Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$0.52

Service Code	APR-DRG 2821
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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$2.24

Service Code	APR-DRG 2824
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.24

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$0.39

Service Code	APR-DRG 7522
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.39

APR-DRG 41.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$0.96

Service Code	APR-DRG 7523
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: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$0.28

Service Code	APR-DRG 7521
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: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$3.53

Service Code	APR-DRG 7524
Min. Negotiated Rate	$3.53
Max. Negotiated Rate	$3.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.53

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$0.66

Service Code	APR-DRG 2442
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.66

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$1.01

Service Code	APR-DRG 2443
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$1.76

Service Code	APR-DRG 2444
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$1.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.76

APR-DRG 41.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$0.50

Service Code	APR-DRG 2441
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.50

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$3.21

Service Code	APR-DRG 3042
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.21

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$2.71

Service Code	APR-DRG 3041
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$2.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.71

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$4.46

Service Code	APR-DRG 3043
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$4.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.46

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$6.85

Service Code	APR-DRG 3044
Min. Negotiated Rate	$6.85
Max. Negotiated Rate	$6.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.85

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$6.45

Service Code	APR-DRG 3033
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.45

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$9.44

Service Code	APR-DRG 3034
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$9.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.44

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$3.93

Service Code	APR-DRG 3031
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$3.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.93

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$4.68

Service Code	APR-DRG 3032
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$4.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.68

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$1.27

Service Code	APR-DRG 7704
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.27

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$0.26

Service Code	APR-DRG 7701
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$0.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.26

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$0.38

Service Code	APR-DRG 7702
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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$0.59

Service Code	APR-DRG 7703
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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$0.71

Service Code	APR-DRG 1101
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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$0.80

Service Code	APR-DRG 1102
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: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$1.15

Service Code	APR-DRG 1103
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.15

Know your out-of-pocket cost for care.

All Charges