Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 41.00: EATING DISORDERS

Facility

$1.25

Service Code	APR-DRG 7593
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: EATING DISORDERS

Facility

$0.87

Service Code	APR-DRG 7592
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: EATING DISORDERS

Facility

$3.52

Service Code	APR-DRG 7594
Min. Negotiated Rate	$3.52
Max. Negotiated Rate	$3.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.52

APR-DRG 41.00: EATING DISORDERS

Facility

$0.75

Service Code	APR-DRG 7591
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: ELECTIVE HIP JOINT REPLACEMENT

Facility

$1.56

Service Code	APR-DRG 3242
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.56

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$1.43

Service Code	APR-DRG 3241
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.43

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$2.14

Service Code	APR-DRG 3243
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.14

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$3.40

Service Code	APR-DRG 3244
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$3.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.40

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$2.15

Service Code	APR-DRG 3263
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$2.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.15

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$2.93

Service Code	APR-DRG 3264
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.93

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$1.42

Service Code	APR-DRG 3261
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: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$1.50

Service Code	APR-DRG 3262
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.50

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$5.76

Service Code	APR-DRG 9114
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$5.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.76

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$1.47

Service Code	APR-DRG 9111
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.47

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$2.09

Service Code	APR-DRG 9112
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$2.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.09

APR-DRG 41.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$2.78

Service Code	APR-DRG 9113
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.78

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$1.34

Service Code	APR-DRG 7921
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$1.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.34

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$1.68

Service Code	APR-DRG 7922
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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$2.43

Service Code	APR-DRG 7923
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.43

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$4.60

Service Code	APR-DRG 7924
Min. Negotiated Rate	$4.60
Max. Negotiated Rate	$4.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.60

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$1.44

Service Code	APR-DRG 9501
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$1.92

Service Code	APR-DRG 9502
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.92

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$2.91

Service Code	APR-DRG 9503
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.91

APR-DRG 41.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$5.29

Service Code	APR-DRG 9504
Min. Negotiated Rate	$5.29
Max. Negotiated Rate	$5.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.29

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All Charges