Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility IP

$63,693.81

Service Code	APR-DRG 2294
Min. Negotiated Rate	$48,859.86
Max. Negotiated Rate	$63,693.81
Rate for Payer: IEHP Medi-Cal	$48,859.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$63,693.81

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$27,105.57

Service Code	APR-DRG 2544
Min. Negotiated Rate	$20,792.83
Max. Negotiated Rate	$27,105.57
Rate for Payer: IEHP Medi-Cal	$20,792.83
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,105.57

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$10,727.67

Service Code	APR-DRG 2542
Min. Negotiated Rate	$8,229.25
Max. Negotiated Rate	$10,727.67
Rate for Payer: IEHP Medi-Cal	$8,229.25
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,727.67

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$7,684.40

Service Code	APR-DRG 2541
Min. Negotiated Rate	$5,894.74
Max. Negotiated Rate	$7,684.40
Rate for Payer: IEHP Medi-Cal	$5,894.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,684.40

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility IP

$15,425.55

Service Code	APR-DRG 2543
Min. Negotiated Rate	$11,833.02
Max. Negotiated Rate	$15,425.55
Rate for Payer: IEHP Medi-Cal	$11,833.02
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,425.55

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$21,371.96

Service Code	APR-DRG 0583
Min. Negotiated Rate	$16,394.54
Max. Negotiated Rate	$21,371.96
Rate for Payer: IEHP Medi-Cal	$16,394.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,371.96

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$12,157.07

Service Code	APR-DRG 0581
Min. Negotiated Rate	$9,325.76
Max. Negotiated Rate	$12,157.07
Rate for Payer: IEHP Medi-Cal	$9,325.76
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,157.07

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$29,740.93

Service Code	APR-DRG 0584
Min. Negotiated Rate	$22,814.42
Max. Negotiated Rate	$29,740.93
Rate for Payer: IEHP Medi-Cal	$22,814.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,740.93

OTHER DISORDERS OF NERVOUS SYSTEM

Facility IP

$16,314.06

Service Code	APR-DRG 0582
Min. Negotiated Rate	$12,514.61
Max. Negotiated Rate	$16,314.06
Rate for Payer: IEHP Medi-Cal	$12,514.61
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,314.06

OTHER DISORDERS OF THE LIVER

Facility IP

$10,018.28

Service Code	APR-DRG 2832
Min. Negotiated Rate	$7,685.08
Max. Negotiated Rate	$10,018.28
Rate for Payer: IEHP Medi-Cal	$7,685.08
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,018.28

OTHER DISORDERS OF THE LIVER

Facility IP

$14,576.06

Service Code	APR-DRG 2833
Min. Negotiated Rate	$11,181.37
Max. Negotiated Rate	$14,576.06
Rate for Payer: IEHP Medi-Cal	$11,181.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,576.06

OTHER DISORDERS OF THE LIVER

Facility IP

$27,330.80

Service Code	APR-DRG 2834
Min. Negotiated Rate	$20,965.60
Max. Negotiated Rate	$27,330.80
Rate for Payer: IEHP Medi-Cal	$20,965.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,330.80

OTHER DISORDERS OF THE LIVER

Facility IP

$7,828.06

Service Code	APR-DRG 2831
Min. Negotiated Rate	$6,004.94
Max. Negotiated Rate	$7,828.06
Rate for Payer: IEHP Medi-Cal	$6,004.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,828.06

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$6,214.20

Service Code	APR-DRG 7761
Min. Negotiated Rate	$4,766.94
Max. Negotiated Rate	$6,214.20
Rate for Payer: IEHP Medi-Cal	$4,766.94
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,214.20

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$11,910.55

Service Code	APR-DRG 7763
Min. Negotiated Rate	$9,136.64
Max. Negotiated Rate	$11,910.55
Rate for Payer: IEHP Medi-Cal	$9,136.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,910.55

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$6,811.86

Service Code	APR-DRG 7762
Min. Negotiated Rate	$5,225.41
Max. Negotiated Rate	$6,811.86
Rate for Payer: IEHP Medi-Cal	$5,225.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,811.86

OTHER DRUG ABUSE AND DEPENDENCE

Facility IP

$20,595.18

Service Code	APR-DRG 7764
Min. Negotiated Rate	$15,798.67
Max. Negotiated Rate	$20,595.18
Rate for Payer: IEHP Medi-Cal	$15,798.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,595.18

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$52,047.50

Service Code	APR-DRG 0984
Min. Negotiated Rate	$39,925.91
Max. Negotiated Rate	$52,047.50
Rate for Payer: IEHP Medi-Cal	$39,925.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$52,047.50

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$13,102.32

Service Code	APR-DRG 0981
Min. Negotiated Rate	$10,050.86
Max. Negotiated Rate	$13,102.32
Rate for Payer: IEHP Medi-Cal	$10,050.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,102.32

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$30,507.06

Service Code	APR-DRG 0983
Min. Negotiated Rate	$23,402.13
Max. Negotiated Rate	$30,507.06
Rate for Payer: IEHP Medi-Cal	$23,402.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,507.06

OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility IP

$18,140.72

Service Code	APR-DRG 0982
Min. Negotiated Rate	$13,915.85
Max. Negotiated Rate	$18,140.72
Rate for Payer: IEHP Medi-Cal	$13,915.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,140.72

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$7,115.12

Service Code	APR-DRG 1151
Min. Negotiated Rate	$5,458.05
Max. Negotiated Rate	$7,115.12
Rate for Payer: IEHP Medi-Cal	$5,458.05
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,115.12

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$27,219.06

Service Code	APR-DRG 1154
Min. Negotiated Rate	$20,879.88
Max. Negotiated Rate	$27,219.06
Rate for Payer: IEHP Medi-Cal	$20,879.88
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,219.06

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$9,832.06

Service Code	APR-DRG 1152
Min. Negotiated Rate	$7,542.23
Max. Negotiated Rate	$9,832.06
Rate for Payer: IEHP Medi-Cal	$7,542.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,832.06

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility IP

$14,881.10

Service Code	APR-DRG 1153
Min. Negotiated Rate	$11,415.37
Max. Negotiated Rate	$14,881.10
Rate for Payer: IEHP Medi-Cal	$11,415.37
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,881.10

Price Transparency.

All Charges