Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$0.67

Service Code	APR-DRG 6632
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.67

APR-DRG 41.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$1.59

Service Code	APR-DRG 6634
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.59

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$1.01

Service Code	APR-DRG 3473
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$1.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.01

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$1.85

Service Code	APR-DRG 3474
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$1.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.85

APR-DRG 41.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$0.74

Service Code	APR-DRG 3472
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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$0.58

Service Code	APR-DRG 3471
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.58

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$3.14

Service Code	APR-DRG 4454
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$3.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.14

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$1.16

Service Code	APR-DRG 4452
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.16

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$0.95

Service Code	APR-DRG 4451
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.95

APR-DRG 41.00: OTHER BLADDER PROCEDURES

Facility

$1.64

Service Code	APR-DRG 4453
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.64

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$2.97

Service Code	APR-DRG 1672
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$2.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.97

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$2.83

Service Code	APR-DRG 1671
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.83

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$7.27

Service Code	APR-DRG 1674
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$7.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.27

APR-DRG 41.00: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$4.40

Service Code	APR-DRG 1673
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.40

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$2.34

Service Code	APR-DRG 6964
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$2.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.34

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$1.14

Service Code	APR-DRG 6963
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.14

APR-DRG 41.00: OTHER CHEMOTHERAPY

Facility

$0.60

Service Code	APR-DRG 6961
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: OTHER CHEMOTHERAPY

Facility

$0.78

Service Code	APR-DRG 6962
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.78

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$0.91

Service Code	APR-DRG 2073
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$0.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.91

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$0.52

Service Code	APR-DRG 2071
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.52

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$0.65

Service Code	APR-DRG 2072
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: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$1.62

Service Code	APR-DRG 2074
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: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$1.97

Service Code	APR-DRG 1803
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$1.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.97

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$3.44

Service Code	APR-DRG 1804
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: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$1.41

Service Code	APR-DRG 1802
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.41

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All Charges