Loma Linda University Medical Center

All Charges

Charge

Type

Setting

Price

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

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

Facility

$15.10

Service Code	APR-DRG 0044
Min. Negotiated Rate	$15.10
Max. Negotiated Rate	$15.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15.10

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

Facility

$6.50

Service Code	APR-DRG 0042
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6.50

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$4.11

Service Code	APR-DRG 0051
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$4.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.11

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$4.87

Service Code	APR-DRG 0052
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$4.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4.87

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$10.37

Service Code	APR-DRG 0054
Min. Negotiated Rate	$10.37
Max. Negotiated Rate	$10.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10.37

APR-DRG 41.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$7.35

Service Code	APR-DRG 0053
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7.35

APR-DRG 41.00: TRANSIENT ISCHEMIA

Facility

$1.56

Service Code	APR-DRG 0474
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: TRANSIENT ISCHEMIA

Facility

$0.73

Service Code	APR-DRG 0472
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: TRANSIENT ISCHEMIA

Facility

$0.64

Service Code	APR-DRG 0471
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$0.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.64

APR-DRG 41.00: TRANSIENT ISCHEMIA

Facility

$0.92

Service Code	APR-DRG 0473
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: TRANSURETHRAL PROSTATECTOMY

Facility

$0.86

Service Code	APR-DRG 4822
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: TRANSURETHRAL PROSTATECTOMY

Facility

$2.64

Service Code	APR-DRG 4824
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$2.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.64

APR-DRG 41.00: TRANSURETHRAL PROSTATECTOMY

Facility

$0.69

Service Code	APR-DRG 4821
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: TRANSURETHRAL PROSTATECTOMY

Facility

$1.57

Service Code	APR-DRG 4823
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.57

APR-DRG 41.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$2.72

Service Code	APR-DRG 4464
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$2.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$2.72

APR-DRG 41.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$0.81

Service Code	APR-DRG 4461
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$1.56

Service Code	APR-DRG 4463
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$0.99

Service Code	APR-DRG 4462
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.99

APR-DRG 41.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$0.99

Service Code	APR-DRG 4653
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.99

APR-DRG 41.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$0.49

Service Code	APR-DRG 4651
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$0.59

Service Code	APR-DRG 4652
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$1.67

Service Code	APR-DRG 4654
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$1.67

APR-DRG 41.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$3.68

Service Code	APR-DRG 5194
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$3.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3.68

APR-DRG 41.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$0.90

Service Code	APR-DRG 5191
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$0.90

Know your out-of-pocket cost for care.

All Charges