How many shoppable procedure prices are published for Loma Linda University Medical Center?

Loma Linda University Medical Center in Loma Linda, CA currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Loma Linda University Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Loma Linda University Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Loma Linda University Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Loma Linda University Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 437 Beds · urban Updated: 2026-09-02

Loma Linda University Medical Center

11234 Anderson St, Loma Linda, CA 92354 · 115 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.33×vs. Fair Market Price

Typical commercial prices here are +33% above the fair benchmark (1.33×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness45

Price Logic86

Peer Alignment72

Clean Billing92

Real Cash Discount100

Premium Quality Tier

4-Star CMS clinical quality rating paired with 1.33× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Loma Linda University Medical Center maintains elevated commercial insurance contracts (1.33× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 55% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#169 of 240 in CA · 70th State Percentile#2,306 of 3,385 in U.S. · 68th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 1.14× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.36×) jump +19% above the median procedure ratio (Q50 1.14×)
Unnegotiated chargemaster list prices average 15.9× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.87× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail

Q25 1.05× · Q50 1.14× · Q75 1.36×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Loma Linda University Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$57,915	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$35,066	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$32,793	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$27,234	$17,936	unverified
Total hip replacement CPT Code: `27130`	—	$18,164	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$18,164	$13,523	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,435	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,125	$6,109	1.7×
Vaginal delivery (full package) CPT Code: `59400`	$4,169	$8,407	$2,680	3.1×
Inguinal hernia repair CPT Code: `49505`	—	$6,199	$3,629	1.7×
Breast lump removal CPT Code: `19120`	$5,964	$5,673	$3,875	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,304	$2,540	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$2,750	$1,847	$1,256	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$2,614	$1,598	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,750	$1,375	$981	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,244	$855	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,816	$1,215	$1,021	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,769	$773	$583	1.3×
Blood transfusion CPT Code: `36430`	$1,526	$624	$498	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,884	$535	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,180	$494	$448	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$3,729	$411	$369	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$473	$322	$148	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,444	$338	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,871	$338	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$4,753	$338	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$4,973	$338	$343	1.0×
Neurobehavioral status check CPT Code: `96116`	$622	$305	$231	1.3×
Rabies immune globulin HCPCS Code: `90375`	$375	$309	$322	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$259	$310	$201	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$359	$269	$123	2.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$202	$251	$166	1.5×
Family therapy session CPT Code: `90847`	$233	$251	$173	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$271	$251	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$169	$251	$185	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,375	$248	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,467	$248	$258	1.0×
CT scan, pelvis CPT Code: `72192`	$2,036	$180	$163	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,044	$180	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,151	$180	$169	1.1×
Speech therapy (group session) CPT Code: `92508`	$203	$203	$27	unverified
Prosthetic fitting and training CPT Code: `97761`	$68	$137	$45	3.0×
Group therapy session CPT Code: `90853`	$185	$144	$100	1.4×
Care planning with family CPT Code: `90887`	$109	$146	$107	1.4×
X-ray, lower back CPT Code: `72110`	$720	$148	$112	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,307	$153	$134	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,802	$164	$167	1.0×
X-ray, chest (single view) CPT Code: `71045`	$374	$123	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$375	$123	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$510	$123	$93	1.3×
X-ray, hip CPT Code: `73502`	$498	$123	$93	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$989	$148	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$1,180	$148	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$824	$148	$132	1.1×
X-ray, foot CPT Code: `73630`	$494	$119	$92	1.3×
X-ray, hand CPT Code: `73130`	$486	$119	$93	1.3×
X-ray, ankle CPT Code: `73610`	$505	$119	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$414	$134	$110	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$129	$151	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$2,035	$148	$160	0.9×
CT scan, sinuses CPT Code: `70486`	$1,702	$148	$166	0.9×
Orthotic fitting and training CPT Code: `97760`	$99	$99	$51	1.9×
X-ray, shoulder CPT Code: `73030`	$519	$119	$92	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$121	$121	$86	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$524	$83	$64	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$95	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$239	$365	$347	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$146	$56	$14	4.0×
Hepatitis B vaccine HCPCS Code: `90744`	$39	$57	$37	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$52	$81	$56	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$54	$66	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$67	$66	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$66	$49	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$31	$48	$39	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$348	$56	$86	0.7×
Drug screening test HCPCS Code: `G0480`	$70	$70	$116	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$306	$46	$87	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$58	$58	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$69	$69	$140	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$111	$42	$34	1.2×
Blood test, calcium CPT Code: `82310`	$33	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$78	$7	$6	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$29	$25	1.2×
Blood test, lipase CPT Code: `83690`	$49	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$66	$9	$8	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$71	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$358	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$20	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$122	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$144	$16	$15	1.1×
Blood test, vitamin D CPT Code: `82306`	$71	$33	$31	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$106	$20	$19	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$45	$45	$111	0.4×
Blood test, vitamin B12 CPT Code: `82607`	$100	$17	$16	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$203	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$181	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$61	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$25	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$46	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$25	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$44	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$41	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$81	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$26	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$5	$5	1.0×
Culture, blood CPT Code: `87040`	$176	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$157	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$123	$21	$33	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$23	$38	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$133	$21	$35	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$83	$22	$38	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$106	$21	$40	0.5×
Blood antibody screen CPT Code: `86850`	$148	$11	$46	0.2×

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.9%

Audit a Bill or Quote at Loma Linda University Medical Center (Zero PHI Required)

CMS CCN: 050327

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $57,915

1. Amount on Your Bill or Quote ($) Pre-filled with Loma Linda University Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $61,019 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $61,019

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.9% of gross = $61,019).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Loma Linda University Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$108,221 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($138,996) is $108,221 above the denoised Fair BaseRate ($30,775) and 5.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (43.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait464 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Loma Linda University Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-18·administrative_or_closure
Met Requirements
Recorded
2025-02-21·administrative_or_closure
Closure Notice
Recorded
2024-11-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (2,995 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Loma Linda University Medical Center.

Price Index: 1.74× regional baseline

Quality: 74/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Central Health Plan

+74.5%

Median Household Income$82,184U.S. Census ACS

Local Uninsured Share8.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 050327

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050327) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileexport

Publication / Vintage2026-09-02 · 277.49 MB

Validated Rate Rows9,246 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050327

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

Loma Linda University Medical Center

Cash-Arbitrage Bifurcated Pricer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Loma Linda University Medical Center

Audit a Bill or Quote at Loma Linda University Medical Center (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $61,019

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings