Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility IP

$315,720.23

Service Code	APR-DRG 5883
Min. Negotiated Rate	$242,190.65
Max. Negotiated Rate	$315,720.23
Rate for Payer: IEHP Medi-Cal	$242,190.65
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$315,720.23

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$2,456.24

Service Code	APR-DRG 6261
Min. Negotiated Rate	$1,884.20
Max. Negotiated Rate	$2,456.24
Rate for Payer: IEHP Medi-Cal	$1,884.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$2,456.24

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$67,292.17

Service Code	APR-DRG 6264
Min. Negotiated Rate	$51,620.18
Max. Negotiated Rate	$67,292.17
Rate for Payer: IEHP Medi-Cal	$51,620.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,292.17

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$8,481.58

Service Code	APR-DRG 6263
Min. Negotiated Rate	$6,506.27
Max. Negotiated Rate	$8,481.58
Rate for Payer: IEHP Medi-Cal	$6,506.27
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,481.58

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$2,865.90

Service Code	APR-DRG 6262
Min. Negotiated Rate	$2,198.45
Max. Negotiated Rate	$2,865.90
Rate for Payer: IEHP Medi-Cal	$2,198.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$2,865.90

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$28,481.76

Service Code	APR-DRG 6232
Min. Negotiated Rate	$21,848.51
Max. Negotiated Rate	$28,481.76
Rate for Payer: IEHP Medi-Cal	$21,848.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,481.76

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$17,559.48

Service Code	APR-DRG 6231
Min. Negotiated Rate	$13,469.97
Max. Negotiated Rate	$17,559.48
Rate for Payer: IEHP Medi-Cal	$13,469.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,559.48

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$62,667.43

Service Code	APR-DRG 6233
Min. Negotiated Rate	$48,072.52
Max. Negotiated Rate	$62,667.43
Rate for Payer: IEHP Medi-Cal	$48,072.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$62,667.43

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility IP

$109,432.76

Service Code	APR-DRG 6234
Min. Negotiated Rate	$83,946.45
Max. Negotiated Rate	$109,432.76
Rate for Payer: IEHP Medi-Cal	$83,946.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$109,432.76

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$151,069.00

Service Code	APR-DRG 6214
Min. Negotiated Rate	$115,885.82
Max. Negotiated Rate	$151,069.00
Rate for Payer: IEHP Medi-Cal	$115,885.82
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$151,069.00

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$25,894.74

Service Code	APR-DRG 6212
Min. Negotiated Rate	$19,863.99
Max. Negotiated Rate	$25,894.74
Rate for Payer: IEHP Medi-Cal	$19,863.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,894.74

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$7,996.09

Service Code	APR-DRG 6211
Min. Negotiated Rate	$6,133.85
Max. Negotiated Rate	$7,996.09
Rate for Payer: IEHP Medi-Cal	$6,133.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,996.09

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility IP

$61,581.18

Service Code	APR-DRG 6213
Min. Negotiated Rate	$47,239.25
Max. Negotiated Rate	$61,581.18
Rate for Payer: IEHP Medi-Cal	$47,239.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,581.18

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$49,894.08

Service Code	APR-DRG 6253
Min. Negotiated Rate	$38,274.01
Max. Negotiated Rate	$49,894.08
Rate for Payer: IEHP Medi-Cal	$38,274.01
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$49,894.08

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$27,588.38

Service Code	APR-DRG 6252
Min. Negotiated Rate	$21,163.19
Max. Negotiated Rate	$27,588.38
Rate for Payer: IEHP Medi-Cal	$21,163.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,588.38

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$100,813.75

Service Code	APR-DRG 6254
Min. Negotiated Rate	$77,334.76
Max. Negotiated Rate	$100,813.75
Rate for Payer: IEHP Medi-Cal	$77,334.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$100,813.75

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility IP

$20,288.39

Service Code	APR-DRG 6251
Min. Negotiated Rate	$15,563.33
Max. Negotiated Rate	$20,288.39
Rate for Payer: IEHP Medi-Cal	$15,563.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,288.39

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$48,222.59

Service Code	APR-DRG 6223
Min. Negotiated Rate	$36,991.80
Max. Negotiated Rate	$48,222.59
Rate for Payer: IEHP Medi-Cal	$36,991.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,222.59

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$28,430.78

Service Code	APR-DRG 6221
Min. Negotiated Rate	$21,809.40
Max. Negotiated Rate	$28,430.78
Rate for Payer: IEHP Medi-Cal	$21,809.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$28,430.78

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$119,239.29

Service Code	APR-DRG 6224
Min. Negotiated Rate	$91,469.09
Max. Negotiated Rate	$119,239.29
Rate for Payer: IEHP Medi-Cal	$91,469.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$119,239.29

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility IP

$42,523.14

Service Code	APR-DRG 6222
Min. Negotiated Rate	$32,619.72
Max. Negotiated Rate	$42,523.14
Rate for Payer: IEHP Medi-Cal	$32,619.72
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$42,523.14

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$2,261.17

Service Code	APR-DRG 6402
Min. Negotiated Rate	$1,734.56
Max. Negotiated Rate	$2,261.17
Rate for Payer: IEHP Medi-Cal	$1,734.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$2,261.17

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$1,709.62

Service Code	APR-DRG 6401
Min. Negotiated Rate	$1,311.46
Max. Negotiated Rate	$1,709.62
Rate for Payer: IEHP Medi-Cal	$1,311.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$1,709.62

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$55,525.62

Service Code	APR-DRG 6404
Min. Negotiated Rate	$42,593.99
Max. Negotiated Rate	$55,525.62
Rate for Payer: IEHP Medi-Cal	$42,593.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$55,525.62

NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility IP

$4,087.83

Service Code	APR-DRG 6403
Min. Negotiated Rate	$3,135.80
Max. Negotiated Rate	$4,087.83
Rate for Payer: IEHP Medi-Cal	$3,135.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$4,087.83

Price Transparency.

All Charges