Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: NEONATE WITH ECMO

Facility

$34.65

Service Code	APR-DRG 5834
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$34.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$34.65

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$2.14

Service Code	APR-DRG 4624
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: NEPHRITIS AND NEPHROSIS

Facility

$0.41

Service Code	APR-DRG 4621
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$0.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.41

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$1.11

Service Code	APR-DRG 4623
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.11

APR-DRG 41.00: NEPHRITIS AND NEPHROSIS

Facility

$0.60

Service Code	APR-DRG 4622
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.60

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$1.49

Service Code	APR-DRG 0414
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: NERVOUS SYSTEM MALIGNANCY

Facility

$1.02

Service Code	APR-DRG 0413
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.02

APR-DRG 41.00: NERVOUS SYSTEM MALIGNANCY

Facility

$0.77

Service Code	APR-DRG 0412
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: NERVOUS SYSTEM MALIGNANCY

Facility

$0.74

Service Code	APR-DRG 0411
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.74

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$0.66

Service Code	APR-DRG 0501
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$3.46

Service Code	APR-DRG 0504
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.46

APR-DRG 41.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$1.76

Service Code	APR-DRG 0503
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$1.11

Service Code	APR-DRG 0502
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.11

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$1.62

Service Code	APR-DRG 3231
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.62

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$1.83

Service Code	APR-DRG 3232
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.83

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$2.44

Service Code	APR-DRG 3233
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$2.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.44

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$3.44

Service Code	APR-DRG 3234
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.44

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$4.28

Service Code	APR-DRG 3254
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$4.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.28

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$3.05

Service Code	APR-DRG 3253
Min. Negotiated Rate	$3.05
Max. Negotiated Rate	$3.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.05

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$2.31

Service Code	APR-DRG 3252
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.31

APR-DRG 41.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$2.00

Service Code	APR-DRG 3251
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.00

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

Facility

$2.99

Service Code	APR-DRG 7944
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$2.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.99

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

Facility

$0.82

Service Code	APR-DRG 7941
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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$1.56

Service Code	APR-DRG 7943
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.56

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

Facility

$1.05

Service Code	APR-DRG 7942
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.05

Know your out-of-pocket cost for care.

All Charges