Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$3.06

Service Code	APR-DRG 5484
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.06

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$0.39

Service Code	APR-DRG 5481
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$0.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.39

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$0.82

Service Code	APR-DRG 5482
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.82

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$1.40

Service Code	APR-DRG 5483
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$1.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.40

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$1.27

Service Code	APR-DRG 4032
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$1.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.27

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$1.88

Service Code	APR-DRG 4033
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.88

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$4.09

Service Code	APR-DRG 4034
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.09

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$1.11

Service Code	APR-DRG 4031
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.11

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$2.16

Service Code	APR-DRG 8502
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.16

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$2.70

Service Code	APR-DRG 8503
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.70

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$1.62

Service Code	APR-DRG 8501
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.62

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$6.04

Service Code	APR-DRG 8504
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$6.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.04

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$1.05

Service Code	APR-DRG 1343
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.05

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$1.74

Service Code	APR-DRG 1344
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$1.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.74

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$0.56

Service Code	APR-DRG 1341
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: PULMONARY EMBOLISM

Facility

$0.71

Service Code	APR-DRG 1342
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.71

APR-DRG 41.00: RADIOTHERAPY

Facility

$1.15

Service Code	APR-DRG 6922
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.15

APR-DRG 41.00: RADIOTHERAPY

Facility

$0.60

Service Code	APR-DRG 6921
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: RADIOTHERAPY

Facility

$1.89

Service Code	APR-DRG 6923
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.89

APR-DRG 41.00: RADIOTHERAPY

Facility

$3.07

Service Code	APR-DRG 6924
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.07

APR-DRG 41.00: REHABILITATION

Facility

$1.16

Service Code	APR-DRG 8602
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: REHABILITATION

Facility

$1.46

Service Code	APR-DRG 8603
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.46

APR-DRG 41.00: REHABILITATION

Facility

$0.95

Service Code	APR-DRG 8601
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.95

APR-DRG 41.00: REHABILITATION

Facility

$1.79

Service Code	APR-DRG 8604
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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$1.94

Service Code	APR-DRG 4443
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.94

Know your out-of-pocket cost for care.

All Charges