Loma Linda University Children's Hospital

All Charges

Charge

Type

Setting

Price

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$41,412.06

Service Code	APR-DRG 1213
Min. Negotiated Rate	$31,767.41
Max. Negotiated Rate	$41,412.06
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,767.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,412.06

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$21,059.85

Service Code	APR-DRG 1211
Min. Negotiated Rate	$16,155.12
Max. Negotiated Rate	$21,059.85
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,155.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,059.85

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$68,769.46

Service Code	APR-DRG 1214
Min. Negotiated Rate	$52,753.41
Max. Negotiated Rate	$68,769.46
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$52,753.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,769.46

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$27,226.16

Service Code	APR-DRG 1212
Min. Negotiated Rate	$20,885.33
Max. Negotiated Rate	$27,226.16
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$20,885.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,226.16

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$7,897.22

Service Code	APR-DRG 1431
Min. Negotiated Rate	$6,058.00
Max. Negotiated Rate	$7,897.22
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,058.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,897.22

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$16,010.81

Service Code	APR-DRG 1433
Min. Negotiated Rate	$12,281.97
Max. Negotiated Rate	$16,010.81
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,281.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,010.81

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$24,659.97

Service Code	APR-DRG 1434
Min. Negotiated Rate	$18,916.79
Max. Negotiated Rate	$24,659.97
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,916.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,659.97

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$11,190.52

Service Code	APR-DRG 1432
Min. Negotiated Rate	$8,584.31
Max. Negotiated Rate	$11,190.52
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$8,584.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,190.52

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$64,931.68

Service Code	APR-DRG 3094
Min. Negotiated Rate	$49,809.44
Max. Negotiated Rate	$64,931.68
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$49,809.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$64,931.68

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$40,592.72

Service Code	APR-DRG 3093
Min. Negotiated Rate	$31,138.89
Max. Negotiated Rate	$40,592.72
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$31,138.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$40,592.72

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$28,542.07

Service Code	APR-DRG 3092
Min. Negotiated Rate	$21,894.77
Max. Negotiated Rate	$28,542.07
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,894.77
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,542.07

OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$21,460.63

Service Code	APR-DRG 3091
Min. Negotiated Rate	$16,462.56
Max. Negotiated Rate	$21,460.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$16,462.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,460.63

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$6,680.63

Service Code	APR-DRG 3851
Min. Negotiated Rate	$5,124.74
Max. Negotiated Rate	$6,680.63
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$5,124.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,680.63

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$8,812.31

Service Code	APR-DRG 3852
Min. Negotiated Rate	$6,759.97
Max. Negotiated Rate	$8,812.31
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$6,759.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,812.31

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$13,682.24

Service Code	APR-DRG 3853
Min. Negotiated Rate	$10,495.72
Max. Negotiated Rate	$13,682.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$10,495.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,682.24

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$27,449.62

Service Code	APR-DRG 3854
Min. Negotiated Rate	$21,056.75
Max. Negotiated Rate	$27,449.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$21,056.75
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,449.62

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$11,811.24

Service Code	APR-DRG 3641
Min. Negotiated Rate	$9,060.46
Max. Negotiated Rate	$11,811.24
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$9,060.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,811.24

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$26,060.99

Service Code	APR-DRG 3643
Min. Negotiated Rate	$19,991.52
Max. Negotiated Rate	$26,060.99
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$19,991.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,060.99

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$16,319.38

Service Code	APR-DRG 3642
Min. Negotiated Rate	$12,518.69
Max. Negotiated Rate	$16,319.38
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,518.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,319.38

OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$46,581.69

Service Code	APR-DRG 3644
Min. Negotiated Rate	$35,733.06
Max. Negotiated Rate	$46,581.69
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$35,733.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$46,581.69

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$61,248.21

Service Code	APR-DRG 2234
Min. Negotiated Rate	$46,983.82
Max. Negotiated Rate	$61,248.21
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$46,983.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,248.21

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$16,322.92

Service Code	APR-DRG 2231
Min. Negotiated Rate	$12,521.40
Max. Negotiated Rate	$16,322.92
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$12,521.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,322.92

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$34,706.62

Service Code	APR-DRG 2233
Min. Negotiated Rate	$26,623.63
Max. Negotiated Rate	$34,706.62
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$26,623.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,706.62

OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$24,693.65

Service Code	APR-DRG 2232
Min. Negotiated Rate	$18,942.63
Max. Negotiated Rate	$24,693.65
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$18,942.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,693.65

OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$20,009.94

Service Code	APR-DRG 2222
Min. Negotiated Rate	$15,349.73
Max. Negotiated Rate	$20,009.94
Rate for Payer: Inland Empire Health Plan (IEHP) Medi-Cal	$15,349.73
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,009.94

Know your out-of-pocket cost for care.

All Charges