Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$111,930.27

Service Code	MSDRG 754
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$111,930.27
Rate for Payer: Aetna of CA HMO/PPO	$55,832.98
Rate for Payer: EPIC Health Plan Commercial	$111,930.27
Rate for Payer: EPIC Health Plan Senior	$74,620.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$67,836.53
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$94,971.14
Rate for Payer: Molina Healthcare of CA Medicare	$90,900.95
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$96,293.51

Service Code	MSDRG 756
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$96,293.51
Rate for Payer: Aetna of CA HMO/PPO	$29,118.52
Rate for Payer: EPIC Health Plan Commercial	$96,293.51
Rate for Payer: EPIC Health Plan Senior	$64,195.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$58,359.70
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$81,703.58
Rate for Payer: Molina Healthcare of CA Medicare	$78,202.00
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$46,404.42

Service Code	APR-DRG 5004
Min. Negotiated Rate	$37,062.48
Max. Negotiated Rate	$46,404.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,062.48
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$46,404.42
Rate for Payer: Molina Healthcare of CA Medi-Cal	$41,519.75

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$11,537.39

Service Code	APR-DRG 5001
Min. Negotiated Rate	$9,214.73
Max. Negotiated Rate	$11,537.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,214.73
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$11,537.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,322.93

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$15,333.32

Service Code	APR-DRG 5002
Min. Negotiated Rate	$12,246.48
Max. Negotiated Rate	$15,333.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,246.48
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$15,333.32
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,719.29

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$23,531.58

Service Code	APR-DRG 5003
Min. Negotiated Rate	$18,794.30
Max. Negotiated Rate	$23,531.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,794.30
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$23,531.58
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,054.57

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$99,526.63

Service Code	MSDRG 723
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$99,526.63
Rate for Payer: Aetna of CA HMO/PPO	$34,642.09
Rate for Payer: EPIC Health Plan Commercial	$99,526.63
Rate for Payer: EPIC Health Plan Senior	$66,351.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$60,319.17
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$84,446.84
Rate for Payer: Molina Healthcare of CA Medicare	$80,827.69
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$111,362.41

Service Code	MSDRG 722
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$111,362.41
Rate for Payer: Aetna of CA HMO/PPO	$54,862.87
Rate for Payer: EPIC Health Plan Commercial	$111,362.41
Rate for Payer: EPIC Health Plan Senior	$74,241.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$67,492.37
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$94,489.32
Rate for Payer: Molina Healthcare of CA Medicare	$90,439.78
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$90,884.89

Service Code	MSDRG 724
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$90,884.89
Rate for Payer: Aetna of CA HMO/PPO	$18,544.30
Rate for Payer: EPIC Health Plan Commercial	$90,884.89
Rate for Payer: EPIC Health Plan Senior	$60,589.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$55,081.75
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$77,114.45
Rate for Payer: Molina Healthcare of CA Medicare	$73,809.54
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$19,205.41

Service Code	APR-DRG 2812
Min. Negotiated Rate	$15,339.06
Max. Negotiated Rate	$19,205.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,339.06
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$19,205.41
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,183.79

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$25,774.89

Service Code	APR-DRG 2813
Min. Negotiated Rate	$20,586.00
Max. Negotiated Rate	$25,774.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,586.00
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$25,774.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$23,061.74

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$50,923.25

Service Code	APR-DRG 2814
Min. Negotiated Rate	$40,671.59
Max. Negotiated Rate	$50,923.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$40,671.59
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$50,923.25
Rate for Payer: Molina Healthcare of CA Medi-Cal	$45,562.91

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,905.76

Service Code	APR-DRG 2811
Min. Negotiated Rate	$11,106.31
Max. Negotiated Rate	$13,905.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,106.31
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$13,905.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,441.99

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$99,320.78

Service Code	MSDRG 436
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$99,320.78
Rate for Payer: Aetna of CA HMO/PPO	$34,290.43
Rate for Payer: EPIC Health Plan Commercial	$99,320.78
Rate for Payer: EPIC Health Plan Senior	$66,213.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$60,194.41
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$84,272.17
Rate for Payer: Molina Healthcare of CA Medicare	$80,660.51
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$111,841.54

