Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$113,261.57

Service Code	APR-DRG 7114
Min. Negotiated Rate	$90,460.22
Max. Negotiated Rate	$113,261.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$90,460.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$113,261.57
Rate for Payer: Molina Healthcare of CA Medi-Cal	$101,339.29

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$21,691.39

Service Code	APR-DRG 7111
Min. Negotiated Rate	$17,324.57
Max. Negotiated Rate	$21,691.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,324.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,691.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$19,408.08

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$45,776.53

Service Code	APR-DRG 7113
Min. Negotiated Rate	$36,560.99
Max. Negotiated Rate	$45,776.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,560.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,776.53
Rate for Payer: Molina Healthcare of CA Medi-Cal	$40,957.95

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$28,028.82

Service Code	APR-DRG 7112
Min. Negotiated Rate	$22,386.18
Max. Negotiated Rate	$28,028.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,386.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,028.82
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,078.42

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$58,955.39

Service Code	APR-DRG 7214
Min. Negotiated Rate	$47,086.74
Max. Negotiated Rate	$58,955.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,086.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,955.39
Rate for Payer: Molina Healthcare of CA Medi-Cal	$52,749.56

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$23,935.40

Service Code	APR-DRG 7213
Min. Negotiated Rate	$19,116.83
Max. Negotiated Rate	$23,935.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,116.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,935.40
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,415.89

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$15,213.68

Service Code	APR-DRG 7212
Min. Negotiated Rate	$12,150.93
Max. Negotiated Rate	$15,213.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,150.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,213.68
Rate for Payer: Molina Healthcare of CA Medi-Cal	$13,612.24

APR-DRG 41.00: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$11,543.37

Service Code	APR-DRG 7211
Min. Negotiated Rate	$9,219.51
Max. Negotiated Rate	$11,543.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,219.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,543.37
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,328.28

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$35,009.56

Service Code	APR-DRG 5614
Min. Negotiated Rate	$19,318.91
Max. Negotiated Rate	$35,009.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,318.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,188.42
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,009.56

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$9,225.53

Service Code	APR-DRG 5612
Min. Negotiated Rate	$5,090.82
Max. Negotiated Rate	$9,225.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,090.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,374.01
Rate for Payer: Molina Healthcare of CA Medi-Cal	$9,225.53

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$14,955.74

Service Code	APR-DRG 5613
Min. Negotiated Rate	$8,252.85
Max. Negotiated Rate	$14,955.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,252.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,333.06
Rate for Payer: Molina Healthcare of CA Medi-Cal	$14,955.74

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$6,106.60

Service Code	APR-DRG 5611
Min. Negotiated Rate	$3,369.73
Max. Negotiated Rate	$6,106.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$3,369.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,219.10
Rate for Payer: Molina Healthcare of CA Medi-Cal	$6,106.60

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$82,735.54

Service Code	APR-DRG 5484
Min. Negotiated Rate	$45,654.97
Max. Negotiated Rate	$82,735.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$45,654.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,162.74
Rate for Payer: Molina Healthcare of CA Medi-Cal	$82,735.54

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$21,240.31

Service Code	APR-DRG 5482
Min. Negotiated Rate	$11,720.79
Max. Negotiated Rate	$21,240.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,720.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,675.12
Rate for Payer: Molina Healthcare of CA Medi-Cal	$21,240.31

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$10,305.05

Service Code	APR-DRG 5481
Min. Negotiated Rate	$5,686.51
Max. Negotiated Rate	$10,305.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,686.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,119.85
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,305.05

APR-DRG 41.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$36,350.68

Service Code	APR-DRG 5483
Min. Negotiated Rate	$20,058.97
Max. Negotiated Rate	$36,350.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,058.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,115.02
Rate for Payer: Molina Healthcare of CA Medi-Cal	$36,350.68

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$26,904.44

Service Code	APR-DRG 4032
Min. Negotiated Rate	$21,488.15
Max. Negotiated Rate	$26,904.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,488.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,904.44
Rate for Payer: Molina Healthcare of CA Medi-Cal	$24,072.39

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$39,992.97

Service Code	APR-DRG 4033
Min. Negotiated Rate	$31,941.75
Max. Negotiated Rate	$39,992.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,941.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,992.97
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,783.18

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$121,611.49

Service Code	APR-DRG 4034
Min. Negotiated Rate	$97,129.18
Max. Negotiated Rate	$121,611.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$97,129.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$121,611.49
Rate for Payer: Molina Healthcare of CA Medi-Cal	$108,810.29

APR-DRG 41.00: PROCEDURES FOR OBESITY

Facility

$23,448.09

Service Code	APR-DRG 4031
Min. Negotiated Rate	$18,727.62
Max. Negotiated Rate	$23,448.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,727.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,448.09
Rate for Payer: Molina Healthcare of CA Medi-Cal	$20,979.87

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$36,756.26

Service Code	APR-DRG 8502
Min. Negotiated Rate	$29,356.64
Max. Negotiated Rate	$36,756.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,356.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,756.26
Rate for Payer: Molina Healthcare of CA Medi-Cal	$32,887.18

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$45,787.47

Service Code	APR-DRG 8503
Min. Negotiated Rate	$36,569.73
Max. Negotiated Rate	$45,787.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,569.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,787.47
Rate for Payer: Molina Healthcare of CA Medi-Cal	$40,967.74

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$27,645.15

Service Code	APR-DRG 8501
Min. Negotiated Rate	$22,079.75
Max. Negotiated Rate	$27,645.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,079.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,645.15
Rate for Payer: Molina Healthcare of CA Medi-Cal	$24,735.14

APR-DRG 41.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$102,521.19

Service Code	APR-DRG 8504
Min. Negotiated Rate	$81,882.05
Max. Negotiated Rate	$102,521.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$81,882.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,521.19
Rate for Payer: Molina Healthcare of CA Medi-Cal	$91,729.48

APR-DRG 41.00: PULMONARY EMBOLISM

Facility

$11,816.75

Service Code	APR-DRG 1341
Min. Negotiated Rate	$9,437.85
Max. Negotiated Rate	$11,816.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,437.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,816.75
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,572.88

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