Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$4.42

Service Code	APR-DRG 1214
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$4.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.42

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$1.69

Service Code	APR-DRG 1212
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 RESPIRATORY AND CHEST PROCEDURES

Facility

$1.31

Service Code	APR-DRG 1211
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.31

APR-DRG 41.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$2.59

Service Code	APR-DRG 1213
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$2.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.59

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$1.64

Service Code	APR-DRG 1434
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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$0.69

Service Code	APR-DRG 1432
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$0.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.69

APR-DRG 41.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$1.02

Service Code	APR-DRG 1433
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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$0.49

Service Code	APR-DRG 1431
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.49

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$2.50

Service Code	APR-DRG 3093
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.50

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$1.77

Service Code	APR-DRG 3092
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.77

APR-DRG 41.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$1.37

Service Code	APR-DRG 3091
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 SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$3.91

Service Code	APR-DRG 3094
Min. Negotiated Rate	$3.91
Max. Negotiated Rate	$3.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.91

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$1.56

Service Code	APR-DRG 3854
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.56

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$0.86

Service Code	APR-DRG 3853
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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$0.43

Service Code	APR-DRG 3851
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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$0.56

Service Code	APR-DRG 3852
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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$2.80

Service Code	APR-DRG 3644
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.80

APR-DRG 41.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$1.59

Service Code	APR-DRG 3643
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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$1.01

Service Code	APR-DRG 3642
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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$0.74

Service Code	APR-DRG 3641
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$1.96

Service Code	APR-DRG 2233
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$3.56

Service Code	APR-DRG 2234
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$3.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.56

APR-DRG 41.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$1.16

Service Code	APR-DRG 2231
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$1.44

Service Code	APR-DRG 2232
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.44

APR-DRG 41.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$1.24

Service Code	APR-DRG 2222
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.24

Know your out-of-pocket cost for care.

All Charges