Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$68,104.99

Service Code	APR-DRG 3042
Min. Negotiated Rate	$54,394.38
Max. Negotiated Rate	$68,104.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$54,394.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,104.99
Rate for Payer: Molina Healthcare of CA Medi-Cal	$60,936.04

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$83,534.98

Service Code	APR-DRG 3031
Min. Negotiated Rate	$66,718.07
Max. Negotiated Rate	$83,534.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$66,718.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$83,534.98
Rate for Payer: Molina Healthcare of CA Medi-Cal	$74,741.83

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$280,563.08

Service Code	APR-DRG 3034
Min. Negotiated Rate	$224,081.30
Max. Negotiated Rate	$280,563.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$224,081.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$280,563.08
Rate for Payer: Molina Healthcare of CA Medi-Cal	$251,030.13

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$99,423.77

Service Code	APR-DRG 3032
Min. Negotiated Rate	$79,408.20
Max. Negotiated Rate	$99,423.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$79,408.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$99,423.77
Rate for Payer: Molina Healthcare of CA Medi-Cal	$88,958.11

APR-DRG 41.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$137,013.45

Service Code	APR-DRG 3033
Min. Negotiated Rate	$109,430.48
Max. Negotiated Rate	$137,013.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$109,430.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$137,013.45
Rate for Payer: Molina Healthcare of CA Medi-Cal	$122,590.98

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$6,404.96

Service Code	APR-DRG 7702
Min. Negotiated Rate	$5,115.54
Max. Negotiated Rate	$6,404.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,115.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,404.96
Rate for Payer: Molina Healthcare of CA Medi-Cal	$5,730.75

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$4,284.56

Service Code	APR-DRG 7701
Min. Negotiated Rate	$3,422.01
Max. Negotiated Rate	$4,284.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,422.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,284.56
Rate for Payer: Molina Healthcare of CA Medi-Cal	$3,833.55

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$21,476.00

Service Code	APR-DRG 7704
Min. Negotiated Rate	$17,152.55
Max. Negotiated Rate	$21,476.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,152.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,476.00
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,215.37

APR-DRG 41.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$9,999.19

Service Code	APR-DRG 7703
Min. Negotiated Rate	$7,986.19
Max. Negotiated Rate	$9,999.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,986.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,999.19
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,946.64

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$14,876.13

Service Code	APR-DRG 1101
Min. Negotiated Rate	$11,881.33
Max. Negotiated Rate	$14,876.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,881.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,876.13
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,310.22

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$16,830.14

Service Code	APR-DRG 1102
Min. Negotiated Rate	$13,441.97
Max. Negotiated Rate	$16,830.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,441.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,830.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,058.55

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$59,441.27

Service Code	APR-DRG 1104
Min. Negotiated Rate	$47,474.81
Max. Negotiated Rate	$59,441.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,474.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,441.27
Rate for Payer: Molina Healthcare of CA Medi-Cal	$53,184.30

APR-DRG 41.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$24,508.29

Service Code	APR-DRG 1103
Min. Negotiated Rate	$19,574.38
Max. Negotiated Rate	$24,508.29
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,574.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,508.29
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,928.47

APR-DRG 41.00: EATING DISORDERS

Facility

$14,808.62

Service Code	APR-DRG 7592
Min. Negotiated Rate	$11,827.41
Max. Negotiated Rate	$14,808.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,827.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,808.62
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,249.82

APR-DRG 41.00: EATING DISORDERS

Facility

$12,768.08

Service Code	APR-DRG 7591
Min. Negotiated Rate	$10,197.66
Max. Negotiated Rate	$12,768.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,197.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,768.08
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,424.07

APR-DRG 41.00: EATING DISORDERS

Facility

$59,630.02

Service Code	APR-DRG 7594
Min. Negotiated Rate	$47,625.55
Max. Negotiated Rate	$59,630.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,625.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,630.02
Rate for Payer: Molina Healthcare of CA Medi-Cal	$53,353.17

APR-DRG 41.00: EATING DISORDERS

Facility

$21,358.11

Service Code	APR-DRG 7593
Min. Negotiated Rate	$17,058.38
Max. Negotiated Rate	$21,358.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,058.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,358.11
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,109.89

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$33,118.27

Service Code	APR-DRG 3242
Min. Negotiated Rate	$26,451.04
Max. Negotiated Rate	$33,118.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,451.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,118.27
Rate for Payer: Molina Healthcare of CA Medi-Cal	$29,632.14

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$45,446.12

Service Code	APR-DRG 3243
Min. Negotiated Rate	$36,297.10
Max. Negotiated Rate	$45,446.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,297.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,446.12
Rate for Payer: Molina Healthcare of CA Medi-Cal	$40,662.32

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$101,294.11

Service Code	APR-DRG 3244
Min. Negotiated Rate	$80,902.01
Max. Negotiated Rate	$101,294.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$80,902.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$101,294.11
Rate for Payer: Molina Healthcare of CA Medi-Cal	$90,631.57

APR-DRG 41.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$30,396.47

Service Code	APR-DRG 3241
Min. Negotiated Rate	$24,277.18
Max. Negotiated Rate	$30,396.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,277.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,396.47
Rate for Payer: Molina Healthcare of CA Medi-Cal	$27,196.84

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$45,757.53

Service Code	APR-DRG 3263
Min. Negotiated Rate	$36,545.82
Max. Negotiated Rate	$45,757.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,545.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,757.53
Rate for Payer: Molina Healthcare of CA Medi-Cal	$40,940.95

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$87,346.50

Service Code	APR-DRG 3264
Min. Negotiated Rate	$69,762.27
Max. Negotiated Rate	$87,346.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$69,762.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,346.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$78,152.13

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$30,251.46

Service Code	APR-DRG 3261
Min. Negotiated Rate	$24,161.36
Max. Negotiated Rate	$30,251.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,161.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,251.46
Rate for Payer: Molina Healthcare of CA Medi-Cal	$27,067.09

APR-DRG 41.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$31,948.73

Service Code	APR-DRG 3262
Min. Negotiated Rate	$25,516.94
Max. Negotiated Rate	$31,948.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,516.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,948.73
Rate for Payer: Molina Healthcare of CA Medi-Cal	$28,585.70

Know your out-of-pocket cost for care.

All Charges