Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$1.46

Service Code	APR-DRG 6953
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.46

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

APR-DRG 41.00: CHEST PAIN

Facility

$0.55

Service Code	APR-DRG 2032
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: CHEST PAIN

Facility

$0.46

Service Code	APR-DRG 2031
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: CHEST PAIN

Facility

$0.69

Service Code	APR-DRG 2033
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: CHEST PAIN

Facility

$1.11

Service Code	APR-DRG 2034
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.11

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$3.44

Service Code	APR-DRG 0111
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.44

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$6.89

Service Code	APR-DRG 0112
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$6.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.89

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$9.64

Service Code	APR-DRG 0113
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$9.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.64

APR-DRG 41.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$17.94

Service Code	APR-DRG 0114
Min. Negotiated Rate	$17.94
Max. Negotiated Rate	$17.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17.94

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$1.33

Service Code	APR-DRG 2632
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.33

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$1.68

Service Code	APR-DRG 2633
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: CHOLECYSTECTOMY

Facility

$1.05

Service Code	APR-DRG 2631
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.05

APR-DRG 41.00: CHOLECYSTECTOMY

Facility

$3.15

Service Code	APR-DRG 2634
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.15

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$0.84

Service Code	APR-DRG 4703
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.84

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$0.49

Service Code	APR-DRG 4702
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.49

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$1.60

Service Code	APR-DRG 4704
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.60

APR-DRG 41.00: CHRONIC KIDNEY DISEASE

Facility

$0.38

Service Code	APR-DRG 4701
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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$0.52

Service Code	APR-DRG 1401
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: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$0.80

Service Code	APR-DRG 1403
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.80

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$1.44

Service Code	APR-DRG 1404
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.44

APR-DRG 41.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$0.64

Service Code	APR-DRG 1402
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.64

APR-DRG 41.00: CLEFT LIP AND PALATE REPAIR

Facility

$0.81

Service Code	APR-DRG 0951
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$0.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.81

APR-DRG 41.00: CLEFT LIP AND PALATE REPAIR

Facility

$0.91

Service Code	APR-DRG 0952
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: CLEFT LIP AND PALATE REPAIR

Facility

$1.30

Service Code	APR-DRG 0953
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.30

Know your out-of-pocket cost for care.

All Charges