Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$4.24

Service Code	APR-DRG 2644
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.24

APR-DRG 41.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$2.07

Service Code	APR-DRG 2643
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.07

APR-DRG 41.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$1.37

Service Code	APR-DRG 2642
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$1.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.37

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$1.09

Service Code	APR-DRG 7243
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.09

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$0.66

Service Code	APR-DRG 7242
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 INFECTIOUS AND PARASITIC DISEASES

Facility

$0.56

Service Code	APR-DRG 7241
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.56

APR-DRG 41.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$2.20

Service Code	APR-DRG 7244
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$2.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.20

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$0.90

Service Code	APR-DRG 8153
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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$0.53

Service Code	APR-DRG 8152
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: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$0.38

Service Code	APR-DRG 8151
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.38

APR-DRG 41.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$1.92

Service Code	APR-DRG 8154
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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$0.88

Service Code	APR-DRG 4683
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.88

APR-DRG 41.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$0.45

Service Code	APR-DRG 4681
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: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$0.60

Service Code	APR-DRG 4682
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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$1.68

Service Code	APR-DRG 4684
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 KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$2.00

Service Code	APR-DRG 4473
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: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$1.23

Service Code	APR-DRG 4471
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.23

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$4.01

Service Code	APR-DRG 4474
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$4.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.01

APR-DRG 41.00: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$1.46

Service Code	APR-DRG 4472
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.46

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$1.48

Service Code	APR-DRG 0911
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$1.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.48

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$3.90

Service Code	APR-DRG 0913
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.90

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$2.16

Service Code	APR-DRG 0912
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.16

APR-DRG 41.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$6.25

Service Code	APR-DRG 0914
Min. Negotiated Rate	$6.25
Max. Negotiated Rate	$6.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.25

APR-DRG 41.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$1.12

Service Code	APR-DRG 4841
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.12

APR-DRG 41.00: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$1.37

Service Code	APR-DRG 4842
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$1.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.37

Know your out-of-pocket cost for care.

All Charges