Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$38,001.71

Service Code	APR-DRG 6604
Min. Negotiated Rate	$29,151.31
Max. Negotiated Rate	$38,001.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,151.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,001.71

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$9,507.52

Service Code	APR-DRG 6601
Min. Negotiated Rate	$7,293.27
Max. Negotiated Rate	$9,507.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,293.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,507.52

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$17,417.15

Service Code	APR-DRG 6603
Min. Negotiated Rate	$13,360.79
Max. Negotiated Rate	$17,417.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,360.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,417.15

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility

$11,172.80

Service Code	APR-DRG 6602
Min. Negotiated Rate	$8,570.71
Max. Negotiated Rate	$11,172.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,570.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,172.80

MAJOR LARGE BOWEL PROCEDURES

Facility

$23,773.24

Service Code	APR-DRG 2311
Min. Negotiated Rate	$18,236.58
Max. Negotiated Rate	$23,773.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,236.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,773.24

MAJOR LARGE BOWEL PROCEDURES

Facility

$68,414.76

Service Code	APR-DRG 2314
Min. Negotiated Rate	$52,481.32
Max. Negotiated Rate	$68,414.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$52,481.32
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,414.76

MAJOR LARGE BOWEL PROCEDURES

Facility

$29,191.14

Service Code	APR-DRG 2312
Min. Negotiated Rate	$22,392.68
Max. Negotiated Rate	$29,191.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,392.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,191.14

MAJOR LARGE BOWEL PROCEDURES

Facility

$41,727.74

Service Code	APR-DRG 2313
Min. Negotiated Rate	$32,009.57
Max. Negotiated Rate	$41,727.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,009.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,727.74

MAJOR MALE PELVIC PROCEDURES

Facility

$57,827.20

Service Code	APR-DRG 4804
Min. Negotiated Rate	$44,359.55
Max. Negotiated Rate	$57,827.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$44,359.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,827.20

MAJOR MALE PELVIC PROCEDURES

Facility

$20,541.98

Service Code	APR-DRG 4801
Min. Negotiated Rate	$15,757.86
Max. Negotiated Rate	$20,541.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,757.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,541.98

MAJOR MALE PELVIC PROCEDURES

Facility

$23,610.06

Service Code	APR-DRG 4802
Min. Negotiated Rate	$18,111.41
Max. Negotiated Rate	$23,610.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,111.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,610.06

MAJOR MALE PELVIC PROCEDURES

Facility

$35,208.50

Service Code	APR-DRG 4803
Min. Negotiated Rate	$27,008.63
Max. Negotiated Rate	$35,208.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,008.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,208.50

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$53,514.16

Service Code	APR-DRG 6803
Min. Negotiated Rate	$41,051.00
Max. Negotiated Rate	$53,514.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$41,051.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$53,514.16

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$102,521.95

Service Code	APR-DRG 6804
Min. Negotiated Rate	$78,645.13
Max. Negotiated Rate	$102,521.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$78,645.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$102,521.95

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$32,539.44

Service Code	APR-DRG 6802
Min. Negotiated Rate	$24,961.17
Max. Negotiated Rate	$32,539.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,961.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,539.44

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$24,661.73

Service Code	APR-DRG 6801
Min. Negotiated Rate	$18,918.15
Max. Negotiated Rate	$24,661.73
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,918.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,661.73

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$27,566.66

Service Code	APR-DRG 2601
Min. Negotiated Rate	$21,146.53
Max. Negotiated Rate	$27,566.66
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,146.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,566.66

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$90,423.41

Service Code	APR-DRG 2604
Min. Negotiated Rate	$69,364.28
Max. Negotiated Rate	$90,423.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$69,364.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$90,423.41

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$47,894.06

Service Code	APR-DRG 2603
Min. Negotiated Rate	$36,739.79
Max. Negotiated Rate	$47,894.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,739.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,894.06

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$34,944.25

Service Code	APR-DRG 2602
Min. Negotiated Rate	$26,805.92
Max. Negotiated Rate	$34,944.25
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,805.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,944.25

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$84,108.12

Service Code	APR-DRG 1204
Min. Negotiated Rate	$64,519.78
Max. Negotiated Rate	$84,108.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$64,519.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$84,108.12

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$28,914.48

Service Code	APR-DRG 1201
Min. Negotiated Rate	$22,180.45
Max. Negotiated Rate	$28,914.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,180.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,914.48

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$35,502.89

Service Code	APR-DRG 1202
Min. Negotiated Rate	$27,234.45
Max. Negotiated Rate	$35,502.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,234.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,502.89

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$48,218.60

Service Code	APR-DRG 1203
Min. Negotiated Rate	$36,988.74
Max. Negotiated Rate	$48,218.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,988.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,218.60

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$24,365.56

Service Code	APR-DRG 1374
Min. Negotiated Rate	$18,690.95
Max. Negotiated Rate	$24,365.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,690.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,365.56

Know your out-of-pocket cost for care.

All Charges