Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$0.49

Service Code	APR-DRG 3411
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.49

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$0.78

Service Code	APR-DRG 3413
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.78

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$0.66

Service Code	APR-DRG 3422
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$0.49

Service Code	APR-DRG 3421
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.49

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$0.94

Service Code	APR-DRG 3423
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$1.61

Service Code	APR-DRG 3424
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: GASTRIC FUNDOPLICATION

Facility

$1.32

Service Code	APR-DRG 2322
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.32

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$1.84

Service Code	APR-DRG 2323
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: GASTRIC FUNDOPLICATION

Facility

$4.40

Service Code	APR-DRG 2324
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.40

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$1.11

Service Code	APR-DRG 2321
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$0.73

Service Code	APR-DRG 2462
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.73

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$1.02

Service Code	APR-DRG 2463
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$0.58

Service Code	APR-DRG 2461
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.58

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$1.51

Service Code	APR-DRG 2464
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$2.68

Service Code	APR-DRG 8513
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$2.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.68

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$8.23

Service Code	APR-DRG 8514
Min. Negotiated Rate	$8.23
Max. Negotiated Rate	$8.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8.23

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$1.58

Service Code	APR-DRG 8511
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.58

APR-DRG 41.00: GENDER RELATED PROCEDURES

Facility

$1.81

Service Code	APR-DRG 8512
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.81

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$1.08

Service Code	APR-DRG 3162
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.08

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$3.06

Service Code	APR-DRG 3164
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.06

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$1.65

Service Code	APR-DRG 3163
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.65

APR-DRG 41.00: HAND AND WRIST PROCEDURES

Facility

$0.81

Service Code	APR-DRG 3161
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: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$1.30

Service Code	APR-DRG 0553
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.30

APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$2.34

Service Code	APR-DRG 0554
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$2.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.34

APR-DRG 41.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$0.60

Service Code	APR-DRG 0551
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.60

Know your out-of-pocket cost for care.

All Charges