Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$5.08

Service Code	APR-DRG 6083
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$5.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.08

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$7.17

Service Code	APR-DRG 6073
Min. Negotiated Rate	$7.17
Max. Negotiated Rate	$7.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.17

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$5.22

Service Code	APR-DRG 6072
Min. Negotiated Rate	$5.22
Max. Negotiated Rate	$5.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.22

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$2.12

Service Code	APR-DRG 6071
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.12

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$9.53

Service Code	APR-DRG 6074
Min. Negotiated Rate	$9.53
Max. Negotiated Rate	$9.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.53

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$1.53

Service Code	APR-DRG 6131
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$1.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.53

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$5.89

Service Code	APR-DRG 6134
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.89

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$2.39

Service Code	APR-DRG 6132
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$2.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.39

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4.22

Service Code	APR-DRG 6133
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$4.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.22

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$7.22

Service Code	APR-DRG 6114
Min. Negotiated Rate	$7.22
Max. Negotiated Rate	$7.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.22

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$4.33

Service Code	APR-DRG 6113
Min. Negotiated Rate	$4.33
Max. Negotiated Rate	$4.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.33

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$1.09

Service Code	APR-DRG 6111
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$2.45

Service Code	APR-DRG 6112
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.45

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$4.93

Service Code	APR-DRG 6144
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.93

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$0.85

Service Code	APR-DRG 6141
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$3.82

Service Code	APR-DRG 6143
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$3.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.82

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$2.04

Service Code	APR-DRG 6142
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.04

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$2.22

Service Code	APR-DRG 6121
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.22

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$4.37

Service Code	APR-DRG 6123
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$4.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.37

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$6.94

Service Code	APR-DRG 6124
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$6.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.94

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$3.43

Service Code	APR-DRG 6122
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$3.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.43

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$16.34

Service Code	APR-DRG 6094
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$16.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16.34

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$4.04

Service Code	APR-DRG 6092
Min. Negotiated Rate	$4.04
Max. Negotiated Rate	$4.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.04

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$7.12

Service Code	APR-DRG 6093
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$7.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.12

APR-DRG 41.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$3.67

Service Code	APR-DRG 6091
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.67

Know your out-of-pocket cost for care.

All Charges