Service Code	MSDRG 435
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$111,841.54
Rate for Payer: Aetna of CA HMO/PPO	$55,681.40
Rate for Payer: EPIC Health Plan Commercial	$111,841.54
Rate for Payer: EPIC Health Plan Senior	$74,561.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$67,782.75
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$94,895.85
Rate for Payer: Molina Healthcare of CA Medicare	$90,828.88
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$94,391.27

Service Code	MSDRG 437
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$94,391.27
Rate for Payer: Aetna of CA HMO/PPO	$25,868.64
Rate for Payer: EPIC Health Plan Commercial	$94,391.27
Rate for Payer: EPIC Health Plan Senior	$62,927.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$57,206.83
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$80,089.56
Rate for Payer: Molina Healthcare of CA Medicare	$76,657.15
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANT BREAST DISORDERS

Facility

$49,062.14

Service Code	APR-DRG 3824
Min. Negotiated Rate	$39,185.16
Max. Negotiated Rate	$49,062.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$39,185.16
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$49,062.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$43,897.71

MALIGNANT BREAST DISORDERS

Facility

$16,083.80

Service Code	APR-DRG 3822
Min. Negotiated Rate	$12,845.88
Max. Negotiated Rate	$16,083.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,845.88
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$16,083.80
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,390.77

MALIGNANT BREAST DISORDERS

Facility

$11,670.62

Service Code	APR-DRG 3821
Min. Negotiated Rate	$9,321.14
Max. Negotiated Rate	$11,670.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,321.14
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$11,670.62
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,442.13

MALIGNANT BREAST DISORDERS

Facility

$22,381.37

Service Code	APR-DRG 3823
Min. Negotiated Rate	$17,875.65
Max. Negotiated Rate	$22,381.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,875.65
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$22,381.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,025.44

MALIGNANT BREAST DISORDERS WITH CC

Facility

$99,324.32

Service Code	MSDRG 598
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$99,324.32
Rate for Payer: Aetna of CA HMO/PPO	$34,296.49
Rate for Payer: EPIC Health Plan Commercial	$99,324.32
Rate for Payer: EPIC Health Plan Senior	$66,216.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$60,196.56
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$84,275.18
Rate for Payer: Molina Healthcare of CA Medicare	$80,663.39
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$108,832.00

Service Code	MSDRG 597
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$108,832.00
Rate for Payer: Aetna of CA HMO/PPO	$50,539.80
Rate for Payer: EPIC Health Plan Commercial	$108,832.00
Rate for Payer: EPIC Health Plan Senior	$72,554.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$65,958.79
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$92,342.31
Rate for Payer: Molina Healthcare of CA Medicare	$88,384.78
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$92,902.49

Service Code	MSDRG 599
Min. Negotiated Rate	$6,823.00
Max. Negotiated Rate	$92,902.49
Rate for Payer: Aetna of CA HMO/PPO	$22,227.69
Rate for Payer: EPIC Health Plan Commercial	$92,902.49
Rate for Payer: EPIC Health Plan Senior	$61,934.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage	$56,304.54
Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage	$78,826.36
Rate for Payer: Molina Healthcare of CA Medicare	$75,448.08
Rate for Payer: United Healthcare All Other Commercial	$10,506.00
Rate for Payer: United Healthcare All Other HMO	$8,385.00
Rate for Payer: United Healthcare HMO Rider	$7,448.00
Rate for Payer: United Healthcare Select/Navigate/Core	$6,823.00

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$13,609.38

Service Code	APR-DRG 4212
Min. Negotiated Rate	$10,869.59
Max. Negotiated Rate	$13,609.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,869.59
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$13,609.38
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,176.81

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$8,160.20

Service Code	APR-DRG 4211
Min. Negotiated Rate	$6,517.42
Max. Negotiated Rate	$8,160.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,517.42
Rate for Payer: Kaiser Foundation Hospitals Medi-Cal	$8,160.20
Rate for Payer: Molina Healthcare of CA Medi-Cal	$7,301.23

Know your out-of-pocket cost for care.

All Charges