Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

$0.82

Service Code	APR-DRG 0533
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$0.72

Service Code	APR-DRG 7202
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$0.56

Service Code	APR-DRG 7201
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$1.06

Service Code	APR-DRG 7203
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.06

APR-DRG 41.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$1.95

Service Code	APR-DRG 7204
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.95

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$3.58

Service Code	APR-DRG 3224
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$3.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.58

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$1.89

Service Code	APR-DRG 3222
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: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$1.76

Service Code	APR-DRG 3221
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$1.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.76

APR-DRG 41.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$2.50

Service Code	APR-DRG 3223
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$0.96

Service Code	APR-DRG 3151
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.96

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$3.65

Service Code	APR-DRG 3154
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$3.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.65

APR-DRG 41.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$2.25

Service Code	APR-DRG 3153
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$1.51

Service Code	APR-DRG 3152
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$1.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.51

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$0.67

Service Code	APR-DRG 6622
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$0.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.67

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$0.96

Service Code	APR-DRG 6623
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$0.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.96

APR-DRG 41.00: SICKLE CELL ANEMIA CRISIS

Facility

$0.49

Service Code	APR-DRG 6621
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: SICKLE CELL ANEMIA CRISIS

Facility

$2.02

Service Code	APR-DRG 6624
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.02

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$0.37

Service Code	APR-DRG 8611
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$0.59

Service Code	APR-DRG 8612
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$1.25

Service Code	APR-DRG 8614
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.25

APR-DRG 41.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$0.87

Service Code	APR-DRG 8613
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: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$5.29

Service Code	APR-DRG 3124
Min. Negotiated Rate	$5.29
Max. Negotiated Rate	$5.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5.29

APR-DRG 41.00: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$1.78

Service Code	APR-DRG 3122
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.78

APR-DRG 41.00: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$2.97

Service Code	APR-DRG 3123
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$2.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.97

Know your out-of-pocket cost for care.

All Charges