Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$3.61

Service Code	APR-DRG 9524
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$3.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.61

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

Facility

$0.90

Service Code	APR-DRG 9521
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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$1.20

Service Code	APR-DRG 9522
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.20

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

Facility

$1.93

Service Code	APR-DRG 9523
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.93

APR-DRG 41.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$0.90

Service Code	APR-DRG 4263
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: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$0.45

Service Code	APR-DRG 4261
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: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$0.59

Service Code	APR-DRG 4262
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: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$1.60

Service Code	APR-DRG 4264
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.60

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$0.96

Service Code	APR-DRG 0463
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.96

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$0.64

Service Code	APR-DRG 0461
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.64

APR-DRG 41.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$0.77

Service Code	APR-DRG 0462
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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$1.88

Service Code	APR-DRG 0464
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.88

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$2.42

Service Code	APR-DRG 0212
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.42

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$1.90

Service Code	APR-DRG 0211
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: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$3.58

Service Code	APR-DRG 0213
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.58

APR-DRG 41.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$5.62

Service Code	APR-DRG 0214
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.62

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$2.37

Service Code	APR-DRG 0202
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: OPEN CRANIOTOMY FOR TRAUMA

Facility

$3.32

Service Code	APR-DRG 0203
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$3.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.32

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$5.29

Service Code	APR-DRG 0204
Min. Negotiated Rate	$5.29
Max. Negotiated Rate	$5.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.29

APR-DRG 41.00: OPEN CRANIOTOMY FOR TRAUMA

Facility

$2.03

Service Code	APR-DRG 0201
Min. Negotiated Rate	$2.03
Max. Negotiated Rate	$2.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.03

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$1.02

Service Code	APR-DRG 0241
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: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$1.27

Service Code	APR-DRG 0242
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.27

APR-DRG 41.00: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$2.22

Service Code	APR-DRG 0243
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: OPEN EXTRACRANIAL VASCULAR PROCEDURES

Facility

$3.92

Service Code	APR-DRG 0244
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.92

APR-DRG 41.00: OPIOID ABUSE AND DEPENDENCE

Facility

$0.28

Service Code	APR-DRG 7731
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$0.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.28

Know your out-of-pocket cost for care.

All Charges