Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$0.50

Service Code	APR-DRG 5322
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.50

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

Facility

$0.77

Service Code	APR-DRG 5323
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.77

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

Facility

$0.39

Service Code	APR-DRG 5321
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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$1.38

Service Code	APR-DRG 7402
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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$2.37

Service Code	APR-DRG 7403
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.37

APR-DRG 41.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$4.84

Service Code	APR-DRG 7404
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$4.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.84

APR-DRG 41.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$0.86

Service Code	APR-DRG 7401
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.86

APR-DRG 41.00: MIGRAINE AND OTHER HEADACHES

Facility

$1.34

Service Code	APR-DRG 0544
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$1.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.34

APR-DRG 41.00: MIGRAINE AND OTHER HEADACHES

Facility

$0.65

Service Code	APR-DRG 0542
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.65

APR-DRG 41.00: MIGRAINE AND OTHER HEADACHES

Facility

$0.55

Service Code	APR-DRG 0541
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: MIGRAINE AND OTHER HEADACHES

Facility

$0.82

Service Code	APR-DRG 0543
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$1.29

Service Code	APR-DRG 7932
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$0.99

Service Code	APR-DRG 7931
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: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$1.89

Service Code	APR-DRG 7933
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.89

APR-DRG 41.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$3.63

Service Code	APR-DRG 7934
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$3.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.63

APR-DRG 41.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$2.15

Service Code	APR-DRG 9513
Min. Negotiated Rate	$2.15
Max. Negotiated Rate	$2.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.15

APR-DRG 41.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$1.44

Service Code	APR-DRG 9512
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.44

APR-DRG 41.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$3.86

Service Code	APR-DRG 9514
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.86

APR-DRG 41.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$1.09

Service Code	APR-DRG 9511
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.09

APR-DRG 41.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$0.80

Service Code	APR-DRG 0431
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$0.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.80

APR-DRG 41.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$1.58

Service Code	APR-DRG 0433
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.58

APR-DRG 41.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$1.08

Service Code	APR-DRG 0432
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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$3.09

Service Code	APR-DRG 0434
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.09

APR-DRG 41.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$0.75

Service Code	APR-DRG 9301
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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$1.41

Service Code	APR-DRG 9303
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.41

Know your out-of-pocket cost for care.

All Charges