Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MAJOR SKIN DISORDERS

Facility

$2.35

Service Code	APR-DRG 3814
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.35

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$1.76

Service Code	APR-DRG 2302
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$1.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.76

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$1.29

Service Code	APR-DRG 2301
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: MAJOR SMALL BOWEL PROCEDURES

Facility

$4.56

Service Code	APR-DRG 2304
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$4.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.56

APR-DRG 41.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$2.55

Service Code	APR-DRG 2303
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.55

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$1.94

Service Code	APR-DRG 2202
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.94

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$2.91

Service Code	APR-DRG 2203
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.91

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$5.42

Service Code	APR-DRG 2204
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$5.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.42

APR-DRG 41.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$1.39

Service Code	APR-DRG 2201
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.39

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$0.59

Service Code	APR-DRG 5012
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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$0.45

Service Code	APR-DRG 5011
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.45

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$0.87

Service Code	APR-DRG 5013
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.87

APR-DRG 41.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$1.76

Service Code	APR-DRG 5014
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$1.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.76

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$0.96

Service Code	APR-DRG 2523
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.96

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$1.81

Service Code	APR-DRG 2524
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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$0.67

Service Code	APR-DRG 2522
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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$0.55

Service Code	APR-DRG 2521
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$0.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.55

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$1.85

Service Code	APR-DRG 2064
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$1.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.85

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$0.94

Service Code	APR-DRG 2063
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.94

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$0.62

Service Code	APR-DRG 2061
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.62

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$0.63

Service Code	APR-DRG 2062
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.63

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$0.59

Service Code	APR-DRG 4662
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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$1.38

Service Code	APR-DRG 4664
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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$0.84

Service Code	APR-DRG 4663
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.84

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$0.43

Service Code	APR-DRG 4661
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.43

Know your out-of-pocket cost for care.

All Charges