Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$11,652.72

Service Code	APR-DRG 2521
Min. Negotiated Rate	$9,306.84
Max. Negotiated Rate	$11,652.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,306.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,652.72
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,426.12

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$20,452.89

Service Code	APR-DRG 2523
Min. Negotiated Rate	$16,335.40
Max. Negotiated Rate	$20,452.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,335.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,452.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,299.96

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$54,073.22

Service Code	APR-DRG 2524
Min. Negotiated Rate	$43,187.43
Max. Negotiated Rate	$54,073.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,187.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,073.22
Rate for Payer: Molina Healthcare of CA Medi-Cal	$48,381.30

APR-DRG 41.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$14,284.22

Service Code	APR-DRG 2522
Min. Negotiated Rate	$11,408.58
Max. Negotiated Rate	$14,284.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,408.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,284.22
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,780.62

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$13,357.13

Service Code	APR-DRG 2062
Min. Negotiated Rate	$10,668.13
Max. Negotiated Rate	$13,357.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,668.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,357.13
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,951.12

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$13,031.47

Service Code	APR-DRG 2061
Min. Negotiated Rate	$10,408.03
Max. Negotiated Rate	$13,031.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,408.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,031.47
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,659.74

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$19,877.63

Service Code	APR-DRG 2063
Min. Negotiated Rate	$15,875.95
Max. Negotiated Rate	$19,877.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,875.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,877.63
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,785.25

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$54,985.09

Service Code	APR-DRG 2064
Min. Negotiated Rate	$43,915.72
Max. Negotiated Rate	$54,985.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,915.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,985.09
Rate for Payer: Molina Healthcare of CA Medi-Cal	$49,197.18

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$8,938.04

Service Code	APR-DRG 4661
Min. Negotiated Rate	$7,138.67
Max. Negotiated Rate	$8,938.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,138.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,938.04
Rate for Payer: Molina Healthcare of CA Medi-Cal	$7,997.19

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$12,577.43

Service Code	APR-DRG 4662
Min. Negotiated Rate	$10,045.39
Max. Negotiated Rate	$12,577.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,045.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,577.43
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,253.49

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$40,897.71

Service Code	APR-DRG 4664
Min. Negotiated Rate	$32,664.35
Max. Negotiated Rate	$40,897.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,664.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,897.71
Rate for Payer: Molina Healthcare of CA Medi-Cal	$36,592.69

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$17,740.58

Service Code	APR-DRG 4663
Min. Negotiated Rate	$14,169.13
Max. Negotiated Rate	$17,740.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,169.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,740.58
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,873.16

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$10,846.87

Service Code	APR-DRG 3491
Min. Negotiated Rate	$8,663.23
Max. Negotiated Rate	$10,846.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,663.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,846.87
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,705.10

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$15,382.46

Service Code	APR-DRG 3492
Min. Negotiated Rate	$12,285.73
Max. Negotiated Rate	$15,382.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,285.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,382.46
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,763.25

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$51,856.78

Service Code	APR-DRG 3494
Min. Negotiated Rate	$41,417.19
Max. Negotiated Rate	$51,856.78
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$41,417.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$51,856.78
Rate for Payer: Molina Healthcare of CA Medi-Cal	$46,398.17

APR-DRG 41.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$22,133.52

Service Code	APR-DRG 3493
Min. Negotiated Rate	$17,677.69
Max. Negotiated Rate	$22,133.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,677.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,133.52
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,803.67

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$11,101.23

Service Code	APR-DRG 5001
Min. Negotiated Rate	$8,866.37
Max. Negotiated Rate	$11,101.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,866.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,101.23
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,932.67

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$13,987.08

Service Code	APR-DRG 5002
Min. Negotiated Rate	$11,171.26
Max. Negotiated Rate	$13,987.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,171.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,987.08
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,514.75

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$21,465.55

Service Code	APR-DRG 5003
Min. Negotiated Rate	$17,144.20
Max. Negotiated Rate	$21,465.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,144.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,465.55
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,206.02

APR-DRG 41.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$54,938.50

Service Code	APR-DRG 5004
Min. Negotiated Rate	$43,878.51
Max. Negotiated Rate	$54,938.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,878.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,938.50
Rate for Payer: Molina Healthcare of CA Medi-Cal	$49,155.50

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$17,303.19

Service Code	APR-DRG 2812
Min. Negotiated Rate	$13,819.78
Max. Negotiated Rate	$17,303.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,819.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,303.19
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,481.80

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$22,532.88

Service Code	APR-DRG 2813
Min. Negotiated Rate	$17,996.65
Max. Negotiated Rate	$22,532.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,996.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,532.88
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,161.00

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$12,529.89

Service Code	APR-DRG 2811
Min. Negotiated Rate	$10,007.43
Max. Negotiated Rate	$12,529.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,007.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,529.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,210.96

APR-DRG 41.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$46,508.69

Service Code	APR-DRG 2814
Min. Negotiated Rate	$37,145.76
Max. Negotiated Rate	$46,508.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,145.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,508.69
Rate for Payer: Molina Healthcare of CA Medi-Cal	$41,613.04

APR-DRG 41.00: MALIGNANT BREAST DISORDERS

Facility

$20,880.77

Service Code	APR-DRG 3823
Min. Negotiated Rate	$16,677.14
Max. Negotiated Rate	$20,880.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,677.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,880.77
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,682.80

Know your out-of-pocket cost for care.

All Charges