Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: INTESTINAL OBSTRUCTION

Facility

$9,732.01

Service Code	APR-DRG 2471
Min. Negotiated Rate	$7,772.80
Max. Negotiated Rate	$9,732.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,772.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,732.01
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,707.59

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$27,753.07

Service Code	APR-DRG 0443
Min. Negotiated Rate	$22,165.94
Max. Negotiated Rate	$27,753.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,165.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,753.07
Rate for Payer: Molina Healthcare of CA Medi-Cal	$24,831.70

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$15,292.13

Service Code	APR-DRG 0441
Min. Negotiated Rate	$12,213.58
Max. Negotiated Rate	$15,292.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,213.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,292.13
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,682.43

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$44,548.50

Service Code	APR-DRG 0444
Min. Negotiated Rate	$35,580.19
Max. Negotiated Rate	$44,548.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,580.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,548.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$39,859.19

APR-DRG 41.00: INTRACRANIAL HEMORRHAGE

Facility

$21,273.01

Service Code	APR-DRG 0442
Min. Negotiated Rate	$16,990.42
Max. Negotiated Rate	$21,273.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,990.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,273.01
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,033.74

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$12,277.91

Service Code	APR-DRG 4632
Min. Negotiated Rate	$9,806.18
Max. Negotiated Rate	$12,277.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,806.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,277.91
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,985.50

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$9,855.60

Service Code	APR-DRG 4631
Min. Negotiated Rate	$7,871.52
Max. Negotiated Rate	$9,855.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,871.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,855.60
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,818.17

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$16,566.27

Service Code	APR-DRG 4633
Min. Negotiated Rate	$13,231.22
Max. Negotiated Rate	$16,566.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,231.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,566.27
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,822.45

APR-DRG 41.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$38,408.37

Service Code	APR-DRG 4634
Min. Negotiated Rate	$30,676.16
Max. Negotiated Rate	$38,408.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$30,676.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,408.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$34,365.38

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$15,265.97

Service Code	APR-DRG 4612
Min. Negotiated Rate	$12,192.69
Max. Negotiated Rate	$15,265.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,192.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,265.97
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,659.02

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$47,946.39

Service Code	APR-DRG 4614
Min. Negotiated Rate	$38,294.02
Max. Negotiated Rate	$47,946.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,294.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,946.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$42,899.40

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$12,037.83

Service Code	APR-DRG 4611
Min. Negotiated Rate	$9,614.42
Max. Negotiated Rate	$12,037.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,614.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,037.83
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,770.69

APR-DRG 41.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$22,675.51

Service Code	APR-DRG 4613
Min. Negotiated Rate	$18,110.57
Max. Negotiated Rate	$22,675.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,110.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,675.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,288.62

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$47,899.32

Service Code	APR-DRG 4423
Min. Negotiated Rate	$38,256.43
Max. Negotiated Rate	$47,899.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,256.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,899.32
Rate for Payer: Molina Healthcare of CA Medi-Cal	$42,857.29

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$28,827.54

Service Code	APR-DRG 4421
Min. Negotiated Rate	$23,024.10
Max. Negotiated Rate	$28,827.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,024.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,827.54
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,793.06

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$33,203.85

Service Code	APR-DRG 4422
Min. Negotiated Rate	$26,519.39
Max. Negotiated Rate	$33,203.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,519.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,203.85
Rate for Payer: Molina Healthcare of CA Medi-Cal	$29,708.71

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$118,499.83

Service Code	APR-DRG 4424
Min. Negotiated Rate	$94,643.94
Max. Negotiated Rate	$118,499.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$94,643.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$118,499.83
Rate for Payer: Molina Healthcare of CA Medi-Cal	$106,026.16

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$40,698.97

Service Code	APR-DRG 4433
Min. Negotiated Rate	$32,505.62
Max. Negotiated Rate	$40,698.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,505.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,698.97
Rate for Payer: Molina Healthcare of CA Medi-Cal	$36,414.87

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$95,553.32

Service Code	APR-DRG 4434
Min. Negotiated Rate	$76,316.93
Max. Negotiated Rate	$95,553.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$76,316.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$95,553.32
Rate for Payer: Molina Healthcare of CA Medi-Cal	$85,495.07

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$27,928.99

Service Code	APR-DRG 4432
Min. Negotiated Rate	$22,306.45
Max. Negotiated Rate	$27,928.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,306.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,928.99
Rate for Payer: Molina Healthcare of CA Medi-Cal	$24,989.10

APR-DRG 41.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$24,455.98

Service Code	APR-DRG 4431
Min. Negotiated Rate	$19,532.61
Max. Negotiated Rate	$24,455.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,532.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,455.98
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,881.67

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$91,612.51

Service Code	APR-DRG 4401
Min. Negotiated Rate	$73,169.46
Max. Negotiated Rate	$91,612.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$73,169.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant	$82,933.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$91,612.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$81,969.09

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$102,171.74

Service Code	APR-DRG 4402
Min. Negotiated Rate	$81,602.96
Max. Negotiated Rate	$102,171.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$81,602.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant	$92,492.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,171.74
Rate for Payer: Molina Healthcare of CA Medi-Cal	$91,416.82

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$260,358.84

Service Code	APR-DRG 4404
Min. Negotiated Rate	$207,944.50
Max. Negotiated Rate	$260,358.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$207,944.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant	$235,693.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$260,358.84
Rate for Payer: Molina Healthcare of CA Medi-Cal	$232,952.65

APR-DRG 41.00: KIDNEY TRANSPLANT

Facility

$116,208.75

Service Code	APR-DRG 4403
Min. Negotiated Rate	$92,814.09
Max. Negotiated Rate	$116,208.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$92,814.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal Transplant	$105,199.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$116,208.75
Rate for Payer: Molina Healthcare of CA Medi-Cal	$103,976.25

Know your out-of-pocket cost for care.

All Charges