Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER OPEN CRANIOTOMY

Facility

$80,729.67

Service Code	APR-DRG 0274
Min. Negotiated Rate	$61,928.15
Max. Negotiated Rate	$80,729.67
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$61,928.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$80,729.67

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$18,240.04

Service Code	APR-DRG 6811
Min. Negotiated Rate	$13,992.03
Max. Negotiated Rate	$18,240.04
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$13,992.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,240.04

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$23,938.16

Service Code	APR-DRG 6812
Min. Negotiated Rate	$18,363.09
Max. Negotiated Rate	$23,938.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,363.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,938.16

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$41,087.52

Service Code	APR-DRG 6813
Min. Negotiated Rate	$31,518.45
Max. Negotiated Rate	$41,087.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,518.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,087.52

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$87,420.94

Service Code	APR-DRG 6814
Min. Negotiated Rate	$67,061.06
Max. Negotiated Rate	$87,420.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$67,061.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,420.94

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$39,626.19

Service Code	APR-DRG 0293
Min. Negotiated Rate	$30,397.46
Max. Negotiated Rate	$39,626.19
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$30,397.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,626.19

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$65,449.55

Service Code	APR-DRG 0294
Min. Negotiated Rate	$50,206.69
Max. Negotiated Rate	$65,449.55
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$50,206.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,449.55

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$30,796.13

Service Code	APR-DRG 0292
Min. Negotiated Rate	$23,623.87
Max. Negotiated Rate	$30,796.13
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$23,623.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,796.13

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$29,329.48

Service Code	APR-DRG 0291
Min. Negotiated Rate	$22,498.80
Max. Negotiated Rate	$29,329.48
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,498.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,329.48

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$29,288.69

Service Code	APR-DRG 1821
Min. Negotiated Rate	$22,467.51
Max. Negotiated Rate	$29,288.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$22,467.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,288.69

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$38,489.40

Service Code	APR-DRG 1823
Min. Negotiated Rate	$29,525.42
Max. Negotiated Rate	$38,489.40
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$29,525.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,489.40

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$68,943.27

Service Code	APR-DRG 1824
Min. Negotiated Rate	$52,886.74
Max. Negotiated Rate	$68,943.27
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$52,886.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,943.27

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$31,803.45

Service Code	APR-DRG 1822
Min. Negotiated Rate	$24,396.60
Max. Negotiated Rate	$31,803.45
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$24,396.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,803.45

OTHER PNEUMONIA

Facility

$9,844.47

Service Code	APR-DRG 1392
Min. Negotiated Rate	$7,551.74
Max. Negotiated Rate	$9,844.47
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$7,551.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,844.47

OTHER PNEUMONIA

Facility

$13,645.00

Service Code	APR-DRG 1393
Min. Negotiated Rate	$10,467.15
Max. Negotiated Rate	$13,645.00
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,467.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,645.00

OTHER PNEUMONIA

Facility

$20,520.70

Service Code	APR-DRG 1394
Min. Negotiated Rate	$15,741.54
Max. Negotiated Rate	$20,520.70
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,741.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,520.70

OTHER PNEUMONIA

Facility

$7,097.39

Service Code	APR-DRG 1391
Min. Negotiated Rate	$5,444.45
Max. Negotiated Rate	$7,097.39
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,444.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,097.39

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$69,833.53

Service Code	APR-DRG 4054
Min. Negotiated Rate	$53,569.67
Max. Negotiated Rate	$69,833.53
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$53,569.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,833.53

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$20,549.09

Service Code	APR-DRG 4051
Min. Negotiated Rate	$15,763.31
Max. Negotiated Rate	$20,549.09
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,763.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,549.09

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$35,192.54

Service Code	APR-DRG 4053
Min. Negotiated Rate	$26,996.38
Max. Negotiated Rate	$35,192.54
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,996.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,192.54

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$23,168.49

Service Code	APR-DRG 4052
Min. Negotiated Rate	$17,772.67
Max. Negotiated Rate	$23,168.49
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$17,772.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,168.49

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$16,638.60

Service Code	APR-DRG 6511
Min. Negotiated Rate	$12,763.56
Max. Negotiated Rate	$16,638.60
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,763.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,638.60

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$24,356.71

Service Code	APR-DRG 6512
Min. Negotiated Rate	$18,684.16
Max. Negotiated Rate	$24,356.71
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,684.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,356.71

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$32,933.16

Service Code	APR-DRG 6513
Min. Negotiated Rate	$25,263.20
Max. Negotiated Rate	$32,933.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$25,263.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,933.16

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$75,669.99

Service Code	APR-DRG 6514
Min. Negotiated Rate	$58,046.85
Max. Negotiated Rate	$75,669.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$58,046.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,669.99

Know your out-of-pocket cost for care.

All Charges