Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$1.13

Service Code	APR-DRG 6811
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.13

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$2.40

Service Code	APR-DRG 6813
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.40

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$1.47

Service Code	APR-DRG 6812
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$1.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.47

APR-DRG 41.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$5.42

Service Code	APR-DRG 6814
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$5.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.42

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$2.46

Service Code	APR-DRG 0293
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.46

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$3.89

Service Code	APR-DRG 0294
Min. Negotiated Rate	$3.89
Max. Negotiated Rate	$3.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.89

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$1.95

Service Code	APR-DRG 0291
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.95

APR-DRG 41.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$2.21

Service Code	APR-DRG 0292
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.21

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$4.14

Service Code	APR-DRG 1824
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$4.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.14

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$1.78

Service Code	APR-DRG 1821
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.78

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$2.36

Service Code	APR-DRG 1823
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$2.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.36

APR-DRG 41.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$1.96

Service Code	APR-DRG 1822
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.96

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$0.45

Service Code	APR-DRG 1391
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 PNEUMONIA

Facility

$1.49

Service Code	APR-DRG 1394
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$1.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.49

APR-DRG 41.00: OTHER PNEUMONIA

Facility

$0.60

Service Code	APR-DRG 1392
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 PNEUMONIA

Facility

$0.86

Service Code	APR-DRG 1393
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.86

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$2.14

Service Code	APR-DRG 4053
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.14

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$1.42

Service Code	APR-DRG 4052
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.42

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$4.20

Service Code	APR-DRG 4054
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.20

APR-DRG 41.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$1.24

Service Code	APR-DRG 4051
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.24

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$4.17

Service Code	APR-DRG 6514
Min. Negotiated Rate	$4.17
Max. Negotiated Rate	$4.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.17

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$2.09

Service Code	APR-DRG 6513
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$2.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.09

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$1.49

Service Code	APR-DRG 6512
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$1.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.49

APR-DRG 41.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$1.03

Service Code	APR-DRG 6511
Min. Negotiated Rate	$1.03
Max. Negotiated Rate	$1.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.03

Know your out-of-pocket cost for care.

All Charges