Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$14,100.77

Service Code	APR-DRG 8153
Min. Negotiated Rate	$10,816.78
Max. Negotiated Rate	$14,100.77
Rate for Payer: IEHP Medi-Cal	$10,816.78
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,100.77

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$29,613.23

Service Code	APR-DRG 8154
Min. Negotiated Rate	$22,716.46
Max. Negotiated Rate	$29,613.23
Rate for Payer: IEHP Medi-Cal	$22,716.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,613.23

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility IP

$6,043.96

Service Code	APR-DRG 8151
Min. Negotiated Rate	$4,636.35
Max. Negotiated Rate	$6,043.96
Rate for Payer: IEHP Medi-Cal	$4,636.35
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,043.96

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$14,159.31

Service Code	APR-DRG 4683
Min. Negotiated Rate	$10,861.68
Max. Negotiated Rate	$14,159.31
Rate for Payer: IEHP Medi-Cal	$10,861.68
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,159.31

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$7,210.88

Service Code	APR-DRG 4681
Min. Negotiated Rate	$5,531.50
Max. Negotiated Rate	$7,210.88
Rate for Payer: IEHP Medi-Cal	$5,531.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,210.88

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$24,819.57

Service Code	APR-DRG 4684
Min. Negotiated Rate	$19,039.22
Max. Negotiated Rate	$24,819.57
Rate for Payer: IEHP Medi-Cal	$19,039.22
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,819.57

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility IP

$9,917.18

Service Code	APR-DRG 4682
Min. Negotiated Rate	$7,607.52
Max. Negotiated Rate	$9,917.18
Rate for Payer: IEHP Medi-Cal	$7,607.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,917.18

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$33,174.34

Service Code	APR-DRG 4473
Min. Negotiated Rate	$25,448.21
Max. Negotiated Rate	$33,174.34
Rate for Payer: IEHP Medi-Cal	$25,448.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,174.34

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$67,629.13

Service Code	APR-DRG 4474
Min. Negotiated Rate	$51,878.66
Max. Negotiated Rate	$67,629.13
Rate for Payer: IEHP Medi-Cal	$51,878.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$67,629.13

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$23,766.13

Service Code	APR-DRG 4472
Min. Negotiated Rate	$18,231.12
Max. Negotiated Rate	$23,766.13
Rate for Payer: IEHP Medi-Cal	$18,231.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,766.13

OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES

Facility IP

$19,630.42

Service Code	APR-DRG 4471
Min. Negotiated Rate	$15,058.60
Max. Negotiated Rate	$19,630.42
Rate for Payer: IEHP Medi-Cal	$15,058.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,630.42

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$23,148.97

Service Code	APR-DRG 0911
Min. Negotiated Rate	$17,757.70
Max. Negotiated Rate	$23,148.97
Rate for Payer: IEHP Medi-Cal	$17,757.70
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,148.97

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$96,930.23

Service Code	APR-DRG 0914
Min. Negotiated Rate	$74,355.69
Max. Negotiated Rate	$96,930.23
Rate for Payer: IEHP Medi-Cal	$74,355.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$96,930.23

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$61,868.92

Service Code	APR-DRG 0913
Min. Negotiated Rate	$47,459.97
Max. Negotiated Rate	$61,868.92
Rate for Payer: IEHP Medi-Cal	$47,459.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$61,868.92

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility IP

$34,750.94

Service Code	APR-DRG 0912
Min. Negotiated Rate	$26,657.63
Max. Negotiated Rate	$34,750.94
Rate for Payer: IEHP Medi-Cal	$26,657.63
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$34,750.94

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$17,362.18

Service Code	APR-DRG 4841
Min. Negotiated Rate	$13,318.62
Max. Negotiated Rate	$17,362.18
Rate for Payer: IEHP Medi-Cal	$13,318.62
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$17,362.18

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$26,608.99

Service Code	APR-DRG 4843
Min. Negotiated Rate	$20,411.89
Max. Negotiated Rate	$26,608.99
Rate for Payer: IEHP Medi-Cal	$20,411.89
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$26,608.99

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$58,653.65

Service Code	APR-DRG 4844
Min. Negotiated Rate	$44,993.52
Max. Negotiated Rate	$58,653.65
Rate for Payer: IEHP Medi-Cal	$44,993.52
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$58,653.65

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility IP

$22,189.53

Service Code	APR-DRG 4842
Min. Negotiated Rate	$17,021.71
Max. Negotiated Rate	$22,189.53
Rate for Payer: IEHP Medi-Cal	$17,021.71
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,189.53

OTHER MENTAL HEALTH DISORDERS

Facility IP

$9,981.04

Service Code	APR-DRG 7602
Min. Negotiated Rate	$7,656.51
Max. Negotiated Rate	$9,981.04
Rate for Payer: IEHP Medi-Cal	$7,656.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,981.04

OTHER MENTAL HEALTH DISORDERS

Facility IP

$8,120.68

Service Code	APR-DRG 7601
Min. Negotiated Rate	$6,229.41
Max. Negotiated Rate	$8,120.68
Rate for Payer: IEHP Medi-Cal	$6,229.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,120.68

OTHER MENTAL HEALTH DISORDERS

Facility IP

$23,422.08

Service Code	APR-DRG 7604
Min. Negotiated Rate	$17,967.20
Max. Negotiated Rate	$23,422.08
Rate for Payer: IEHP Medi-Cal	$17,967.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,422.08

OTHER MENTAL HEALTH DISORDERS

Facility IP

$13,966.01

Service Code	APR-DRG 7603
Min. Negotiated Rate	$10,713.40
Max. Negotiated Rate	$13,966.01
Rate for Payer: IEHP Medi-Cal	$10,713.40
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,966.01

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$7,476.90

Service Code	APR-DRG 3511
Min. Negotiated Rate	$5,735.57
Max. Negotiated Rate	$7,476.90
Rate for Payer: IEHP Medi-Cal	$5,735.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,476.90

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$25,779.01

Service Code	APR-DRG 3514
Min. Negotiated Rate	$19,775.21
Max. Negotiated Rate	$25,779.01
Rate for Payer: IEHP Medi-Cal	$19,775.21
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,779.01

Price Transparency.

All Charges