Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$54,469.26

Service Code	APR-DRG 0584
Min. Negotiated Rate	$43,503.74
Max. Negotiated Rate	$54,469.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,503.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$54,469.26
Rate for Payer: Molina Healthcare of CA Medi-Cal	$48,735.65

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$21,634.33

Service Code	APR-DRG 0582
Min. Negotiated Rate	$17,279.00
Max. Negotiated Rate	$21,634.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,279.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,634.33
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,357.03

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$27,955.14

Service Code	APR-DRG 0583
Min. Negotiated Rate	$22,327.33
Max. Negotiated Rate	$27,955.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,327.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,955.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,012.49

APR-DRG 41.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$16,052.82

Service Code	APR-DRG 0581
Min. Negotiated Rate	$12,821.13
Max. Negotiated Rate	$16,052.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,821.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,052.82
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,363.05

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$13,221.64

Service Code	APR-DRG 2832
Min. Negotiated Rate	$10,559.92
Max. Negotiated Rate	$13,221.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,559.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,221.64
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,829.89

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$19,423.59

Service Code	APR-DRG 2833
Min. Negotiated Rate	$15,513.31
Max. Negotiated Rate	$19,423.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,513.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,423.59
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,379.00

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$50,162.83

Service Code	APR-DRG 2834
Min. Negotiated Rate	$40,064.26
Max. Negotiated Rate	$50,162.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$40,064.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,162.83
Rate for Payer: Molina Healthcare of CA Medi-Cal	$44,882.53

APR-DRG 41.00: OTHER DISORDERS OF THE LIVER

Facility

$10,216.95

Service Code	APR-DRG 2831
Min. Negotiated Rate	$8,160.11
Max. Negotiated Rate	$10,216.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,160.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,216.95
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,141.48

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$23,425.27

Service Code	APR-DRG 7764
Min. Negotiated Rate	$18,709.39
Max. Negotiated Rate	$23,425.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,709.39
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,425.27
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,959.45

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$7,019.21

Service Code	APR-DRG 7762
Min. Negotiated Rate	$5,606.13
Max. Negotiated Rate	$7,019.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,606.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,019.21
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,280.34

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$12,458.11

Service Code	APR-DRG 7763
Min. Negotiated Rate	$9,950.10
Max. Negotiated Rate	$12,458.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,950.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,458.11
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,146.73

APR-DRG 41.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,190.07

Service Code	APR-DRG 7761
Min. Negotiated Rate	$4,943.91
Max. Negotiated Rate	$6,190.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,943.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,190.07
Rate for Payer: Molina Healthcare of CA Medi-Cal	$5,538.48

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$17,381.64

Service Code	APR-DRG 0981
Min. Negotiated Rate	$13,882.44
Max. Negotiated Rate	$17,381.64
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,882.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,381.64
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,551.99

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$40,076.17

Service Code	APR-DRG 0983
Min. Negotiated Rate	$32,008.20
Max. Negotiated Rate	$40,076.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,008.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,076.17
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,857.62

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$107,081.49

Service Code	APR-DRG 0984
Min. Negotiated Rate	$85,524.30
Max. Negotiated Rate	$107,081.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$85,524.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$107,081.49
Rate for Payer: Molina Healthcare of CA Medi-Cal	$95,809.76

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$23,823.66

Service Code	APR-DRG 0982
Min. Negotiated Rate	$19,027.58
Max. Negotiated Rate	$23,823.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,027.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,823.66
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,315.91

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$13,069.51

Service Code	APR-DRG 1152
Min. Negotiated Rate	$10,438.41
Max. Negotiated Rate	$13,069.51
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,438.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,069.51
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,693.77

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$9,446.74

Service Code	APR-DRG 1151
Min. Negotiated Rate	$7,544.96
Max. Negotiated Rate	$9,446.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,544.96
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,446.74
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,452.35

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$20,291.24

Service Code	APR-DRG 1153
Min. Negotiated Rate	$16,206.29
Max. Negotiated Rate	$20,291.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,206.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,291.24
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,155.32

APR-DRG 41.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$50,452.37

Service Code	APR-DRG 1154
Min. Negotiated Rate	$40,295.51
Max. Negotiated Rate	$50,452.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$40,295.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,452.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$45,141.60

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$14,136.84

Service Code	APR-DRG 4242
Min. Negotiated Rate	$11,290.87
Max. Negotiated Rate	$14,136.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,290.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,136.84
Rate for Payer: Molina Healthcare of CA Medi-Cal	$12,648.75

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$20,871.27

Service Code	APR-DRG 4243
Min. Negotiated Rate	$16,669.56
Max. Negotiated Rate	$20,871.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,669.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,871.27
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,674.30

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$52,688.79

Service Code	APR-DRG 4244
Min. Negotiated Rate	$42,081.70
Max. Negotiated Rate	$52,688.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$42,081.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,688.79
Rate for Payer: Molina Healthcare of CA Medi-Cal	$47,142.60

APR-DRG 41.00: OTHER ENDOCRINE DISORDERS

Facility

$10,150.37

Service Code	APR-DRG 4241
Min. Negotiated Rate	$8,106.94
Max. Negotiated Rate	$10,150.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,106.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,150.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,081.91

APR-DRG 41.00: OTHER ESOPHAGEAL DISORDERS

Facility

$20,369.69

Service Code	APR-DRG 2433
Min. Negotiated Rate	$16,268.95
Max. Negotiated Rate	$20,369.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,268.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,369.69
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,225.51

Know your out-of-pocket cost for care.

All Charges