Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$1.98

Service Code	APR-DRG 1354
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.98

APR-DRG 41.00: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$0.78

Service Code	APR-DRG 1352
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: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$1.13

Service Code	APR-DRG 1353
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.13

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$3.74

Service Code	APR-DRG 0893
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$3.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.74

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$1.48

Service Code	APR-DRG 0891
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: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$1.96

Service Code	APR-DRG 0892
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.96

APR-DRG 41.00: MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$5.31

Service Code	APR-DRG 0894
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.31

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$1.87

Service Code	APR-DRG 7514
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$1.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.87

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$0.48

Service Code	APR-DRG 7512
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$0.36

Service Code	APR-DRG 7511
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.36

APR-DRG 41.00: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$0.85

Service Code	APR-DRG 7513
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.85

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$0.69

Service Code	APR-DRG 2422
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: MAJOR ESOPHAGEAL DISORDERS

Facility

$2.02

Service Code	APR-DRG 2424
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.02

APR-DRG 41.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$1.00

Service Code	APR-DRG 2423
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: MAJOR ESOPHAGEAL DISORDERS

Facility

$0.53

Service Code	APR-DRG 2421
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$0.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.53

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$0.52

Service Code	APR-DRG 2481
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: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$0.67

Service Code	APR-DRG 2482
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.67

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$1.78

Service Code	APR-DRG 2484
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.78

APR-DRG 41.00: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$1.00

Service Code	APR-DRG 2483
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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$1.08

Service Code	APR-DRG 6603
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.08

APR-DRG 41.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$2.25

Service Code	APR-DRG 6604
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.25

APR-DRG 41.00: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$0.71

Service Code	APR-DRG 6602
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: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$0.59

Service Code	APR-DRG 6601
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: MAJOR LARGE BOWEL PROCEDURES

Facility

$1.80

Service Code	APR-DRG 2312
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.80

APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$1.48

Service Code	APR-DRG 2311
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$1.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.48

Know your out-of-pocket cost for care.

All Charges