Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$58,653.65

Service Code	APR-DRG 4844
Min. Negotiated Rate	$44,993.52
Max. Negotiated Rate	$58,653.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$44,993.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,653.65

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$22,189.53

Service Code	APR-DRG 4842
Min. Negotiated Rate	$17,021.71
Max. Negotiated Rate	$22,189.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,021.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,189.53

OTHER MENTAL HEALTH DISORDERS

Facility

$9,981.04

Service Code	APR-DRG 7602
Min. Negotiated Rate	$7,656.51
Max. Negotiated Rate	$9,981.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,656.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,981.04

OTHER MENTAL HEALTH DISORDERS

Facility

$8,120.68

Service Code	APR-DRG 7601
Min. Negotiated Rate	$6,229.41
Max. Negotiated Rate	$8,120.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,229.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,120.68

OTHER MENTAL HEALTH DISORDERS

Facility

$13,966.01

Service Code	APR-DRG 7603
Min. Negotiated Rate	$10,713.40
Max. Negotiated Rate	$13,966.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,713.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,966.01

OTHER MENTAL HEALTH DISORDERS

Facility

$23,422.08

Service Code	APR-DRG 7604
Min. Negotiated Rate	$17,967.20
Max. Negotiated Rate	$23,422.08
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,967.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,422.08

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,479.14

Service Code	APR-DRG 3512
Min. Negotiated Rate	$7,271.50
Max. Negotiated Rate	$9,479.14
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,271.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,479.14

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$7,476.90

Service Code	APR-DRG 3511
Min. Negotiated Rate	$5,735.57
Max. Negotiated Rate	$7,476.90
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,735.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,476.90

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$14,675.39

Service Code	APR-DRG 3513
Min. Negotiated Rate	$11,257.57
Max. Negotiated Rate	$14,675.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$11,257.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,675.39

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$25,779.01

Service Code	APR-DRG 3514
Min. Negotiated Rate	$19,775.21
Max. Negotiated Rate	$25,779.01
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,775.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,779.01

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$33,587.55

Service Code	APR-DRG 3203
Min. Negotiated Rate	$25,765.19
Max. Negotiated Rate	$33,587.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,765.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,587.55

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$23,056.75

Service Code	APR-DRG 3202
Min. Negotiated Rate	$17,686.95
Max. Negotiated Rate	$23,056.75
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,686.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,056.75

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$57,304.04

Service Code	APR-DRG 3204
Min. Negotiated Rate	$43,958.23
Max. Negotiated Rate	$57,304.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$43,958.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,304.04

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$16,642.16

Service Code	APR-DRG 3201
Min. Negotiated Rate	$12,766.29
Max. Negotiated Rate	$16,642.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,766.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,642.16

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$24,667.05

Service Code	APR-DRG 0262
Min. Negotiated Rate	$18,922.23
Max. Negotiated Rate	$24,667.05
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,922.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,667.05

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$37,714.39

Service Code	APR-DRG 0263
Min. Negotiated Rate	$28,930.91
Max. Negotiated Rate	$37,714.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$28,930.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,714.39

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$70,413.45

Service Code	APR-DRG 0264
Min. Negotiated Rate	$54,014.53
Max. Negotiated Rate	$70,413.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$54,014.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,413.45

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$19,470.82

Service Code	APR-DRG 0261
Min. Negotiated Rate	$14,936.17
Max. Negotiated Rate	$19,470.82
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$14,936.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,470.82

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$8,340.58

Service Code	APR-DRG 4252
Min. Negotiated Rate	$6,398.10
Max. Negotiated Rate	$8,340.58
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,398.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,340.58

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,810.09

Service Code	APR-DRG 4251
Min. Negotiated Rate	$5,224.06
Max. Negotiated Rate	$6,810.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,224.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,810.09

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$22,317.23

Service Code	APR-DRG 4254
Min. Negotiated Rate	$17,119.66
Max. Negotiated Rate	$22,317.23
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,119.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,317.23

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$11,288.07

Service Code	APR-DRG 4253
Min. Negotiated Rate	$8,659.14
Max. Negotiated Rate	$11,288.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,659.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,288.07

OTHER OPEN CRANIOTOMY

Facility

$25,887.20

Service Code	APR-DRG 0271
Min. Negotiated Rate	$19,858.20
Max. Negotiated Rate	$25,887.20
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,858.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,887.20

OTHER OPEN CRANIOTOMY

Facility

$30,134.63

Service Code	APR-DRG 0272
Min. Negotiated Rate	$23,116.43
Max. Negotiated Rate	$30,134.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,116.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,134.63

OTHER OPEN CRANIOTOMY

Facility

$48,963.46

Service Code	APR-DRG 0273
Min. Negotiated Rate	$37,560.12
Max. Negotiated Rate	$48,963.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$37,560.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,963.46

Know your out-of-pocket cost for care.

All Charges