Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$30,111.20

Service Code	APR-DRG 7102
Min. Negotiated Rate	$24,049.34
Max. Negotiated Rate	$30,111.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,049.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,111.20
Rate for Payer: Molina Healthcare of CA Medi-Cal	$26,941.60

APR-DRG 41.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$49,449.21

Service Code	APR-DRG 7103
Min. Negotiated Rate	$39,494.30
Max. Negotiated Rate	$49,449.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$39,494.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,449.21
Rate for Payer: Molina Healthcare of CA Medi-Cal	$44,244.03

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$21,059.07

Service Code	APR-DRG 2453
Min. Negotiated Rate	$16,819.55
Max. Negotiated Rate	$21,059.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,819.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,059.07
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,842.32

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$14,745.39

Service Code	APR-DRG 2452
Min. Negotiated Rate	$11,776.91
Max. Negotiated Rate	$14,745.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,776.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,745.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,193.24

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$11,550.52

Service Code	APR-DRG 2451
Min. Negotiated Rate	$9,225.22
Max. Negotiated Rate	$11,550.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,225.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,550.52
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,334.67

APR-DRG 41.00: INFLAMMATORY BOWEL DISEASE

Facility

$50,655.37

Service Code	APR-DRG 2454
Min. Negotiated Rate	$40,457.64
Max. Negotiated Rate	$50,655.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$40,457.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,655.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$45,323.22

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

Facility

$23,799.89

Service Code	APR-DRG 2282
Min. Negotiated Rate	$19,008.60
Max. Negotiated Rate	$23,799.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,008.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,799.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,294.64

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

Facility

$85,313.10

Service Code	APR-DRG 2284
Min. Negotiated Rate	$68,138.22
Max. Negotiated Rate	$85,313.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$68,138.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$85,313.10
Rate for Payer: Molina Healthcare of CA Medi-Cal	$76,332.77

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

Facility

$18,722.33

Service Code	APR-DRG 2281
Min. Negotiated Rate	$14,953.23
Max. Negotiated Rate	$18,722.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,953.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,722.33
Rate for Payer: Molina Healthcare of CA Medi-Cal	$16,751.56

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

Facility

$32,602.44

Service Code	APR-DRG 2283
Min. Negotiated Rate	$26,039.06
Max. Negotiated Rate	$32,602.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,039.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,602.44
Rate for Payer: Molina Healthcare of CA Medi-Cal	$29,170.61

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$60,726.36

Service Code	APR-DRG 1763
Min. Negotiated Rate	$48,501.18
Max. Negotiated Rate	$60,726.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$48,501.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,726.36
Rate for Payer: Molina Healthcare of CA Medi-Cal	$54,334.11

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$40,886.76

Service Code	APR-DRG 1762
Min. Negotiated Rate	$32,655.61
Max. Negotiated Rate	$40,886.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,655.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,886.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$36,582.89

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$34,145.20

Service Code	APR-DRG 1761
Min. Negotiated Rate	$27,271.24
Max. Negotiated Rate	$34,145.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,271.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,145.20
Rate for Payer: Molina Healthcare of CA Medi-Cal	$30,550.97

APR-DRG 41.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$142,614.46

Service Code	APR-DRG 1764
Min. Negotiated Rate	$113,903.91
Max. Negotiated Rate	$142,614.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$113,903.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$142,614.46
Rate for Payer: Molina Healthcare of CA Medi-Cal	$127,602.41

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$9,969.72

Service Code	APR-DRG 8172
Min. Negotiated Rate	$7,962.66
Max. Negotiated Rate	$9,969.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,962.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,969.72
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,920.27

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$47,220.89

Service Code	APR-DRG 8174
Min. Negotiated Rate	$37,714.58
Max. Negotiated Rate	$47,220.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,714.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,220.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$42,250.27

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$7,801.76

Service Code	APR-DRG 8171
Min. Negotiated Rate	$6,231.14
Max. Negotiated Rate	$7,801.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,231.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,801.76
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,980.52

APR-DRG 41.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$16,979.90

Service Code	APR-DRG 8173
Min. Negotiated Rate	$13,561.58
Max. Negotiated Rate	$16,979.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,561.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,979.90
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,192.54

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$53,533.53

Service Code	APR-DRG 1424
Min. Negotiated Rate	$42,756.38
Max. Negotiated Rate	$53,533.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$42,756.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,533.53
Rate for Payer: Molina Healthcare of CA Medi-Cal	$47,898.42

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$21,646.21

Service Code	APR-DRG 1423
Min. Negotiated Rate	$17,288.48
Max. Negotiated Rate	$21,646.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,288.48
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,646.21
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,367.66

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$12,660.63

Service Code	APR-DRG 1421
Min. Negotiated Rate	$10,111.85
Max. Negotiated Rate	$12,660.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,111.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,660.63
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,327.93

APR-DRG 41.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$14,899.90

Service Code	APR-DRG 1422
Min. Negotiated Rate	$11,900.31
Max. Negotiated Rate	$14,899.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,900.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,899.90
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,331.49

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$48,119.44

Service Code	APR-DRG 2474
Min. Negotiated Rate	$38,432.24
Max. Negotiated Rate	$48,119.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,432.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,119.44
Rate for Payer: Molina Healthcare of CA Medi-Cal	$43,054.23

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$18,755.62

Service Code	APR-DRG 2473
Min. Negotiated Rate	$14,979.82
Max. Negotiated Rate	$18,755.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,979.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,755.62
Rate for Payer: Molina Healthcare of CA Medi-Cal	$16,781.35

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$12,508.50

Service Code	APR-DRG 2472
Min. Negotiated Rate	$9,990.34
Max. Negotiated Rate	$12,508.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,990.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,508.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,191.81

Know your out-of-pocket cost for care.

All Charges