Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$58,396.50

Service Code	APR-DRG 1804
Min. Negotiated Rate	$44,796.26
Max. Negotiated Rate	$58,396.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$44,796.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,396.50

OTHER COMPLICATIONS OF TREATMENT

Facility

$8,643.84

Service Code	APR-DRG 8131
Min. Negotiated Rate	$6,630.74
Max. Negotiated Rate	$8,643.84
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,630.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,643.84

OTHER COMPLICATIONS OF TREATMENT

Facility

$27,680.17

Service Code	APR-DRG 8134
Min. Negotiated Rate	$21,233.60
Max. Negotiated Rate	$27,680.17
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,233.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,680.17

OTHER COMPLICATIONS OF TREATMENT

Facility

$15,443.30

Service Code	APR-DRG 8133
Min. Negotiated Rate	$11,846.63
Max. Negotiated Rate	$15,443.30
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,846.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,443.30

OTHER COMPLICATIONS OF TREATMENT

Facility

$10,647.85

Service Code	APR-DRG 8132
Min. Negotiated Rate	$8,168.02
Max. Negotiated Rate	$10,647.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,168.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,647.85

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$63,693.81

Service Code	APR-DRG 2294
Min. Negotiated Rate	$48,859.86
Max. Negotiated Rate	$63,693.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$48,859.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,693.81

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$24,445.38

Service Code	APR-DRG 2292
Min. Negotiated Rate	$18,752.18
Max. Negotiated Rate	$24,445.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,752.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,445.38

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$36,911.02

Service Code	APR-DRG 2293
Min. Negotiated Rate	$28,314.63
Max. Negotiated Rate	$36,911.02
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$28,314.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,911.02

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$17,731.05

Service Code	APR-DRG 2291
Min. Negotiated Rate	$13,601.58
Max. Negotiated Rate	$17,731.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,601.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,731.05

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$10,727.67

Service Code	APR-DRG 2542
Min. Negotiated Rate	$8,229.25
Max. Negotiated Rate	$10,727.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,229.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,727.67

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$15,425.55

Service Code	APR-DRG 2543
Min. Negotiated Rate	$11,833.02
Max. Negotiated Rate	$15,425.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,833.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,425.55

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$27,105.57

Service Code	APR-DRG 2544
Min. Negotiated Rate	$20,792.83
Max. Negotiated Rate	$27,105.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,792.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,105.57

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$7,684.40

Service Code	APR-DRG 2541
Min. Negotiated Rate	$5,894.74
Max. Negotiated Rate	$7,684.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,894.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,684.40

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$12,157.07

Service Code	APR-DRG 0581
Min. Negotiated Rate	$9,325.76
Max. Negotiated Rate	$12,157.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,325.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,157.07

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$16,314.06

Service Code	APR-DRG 0582
Min. Negotiated Rate	$12,514.61
Max. Negotiated Rate	$16,314.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,514.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,314.06

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$21,371.96

Service Code	APR-DRG 0583
Min. Negotiated Rate	$16,394.54
Max. Negotiated Rate	$21,371.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,394.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,371.96

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$29,740.93

Service Code	APR-DRG 0584
Min. Negotiated Rate	$22,814.42
Max. Negotiated Rate	$29,740.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,814.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,740.93

OTHER DISORDERS OF THE LIVER

Facility

$10,018.28

Service Code	APR-DRG 2832
Min. Negotiated Rate	$7,685.08
Max. Negotiated Rate	$10,018.28
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,685.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,018.28

OTHER DISORDERS OF THE LIVER

Facility

$14,576.06

Service Code	APR-DRG 2833
Min. Negotiated Rate	$11,181.37
Max. Negotiated Rate	$14,576.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,181.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,576.06

OTHER DISORDERS OF THE LIVER

Facility

$27,330.80

Service Code	APR-DRG 2834
Min. Negotiated Rate	$20,965.60
Max. Negotiated Rate	$27,330.80
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,965.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,330.80

OTHER DISORDERS OF THE LIVER

Facility

$7,828.06

Service Code	APR-DRG 2831
Min. Negotiated Rate	$6,004.94
Max. Negotiated Rate	$7,828.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,004.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,828.06

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$20,595.18

Service Code	APR-DRG 7764
Min. Negotiated Rate	$15,798.67
Max. Negotiated Rate	$20,595.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,798.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,595.18

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$11,910.55

Service Code	APR-DRG 7763
Min. Negotiated Rate	$9,136.64
Max. Negotiated Rate	$11,910.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,136.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,910.55

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,811.86

Service Code	APR-DRG 7762
Min. Negotiated Rate	$5,225.41
Max. Negotiated Rate	$6,811.86
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,225.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,811.86

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,214.20

Service Code	APR-DRG 7761
Min. Negotiated Rate	$4,766.94
Max. Negotiated Rate	$6,214.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,766.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,214.20

Know your out-of-pocket cost for care.

All Charges