Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$0.13

Service Code	APR-DRG 6402
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$0.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.13

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$0.25

Service Code	APR-DRG 6403
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.25

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1.92

Service Code	APR-DRG 6404
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.92

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$0.49

Service Code	APR-DRG 6361
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.49

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$1.90

Service Code	APR-DRG 6363
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.90

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$0.85

Service Code	APR-DRG 6362
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 > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$2.86

Service Code	APR-DRG 6364
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$2.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.86

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$0.50

Service Code	APR-DRG 6332
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$1.86

Service Code	APR-DRG 6333
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.86

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$5.31

Service Code	APR-DRG 6334
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.31

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$0.18

Service Code	APR-DRG 6331
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.18

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

Facility

$9.52

Service Code	APR-DRG 6303
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$9.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.52

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

Facility

$4.65

Service Code	APR-DRG 6302
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$4.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.65

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

Facility

$2.14

Service Code	APR-DRG 6301
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.14

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

Facility

$17.56

Service Code	APR-DRG 6304
Min. Negotiated Rate	$17.56
Max. Negotiated Rate	$17.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17.56

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

Facility

$0.40

Service Code	APR-DRG 6311
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$0.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.40

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

Facility

$3.16

Service Code	APR-DRG 6312
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$16.52

Service Code	APR-DRG 6314
Min. Negotiated Rate	$16.52
Max. Negotiated Rate	$16.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16.52

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

Facility

$5.42

Service Code	APR-DRG 6313
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$2.49

Service Code	APR-DRG 6394
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.49

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$0.30

Service Code	APR-DRG 6391
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.30

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$0.45

Service Code	APR-DRG 6392
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$1.49

Service Code	APR-DRG 6393
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$1.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.49

APR-DRG 41.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$0.53

Service Code	APR-DRG 6341
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$1.13

Service Code	APR-DRG 6342
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