Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER ENDOCRINE DISORDERS

Facility IP

$15,675.61

Service Code	APR-DRG 4243
Min. Negotiated Rate	$12,024.84
Max. Negotiated Rate	$15,675.61
Rate for Payer: IEHP Medi-Cal	$12,024.84
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,675.61

OTHER ENDOCRINE DISORDERS

Facility IP

$27,704.98

Service Code	APR-DRG 4244
Min. Negotiated Rate	$21,252.64
Max. Negotiated Rate	$27,704.98
Rate for Payer: IEHP Medi-Cal	$21,252.64
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,704.98

OTHER ENDOCRINE DISORDERS

Facility IP

$10,660.27

Service Code	APR-DRG 4242
Min. Negotiated Rate	$8,177.55
Max. Negotiated Rate	$10,660.27
Rate for Payer: IEHP Medi-Cal	$8,177.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,660.27

OTHER ENDOCRINE DISORDERS

Facility IP

$7,659.56

Service Code	APR-DRG 4241
Min. Negotiated Rate	$5,875.69
Max. Negotiated Rate	$7,659.56
Rate for Payer: IEHP Medi-Cal	$5,875.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,659.56

OTHER ESOPHAGEAL DISORDERS

Facility IP

$10,507.76

Service Code	APR-DRG 2432
Min. Negotiated Rate	$8,060.56
Max. Negotiated Rate	$10,507.76
Rate for Payer: IEHP Medi-Cal	$8,060.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,507.76

OTHER ESOPHAGEAL DISORDERS

Facility IP

$15,317.38

Service Code	APR-DRG 2433
Min. Negotiated Rate	$11,750.04
Max. Negotiated Rate	$15,317.38
Rate for Payer: IEHP Medi-Cal	$11,750.04
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$15,317.38

OTHER ESOPHAGEAL DISORDERS

Facility IP

$8,170.32

Service Code	APR-DRG 2431
Min. Negotiated Rate	$6,267.50
Max. Negotiated Rate	$8,170.32
Rate for Payer: IEHP Medi-Cal	$6,267.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,170.32

OTHER ESOPHAGEAL DISORDERS

Facility IP

$27,587.94

Service Code	APR-DRG 2434
Min. Negotiated Rate	$21,162.86
Max. Negotiated Rate	$27,587.94
Rate for Payer: IEHP Medi-Cal	$21,162.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,587.94

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$18,605.37

Service Code	APR-DRG 5182
Min. Negotiated Rate	$14,272.28
Max. Negotiated Rate	$18,605.37
Rate for Payer: IEHP Medi-Cal	$14,272.28
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,605.37

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$12,820.34

Service Code	APR-DRG 5181
Min. Negotiated Rate	$9,834.55
Max. Negotiated Rate	$12,820.34
Rate for Payer: IEHP Medi-Cal	$9,834.55
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,820.34

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$57,387.39

Service Code	APR-DRG 5184
Min. Negotiated Rate	$44,022.17
Max. Negotiated Rate	$57,387.39
Rate for Payer: IEHP Medi-Cal	$44,022.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,387.39

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$31,290.93

Service Code	APR-DRG 5183
Min. Negotiated Rate	$24,003.44
Max. Negotiated Rate	$31,290.93
Rate for Payer: IEHP Medi-Cal	$24,003.44
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,290.93

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$12,602.21

Service Code	APR-DRG 2493
Min. Negotiated Rate	$9,667.22
Max. Negotiated Rate	$12,602.21
Rate for Payer: IEHP Medi-Cal	$9,667.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$12,602.21

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$8,714.79

Service Code	APR-DRG 2492
Min. Negotiated Rate	$6,685.16
Max. Negotiated Rate	$8,714.79
Rate for Payer: IEHP Medi-Cal	$6,685.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,714.79

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$6,971.48

Service Code	APR-DRG 2491
Min. Negotiated Rate	$5,347.86
Max. Negotiated Rate	$6,971.48
Rate for Payer: IEHP Medi-Cal	$5,347.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,971.48

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility IP

$23,196.85

Service Code	APR-DRG 2494
Min. Negotiated Rate	$17,794.43
Max. Negotiated Rate	$23,196.85
Rate for Payer: IEHP Medi-Cal	$17,794.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,196.85

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$22,854.59

Service Code	APR-DRG 2642
Min. Negotiated Rate	$17,531.87
Max. Negotiated Rate	$22,854.59
Rate for Payer: IEHP Medi-Cal	$17,531.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,854.59

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$20,889.59

Service Code	APR-DRG 2641
Min. Negotiated Rate	$16,024.51
Max. Negotiated Rate	$20,889.59
Rate for Payer: IEHP Medi-Cal	$16,024.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,889.59

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$33,216.90

Service Code	APR-DRG 2643
Min. Negotiated Rate	$25,480.86
Max. Negotiated Rate	$33,216.90
Rate for Payer: IEHP Medi-Cal	$25,480.86
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,216.90

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility IP

$70,599.67

Service Code	APR-DRG 2644
Min. Negotiated Rate	$54,157.38
Max. Negotiated Rate	$70,599.67
Rate for Payer: IEHP Medi-Cal	$54,157.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,599.67

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$17,527.10

Service Code	APR-DRG 7243
Min. Negotiated Rate	$13,445.13
Max. Negotiated Rate	$17,527.10
Rate for Payer: IEHP Medi-Cal	$13,445.13
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,527.10

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$10,505.97

Service Code	APR-DRG 7242
Min. Negotiated Rate	$8,059.19
Max. Negotiated Rate	$10,505.97
Rate for Payer: IEHP Medi-Cal	$8,059.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$10,505.97

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$8,767.99

Service Code	APR-DRG 7241
Min. Negotiated Rate	$6,725.97
Max. Negotiated Rate	$8,767.99
Rate for Payer: IEHP Medi-Cal	$6,725.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,767.99

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility IP

$35,316.69

Service Code	APR-DRG 7244
Min. Negotiated Rate	$27,091.62
Max. Negotiated Rate	$35,316.69
Rate for Payer: IEHP Medi-Cal	$27,091.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,316.69

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$8,606.60

Service Code	APR-DRG 8152
Min. Negotiated Rate	$6,602.17
Max. Negotiated Rate	$8,606.60
Rate for Payer: IEHP Medi-Cal	$6,602.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,606.60

Price Transparency.

All Charges