Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 41.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$3.32

Service Code	APR-DRG 4444
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$3.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.32

APR-DRG 41.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$0.87

Service Code	APR-DRG 4441
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.87

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$1.72

Service Code	APR-DRG 1334
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$1.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.72

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$0.69

Service Code	APR-DRG 1332
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: RESPIRATORY FAILURE

Facility

$0.37

Service Code	APR-DRG 1331
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.37

APR-DRG 41.00: RESPIRATORY FAILURE

Facility

$1.04

Service Code	APR-DRG 1333
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.04

APR-DRG 41.00: RESPIRATORY MALIGNANCY

Facility

$1.16

Service Code	APR-DRG 1363
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: RESPIRATORY MALIGNANCY

Facility

$0.60

Service Code	APR-DRG 1361
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: RESPIRATORY MALIGNANCY

Facility

$0.82

Service Code	APR-DRG 1362
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: RESPIRATORY MALIGNANCY

Facility

$1.75

Service Code	APR-DRG 1364
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.75

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

Facility

$0.63

Service Code	APR-DRG 1442
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.63

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

Facility

$0.48

Service Code	APR-DRG 1441
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.48

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

Facility

$0.93

Service Code	APR-DRG 1443
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.93

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

Facility

$1.58

Service Code	APR-DRG 1444
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$1.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.58

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$3.32

Service Code	APR-DRG 1302
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$3.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.32

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$2.93

Service Code	APR-DRG 1301
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$2.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.93

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$3.94

Service Code	APR-DRG 1303
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.94

APR-DRG 41.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$5.15

Service Code	APR-DRG 1304
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$5.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.15

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$1.04

Service Code	APR-DRG 7503
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$1.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.04

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$2.32

Service Code	APR-DRG 7504
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.32

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$0.52

Service Code	APR-DRG 7501
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$0.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.52

APR-DRG 41.00: SCHIZOPHRENIA

Facility

$0.65

Service Code	APR-DRG 7502
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.65

APR-DRG 41.00: SEIZURE

Facility

$0.46

Service Code	APR-DRG 0531
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: SEIZURE

Facility

$0.60

Service Code	APR-DRG 0532
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.60

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All Charges