Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$9,709.70

Service Code	APR-DRG 1371
Min. Negotiated Rate	$7,448.36
Max. Negotiated Rate	$9,709.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,448.36
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,709.70

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$12,375.21

Service Code	APR-DRG 1372
Min. Negotiated Rate	$9,493.09
Max. Negotiated Rate	$12,375.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,493.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,375.21

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$16,867.38

Service Code	APR-DRG 1373
Min. Negotiated Rate	$12,939.06
Max. Negotiated Rate	$16,867.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,939.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,867.38

MAJOR SKIN DISORDERS

Facility

$19,323.63

Service Code	APR-DRG 3813
Min. Negotiated Rate	$14,823.26
Max. Negotiated Rate	$19,323.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,823.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,323.63

MAJOR SKIN DISORDERS

Facility

$9,610.37

Service Code	APR-DRG 3812
Min. Negotiated Rate	$7,372.17
Max. Negotiated Rate	$9,610.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,372.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,610.37

MAJOR SKIN DISORDERS

Facility

$38,049.59

Service Code	APR-DRG 3814
Min. Negotiated Rate	$29,188.04
Max. Negotiated Rate	$38,049.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,188.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,049.59

MAJOR SKIN DISORDERS

Facility

$5,832.90

Service Code	APR-DRG 3811
Min. Negotiated Rate	$4,474.45
Max. Negotiated Rate	$5,832.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,474.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$5,832.90

MAJOR SMALL BOWEL PROCEDURES

Facility

$77,755.58

Service Code	APR-DRG 2304
Min. Negotiated Rate	$59,646.72
Max. Negotiated Rate	$77,755.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$59,646.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$77,755.58

MAJOR SMALL BOWEL PROCEDURES

Facility

$28,536.75

Service Code	APR-DRG 2302
Min. Negotiated Rate	$21,890.69
Max. Negotiated Rate	$28,536.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,890.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,536.75

MAJOR SMALL BOWEL PROCEDURES

Facility

$42,261.55

Service Code	APR-DRG 2303
Min. Negotiated Rate	$32,419.06
Max. Negotiated Rate	$42,261.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$32,419.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,261.55

MAJOR SMALL BOWEL PROCEDURES

Facility

$20,813.32

Service Code	APR-DRG 2301
Min. Negotiated Rate	$15,966.01
Max. Negotiated Rate	$20,813.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,966.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,813.32

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$31,893.91

Service Code	APR-DRG 2202
Min. Negotiated Rate	$24,465.99
Max. Negotiated Rate	$31,893.91
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,465.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,893.91

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$86,754.11

Service Code	APR-DRG 2204
Min. Negotiated Rate	$66,549.54
Max. Negotiated Rate	$86,754.11
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$66,549.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$86,754.11

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$22,225.00

Service Code	APR-DRG 2201
Min. Negotiated Rate	$17,048.92
Max. Negotiated Rate	$22,225.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,048.92
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,225.00

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$48,571.52

Service Code	APR-DRG 2203
Min. Negotiated Rate	$37,259.47
Max. Negotiated Rate	$48,571.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,259.47
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,571.52

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$28,479.99

Service Code	APR-DRG 5014
Min. Negotiated Rate	$21,847.15
Max. Negotiated Rate	$28,479.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,847.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,479.99

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$7,081.43

Service Code	APR-DRG 5011
Min. Negotiated Rate	$5,432.20
Max. Negotiated Rate	$7,081.43
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,432.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,081.43

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,503.97

Service Code	APR-DRG 5012
Min. Negotiated Rate	$7,290.55
Max. Negotiated Rate	$9,503.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,290.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,503.97

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$13,951.81

Service Code	APR-DRG 5013
Min. Negotiated Rate	$10,702.51
Max. Negotiated Rate	$13,951.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,702.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,951.81

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$15,707.53

Service Code	APR-DRG 2523
Min. Negotiated Rate	$12,049.33
Max. Negotiated Rate	$15,707.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,049.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,707.53

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$11,050.44

Service Code	APR-DRG 2522
Min. Negotiated Rate	$8,476.85
Max. Negotiated Rate	$11,050.44
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,476.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,050.44

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$8,925.82

Service Code	APR-DRG 2521
Min. Negotiated Rate	$6,847.04
Max. Negotiated Rate	$8,925.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,847.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,925.82

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$29,889.89

Service Code	APR-DRG 2524
Min. Negotiated Rate	$22,928.69
Max. Negotiated Rate	$29,889.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,928.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,889.89

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$10,167.24

Service Code	APR-DRG 2062
Min. Negotiated Rate	$7,799.34
Max. Negotiated Rate	$10,167.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,799.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,167.24

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$30,187.83

Service Code	APR-DRG 2064
Min. Negotiated Rate	$23,157.24
Max. Negotiated Rate	$30,187.83
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,157.24
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,187.83

Know your out-of-pocket cost for care.

All Charges