Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

MAJOR BLADDER PROCEDURES

Facility

$23,358.24

Service Code	APR-DRG 4411
Min. Negotiated Rate	$17,918.23
Max. Negotiated Rate	$23,358.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,918.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,358.24

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$55,184.76

Service Code	APR-DRG 1602
Min. Negotiated Rate	$42,332.52
Max. Negotiated Rate	$55,184.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$42,332.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,184.76

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$158,614.72

Service Code	APR-DRG 1604
Min. Negotiated Rate	$121,674.18
Max. Negotiated Rate	$158,614.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$121,674.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$158,614.72

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$44,801.14

Service Code	APR-DRG 1601
Min. Negotiated Rate	$34,367.19
Max. Negotiated Rate	$44,801.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$34,367.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$44,801.14

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$85,145.59

Service Code	APR-DRG 1603
Min. Negotiated Rate	$65,315.63
Max. Negotiated Rate	$85,145.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$65,315.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$85,145.59

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$10,935.15

Service Code	APR-DRG 1351
Min. Negotiated Rate	$8,388.41
Max. Negotiated Rate	$10,935.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,388.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,935.15

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$18,254.23

Service Code	APR-DRG 1353
Min. Negotiated Rate	$14,002.92
Max. Negotiated Rate	$18,254.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,002.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,254.23

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$30,751.80

Service Code	APR-DRG 1354
Min. Negotiated Rate	$23,589.87
Max. Negotiated Rate	$30,751.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,589.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,751.80

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$12,724.58

Service Code	APR-DRG 1352
Min. Negotiated Rate	$9,761.10
Max. Negotiated Rate	$12,724.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,761.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,724.58

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$24,473.75

Service Code	APR-DRG 0891
Min. Negotiated Rate	$18,773.94
Max. Negotiated Rate	$24,473.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,773.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,473.75

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$86,165.32

Service Code	APR-DRG 0894
Min. Negotiated Rate	$66,097.87
Max. Negotiated Rate	$86,165.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$66,097.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$86,165.32

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$59,841.87

Service Code	APR-DRG 0893
Min. Negotiated Rate	$45,905.01
Max. Negotiated Rate	$59,841.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$45,905.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$59,841.87

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$32,759.34

Service Code	APR-DRG 0892
Min. Negotiated Rate	$25,129.87
Max. Negotiated Rate	$32,759.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,129.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,759.34

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$28,797.44

Service Code	APR-DRG 7514
Min. Negotiated Rate	$22,090.67
Max. Negotiated Rate	$28,797.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,090.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,797.44

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$5,717.63

Service Code	APR-DRG 7511
Min. Negotiated Rate	$4,386.03
Max. Negotiated Rate	$5,717.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,386.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,717.63

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$7,700.36

Service Code	APR-DRG 7512
Min. Negotiated Rate	$5,906.99
Max. Negotiated Rate	$7,700.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,906.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,700.36

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$14,159.31

Service Code	APR-DRG 7513
Min. Negotiated Rate	$10,861.68
Max. Negotiated Rate	$14,159.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,861.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,159.31

MAJOR ESOPHAGEAL DISORDERS

Facility

$8,675.76

Service Code	APR-DRG 2421
Min. Negotiated Rate	$6,655.22
Max. Negotiated Rate	$8,675.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,655.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,675.76

MAJOR ESOPHAGEAL DISORDERS

Facility

$11,222.46

Service Code	APR-DRG 2422
Min. Negotiated Rate	$8,608.81
Max. Negotiated Rate	$11,222.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,608.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,222.46

MAJOR ESOPHAGEAL DISORDERS

Facility

$16,094.16

Service Code	APR-DRG 2423
Min. Negotiated Rate	$12,345.91
Max. Negotiated Rate	$16,094.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,345.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,094.16

MAJOR ESOPHAGEAL DISORDERS

Facility

$33,027.15

Service Code	APR-DRG 2424
Min. Negotiated Rate	$25,335.30
Max. Negotiated Rate	$33,027.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,335.30
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,027.15

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$28,889.67

Service Code	APR-DRG 2484
Min. Negotiated Rate	$22,161.42
Max. Negotiated Rate	$28,889.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,161.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,889.67

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$10,819.87

Service Code	APR-DRG 2482
Min. Negotiated Rate	$8,299.98
Max. Negotiated Rate	$10,819.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,299.98
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,819.87

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$15,893.75

Service Code	APR-DRG 2483
Min. Negotiated Rate	$12,192.18
Max. Negotiated Rate	$15,893.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,192.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,893.75

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$8,218.22

Service Code	APR-DRG 2481
Min. Negotiated Rate	$6,304.24
Max. Negotiated Rate	$8,218.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,304.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,218.22

Know your out-of-pocket cost for care.

All Charges