Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$3.62

Service Code	APR-DRG 2224
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$3.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.62

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

Facility

$0.72

Service Code	APR-DRG 2221
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.72

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

Facility

$1.84

Service Code	APR-DRG 2223
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: PANCREAS TRANSPLANT

Facility

$9.14

Service Code	APR-DRG 0063
Min. Negotiated Rate	$9.14
Max. Negotiated Rate	$9.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9.14

APR-DRG 41.00: PANCREAS TRANSPLANT

Facility

$11.55

Service Code	APR-DRG 0064
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11.55

APR-DRG 41.00: PANCREAS TRANSPLANT

Facility

$6.24

Service Code	APR-DRG 0061
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$6.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.24

APR-DRG 41.00: PANCREAS TRANSPLANT

Facility

$7.52

Service Code	APR-DRG 0062
Min. Negotiated Rate	$7.52
Max. Negotiated Rate	$7.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.52

APR-DRG 41.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$0.59

Service Code	APR-DRG 8442
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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$1.03

Service Code	APR-DRG 8443
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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$2.25

Service Code	APR-DRG 8444
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.25

APR-DRG 41.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$0.36

Service Code	APR-DRG 8441
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$0.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.36

APR-DRG 41.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES

Facility

$1.29

Service Code	APR-DRG 5101
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.29

APR-DRG 41.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES

Facility

$1.52

Service Code	APR-DRG 5102
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.52

APR-DRG 41.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES

Facility

$4.70

Service Code	APR-DRG 5104
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$4.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.70

APR-DRG 41.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES

Facility

$2.42

Service Code	APR-DRG 5103
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$2.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.42

APR-DRG 41.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$1.20

Service Code	APR-DRG 4832
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.20

APR-DRG 41.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$1.81

Service Code	APR-DRG 4833
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.81

APR-DRG 41.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$3.08

Service Code	APR-DRG 4834
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$3.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.08

APR-DRG 41.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$0.88

Service Code	APR-DRG 4831
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: PEPTIC ULCER AND GASTRITIS

Facility

$0.59

Service Code	APR-DRG 2411
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: PEPTIC ULCER AND GASTRITIS

Facility

$0.74

Service Code	APR-DRG 2412
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: PEPTIC ULCER AND GASTRITIS

Facility

$1.08

Service Code	APR-DRG 2413
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.08

APR-DRG 41.00: PEPTIC ULCER AND GASTRITIS

Facility

$2.08

Service Code	APR-DRG 2414
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.08

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$1.93

Service Code	APR-DRG 1741
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.93

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$2.07

Service Code	APR-DRG 1742
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.07

Know your out-of-pocket cost for care.

All Charges