Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$1.65

Service Code	APR-DRG 4843
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.65

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

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$0.90

Service Code	APR-DRG 7603
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 MENTAL HEALTH DISORDERS

Facility

$0.44

Service Code	APR-DRG 7601
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.44

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$1.67

Service Code	APR-DRG 7604
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.67

APR-DRG 41.00: OTHER MENTAL HEALTH DISORDERS

Facility

$0.62

Service Code	APR-DRG 7602
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.62

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$0.91

Service Code	APR-DRG 3513
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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$0.47

Service Code	APR-DRG 3511
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$0.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.47

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$0.59

Service Code	APR-DRG 3512
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$1.71

Service Code	APR-DRG 3514
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$1.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.71

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$1.03

Service Code	APR-DRG 3201
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$1.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.03

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$1.43

Service Code	APR-DRG 3202
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.43

APR-DRG 41.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$3.61

Service Code	APR-DRG 3204
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: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$2.07

Service Code	APR-DRG 3203
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 NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$1.22

Service Code	APR-DRG 0261
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.22

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$2.33

Service Code	APR-DRG 0263
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.33

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$4.08

Service Code	APR-DRG 0264
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$4.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.08

APR-DRG 41.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$1.51

Service Code	APR-DRG 0262
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$0.43

Service Code	APR-DRG 4251
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.43

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$0.53

Service Code	APR-DRG 4252
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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$1.58

Service Code	APR-DRG 4254
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.58

APR-DRG 41.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$0.73

Service Code	APR-DRG 4253
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.73

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$1.66

Service Code	APR-DRG 0271
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.66

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$4.98

Service Code	APR-DRG 0274
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$4.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.98

APR-DRG 41.00: OTHER OPEN CRANIOTOMY

Facility

$2.90

Service Code	APR-DRG 0273
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$2.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.90

Know your out-of-pocket cost for care.

All Charges