Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$10,617.71

Service Code	APR-DRG 6632
Min. Negotiated Rate	$8,144.90
Max. Negotiated Rate	$10,617.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,144.90
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,617.71

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$14,826.12

Service Code	APR-DRG 6633
Min. Negotiated Rate	$11,373.19
Max. Negotiated Rate	$14,826.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,373.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,826.12

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$27,490.40

Service Code	APR-DRG 3474
Min. Negotiated Rate	$21,088.03
Max. Negotiated Rate	$27,490.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,088.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,490.40

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$15,946.95

Service Code	APR-DRG 3473
Min. Negotiated Rate	$12,232.99
Max. Negotiated Rate	$15,946.95
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,232.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,946.95

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$11,782.87

Service Code	APR-DRG 3472
Min. Negotiated Rate	$9,038.70
Max. Negotiated Rate	$11,782.87
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,038.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,782.87

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$9,344.35

Service Code	APR-DRG 3471
Min. Negotiated Rate	$7,168.10
Max. Negotiated Rate	$9,344.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,168.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,344.35

OTHER BLADDER PROCEDURES

Facility

$50,213.75

Service Code	APR-DRG 4454
Min. Negotiated Rate	$38,519.23
Max. Negotiated Rate	$50,213.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$38,519.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$50,213.75

OTHER BLADDER PROCEDURES

Facility

$15,047.81

Service Code	APR-DRG 4451
Min. Negotiated Rate	$11,543.25
Max. Negotiated Rate	$15,047.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,543.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,047.81

OTHER BLADDER PROCEDURES

Facility

$26,889.20

Service Code	APR-DRG 4453
Min. Negotiated Rate	$20,626.85
Max. Negotiated Rate	$26,889.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,626.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,889.20

OTHER BLADDER PROCEDURES

Facility

$19,146.28

Service Code	APR-DRG 4452
Min. Negotiated Rate	$14,687.21
Max. Negotiated Rate	$19,146.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,687.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,146.28

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$45,416.54

Service Code	APR-DRG 1671
Min. Negotiated Rate	$34,839.26
Max. Negotiated Rate	$45,416.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$34,839.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,416.54

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$47,207.72

Service Code	APR-DRG 1672
Min. Negotiated Rate	$36,213.29
Max. Negotiated Rate	$47,207.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$36,213.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,207.72

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$71,268.26

Service Code	APR-DRG 1673
Min. Negotiated Rate	$54,670.26
Max. Negotiated Rate	$71,268.26
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$54,670.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$71,268.26

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility

$114,425.41

Service Code	APR-DRG 1674
Min. Negotiated Rate	$87,776.33
Max. Negotiated Rate	$114,425.41
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$87,776.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$114,425.41

OTHER CHEMOTHERAPY

Facility

$38,335.10

Service Code	APR-DRG 6964
Min. Negotiated Rate	$29,407.06
Max. Negotiated Rate	$38,335.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,407.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,335.10

OTHER CHEMOTHERAPY

Facility

$19,286.39

Service Code	APR-DRG 6963
Min. Negotiated Rate	$14,794.69
Max. Negotiated Rate	$19,286.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,794.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,286.39

OTHER CHEMOTHERAPY

Facility

$12,955.13

Service Code	APR-DRG 6962
Min. Negotiated Rate	$9,937.95
Max. Negotiated Rate	$12,955.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,937.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,955.13

OTHER CHEMOTHERAPY

Facility

$10,174.35

Service Code	APR-DRG 6961
Min. Negotiated Rate	$7,804.80
Max. Negotiated Rate	$10,174.35
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,804.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,174.35

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$14,485.62

Service Code	APR-DRG 2073
Min. Negotiated Rate	$11,111.99
Max. Negotiated Rate	$14,485.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,111.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,485.62

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$10,415.53

Service Code	APR-DRG 2072
Min. Negotiated Rate	$7,989.81
Max. Negotiated Rate	$10,415.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,989.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,415.53

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$8,312.22

Service Code	APR-DRG 2071
Min. Negotiated Rate	$6,376.34
Max. Negotiated Rate	$8,312.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,376.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,312.22

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$24,548.23

Service Code	APR-DRG 2074
Min. Negotiated Rate	$18,831.07
Max. Negotiated Rate	$24,548.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,831.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,548.23

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$31,727.21

Service Code	APR-DRG 1803
Min. Negotiated Rate	$24,338.11
Max. Negotiated Rate	$31,727.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,338.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,727.21

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$18,392.55

Service Code	APR-DRG 1801
Min. Negotiated Rate	$14,109.02
Max. Negotiated Rate	$18,392.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,109.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,392.55

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$22,960.99

Service Code	APR-DRG 1802
Min. Negotiated Rate	$17,613.49
Max. Negotiated Rate	$22,960.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,613.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,960.99

Know your out-of-pocket cost for care.

All Charges