Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$1.04

Service Code	APR-DRG 3493
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.04

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

Facility

$0.73

Service Code	APR-DRG 3492
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.73

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

Facility

$1.75

Service Code	APR-DRG 3494
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.75

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

Facility

$0.52

Service Code	APR-DRG 3491
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$0.66

Service Code	APR-DRG 5002
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$0.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.66

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$0.53

Service Code	APR-DRG 5001
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$1.85

Service Code	APR-DRG 5004
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$1.01

Service Code	APR-DRG 5003
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.01

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$0.82

Service Code	APR-DRG 2812
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.82

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$0.59

Service Code	APR-DRG 2811
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$1.57

Service Code	APR-DRG 2814
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$1.06

Service Code	APR-DRG 2813
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.06

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$0.68

Service Code	APR-DRG 3822
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.68

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$1.48

Service Code	APR-DRG 3824
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: MALIGNANT BREAST DISORDERS

Facility

$0.99

Service Code	APR-DRG 3823
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.99

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$0.54

Service Code	APR-DRG 3821
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.54

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$0.39

Service Code	APR-DRG 4211
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.39

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$0.90

Service Code	APR-DRG 4213
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.90

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$1.75

Service Code	APR-DRG 4214
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.75

APR-DRG 41.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$0.58

Service Code	APR-DRG 4212
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.58

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$1.23

Service Code	APR-DRG 3621
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.23

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$1.87

Service Code	APR-DRG 3622
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: MASTECTOMY PROCEDURES

Facility

$2.11

Service Code	APR-DRG 3623
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$2.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.11

APR-DRG 41.00: MASTECTOMY PROCEDURES

Facility

$3.47

Service Code	APR-DRG 3624
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$3.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.47

APR-DRG 41.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$1.36

Service Code	APR-DRG 5324
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.36

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All Charges