Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$22,221.45

Service Code	APR-DRG 1913
Min. Negotiated Rate	$17,046.19
Max. Negotiated Rate	$22,221.45
Rate for Payer: IEHP Medi-Cal	$17,046.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,221.45

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$17,112.12

Service Code	APR-DRG 1912
Min. Negotiated Rate	$13,126.80
Max. Negotiated Rate	$17,112.12
Rate for Payer: IEHP Medi-Cal	$13,126.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,112.12

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$27,327.24

Service Code	APR-DRG 1923
Min. Negotiated Rate	$20,962.87
Max. Negotiated Rate	$27,327.24
Rate for Payer: IEHP Medi-Cal	$20,962.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,327.24

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$42,461.96

Service Code	APR-DRG 1924
Min. Negotiated Rate	$32,572.79
Max. Negotiated Rate	$42,461.96
Rate for Payer: IEHP Medi-Cal	$32,572.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,461.96

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$15,659.65

Service Code	APR-DRG 1921
Min. Negotiated Rate	$12,012.60
Max. Negotiated Rate	$15,659.65
Rate for Payer: IEHP Medi-Cal	$12,012.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,659.65

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$19,485.01

Service Code	APR-DRG 1922
Min. Negotiated Rate	$14,947.06
Max. Negotiated Rate	$19,485.01
Rate for Payer: IEHP Medi-Cal	$14,947.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,485.01

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$50,215.52

Service Code	APR-DRG 1774
Min. Negotiated Rate	$38,520.59
Max. Negotiated Rate	$50,215.52
Rate for Payer: IEHP Medi-Cal	$38,520.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,215.52

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$27,086.06

Service Code	APR-DRG 1772
Min. Negotiated Rate	$20,777.86
Max. Negotiated Rate	$27,086.06
Rate for Payer: IEHP Medi-Cal	$20,777.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,086.06

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$18,763.20

Service Code	APR-DRG 1771
Min. Negotiated Rate	$14,393.35
Max. Negotiated Rate	$18,763.20
Rate for Payer: IEHP Medi-Cal	$14,393.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,763.20

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility IP

$36,394.94

Service Code	APR-DRG 1773
Min. Negotiated Rate	$27,918.75
Max. Negotiated Rate	$36,394.94
Rate for Payer: IEHP Medi-Cal	$27,918.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,394.94

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$6,794.13

Service Code	APR-DRG 2001
Min. Negotiated Rate	$5,211.82
Max. Negotiated Rate	$6,794.13
Rate for Payer: IEHP Medi-Cal	$5,211.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,794.13

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$14,549.46

Service Code	APR-DRG 2003
Min. Negotiated Rate	$11,160.97
Max. Negotiated Rate	$14,549.46
Rate for Payer: IEHP Medi-Cal	$11,160.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,549.46

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$10,060.84

Service Code	APR-DRG 2002
Min. Negotiated Rate	$7,717.72
Max. Negotiated Rate	$10,060.84
Rate for Payer: IEHP Medi-Cal	$7,717.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,060.84

CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility IP

$22,577.93

Service Code	APR-DRG 2004
Min. Negotiated Rate	$17,319.65
Max. Negotiated Rate	$22,577.93
Rate for Payer: IEHP Medi-Cal	$17,319.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,577.93

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$102,390.72

Service Code	APR-DRG 1623
Min. Negotiated Rate	$78,544.46
Max. Negotiated Rate	$102,390.72
Rate for Payer: IEHP Medi-Cal	$78,544.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,390.72

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$149,492.04

Service Code	APR-DRG 1624
Min. Negotiated Rate	$114,676.13
Max. Negotiated Rate	$149,492.04
Rate for Payer: IEHP Medi-Cal	$114,676.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$149,492.04

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$69,248.29

Service Code	APR-DRG 1621
Min. Negotiated Rate	$53,120.73
Max. Negotiated Rate	$69,248.29
Rate for Payer: IEHP Medi-Cal	$53,120.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,248.29

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$81,148.20

Service Code	APR-DRG 1622
Min. Negotiated Rate	$62,249.21
Max. Negotiated Rate	$81,148.20
Rate for Payer: IEHP Medi-Cal	$62,249.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$81,148.20

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$127,208.52

Service Code	APR-DRG 1634
Min. Negotiated Rate	$97,582.32
Max. Negotiated Rate	$127,208.52
Rate for Payer: IEHP Medi-Cal	$97,582.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$127,208.52

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$84,686.27

Service Code	APR-DRG 1633
Min. Negotiated Rate	$64,963.28
Max. Negotiated Rate	$84,686.27
Rate for Payer: IEHP Medi-Cal	$64,963.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$84,686.27

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$60,567.21

Service Code	APR-DRG 1631
Min. Negotiated Rate	$46,461.43
Max. Negotiated Rate	$60,567.21
Rate for Payer: IEHP Medi-Cal	$46,461.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,567.21

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility IP

$67,020.83

Service Code	APR-DRG 1632
Min. Negotiated Rate	$51,412.03
Max. Negotiated Rate	$67,020.83
Rate for Payer: IEHP Medi-Cal	$51,412.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,020.83

CARDIOMYOPATHY

Facility IP

$9,693.72

Service Code	APR-DRG 2052
Min. Negotiated Rate	$7,436.11
Max. Negotiated Rate	$9,693.72
Rate for Payer: IEHP Medi-Cal	$7,436.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,693.72

CARDIOMYOPATHY

Facility IP

$14,349.07

Service Code	APR-DRG 2053
Min. Negotiated Rate	$11,007.24
Max. Negotiated Rate	$14,349.07
Rate for Payer: IEHP Medi-Cal	$11,007.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,349.07

CARDIOMYOPATHY

Facility IP

$7,780.18

Service Code	APR-DRG 2051
Min. Negotiated Rate	$5,968.21
Max. Negotiated Rate	$7,780.18
Rate for Payer: IEHP Medi-Cal	$5,968.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,780.18

Price Transparency.

All Charges