Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$20,889.59

Service Code	APR-DRG 2641
Min. Negotiated Rate	$16,024.51
Max. Negotiated Rate	$20,889.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,024.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,889.59

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$22,854.59

Service Code	APR-DRG 2642
Min. Negotiated Rate	$17,531.87
Max. Negotiated Rate	$22,854.59
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,531.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,854.59

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

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$17,527.10

Service Code	APR-DRG 7243
Min. Negotiated Rate	$13,445.13
Max. Negotiated Rate	$17,527.10
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,445.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,527.10

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$8,767.99

Service Code	APR-DRG 7241
Min. Negotiated Rate	$6,725.97
Max. Negotiated Rate	$8,767.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,725.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,767.99

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$35,316.69

Service Code	APR-DRG 7244
Min. Negotiated Rate	$27,091.62
Max. Negotiated Rate	$35,316.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$27,091.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,316.69

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$10,505.97

Service Code	APR-DRG 7242
Min. Negotiated Rate	$8,059.19
Max. Negotiated Rate	$10,505.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,059.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,505.97

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$29,613.23

Service Code	APR-DRG 8154
Min. Negotiated Rate	$22,716.46
Max. Negotiated Rate	$29,613.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,716.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,613.23

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$6,043.96

Service Code	APR-DRG 8151
Min. Negotiated Rate	$4,636.35
Max. Negotiated Rate	$6,043.96
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$4,636.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,043.96

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$8,606.60

Service Code	APR-DRG 8152
Min. Negotiated Rate	$6,602.17
Max. Negotiated Rate	$8,606.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,602.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,606.60

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$14,100.77

Service Code	APR-DRG 8153
Min. Negotiated Rate	$10,816.78
Max. Negotiated Rate	$14,100.77
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,816.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,100.77

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$9,917.18

Service Code	APR-DRG 4682
Min. Negotiated Rate	$7,607.52
Max. Negotiated Rate	$9,917.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,607.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,917.18

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$24,819.57

Service Code	APR-DRG 4684
Min. Negotiated Rate	$19,039.22
Max. Negotiated Rate	$24,819.57
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,039.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,819.57

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$7,210.88

Service Code	APR-DRG 4681
Min. Negotiated Rate	$5,531.50
Max. Negotiated Rate	$7,210.88
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,531.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,210.88

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$14,159.31

Service Code	APR-DRG 4683
Min. Negotiated Rate	$10,861.68
Max. Negotiated Rate	$14,159.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,861.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,159.31

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$67,629.13

Service Code	APR-DRG 4474
Min. Negotiated Rate	$51,878.66
Max. Negotiated Rate	$67,629.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$51,878.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,629.13

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$23,766.13

Service Code	APR-DRG 4472
Min. Negotiated Rate	$18,231.12
Max. Negotiated Rate	$23,766.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,231.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,766.13

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$19,630.42

Service Code	APR-DRG 4471
Min. Negotiated Rate	$15,058.60
Max. Negotiated Rate	$19,630.42
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,058.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,630.42

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility

$33,174.34

Service Code	APR-DRG 4473
Min. Negotiated Rate	$25,448.21
Max. Negotiated Rate	$33,174.34
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,448.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,174.34

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$61,868.92

Service Code	APR-DRG 0913
Min. Negotiated Rate	$47,459.97
Max. Negotiated Rate	$61,868.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$47,459.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,868.92

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$34,750.94

Service Code	APR-DRG 0912
Min. Negotiated Rate	$26,657.63
Max. Negotiated Rate	$34,750.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,657.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,750.94

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$96,930.23

Service Code	APR-DRG 0914
Min. Negotiated Rate	$74,355.69
Max. Negotiated Rate	$96,930.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$74,355.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$96,930.23

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$23,148.97

Service Code	APR-DRG 0911
Min. Negotiated Rate	$17,757.70
Max. Negotiated Rate	$23,148.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,757.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,148.97

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$26,608.99

Service Code	APR-DRG 4843
Min. Negotiated Rate	$20,411.89
Max. Negotiated Rate	$26,608.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,411.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,608.99

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$17,362.18

Service Code	APR-DRG 4841
Min. Negotiated Rate	$13,318.62
Max. Negotiated Rate	$17,362.18
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,318.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,362.18

Know your out-of-pocket cost for care.

All Charges