Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$8,089.40

Service Code	APR-DRG 7221
Min. Negotiated Rate	$6,460.88
Max. Negotiated Rate	$8,089.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,460.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,089.40
Rate for Payer: Molina Healthcare of CA Medi-Cal	$7,237.89

APR-DRG 41.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$11,507.73

Service Code	APR-DRG 7222
Min. Negotiated Rate	$9,191.04
Max. Negotiated Rate	$11,507.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,191.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,507.73
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,296.39

APR-DRG 41.00: FOOT AND TOE PROCEDURES

Facility

$32,117.51

Service Code	APR-DRG 3143
Min. Negotiated Rate	$25,651.74
Max. Negotiated Rate	$32,117.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,651.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,117.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$28,736.72

APR-DRG 41.00: FOOT AND TOE PROCEDURES

Facility

$22,718.30

Service Code	APR-DRG 3141
Min. Negotiated Rate	$18,144.75
Max. Negotiated Rate	$22,718.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,144.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,718.30
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,326.90

APR-DRG 41.00: FOOT AND TOE PROCEDURES

Facility

$81,103.17

Service Code	APR-DRG 3144
Min. Negotiated Rate	$64,775.82
Max. Negotiated Rate	$81,103.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$64,775.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$81,103.17
Rate for Payer: Molina Healthcare of CA Medi-Cal	$72,566.00

APR-DRG 41.00: FOOT AND TOE PROCEDURES

Facility

$24,334.76

Service Code	APR-DRG 3142
Min. Negotiated Rate	$19,435.79
Max. Negotiated Rate	$24,334.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,435.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,334.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,773.21

APR-DRG 41.00: FRACTURE OF FEMUR

Facility

$39,140.51

Service Code	APR-DRG 3404
Min. Negotiated Rate	$31,260.91
Max. Negotiated Rate	$39,140.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,260.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,140.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,020.46

APR-DRG 41.00: FRACTURE OF FEMUR

Facility

$12,268.41

Service Code	APR-DRG 3402
Min. Negotiated Rate	$9,798.59
Max. Negotiated Rate	$12,268.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,798.59
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,268.41
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,977.00

APR-DRG 41.00: FRACTURE OF FEMUR

Facility

$17,393.51

Service Code	APR-DRG 3403
Min. Negotiated Rate	$13,891.92
Max. Negotiated Rate	$17,393.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,891.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,393.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,562.62

APR-DRG 41.00: FRACTURE OF FEMUR

Facility

$9,729.61

Service Code	APR-DRG 3401
Min. Negotiated Rate	$7,770.89
Max. Negotiated Rate	$9,729.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,770.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,729.61
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,705.44

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$16,718.40

Service Code	APR-DRG 3413
Min. Negotiated Rate	$13,352.73
Max. Negotiated Rate	$16,718.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,352.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,718.40
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,958.57

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$12,736.71

Service Code	APR-DRG 3412
Min. Negotiated Rate	$10,172.61
Max. Negotiated Rate	$12,736.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,172.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,736.71
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,396.00

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$42,901.14

Service Code	APR-DRG 3414
Min. Negotiated Rate	$34,264.47
Max. Negotiated Rate	$42,901.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$34,264.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,901.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$38,385.24

APR-DRG 41.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$10,554.50

Service Code	APR-DRG 3411
Min. Negotiated Rate	$8,429.71
Max. Negotiated Rate	$10,554.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,429.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,554.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,443.50

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$48,076.18

Service Code	APR-DRG 3424
Min. Negotiated Rate	$38,397.68
Max. Negotiated Rate	$48,076.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,397.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,076.18
Rate for Payer: Molina Healthcare of CA Medi-Cal	$43,015.53

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$13,953.79

Service Code	APR-DRG 3422
Min. Negotiated Rate	$11,144.67
Max. Negotiated Rate	$13,953.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,144.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,953.79
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,484.97

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$10,568.75

Service Code	APR-DRG 3421
Min. Negotiated Rate	$8,441.09
Max. Negotiated Rate	$10,568.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,441.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,568.75
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,456.25

APR-DRG 41.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$19,872.88

Service Code	APR-DRG 3423
Min. Negotiated Rate	$15,872.15
Max. Negotiated Rate	$19,872.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,872.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,872.88
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,781.00

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$27,959.89

Service Code	APR-DRG 2322
Min. Negotiated Rate	$22,331.12
Max. Negotiated Rate	$27,959.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,331.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,959.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,016.74

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$38,870.96

Service Code	APR-DRG 2323
Min. Negotiated Rate	$31,045.62
Max. Negotiated Rate	$38,870.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,045.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,870.96
Rate for Payer: Molina Healthcare of CA Medi-Cal	$34,779.28

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$23,488.50

Service Code	APR-DRG 2321
Min. Negotiated Rate	$18,759.90
Max. Negotiated Rate	$23,488.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,759.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,488.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,016.03

APR-DRG 41.00: GASTRIC FUNDOPLICATION

Facility

$130,750.17

Service Code	APR-DRG 2324
Min. Negotiated Rate	$104,428.10
Max. Negotiated Rate	$130,750.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$104,428.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$130,750.17
Rate for Payer: Molina Healthcare of CA Medi-Cal	$116,987.00

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$15,451.39

Service Code	APR-DRG 2462
Min. Negotiated Rate	$12,340.78
Max. Negotiated Rate	$15,451.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,340.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,451.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,824.93

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$21,548.76

Service Code	APR-DRG 2463
Min. Negotiated Rate	$17,210.65
Max. Negotiated Rate	$21,548.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,210.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,548.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,280.47

APR-DRG 41.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$44,764.84

Service Code	APR-DRG 2464
Min. Negotiated Rate	$35,752.97
Max. Negotiated Rate	$44,764.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,752.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,764.84
Rate for Payer: Molina Healthcare of CA Medi-Cal	$40,052.75

Know your out-of-pocket cost for care.

All Charges