Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$1.94

Service Code	APR-DRG 8434
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$0.47

Service Code	APR-DRG 8431
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.47

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$0.66

Service Code	APR-DRG 8432
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$1.02

Service Code	APR-DRG 8433
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.02

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$17.12

Service Code	APR-DRG 8414
Min. Negotiated Rate	$17.12
Max. Negotiated Rate	$17.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17.12

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$1.61

Service Code	APR-DRG 8411
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.61

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$1.84

Service Code	APR-DRG 8412
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.84

APR-DRG 41.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$5.63

Service Code	APR-DRG 8413
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$5.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.63

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$4.70

Service Code	APR-DRG 1781
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$4.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.70

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$5.14

Service Code	APR-DRG 1782
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.14

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$5.79

Service Code	APR-DRG 1783
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$5.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.79

APR-DRG 41.00: EXTERNAL HEART ASSIST SYSTEMS

Facility

$7.56

Service Code	APR-DRG 1784
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$7.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.56

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$3.86

Service Code	APR-DRG 0091
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.86

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$4.07

Service Code	APR-DRG 0092
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.07

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$6.97

Service Code	APR-DRG 0093
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.97

APR-DRG 41.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$15.39

Service Code	APR-DRG 0094
Min. Negotiated Rate	$15.39
Max. Negotiated Rate	$15.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15.39

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$0.94

Service Code	APR-DRG 0823
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: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$1.74

Service Code	APR-DRG 0824
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$1.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.74

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$0.65

Service Code	APR-DRG 0822
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.65

APR-DRG 41.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$0.53

Service Code	APR-DRG 0821
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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$2.51

Service Code	APR-DRG 0923
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.51

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$1.25

Service Code	APR-DRG 0921
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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$4.50

Service Code	APR-DRG 0924
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.50

APR-DRG 41.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$1.60

Service Code	APR-DRG 0922
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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$0.48

Service Code	APR-DRG 5311
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

Know your out-of-pocket cost for care.

All Charges