Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 41.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$36,676.86

Service Code	APR-DRG 3211
Min. Negotiated Rate	$29,293.23
Max. Negotiated Rate	$36,676.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,293.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,676.86
Rate for Payer: Molina Healthcare of CA Medi-Cal	$32,816.14

APR-DRG 41.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$134,647.24

Service Code	APR-DRG 3214
Min. Negotiated Rate	$107,540.63
Max. Negotiated Rate	$134,647.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$107,540.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$134,647.24
Rate for Payer: Molina Healthcare of CA Medi-Cal	$120,473.85

APR-DRG 41.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$60,029.85

Service Code	APR-DRG 3213
Min. Negotiated Rate	$47,944.90
Max. Negotiated Rate	$60,029.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,944.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$60,029.85
Rate for Payer: Molina Healthcare of CA Medi-Cal	$53,710.92

APR-DRG 41.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$43,946.14

Service Code	APR-DRG 3212
Min. Negotiated Rate	$35,099.09
Max. Negotiated Rate	$43,946.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,099.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$43,946.14
Rate for Payer: Molina Healthcare of CA Medi-Cal	$39,320.24

APR-DRG 41.00: SPINAL PROCEDURES

Facility

$32,906.71

Service Code	APR-DRG 0231
Min. Negotiated Rate	$26,282.07
Max. Negotiated Rate	$32,906.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,282.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,906.71
Rate for Payer: Molina Healthcare of CA Medi-Cal	$29,442.84

APR-DRG 41.00: SPINAL PROCEDURES

Facility

$166,293.13

Service Code	APR-DRG 0234
Min. Negotiated Rate	$132,815.70
Max. Negotiated Rate	$166,293.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$132,815.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$166,293.13
Rate for Payer: Molina Healthcare of CA Medi-Cal	$148,788.59

APR-DRG 41.00: SPINAL PROCEDURES

Facility

$44,680.68

Service Code	APR-DRG 0232
Min. Negotiated Rate	$35,685.76
Max. Negotiated Rate	$44,680.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,685.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,680.68
Rate for Payer: Molina Healthcare of CA Medi-Cal	$39,977.46

APR-DRG 41.00: SPINAL PROCEDURES

Facility

$75,186.48

Service Code	APR-DRG 0233
Min. Negotiated Rate	$60,050.25
Max. Negotiated Rate	$75,186.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$60,050.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,186.48
Rate for Payer: Molina Healthcare of CA Medi-Cal	$67,272.11

APR-DRG 41.00: SPLENECTOMY

Facility

$53,392.89

Service Code	APR-DRG 6503
Min. Negotiated Rate	$42,644.06
Max. Negotiated Rate	$53,392.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$42,644.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,392.89
Rate for Payer: Molina Healthcare of CA Medi-Cal	$47,772.58

APR-DRG 41.00: SPLENECTOMY

Facility

$28,806.15

Service Code	APR-DRG 6501
Min. Negotiated Rate	$23,007.01
Max. Negotiated Rate	$28,806.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,007.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,806.15
Rate for Payer: Molina Healthcare of CA Medi-Cal	$25,773.92

APR-DRG 41.00: SPLENECTOMY

Facility

$119,411.69

Service Code	APR-DRG 6504
Min. Negotiated Rate	$95,372.23
Max. Negotiated Rate	$119,411.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$95,372.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$119,411.69
Rate for Payer: Molina Healthcare of CA Medi-Cal	$106,842.04

APR-DRG 41.00: SPLENECTOMY

Facility

$37,725.17

Service Code	APR-DRG 6502
Min. Negotiated Rate	$30,130.49
Max. Negotiated Rate	$37,725.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$30,130.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,725.17
Rate for Payer: Molina Healthcare of CA Medi-Cal	$33,754.10

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$11,360.35

Service Code	APR-DRG 2041
Min. Negotiated Rate	$9,073.33
Max. Negotiated Rate	$11,360.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,073.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,360.35
Rate for Payer: Molina Healthcare of CA Medi-Cal	$10,164.52

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$39,836.07

Service Code	APR-DRG 2044
Min. Negotiated Rate	$31,816.44
Max. Negotiated Rate	$39,836.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,816.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,836.07
Rate for Payer: Molina Healthcare of CA Medi-Cal	$35,642.79

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$17,162.93

Service Code	APR-DRG 2043
Min. Negotiated Rate	$13,707.76
Max. Negotiated Rate	$17,162.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,707.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,162.93
Rate for Payer: Molina Healthcare of CA Medi-Cal	$15,356.30

APR-DRG 41.00: SYNCOPE AND COLLAPSE

Facility

$13,399.92

Service Code	APR-DRG 2042
Min. Negotiated Rate	$10,702.31
Max. Negotiated Rate	$13,399.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,702.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,399.92
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,989.40

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$38,821.03

Service Code	APR-DRG 3173
Min. Negotiated Rate	$31,005.74
Max. Negotiated Rate	$38,821.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,005.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,821.03
Rate for Payer: Molina Healthcare of CA Medi-Cal	$34,734.60

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$19,939.44

Service Code	APR-DRG 3171
Min. Negotiated Rate	$15,925.31
Max. Negotiated Rate	$19,939.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,925.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,939.44
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,840.55

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$25,718.25

Service Code	APR-DRG 3172
Min. Negotiated Rate	$20,540.76
Max. Negotiated Rate	$25,718.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,540.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,718.25
Rate for Payer: Molina Healthcare of CA Medi-Cal	$23,011.06

APR-DRG 41.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$98,039.34

Service Code	APR-DRG 3174
Min. Negotiated Rate	$78,302.47
Max. Negotiated Rate	$98,039.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$78,302.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$98,039.34
Rate for Payer: Molina Healthcare of CA Medi-Cal	$87,719.40

APR-DRG 41.00: THYROID DISORDERS

Facility

$20,602.65

Service Code	APR-DRG 4273
Min. Negotiated Rate	$16,455.01
Max. Negotiated Rate	$20,602.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,455.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,602.65
Rate for Payer: Molina Healthcare of CA Medi-Cal	$18,433.95

APR-DRG 41.00: THYROID DISORDERS

Facility

$12,819.91

Service Code	APR-DRG 4272
Min. Negotiated Rate	$10,239.06
Max. Negotiated Rate	$12,819.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,239.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,819.91
Rate for Payer: Molina Healthcare of CA Medi-Cal	$11,470.44

APR-DRG 41.00: THYROID DISORDERS

Facility

$58,363.00

Service Code	APR-DRG 4274
Min. Negotiated Rate	$46,613.61
Max. Negotiated Rate	$58,363.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$46,613.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,363.00
Rate for Payer: Molina Healthcare of CA Medi-Cal	$52,219.53

APR-DRG 41.00: THYROID DISORDERS

Facility

$9,377.81

Service Code	APR-DRG 4271
Min. Negotiated Rate	$7,489.91
Max. Negotiated Rate	$9,377.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,489.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,377.81
Rate for Payer: Molina Healthcare of CA Medi-Cal	$8,390.67

APR-DRG 41.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$19,549.58

Service Code	APR-DRG 4041
Min. Negotiated Rate	$15,613.94
Max. Negotiated Rate	$19,549.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,613.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,549.58
Rate for Payer: Molina Healthcare of CA Medi-Cal	$17,491.72

Know your out-of-pocket cost for care.

All Charges