Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$2.86

Service Code	APR-DRG 1763
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.86

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

Facility

$4.80

Service Code	APR-DRG 1764
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.80

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$0.80

Service Code	APR-DRG 8173
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: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$1.59

Service Code	APR-DRG 8174
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.59

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$0.37

Service Code	APR-DRG 8171
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.37

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$0.47

Service Code	APR-DRG 8172
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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$0.71

Service Code	APR-DRG 1422
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.71

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$1.02

Service Code	APR-DRG 1423
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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$1.75

Service Code	APR-DRG 1424
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.75

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$0.59

Service Code	APR-DRG 1421
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: INTESTINAL OBSTRUCTION

Facility

$0.46

Service Code	APR-DRG 2471
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: INTESTINAL OBSTRUCTION

Facility

$0.59

Service Code	APR-DRG 2472
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: INTESTINAL OBSTRUCTION

Facility

$0.88

Service Code	APR-DRG 2473
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: INTESTINAL OBSTRUCTION

Facility

$1.62

Service Code	APR-DRG 2474
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.62

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$1.00

Service Code	APR-DRG 0442
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: INTRACRANIAL HEMORRHAGE

Facility

$1.31

Service Code	APR-DRG 0443
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.31

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$0.72

Service Code	APR-DRG 0441
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: INTRACRANIAL HEMORRHAGE

Facility

$1.50

Service Code	APR-DRG 0444
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.50

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$0.46

Service Code	APR-DRG 4631
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$0.58

Service Code	APR-DRG 4632
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$0.78

Service Code	APR-DRG 4633
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$1.29

Service Code	APR-DRG 4634
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.29

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$0.57

Service Code	APR-DRG 4611
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.57

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$0.72

Service Code	APR-DRG 4612
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: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$1.06

Service Code	APR-DRG 4613
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.06

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All Charges