Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$28,797.44

Service Code	APR-DRG 7514
Min. Negotiated Rate	$22,090.67
Max. Negotiated Rate	$28,797.44
Rate for Payer: 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 IP

$5,717.63

Service Code	APR-DRG 7511
Min. Negotiated Rate	$4,386.03
Max. Negotiated Rate	$5,717.63
Rate for Payer: 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 IP

$14,159.31

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

MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES

Facility IP

$7,700.36

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

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$11,222.46

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

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$16,094.16

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

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$8,675.76

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

MAJOR ESOPHAGEAL DISORDERS

Facility IP

$33,027.15

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

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$10,819.87

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

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$15,893.75

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

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$8,218.22

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

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility IP

$28,889.67

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

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$11,172.80

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

MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION

Facility IP

$17,417.15

Service Code	APR-DRG 6603
Min. Negotiated Rate	$13,360.79
Max. Negotiated Rate	$17,417.15
Rate for Payer: 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 IP

$38,001.71

Service Code	APR-DRG 6604
Min. Negotiated Rate	$29,151.31
Max. Negotiated Rate	$38,001.71
Rate for Payer: 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 IP

$9,507.52

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

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$29,191.14

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

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$68,414.76

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

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$23,773.24

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

MAJOR LARGE BOWEL PROCEDURES

Facility IP

$41,727.74

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

MAJOR MALE PELVIC PROCEDURES

Facility IP

$35,208.50

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

MAJOR MALE PELVIC PROCEDURES

Facility IP

$57,827.20

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

MAJOR MALE PELVIC PROCEDURES

Facility IP

$20,541.98

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

MAJOR MALE PELVIC PROCEDURES

Facility IP

$23,610.06

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

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

Facility IP

$102,521.95

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

Price Transparency.

All Charges