Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER BLADDER PROCEDURES

Facility IP

$26,889.20

Service Code	APR-DRG 4453
Min. Negotiated Rate	$20,626.85
Max. Negotiated Rate	$26,889.20
Rate for Payer: IEHP Medi-Cal	$20,626.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,889.20

OTHER BLADDER PROCEDURES

Facility IP

$19,146.28

Service Code	APR-DRG 4452
Min. Negotiated Rate	$14,687.21
Max. Negotiated Rate	$19,146.28
Rate for Payer: IEHP Medi-Cal	$14,687.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,146.28

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$47,207.72

Service Code	APR-DRG 1672
Min. Negotiated Rate	$36,213.29
Max. Negotiated Rate	$47,207.72
Rate for Payer: IEHP Medi-Cal	$36,213.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$47,207.72

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$45,416.54

Service Code	APR-DRG 1671
Min. Negotiated Rate	$34,839.26
Max. Negotiated Rate	$45,416.54
Rate for Payer: IEHP Medi-Cal	$34,839.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$45,416.54

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$114,425.41

Service Code	APR-DRG 1674
Min. Negotiated Rate	$87,776.33
Max. Negotiated Rate	$114,425.41
Rate for Payer: IEHP Medi-Cal	$87,776.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$114,425.41

OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES

Facility IP

$71,268.26

Service Code	APR-DRG 1673
Min. Negotiated Rate	$54,670.26
Max. Negotiated Rate	$71,268.26
Rate for Payer: IEHP Medi-Cal	$54,670.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$71,268.26

OTHER CHEMOTHERAPY

Facility IP

$12,955.13

Service Code	APR-DRG 6962
Min. Negotiated Rate	$9,937.95
Max. Negotiated Rate	$12,955.13
Rate for Payer: IEHP Medi-Cal	$9,937.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,955.13

OTHER CHEMOTHERAPY

Facility IP

$38,335.10

Service Code	APR-DRG 6964
Min. Negotiated Rate	$29,407.06
Max. Negotiated Rate	$38,335.10
Rate for Payer: IEHP Medi-Cal	$29,407.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,335.10

OTHER CHEMOTHERAPY

Facility IP

$10,174.35

Service Code	APR-DRG 6961
Min. Negotiated Rate	$7,804.80
Max. Negotiated Rate	$10,174.35
Rate for Payer: IEHP Medi-Cal	$7,804.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,174.35

OTHER CHEMOTHERAPY

Facility IP

$19,286.39

Service Code	APR-DRG 6963
Min. Negotiated Rate	$14,794.69
Max. Negotiated Rate	$19,286.39
Rate for Payer: IEHP Medi-Cal	$14,794.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,286.39

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$24,548.23

Service Code	APR-DRG 2074
Min. Negotiated Rate	$18,831.07
Max. Negotiated Rate	$24,548.23
Rate for Payer: IEHP Medi-Cal	$18,831.07
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,548.23

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$14,485.62

Service Code	APR-DRG 2073
Min. Negotiated Rate	$11,111.99
Max. Negotiated Rate	$14,485.62
Rate for Payer: IEHP Medi-Cal	$11,111.99
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,485.62

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$10,415.53

Service Code	APR-DRG 2072
Min. Negotiated Rate	$7,989.81
Max. Negotiated Rate	$10,415.53
Rate for Payer: IEHP Medi-Cal	$7,989.81
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,415.53

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility IP

$8,312.22

Service Code	APR-DRG 2071
Min. Negotiated Rate	$6,376.34
Max. Negotiated Rate	$8,312.22
Rate for Payer: IEHP Medi-Cal	$6,376.34
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,312.22

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$22,960.99

Service Code	APR-DRG 1802
Min. Negotiated Rate	$17,613.49
Max. Negotiated Rate	$22,960.99
Rate for Payer: IEHP Medi-Cal	$17,613.49
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,960.99

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$31,727.21

Service Code	APR-DRG 1803
Min. Negotiated Rate	$24,338.11
Max. Negotiated Rate	$31,727.21
Rate for Payer: IEHP Medi-Cal	$24,338.11
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,727.21

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$58,396.50

Service Code	APR-DRG 1804
Min. Negotiated Rate	$44,796.26
Max. Negotiated Rate	$58,396.50
Rate for Payer: IEHP Medi-Cal	$44,796.26
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,396.50

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility IP

$18,392.55

Service Code	APR-DRG 1801
Min. Negotiated Rate	$14,109.02
Max. Negotiated Rate	$18,392.55
Rate for Payer: IEHP Medi-Cal	$14,109.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,392.55

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$8,643.84

Service Code	APR-DRG 8131
Min. Negotiated Rate	$6,630.74
Max. Negotiated Rate	$8,643.84
Rate for Payer: IEHP Medi-Cal	$6,630.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,643.84

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$15,443.30

Service Code	APR-DRG 8133
Min. Negotiated Rate	$11,846.63
Max. Negotiated Rate	$15,443.30
Rate for Payer: IEHP Medi-Cal	$11,846.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,443.30

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$27,680.17

Service Code	APR-DRG 8134
Min. Negotiated Rate	$21,233.60
Max. Negotiated Rate	$27,680.17
Rate for Payer: IEHP Medi-Cal	$21,233.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,680.17

OTHER COMPLICATIONS OF TREATMENT

Facility IP

$10,647.85

Service Code	APR-DRG 8132
Min. Negotiated Rate	$8,168.02
Max. Negotiated Rate	$10,647.85
Rate for Payer: IEHP Medi-Cal	$8,168.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,647.85

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$17,731.05

Service Code	APR-DRG 2291
Min. Negotiated Rate	$13,601.58
Max. Negotiated Rate	$17,731.05
Rate for Payer: IEHP Medi-Cal	$13,601.58
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,731.05

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$24,445.38

Service Code	APR-DRG 2292
Min. Negotiated Rate	$18,752.18
Max. Negotiated Rate	$24,445.38
Rate for Payer: IEHP Medi-Cal	$18,752.18
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,445.38

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$36,911.02

Service Code	APR-DRG 2293
Min. Negotiated Rate	$28,314.63
Max. Negotiated Rate	$36,911.02
Rate for Payer: IEHP Medi-Cal	$28,314.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$36,911.02

Price Transparency.

All Charges