Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$14.48

Service Code	APR-DRG 1612
Min. Negotiated Rate	$14.48
Max. Negotiated Rate	$14.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14.48

APR-DRG 41.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$18.07

Service Code	APR-DRG 1613
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$18.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18.07

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$0.52

Service Code	APR-DRG 4231
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.52

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$0.66

Service Code	APR-DRG 4232
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: INBORN ERRORS OF METABOLISM

Facility

$1.05

Service Code	APR-DRG 4233
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.05

APR-DRG 41.00: INBORN ERRORS OF METABOLISM

Facility

$2.45

Service Code	APR-DRG 4234
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$0.46

Service Code	APR-DRG 1132
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.46

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$0.31

Service Code	APR-DRG 1131
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$0.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.31

APR-DRG 41.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$0.69

Service Code	APR-DRG 1133
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$1.38

Service Code	APR-DRG 1134
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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$2.33

Service Code	APR-DRG 7103
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.33

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$4.18

Service Code	APR-DRG 7104
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$4.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.18

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$0.97

Service Code	APR-DRG 7101
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.97

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$1.42

Service Code	APR-DRG 7102
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: INFLAMMATORY BOWEL DISEASE

Facility

$0.55

Service Code	APR-DRG 2451
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: INFLAMMATORY BOWEL DISEASE

Facility

$0.69

Service Code	APR-DRG 2452
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: INFLAMMATORY BOWEL DISEASE

Facility

$1.00

Service Code	APR-DRG 2453
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.00

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$1.70

Service Code	APR-DRG 2454
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$1.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.70

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

Facility

$0.88

Service Code	APR-DRG 2281
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.88

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

Facility

$1.12

Service Code	APR-DRG 2282
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.12

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

Facility

$1.53

Service Code	APR-DRG 2283
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.53

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

Facility

$2.87

Service Code	APR-DRG 2284
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.87

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$1.61

Service Code	APR-DRG 1761
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: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$1.93

Service Code	APR-DRG 1762
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.93

Know your out-of-pocket cost for care.

All Charges