Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 PROCEDURES FOR MALIGNANCY

Facility

$2.26

Service Code	APR-DRG 4423
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.26

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$1.57

Service Code	APR-DRG 4422
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.57

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$3.99

Service Code	APR-DRG 4424
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$3.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.99

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$1.36

Service Code	APR-DRG 4421
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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$1.31

Service Code	APR-DRG 4432
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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$1.15

Service Code	APR-DRG 4431
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.15

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$3.21

Service Code	APR-DRG 4434
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.21

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$1.92

Service Code	APR-DRG 4433
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.92

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$5.48

Service Code	APR-DRG 4403
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$5.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.48

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$8.76

Service Code	APR-DRG 4404
Min. Negotiated Rate	$8.76
Max. Negotiated Rate	$8.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8.76

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$4.31

Service Code	APR-DRG 4401
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.31

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$4.82

Service Code	APR-DRG 4402
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$4.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.82

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$2.43

Service Code	APR-DRG 3133
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.43

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$1.31

Service Code	APR-DRG 3131
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: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$1.69

Service Code	APR-DRG 3132
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.69

APR-DRG 41.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$3.89

Service Code	APR-DRG 3134
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$3.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.89

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$8.24

Service Code	APR-DRG 0013
Min. Negotiated Rate	$8.24
Max. Negotiated Rate	$8.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8.24

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$6.14

Service Code	APR-DRG 0011
Min. Negotiated Rate	$6.14
Max. Negotiated Rate	$6.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.14

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$6.88

Service Code	APR-DRG 0012
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$6.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.88

APR-DRG 41.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$14.49

Service Code	APR-DRG 0014
Min. Negotiated Rate	$14.49
Max. Negotiated Rate	$14.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14.49

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$3.15

Service Code	APR-DRG 1813
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.15

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$4.85

Service Code	APR-DRG 1814
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$4.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.85

APR-DRG 41.00: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$2.08

Service Code	APR-DRG 1812
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: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$1.51

Service Code	APR-DRG 1811
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

Know your out-of-pocket cost for care.

All Charges