Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$2.76

Service Code	APR-DRG 1753
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$2.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.76

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$1.97

Service Code	APR-DRG 1751
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$1.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.97

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$4.13

Service Code	APR-DRG 1754
Min. Negotiated Rate	$4.13
Max. Negotiated Rate	$4.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.13

APR-DRG 41.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$2.21

Service Code	APR-DRG 1752
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: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$4.31

Service Code	APR-DRG 0304
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.31

APR-DRG 41.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$1.79

Service Code	APR-DRG 0301
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.79

APR-DRG 41.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$3.25

Service Code	APR-DRG 0303
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$3.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.25

APR-DRG 41.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$2.37

Service Code	APR-DRG 0302
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.37

APR-DRG 41.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$3.89

Service Code	APR-DRG 1832
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: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$3.81

Service Code	APR-DRG 1831
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.81

APR-DRG 41.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$6.75

Service Code	APR-DRG 1834
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.75

APR-DRG 41.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$4.51

Service Code	APR-DRG 1833
Min. Negotiated Rate	$4.51
Max. Negotiated Rate	$4.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.51

APR-DRG 41.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$0.46

Service Code	APR-DRG 1971
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$0.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.46

APR-DRG 41.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$0.62

Service Code	APR-DRG 1972
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: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$0.86

Service Code	APR-DRG 1973
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: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$1.52

Service Code	APR-DRG 1974
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$0.59

Service Code	APR-DRG 0481
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$0.68

Service Code	APR-DRG 0482
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.68

APR-DRG 41.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$0.94

Service Code	APR-DRG 0483
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.94

APR-DRG 41.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$1.80

Service Code	APR-DRG 0484
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.80

APR-DRG 41.00: PERITONEAL ADHESIOLYSIS

Facility

$1.33

Service Code	APR-DRG 2241
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.33

APR-DRG 41.00: PERITONEAL ADHESIOLYSIS

Facility

$1.56

Service Code	APR-DRG 2242
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: PERITONEAL ADHESIOLYSIS

Facility

$2.18

Service Code	APR-DRG 2243
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$2.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.18

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All Charges