Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$1.68

Service Code	APR-DRG 8924
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: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$0.74

Service Code	APR-DRG 8922
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.74

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$0.69

Service Code	APR-DRG 8921
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.69

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$1.01

Service Code	APR-DRG 8923
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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$0.74

Service Code	APR-DRG 8901
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.74

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$2.45

Service Code	APR-DRG 8904
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.45

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$0.78

Service Code	APR-DRG 8902
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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$1.25

Service Code	APR-DRG 8903
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$0.80

Service Code	APR-DRG 8932
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$1.58

Service Code	APR-DRG 8934
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$1.10

Service Code	APR-DRG 8933
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.10

APR-DRG 41.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$0.73

Service Code	APR-DRG 8931
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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$0.55

Service Code	APR-DRG 8941
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$0.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.55

APR-DRG 41.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$0.96

Service Code	APR-DRG 8943
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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$0.68

Service Code	APR-DRG 8942
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.68

APR-DRG 41.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$1.48

Service Code	APR-DRG 8944
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$1.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.48

APR-DRG 41.00: HYPERTENSION

Facility

$0.49

Service Code	APR-DRG 1991
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: HYPERTENSION

Facility

$0.59

Service Code	APR-DRG 1992
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: HYPERTENSION

Facility

$0.83

Service Code	APR-DRG 1993
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.83

APR-DRG 41.00: HYPERTENSION

Facility

$1.46

Service Code	APR-DRG 1994
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.46

APR-DRG 41.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$0.49

Service Code	APR-DRG 4222
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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$0.72

Service Code	APR-DRG 4223
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.72

APR-DRG 41.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$0.34

Service Code	APR-DRG 4221
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$0.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.34

APR-DRG 41.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$1.19

Service Code	APR-DRG 4224
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.19

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$13.78

Service Code	APR-DRG 1611
Min. Negotiated Rate	$13.78
Max. Negotiated Rate	$13.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13.78

Know your out-of-pocket cost for care.

All Charges