Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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: COAGULATION AND PLATELET DISORDERS

Facility

$0.69

Service Code	APR-DRG 6611
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: COAGULATION AND PLATELET DISORDERS

Facility

$0.91

Service Code	APR-DRG 6612
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: COAGULATION AND PLATELET DISORDERS

Facility

$1.15

Service Code	APR-DRG 6613
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: COAGULATION AND PLATELET DISORDERS

Facility

$2.27

Service Code	APR-DRG 6614
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.27

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$1.69

Service Code	APR-DRG 7744
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.69

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$0.69

Service Code	APR-DRG 7743
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: COCAINE ABUSE AND DEPENDENCE

Facility

$0.31

Service Code	APR-DRG 7741
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.31

APR-DRG 41.00: COCAINE ABUSE AND DEPENDENCE

Facility

$0.38

Service Code	APR-DRG 7742
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$0.80

Service Code	APR-DRG 0572
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$1.15

Service Code	APR-DRG 0573
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$1.83

Service Code	APR-DRG 0574
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$0.53

Service Code	APR-DRG 0571
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$0.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.53

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$0.60

Service Code	APR-DRG 3461
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.60

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$0.81

Service Code	APR-DRG 3462
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: CONNECTIVE TISSUE DISORDERS

Facility

$1.22

Service Code	APR-DRG 3463
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.22

APR-DRG 41.00: CONNECTIVE TISSUE DISORDERS

Facility

$2.53

Service Code	APR-DRG 3464
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.53

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$0.55

Service Code	APR-DRG 3841
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: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$0.68

Service Code	APR-DRG 3842
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: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$1.00

Service Code	APR-DRG 3843
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.00

APR-DRG 41.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$1.66

Service Code	APR-DRG 3844
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.66

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4.35

Service Code	APR-DRG 1652
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: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5.23

Service Code	APR-DRG 1653
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$5.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.23

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$3.74

Service Code	APR-DRG 1651
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$3.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.74

APR-DRG 41.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$7.28

Service Code	APR-DRG 1654
Min. Negotiated Rate	$7.28
Max. Negotiated Rate	$7.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.28

Know your out-of-pocket cost for care.

All Charges