Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$2.53

Service Code	APR-DRG 2313
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.53

APR-DRG 41.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$4.05

Service Code	APR-DRG 2314
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.05

APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES

Facility

$3.84

Service Code	APR-DRG 4804
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$3.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.84

APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES

Facility

$1.28

Service Code	APR-DRG 4801
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$1.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.28

APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES

Facility

$1.47

Service Code	APR-DRG 4802
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.47

APR-DRG 41.00: MAJOR MALE PELVIC PROCEDURES

Facility

$2.24

Service Code	APR-DRG 4803
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.24

APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$3.16

Service Code	APR-DRG 6803
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.16

APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$6.33

Service Code	APR-DRG 6804
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$6.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.33

APR-DRG 41.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$1.99

Service Code	APR-DRG 6802
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: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$1.51

Service Code	APR-DRG 6801
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$1.74

Service Code	APR-DRG 2601
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$1.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.74

APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$2.18

Service Code	APR-DRG 2602
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$2.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.18

APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$5.38

Service Code	APR-DRG 2604
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$5.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.38

APR-DRG 41.00: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$2.93

Service Code	APR-DRG 2603
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.93

APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$3.10

Service Code	APR-DRG 1203
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.10

APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$5.52

Service Code	APR-DRG 1204
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$5.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.52

APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$1.81

Service Code	APR-DRG 1201
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.81

APR-DRG 41.00: MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$2.21

Service Code	APR-DRG 1202
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.21

APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$0.75

Service Code	APR-DRG 1372
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: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$1.68

Service Code	APR-DRG 1374
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.68

APR-DRG 41.00: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$0.59

Service Code	APR-DRG 1371
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 RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$0.91

Service Code	APR-DRG 1373
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.91

APR-DRG 41.00: MAJOR SKIN DISORDERS

Facility

$0.36

Service Code	APR-DRG 3811
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 SKIN DISORDERS

Facility

$0.59

Service Code	APR-DRG 3812
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 SKIN DISORDERS

Facility

$1.13

Service Code	APR-DRG 3813
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.13

Know your out-of-pocket cost for care.

All Charges