Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$30,507.06

Service Code	APR-DRG 0983
Min. Negotiated Rate	$23,402.13
Max. Negotiated Rate	$30,507.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,402.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,507.06

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$13,102.32

Service Code	APR-DRG 0981
Min. Negotiated Rate	$10,050.86
Max. Negotiated Rate	$13,102.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,050.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,102.32

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$18,140.72

Service Code	APR-DRG 0982
Min. Negotiated Rate	$13,915.85
Max. Negotiated Rate	$18,140.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,915.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,140.72

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$52,047.50

Service Code	APR-DRG 0984
Min. Negotiated Rate	$39,925.91
Max. Negotiated Rate	$52,047.50
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$39,925.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,047.50

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$27,219.06

Service Code	APR-DRG 1154
Min. Negotiated Rate	$20,879.88
Max. Negotiated Rate	$27,219.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,879.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,219.06

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$7,115.12

Service Code	APR-DRG 1151
Min. Negotiated Rate	$5,458.05
Max. Negotiated Rate	$7,115.12
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,458.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,115.12

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$14,881.10

Service Code	APR-DRG 1153
Min. Negotiated Rate	$11,415.37
Max. Negotiated Rate	$14,881.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,415.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,881.10

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$9,832.06

Service Code	APR-DRG 1152
Min. Negotiated Rate	$7,542.23
Max. Negotiated Rate	$9,832.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,542.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,832.06

OTHER ENDOCRINE DISORDERS

Facility

$10,660.27

Service Code	APR-DRG 4242
Min. Negotiated Rate	$8,177.55
Max. Negotiated Rate	$10,660.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,177.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,660.27

OTHER ENDOCRINE DISORDERS

Facility

$27,704.98

Service Code	APR-DRG 4244
Min. Negotiated Rate	$21,252.64
Max. Negotiated Rate	$27,704.98
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,252.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,704.98

OTHER ENDOCRINE DISORDERS

Facility

$15,675.61

Service Code	APR-DRG 4243
Min. Negotiated Rate	$12,024.84
Max. Negotiated Rate	$15,675.61
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,024.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,675.61

OTHER ENDOCRINE DISORDERS

Facility

$7,659.56

Service Code	APR-DRG 4241
Min. Negotiated Rate	$5,875.69
Max. Negotiated Rate	$7,659.56
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,875.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,659.56

OTHER ESOPHAGEAL DISORDERS

Facility

$27,587.94

Service Code	APR-DRG 2434
Min. Negotiated Rate	$21,162.86
Max. Negotiated Rate	$27,587.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,162.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,587.94

OTHER ESOPHAGEAL DISORDERS

Facility

$15,317.38

Service Code	APR-DRG 2433
Min. Negotiated Rate	$11,750.04
Max. Negotiated Rate	$15,317.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,750.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,317.38

OTHER ESOPHAGEAL DISORDERS

Facility

$8,170.32

Service Code	APR-DRG 2431
Min. Negotiated Rate	$6,267.50
Max. Negotiated Rate	$8,170.32
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,267.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,170.32

OTHER ESOPHAGEAL DISORDERS

Facility

$10,507.76

Service Code	APR-DRG 2432
Min. Negotiated Rate	$8,060.56
Max. Negotiated Rate	$10,507.76
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,060.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,507.76

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$31,290.93

Service Code	APR-DRG 5183
Min. Negotiated Rate	$24,003.44
Max. Negotiated Rate	$31,290.93
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,003.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,290.93

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$57,387.39

Service Code	APR-DRG 5184
Min. Negotiated Rate	$44,022.17
Max. Negotiated Rate	$57,387.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$44,022.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,387.39

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$18,605.37

Service Code	APR-DRG 5182
Min. Negotiated Rate	$14,272.28
Max. Negotiated Rate	$18,605.37
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,272.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,605.37

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$12,820.34

Service Code	APR-DRG 5181
Min. Negotiated Rate	$9,834.55
Max. Negotiated Rate	$12,820.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,834.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,820.34

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$23,196.85

Service Code	APR-DRG 2494
Min. Negotiated Rate	$17,794.43
Max. Negotiated Rate	$23,196.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,794.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,196.85

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$12,602.21

Service Code	APR-DRG 2493
Min. Negotiated Rate	$9,667.22
Max. Negotiated Rate	$12,602.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,667.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,602.21

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,971.48

Service Code	APR-DRG 2491
Min. Negotiated Rate	$5,347.86
Max. Negotiated Rate	$6,971.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,347.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,971.48

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$8,714.79

Service Code	APR-DRG 2492
Min. Negotiated Rate	$6,685.16
Max. Negotiated Rate	$8,714.79
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,685.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,714.79

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$33,216.90

Service Code	APR-DRG 2643
Min. Negotiated Rate	$25,480.86
Max. Negotiated Rate	$33,216.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,480.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,216.90

Know your out-of-pocket cost for care.

All Charges