Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$3.30

Service Code	APR-DRG 1661
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.30

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$3.68

Service Code	APR-DRG 1662
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$3.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.68

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4.36

Service Code	APR-DRG 1663
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$4.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.36

APR-DRG 41.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$6.42

Service Code	APR-DRG 1664
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$6.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.42

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$6.46

Service Code	APR-DRG 9104
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$6.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.46

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$2.56

Service Code	APR-DRG 9101
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$2.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.56

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$4.03

Service Code	APR-DRG 9103
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$4.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.03

APR-DRG 41.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$2.70

Service Code	APR-DRG 9102
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.70

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$0.75

Service Code	APR-DRG 0451
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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$0.94

Service Code	APR-DRG 0452
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.94

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$1.94

Service Code	APR-DRG 0454
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.94

APR-DRG 41.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$1.25

Service Code	APR-DRG 0453
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.25

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$1.09

Service Code	APR-DRG 1311
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.09

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$1.93

Service Code	APR-DRG 1313
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.93

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$2.50

Service Code	APR-DRG 1314
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.50

APR-DRG 41.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$1.42

Service Code	APR-DRG 1312
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.42

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$3.29

Service Code	APR-DRG 1791
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: DEFIBRILLATOR IMPLANTS

Facility

$3.72

Service Code	APR-DRG 1792
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$3.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.72

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$6.47

Service Code	APR-DRG 1794
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$6.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.47

APR-DRG 41.00: DEFIBRILLATOR IMPLANTS

Facility

$4.51

Service Code	APR-DRG 1793
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.51

APR-DRG 41.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$0.64

Service Code	APR-DRG 0421
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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$1.11

Service Code	APR-DRG 0423
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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$0.82

Service Code	APR-DRG 0422
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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$2.02

Service Code	APR-DRG 0424
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.02

APR-DRG 41.00: DENTAL DISEASES AND DISORDERS

Facility

$0.38

Service Code	APR-DRG 1141
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.38

Know your out-of-pocket cost for care.

All Charges