Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ABDOMINAL PAIN

Facility

$16,513.98

Service Code	APR-DRG 2513
Min. Negotiated Rate	$13,189.46
Max. Negotiated Rate	$16,513.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,189.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,513.98
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,775.67

APR-DRG 41.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$15,988.58

Service Code	APR-DRG 5432
Min. Negotiated Rate	$8,822.79
Max. Negotiated Rate	$15,988.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,822.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,046.66
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,988.58

APR-DRG 41.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$12,213.16

Service Code	APR-DRG 5431
Min. Negotiated Rate	$6,739.45
Max. Negotiated Rate	$12,213.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,739.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,438.18
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,213.16

APR-DRG 41.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$23,101.73

Service Code	APR-DRG 5433
Min. Negotiated Rate	$12,747.96
Max. Negotiated Rate	$23,101.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,747.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,961.20
Rate for Payer: Molina Healthcare of CA Medi-Cal	$23,101.73

APR-DRG 41.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$52,134.36

Service Code	APR-DRG 5434
Min. Negotiated Rate	$28,768.69
Max. Negotiated Rate	$52,134.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$28,768.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,020.11
Rate for Payer: Molina Healthcare of CA Medi-Cal	$52,134.36

APR-DRG 41.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$48,189.24

Service Code	APR-DRG 5644
Min. Negotiated Rate	$26,591.70
Max. Negotiated Rate	$48,189.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,591.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,294.38
Rate for Payer: Molina Healthcare of CA Medi-Cal	$48,189.24

APR-DRG 41.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$10,097.89

Service Code	APR-DRG 5642
Min. Negotiated Rate	$5,572.20
Max. Negotiated Rate	$10,097.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,572.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,976.72
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,097.89

APR-DRG 41.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$7,550.81

Service Code	APR-DRG 5641
Min. Negotiated Rate	$4,166.68
Max. Negotiated Rate	$7,550.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,166.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,216.93
Rate for Payer: Molina Healthcare of CA Medi-Cal	$7,550.81

APR-DRG 41.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$14,990.75

Service Code	APR-DRG 5643
Min. Negotiated Rate	$8,272.17
Max. Negotiated Rate	$14,990.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,272.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,357.24
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,990.75

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$16,081.33

Service Code	APR-DRG 1931
Min. Negotiated Rate	$12,843.91
Max. Negotiated Rate	$16,081.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,843.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,081.33
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,388.56

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$63,820.90

Service Code	APR-DRG 1934
Min. Negotiated Rate	$50,972.75
Max. Negotiated Rate	$63,820.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$50,972.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,820.90
Rate for Payer: Molina Healthcare of CA Medi-Cal	$57,102.92

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$29,742.75

Service Code	APR-DRG 1933
Min. Negotiated Rate	$23,755.07
Max. Negotiated Rate	$29,742.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,755.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,742.75
Rate for Payer: Molina Healthcare of CA Medi-Cal	$26,611.94

APR-DRG 41.00: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$22,261.90

Service Code	APR-DRG 1932
Min. Negotiated Rate	$17,780.23
Max. Negotiated Rate	$22,261.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,780.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,261.90
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,918.54

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$7,139.02

Service Code	APR-DRG 7561
Min. Negotiated Rate	$5,701.82
Max. Negotiated Rate	$7,139.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,701.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,139.02
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,387.55

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$22,470.60

Service Code	APR-DRG 7564
Min. Negotiated Rate	$17,946.91
Max. Negotiated Rate	$22,470.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,946.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,470.60
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,105.27

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$9,232.80

Service Code	APR-DRG 7562
Min. Negotiated Rate	$7,374.09
Max. Negotiated Rate	$9,232.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,374.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,232.80
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,260.93

APR-DRG 41.00: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$9,904.11

Service Code	APR-DRG 7563
Min. Negotiated Rate	$7,910.26
Max. Negotiated Rate	$9,904.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,910.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,904.11
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,861.57

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$12,223.23

Service Code	APR-DRG 1452
Min. Negotiated Rate	$9,762.50
Max. Negotiated Rate	$12,223.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,762.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,223.23
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,936.58

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$16,140.77

Service Code	APR-DRG 1453
Min. Negotiated Rate	$12,891.37
Max. Negotiated Rate	$16,140.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,891.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,140.77
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,441.74

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$41,638.33

Service Code	APR-DRG 1454
Min. Negotiated Rate	$33,255.88
Max. Negotiated Rate	$41,638.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$33,255.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,638.33
Rate for Payer: Molina Healthcare of CA Medi-Cal	$37,255.35

APR-DRG 41.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$9,674.95

Service Code	APR-DRG 1451
Min. Negotiated Rate	$7,727.23
Max. Negotiated Rate	$9,674.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,727.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,674.95
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,656.54

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$12,456.21

Service Code	APR-DRG 4692
Min. Negotiated Rate	$9,948.58
Max. Negotiated Rate	$12,456.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,948.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,456.21
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,145.03

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$54,858.62

Service Code	APR-DRG 4694
Min. Negotiated Rate	$43,814.72
Max. Negotiated Rate	$54,858.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,814.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,858.62
Rate for Payer: Molina Healthcare of CA Medi-Cal	$49,084.03

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$19,841.97

Service Code	APR-DRG 4693
Min. Negotiated Rate	$15,847.46
Max. Negotiated Rate	$19,841.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,847.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,841.97
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,753.34

APR-DRG 41.00: ACUTE KIDNEY INJURY

Facility

$9,560.84

Service Code	APR-DRG 4691
Min. Negotiated Rate	$7,636.09
Max. Negotiated Rate	$9,560.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,636.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,560.84
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,554.43

Know your out-of-pocket cost for care.

All Charges