Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$9,970.38

Service Code	APR-DRG 2061
Min. Negotiated Rate	$7,648.33
Max. Negotiated Rate	$9,970.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,648.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,970.38

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

Facility

$15,242.88

Service Code	APR-DRG 2063
Min. Negotiated Rate	$11,692.90
Max. Negotiated Rate	$15,242.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,692.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,242.88

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$9,569.60

Service Code	APR-DRG 4662
Min. Negotiated Rate	$7,340.89
Max. Negotiated Rate	$9,569.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,340.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,569.60

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$6,680.63

Service Code	APR-DRG 4661
Min. Negotiated Rate	$5,124.74
Max. Negotiated Rate	$6,680.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,124.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,680.63

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$22,769.45

Service Code	APR-DRG 4664
Min. Negotiated Rate	$17,466.56
Max. Negotiated Rate	$22,769.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,466.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,769.45

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$13,598.89

Service Code	APR-DRG 4663
Min. Negotiated Rate	$10,431.78
Max. Negotiated Rate	$13,598.89
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,431.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,598.89

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$16,833.68

Service Code	APR-DRG 3493
Min. Negotiated Rate	$12,913.20
Max. Negotiated Rate	$16,833.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,913.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,833.68

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$8,276.74

Service Code	APR-DRG 3491
Min. Negotiated Rate	$6,349.13
Max. Negotiated Rate	$8,276.74
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,349.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,276.74

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$11,719.03

Service Code	APR-DRG 3492
Min. Negotiated Rate	$8,989.73
Max. Negotiated Rate	$11,719.03
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,989.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,719.03

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$29,944.87

Service Code	APR-DRG 3494
Min. Negotiated Rate	$22,970.87
Max. Negotiated Rate	$29,944.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,970.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,944.87

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$16,439.98

Service Code	APR-DRG 5003
Min. Negotiated Rate	$12,611.19
Max. Negotiated Rate	$16,439.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,611.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,439.98

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,667.36

Service Code	APR-DRG 5002
Min. Negotiated Rate	$8,182.99
Max. Negotiated Rate	$10,667.36
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,182.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,667.36

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$29,223.08

Service Code	APR-DRG 5004
Min. Negotiated Rate	$22,417.18
Max. Negotiated Rate	$29,223.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,417.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,223.08

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$7,783.71

Service Code	APR-DRG 5001
Min. Negotiated Rate	$5,970.93
Max. Negotiated Rate	$7,783.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,970.93
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,783.71

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$24,888.75

Service Code	APR-DRG 2814
Min. Negotiated Rate	$19,092.29
Max. Negotiated Rate	$24,888.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,092.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,888.75

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$9,809.02

Service Code	APR-DRG 2811
Min. Negotiated Rate	$7,524.55
Max. Negotiated Rate	$9,809.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,524.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,809.02

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$16,929.46

Service Code	APR-DRG 2813
Min. Negotiated Rate	$12,986.67
Max. Negotiated Rate	$16,929.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,986.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,929.46

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,008.33

Service Code	APR-DRG 2812
Min. Negotiated Rate	$9,978.76
Max. Negotiated Rate	$13,008.33
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,978.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,008.33

MALIGNANT BREAST DISORDERS

Facility

$9,269.87

Service Code	APR-DRG 3821
Min. Negotiated Rate	$7,110.97
Max. Negotiated Rate	$9,269.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,110.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,269.87

MALIGNANT BREAST DISORDERS

Facility

$15,461.02

Service Code	APR-DRG 3823
Min. Negotiated Rate	$11,860.23
Max. Negotiated Rate	$15,461.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,860.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,461.02

MALIGNANT BREAST DISORDERS

Facility

$22,897.15

Service Code	APR-DRG 3824
Min. Negotiated Rate	$17,564.52
Max. Negotiated Rate	$22,897.15
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,564.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,897.15

MALIGNANT BREAST DISORDERS

Facility

$10,915.65

Service Code	APR-DRG 3822
Min. Negotiated Rate	$8,373.45
Max. Negotiated Rate	$10,915.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,373.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,915.65

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$14,171.72

Service Code	APR-DRG 4213
Min. Negotiated Rate	$10,871.20
Max. Negotiated Rate	$14,171.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,871.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,171.72

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$6,253.22

Service Code	APR-DRG 4211
Min. Negotiated Rate	$4,796.88
Max. Negotiated Rate	$6,253.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,796.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,253.22

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$9,351.46

Service Code	APR-DRG 4212
Min. Negotiated Rate	$7,173.55
Max. Negotiated Rate	$9,351.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,173.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,351.46

Know your out-of-pocket cost for care.

All Charges