Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$57,421.19

Service Code	APR-DRG 2794
Min. Negotiated Rate	$45,861.40
Max. Negotiated Rate	$57,421.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$45,861.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,421.19
Rate for Payer: Molina Healthcare of CA Medi-Cal	$51,376.86

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$12,777.12

Service Code	APR-DRG 2792
Min. Negotiated Rate	$10,204.88
Max. Negotiated Rate	$12,777.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,204.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,777.12
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,432.16

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$10,148.00

Service Code	APR-DRG 2791
Min. Negotiated Rate	$8,105.04
Max. Negotiated Rate	$10,148.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,105.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,148.00
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,079.78

APR-DRG 41.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$19,540.08

Service Code	APR-DRG 2793
Min. Negotiated Rate	$15,606.35
Max. Negotiated Rate	$19,540.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,606.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,540.08
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,483.22

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$106,346.00

Service Code	APR-DRG 2274
Min. Negotiated Rate	$84,936.87
Max. Negotiated Rate	$106,346.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$84,936.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$106,346.00
Rate for Payer: Molina Healthcare of CA Medi-Cal	$95,151.69

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$28,699.18

Service Code	APR-DRG 2272
Min. Negotiated Rate	$22,921.58
Max. Negotiated Rate	$28,699.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,921.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,699.18
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,678.21

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$23,526.52

Service Code	APR-DRG 2271
Min. Negotiated Rate	$18,790.26
Max. Negotiated Rate	$23,526.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,790.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,526.52
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,050.05

APR-DRG 41.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$39,831.32

Service Code	APR-DRG 2273
Min. Negotiated Rate	$31,812.64
Max. Negotiated Rate	$39,831.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,812.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,831.32
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,638.54

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$44,100.65

Service Code	APR-DRG 3083
Min. Negotiated Rate	$35,222.50
Max. Negotiated Rate	$44,100.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,222.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,100.65
Rate for Payer: Molina Healthcare of CA Medi-Cal	$39,458.48

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$34,342.50

Service Code	APR-DRG 3082
Min. Negotiated Rate	$27,428.81
Max. Negotiated Rate	$34,342.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,428.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,342.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$30,727.50

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$91,689.52

Service Code	APR-DRG 3084
Min. Negotiated Rate	$73,230.97
Max. Negotiated Rate	$91,689.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$73,230.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$91,689.52
Rate for Payer: Molina Healthcare of CA Medi-Cal	$82,037.99

APR-DRG 41.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$29,119.93

Service Code	APR-DRG 3081
Min. Negotiated Rate	$23,257.63
Max. Negotiated Rate	$29,119.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,257.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,119.93
Rate for Payer: Molina Healthcare of CA Medi-Cal	$26,054.68

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$49,786.76

Service Code	APR-DRG 8924
Min. Negotiated Rate	$39,763.90
Max. Negotiated Rate	$49,786.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$39,763.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,786.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$44,546.05

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$21,401.37

Service Code	APR-DRG 8923
Min. Negotiated Rate	$17,092.94
Max. Negotiated Rate	$21,401.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,092.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,401.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,148.60

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$14,819.07

Service Code	APR-DRG 8921
Min. Negotiated Rate	$11,835.76
Max. Negotiated Rate	$14,819.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,835.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,819.07
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,259.17

APR-DRG 41.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$15,598.77

Service Code	APR-DRG 8922
Min. Negotiated Rate	$12,458.49
Max. Negotiated Rate	$15,598.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,458.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,598.77
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,956.80

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$26,616.81

Service Code	APR-DRG 8903
Min. Negotiated Rate	$21,258.43
Max. Negotiated Rate	$26,616.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,258.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,616.81
Rate for Payer: Molina Healthcare of CA Medi-Cal	$23,815.04

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$16,578.17

Service Code	APR-DRG 8902
Min. Negotiated Rate	$13,240.72
Max. Negotiated Rate	$16,578.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,240.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,578.17
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,833.09

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$72,823.12

Service Code	APR-DRG 8904
Min. Negotiated Rate	$58,162.68
Max. Negotiated Rate	$72,823.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$58,162.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$72,823.12
Rate for Payer: Molina Healthcare of CA Medi-Cal	$65,157.53

APR-DRG 41.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$15,748.53

Service Code	APR-DRG 8901
Min. Negotiated Rate	$12,578.10
Max. Negotiated Rate	$15,748.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,578.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,748.53
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,090.79

APR-DRG 41.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$23,410.05

Service Code	APR-DRG 8933
Min. Negotiated Rate	$18,697.24
Max. Negotiated Rate	$23,410.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,697.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,410.05
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,945.84

APR-DRG 41.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$16,832.52

Service Code	APR-DRG 8932
Min. Negotiated Rate	$13,443.87
Max. Negotiated Rate	$16,832.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,443.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,832.52
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,060.67

APR-DRG 41.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$15,567.88

Service Code	APR-DRG 8931
Min. Negotiated Rate	$12,433.82
Max. Negotiated Rate	$15,567.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,433.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,567.88
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,929.15

APR-DRG 41.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$46,884.76

Service Code	APR-DRG 8934
Min. Negotiated Rate	$37,446.12
Max. Negotiated Rate	$46,884.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,446.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,884.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$41,949.52

APR-DRG 41.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$14,488.66

Service Code	APR-DRG 8942
Min. Negotiated Rate	$11,571.86
Max. Negotiated Rate	$14,488.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,571.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,488.66
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,963.54

Know your out-of-pocket cost for care.

All Charges