Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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: HEART AND/OR LUNG TRANSPLANT

Facility

$23.09

Service Code	APR-DRG 0024
Min. Negotiated Rate	$23.09
Max. Negotiated Rate	$23.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23.09

APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT

Facility

$10.52

Service Code	APR-DRG 0022
Min. Negotiated Rate	$10.52
Max. Negotiated Rate	$10.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10.52

APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT

Facility

$14.62

Service Code	APR-DRG 0023
Min. Negotiated Rate	$14.62
Max. Negotiated Rate	$14.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14.62

APR-DRG 41.00: HEART AND/OR LUNG TRANSPLANT

Facility

$8.65

Service Code	APR-DRG 0021
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8.65

APR-DRG 41.00: HEART FAILURE

Facility

$1.64

Service Code	APR-DRG 1944
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.64

APR-DRG 41.00: HEART FAILURE

Facility

$0.50

Service Code	APR-DRG 1941
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: HEART FAILURE

Facility

$0.65

Service Code	APR-DRG 1942
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: HEART FAILURE

Facility

$0.93

Service Code	APR-DRG 1943
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.93

APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$0.62

Service Code	APR-DRG 8102
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.62

APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$0.45

Service Code	APR-DRG 8101
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.45

APR-DRG 41.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$1.94

Service Code	APR-DRG 8104
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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$0.96

Service Code	APR-DRG 8103
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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$0.92

Service Code	APR-DRG 2793
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.92

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$1.94

Service Code	APR-DRG 2794
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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$0.48

Service Code	APR-DRG 2791
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$0.60

Service Code	APR-DRG 2792
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.60

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$3.58

Service Code	APR-DRG 2274
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.58

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$1.11

Service Code	APR-DRG 2271
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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$1.36

Service Code	APR-DRG 2272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.36

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$1.88

Service Code	APR-DRG 2273
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.88

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$1.38

Service Code	APR-DRG 3081
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.38

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$1.61

Service Code	APR-DRG 3082
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: HIP AND FEMUR FRACTURE REPAIR

Facility

$2.08

Service Code	APR-DRG 3083
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.08

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$3.09

Service Code	APR-DRG 3084
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.09

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All Charges