Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$1.34

Service Code	APR-DRG 2044
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$1.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.34

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$0.54

Service Code	APR-DRG 2041
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$0.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.54

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$0.81

Service Code	APR-DRG 2043
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$0.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.81

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$0.63

Service Code	APR-DRG 2042
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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$3.30

Service Code	APR-DRG 3174
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.30

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$0.94

Service Code	APR-DRG 3171
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: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$1.21

Service Code	APR-DRG 3172
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.21

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$1.83

Service Code	APR-DRG 3173
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$1.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.83

APR-DRG 41.00: THYROID DISORDERS

Facility

$0.60

Service Code	APR-DRG 4272
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: THYROID DISORDERS

Facility

$0.97

Service Code	APR-DRG 4273
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.97

APR-DRG 41.00: THYROID DISORDERS

Facility

$0.44

Service Code	APR-DRG 4271
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$0.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.44

APR-DRG 41.00: THYROID DISORDERS

Facility

$1.96

Service Code	APR-DRG 4274
Min. Negotiated Rate	$1.96
Max. Negotiated Rate	$1.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.96

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$0.92

Service Code	APR-DRG 4041
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.92

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$2.20

Service Code	APR-DRG 4043
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$2.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.20

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$4.19

Service Code	APR-DRG 4044
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.19

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$1.34

Service Code	APR-DRG 4042
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$1.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.34

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$0.53

Service Code	APR-DRG 0971
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$0.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.53

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$0.77

Service Code	APR-DRG 0972
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.77

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$1.23

Service Code	APR-DRG 0973
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.23

APR-DRG 41.00: TONSIL AND ADENOID PROCEDURES

Facility

$2.33

Service Code	APR-DRG 0974
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.33

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$0.73

Service Code	APR-DRG 8163
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.73

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$1.37

Service Code	APR-DRG 8164
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$1.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.37

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$0.50

Service Code	APR-DRG 8161
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$0.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.50

APR-DRG 41.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$0.55

Service Code	APR-DRG 8162
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$0.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.55

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$4.70

Service Code	APR-DRG 0041
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$4.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.70

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All Charges