Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility IP

$86,754.11

Service Code	APR-DRG 2204
Min. Negotiated Rate	$66,549.54
Max. Negotiated Rate	$86,754.11
Rate for Payer: 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 IP

$48,571.52

Service Code	APR-DRG 2203
Min. Negotiated Rate	$37,259.47
Max. Negotiated Rate	$48,571.52
Rate for Payer: 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 IP

$13,951.81

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

MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility IP

$7,081.43

Service Code	APR-DRG 5011
Min. Negotiated Rate	$5,432.20
Max. Negotiated Rate	$7,081.43
Rate for Payer: 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 IP

$28,479.99

Service Code	APR-DRG 5014
Min. Negotiated Rate	$21,847.15
Max. Negotiated Rate	$28,479.99
Rate for Payer: 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 IP

$9,503.97

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

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$15,707.53

Service Code	APR-DRG 2523
Min. Negotiated Rate	$12,049.33
Max. Negotiated Rate	$15,707.53
Rate for Payer: 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 IP

$8,925.82

Service Code	APR-DRG 2521
Min. Negotiated Rate	$6,847.04
Max. Negotiated Rate	$8,925.82
Rate for Payer: 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 IP

$29,889.89

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

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility IP

$11,050.44

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

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

Facility IP

$30,187.83

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

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

Facility IP

$15,242.88

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

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

Facility IP

$9,970.38

Service Code	APR-DRG 2061
Min. Negotiated Rate	$7,648.33
Max. Negotiated Rate	$9,970.38
Rate for Payer: 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 IP

$10,167.24

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

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$22,769.45

Service Code	APR-DRG 4664
Min. Negotiated Rate	$17,466.56
Max. Negotiated Rate	$22,769.45
Rate for Payer: 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 IP

$9,569.60

Service Code	APR-DRG 4662
Min. Negotiated Rate	$7,340.89
Max. Negotiated Rate	$9,569.60
Rate for Payer: 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 IP

$13,598.89

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

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility IP

$6,680.63

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

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$11,719.03

Service Code	APR-DRG 3492
Min. Negotiated Rate	$8,989.73
Max. Negotiated Rate	$11,719.03
Rate for Payer: 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 IP

$16,833.68

Service Code	APR-DRG 3493
Min. Negotiated Rate	$12,913.20
Max. Negotiated Rate	$16,833.68
Rate for Payer: 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 IP

$29,944.87

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

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility IP

$8,276.74

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

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$7,783.71

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

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$16,439.98

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

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility IP

$10,667.36

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

Price Transparency.

All Charges