Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$1.12

Service Code	APR-DRG 6943
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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$1.99

Service Code	APR-DRG 6944
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.99

APR-DRG 41.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$0.59

Service Code	APR-DRG 6941
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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$0.75

Service Code	APR-DRG 6942
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.75

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$3.11

Service Code	APR-DRG 6914
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$3.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.11

APR-DRG 41.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$0.83

Service Code	APR-DRG 6911
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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$1.10

Service Code	APR-DRG 6912
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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$1.62

Service Code	APR-DRG 6913
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: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$5.75

Service Code	APR-DRG 1694
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$5.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.75

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$3.66

Service Code	APR-DRG 1693
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$3.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.66

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$2.79

Service Code	APR-DRG 1691
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$2.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.79

APR-DRG 41.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$2.84

Service Code	APR-DRG 1692
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.84

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$1.42

Service Code	APR-DRG 2611
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: MAJOR BILIARY TRACT PROCEDURES

Facility

$1.83

Service Code	APR-DRG 2612
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.83

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$4.89

Service Code	APR-DRG 2614
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$4.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.89

APR-DRG 41.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$2.51

Service Code	APR-DRG 2613
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.51

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$1.38

Service Code	APR-DRG 4411
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: MAJOR BLADDER PROCEDURES

Facility

$2.88

Service Code	APR-DRG 4413
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$2.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.88

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$2.22

Service Code	APR-DRG 4412
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.22

APR-DRG 41.00: MAJOR BLADDER PROCEDURES

Facility

$5.21

Service Code	APR-DRG 4414
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$5.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.21

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$2.80

Service Code	APR-DRG 1601
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.80

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$3.33

Service Code	APR-DRG 1602
Min. Negotiated Rate	$3.33
Max. Negotiated Rate	$3.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.33

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$5.13

Service Code	APR-DRG 1603
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$5.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.13

APR-DRG 41.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$10.88

Service Code	APR-DRG 1604
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10.88

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$0.68

Service Code	APR-DRG 1351
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.68

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All Charges