: CARDIOMYOPATHY

Facility

$0.59

Service Code	APR-DRG 2052
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.59

APR-DRG 41.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$0.43

Service Code	APR-DRG 3831
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$0.58

Service Code	APR-DRG 3832
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$0.87

Service Code	APR-DRG 3833
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$1.67

Service Code	APR-DRG 3834
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.67

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$0.57

Service Code	APR-DRG 5401
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: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$0.71

Service Code	APR-DRG 5402
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.71

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$0.90

Service Code	APR-DRG 5403
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.90

APR-DRG 41.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$1.68

Service Code	APR-DRG 5404
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: CESAREAN SECTION WITH STERILIZATION

Facility

$0.58

Service Code	APR-DRG 5391
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: CESAREAN SECTION WITH STERILIZATION

Facility

$0.68

Service Code	APR-DRG 5392
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.68

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$0.96

Service Code	APR-DRG 5393
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.96

APR-DRG 41.00: CESAREAN SECTION WITH STERILIZATION

Facility

$2.22

Service Code	APR-DRG 5394
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.22

APR-DRG 41.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$0.58

Service Code	APR-DRG 6951
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: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$0.75

Service Code	APR-DRG 6952
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.75

Know your out-of-pocket cost for care.

All Charges