Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

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

Facility IP

$24,661.73

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

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

Facility IP

$32,539.44

Service Code	APR-DRG 6802
Min. Negotiated Rate	$24,961.17
Max. Negotiated Rate	$32,539.44
Rate for Payer: 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 IP

$53,514.16

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

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility IP

$90,423.41

Service Code	APR-DRG 2604
Min. Negotiated Rate	$69,364.28
Max. Negotiated Rate	$90,423.41
Rate for Payer: 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 IP

$47,894.06

Service Code	APR-DRG 2603
Min. Negotiated Rate	$36,739.79
Max. Negotiated Rate	$47,894.06
Rate for Payer: 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 IP

$27,566.66

Service Code	APR-DRG 2601
Min. Negotiated Rate	$21,146.53
Max. Negotiated Rate	$27,566.66
Rate for Payer: 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 IP

$34,944.25

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

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$48,218.60

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

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$84,108.12

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

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$35,502.89

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

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility IP

$28,914.48

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

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$12,375.21

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

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$24,365.56

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

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$9,709.70

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

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility IP

$16,867.38

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

MAJOR SKIN DISORDERS

Facility IP

$19,323.63

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

MAJOR SKIN DISORDERS

Facility IP

$38,049.59

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

MAJOR SKIN DISORDERS

Facility IP

$9,610.37

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

MAJOR SKIN DISORDERS

Facility IP

$5,832.90

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

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$28,536.75

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

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$77,755.58

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

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$20,813.32

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

MAJOR SMALL BOWEL PROCEDURES

Facility IP

$42,261.55

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

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$22,225.00

Service Code	APR-DRG 2201
Min. Negotiated Rate	$17,048.92
Max. Negotiated Rate	$22,225.00
Rate for Payer: 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 IP

$31,893.91

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

Price Transparency.

All Charges