Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$1.15

Service Code	APR-DRG 1801
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.15

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$0.65

Service Code	APR-DRG 8132
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 COMPLICATIONS OF TREATMENT

Facility

$0.95

Service Code	APR-DRG 8133
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 COMPLICATIONS OF TREATMENT

Facility

$0.54

Service Code	APR-DRG 8131
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.54

APR-DRG 41.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$1.69

Service Code	APR-DRG 8134
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.69

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$1.10

Service Code	APR-DRG 2291
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.10

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$1.50

Service Code	APR-DRG 2292
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.50

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$2.26

Service Code	APR-DRG 2293
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.26

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$3.86

Service Code	APR-DRG 2294
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.86

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$0.96

Service Code	APR-DRG 2543
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: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$0.48

Service Code	APR-DRG 2541
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$1.68

Service Code	APR-DRG 2544
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$1.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.68

APR-DRG 41.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$0.66

Service Code	APR-DRG 2542
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: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$1.84

Service Code	APR-DRG 0584
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.84

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$1.02

Service Code	APR-DRG 0582
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: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$1.32

Service Code	APR-DRG 0583
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.32

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$0.76

Service Code	APR-DRG 0581
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$0.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.76

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$0.92

Service Code	APR-DRG 2833
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.92

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$1.69

Service Code	APR-DRG 2834
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.69

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$0.48

Service Code	APR-DRG 2831
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$0.63

Service Code	APR-DRG 2832
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.63

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$0.74

Service Code	APR-DRG 7763
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 DRUG ABUSE AND DEPENDENCE

Facility

$0.37

Service Code	APR-DRG 7761
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.37

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$0.41

Service Code	APR-DRG 7762
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: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$1.38

Service Code	APR-DRG 7764
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.38

Know your out-of-pocket cost for care.

All Charges