Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$17,764.35

Service Code	APR-DRG 6901
Min. Negotiated Rate	$14,188.11
Max. Negotiated Rate	$17,764.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,188.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,764.35
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,894.42

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$159,870.10

Service Code	APR-DRG 6904
Min. Negotiated Rate	$127,685.73
Max. Negotiated Rate	$159,870.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$127,685.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$159,870.10
Rate for Payer: Molina Healthcare of CA Medi-Cal	$143,041.67

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$57,612.31

Service Code	APR-DRG 6903
Min. Negotiated Rate	$46,014.04
Max. Negotiated Rate	$57,612.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$46,014.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,612.31
Rate for Payer: Molina Healthcare of CA Medi-Cal	$51,547.86

APR-DRG 41.00: ACUTE LEUKEMIA

Facility

$32,645.23

Service Code	APR-DRG 6902
Min. Negotiated Rate	$26,073.23
Max. Negotiated Rate	$32,645.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,073.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,645.23
Rate for Payer: Molina Healthcare of CA Medi-Cal	$29,208.89

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$17,455.32

Service Code	APR-DRG 1902
Min. Negotiated Rate	$13,941.29
Max. Negotiated Rate	$17,455.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,941.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,455.32
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,617.92

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$22,727.82

Service Code	APR-DRG 1903
Min. Negotiated Rate	$18,152.35
Max. Negotiated Rate	$22,727.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,152.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,727.82
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,335.42

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$16,138.39

Service Code	APR-DRG 1901
Min. Negotiated Rate	$12,889.48
Max. Negotiated Rate	$16,138.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,889.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,138.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,439.61

APR-DRG 41.00: ACUTE MYOCARDIAL INFARCTION

Facility

$49,913.23

Service Code	APR-DRG 1904
Min. Negotiated Rate	$39,864.91
Max. Negotiated Rate	$49,913.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$39,864.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,913.23
Rate for Payer: Molina Healthcare of CA Medi-Cal	$44,659.20

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$7,015.41

Service Code	APR-DRG 7552
Min. Negotiated Rate	$5,603.10
Max. Negotiated Rate	$7,015.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,603.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,015.41
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,276.94

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$4,836.05

Service Code	APR-DRG 7551
Min. Negotiated Rate	$3,862.48
Max. Negotiated Rate	$4,836.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,862.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,836.05
Rate for Payer: Molina Healthcare of CA Medi-Cal	$4,326.99

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$11,014.70

Service Code	APR-DRG 7553
Min. Negotiated Rate	$8,797.27
Max. Negotiated Rate	$11,014.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,797.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,014.70
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,855.26

APR-DRG 41.00: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$19,155.93

Service Code	APR-DRG 7554
Min. Negotiated Rate	$15,299.54
Max. Negotiated Rate	$19,155.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,299.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,155.93
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,139.52

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$142,138.56

Service Code	APR-DRG 4014
Min. Negotiated Rate	$113,523.83
Max. Negotiated Rate	$142,138.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$113,523.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$142,138.56
Rate for Payer: Molina Healthcare of CA Medi-Cal	$127,176.61

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$46,774.94

Service Code	APR-DRG 4012
Min. Negotiated Rate	$37,358.41
Max. Negotiated Rate	$46,774.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,358.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,774.94
Rate for Payer: Molina Healthcare of CA Medi-Cal	$41,851.26

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$61,368.18

Service Code	APR-DRG 4013
Min. Negotiated Rate	$49,013.79
Max. Negotiated Rate	$61,368.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$49,013.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,368.18
Rate for Payer: Molina Healthcare of CA Medi-Cal	$54,908.37

APR-DRG 41.00: ADRENAL PROCEDURES

Facility

$27,028.05

Service Code	APR-DRG 4011
Min. Negotiated Rate	$21,586.88
Max. Negotiated Rate	$27,028.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,586.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,028.05
Rate for Payer: Molina Healthcare of CA Medi-Cal	$24,182.99

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$14,707.82

Service Code	APR-DRG 7753
Min. Negotiated Rate	$11,746.91
Max. Negotiated Rate	$14,707.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,746.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,707.82
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,159.63

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$33,920.79

Service Code	APR-DRG 7754
Min. Negotiated Rate	$27,092.00
Max. Negotiated Rate	$33,920.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,092.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,920.79
Rate for Payer: Molina Healthcare of CA Medi-Cal	$30,350.19

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$8,552.00

Service Code	APR-DRG 7752
Min. Negotiated Rate	$6,830.34
Max. Negotiated Rate	$8,552.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,830.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,552.00
Rate for Payer: Molina Healthcare of CA Medi-Cal	$7,651.78

APR-DRG 41.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$6,332.70

Service Code	APR-DRG 7751
Min. Negotiated Rate	$5,057.83
Max. Negotiated Rate	$6,332.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,057.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,332.70
Rate for Payer: Molina Healthcare of CA Medi-Cal	$5,666.10

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$9,367.82

Service Code	APR-DRG 7722
Min. Negotiated Rate	$7,481.93
Max. Negotiated Rate	$9,367.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,481.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,367.82
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,381.73

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$11,705.03

Service Code	APR-DRG 7723
Min. Negotiated Rate	$9,348.62
Max. Negotiated Rate	$11,705.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,348.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,705.03
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,472.92

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$7,669.60

Service Code	APR-DRG 7721
Min. Negotiated Rate	$6,125.59
Max. Negotiated Rate	$7,669.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,125.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,669.60
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,862.27

APR-DRG 41.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$31,631.14

Service Code	APR-DRG 7724
Min. Negotiated Rate	$25,263.29
Max. Negotiated Rate	$31,631.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,263.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,631.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$28,301.55

APR-DRG 41.00: ALCOHOLIC LIVER DISEASE

Facility

$13,785.01

Service Code	APR-DRG 2802
Min. Negotiated Rate	$11,009.87
Max. Negotiated Rate	$13,785.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,009.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,785.01
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,333.96

Know your out-of-pocket cost for care.

All Charges