Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$9,479.14

Service Code	APR-DRG 3512
Min. Negotiated Rate	$7,271.50
Max. Negotiated Rate	$9,479.14
Rate for Payer: IEHP Medi-Cal	$7,271.50
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,479.14

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility IP

$14,675.39

Service Code	APR-DRG 3513
Min. Negotiated Rate	$11,257.57
Max. Negotiated Rate	$14,675.39
Rate for Payer: IEHP Medi-Cal	$11,257.57
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$14,675.39

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$16,642.16

Service Code	APR-DRG 3201
Min. Negotiated Rate	$12,766.29
Max. Negotiated Rate	$16,642.16
Rate for Payer: IEHP Medi-Cal	$12,766.29
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,642.16

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$33,587.55

Service Code	APR-DRG 3203
Min. Negotiated Rate	$25,765.19
Max. Negotiated Rate	$33,587.55
Rate for Payer: IEHP Medi-Cal	$25,765.19
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$33,587.55

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$23,056.75

Service Code	APR-DRG 3202
Min. Negotiated Rate	$17,686.95
Max. Negotiated Rate	$23,056.75
Rate for Payer: IEHP Medi-Cal	$17,686.95
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,056.75

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility IP

$57,304.04

Service Code	APR-DRG 3204
Min. Negotiated Rate	$43,958.23
Max. Negotiated Rate	$57,304.04
Rate for Payer: IEHP Medi-Cal	$43,958.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$57,304.04

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$37,714.39

Service Code	APR-DRG 0263
Min. Negotiated Rate	$28,930.91
Max. Negotiated Rate	$37,714.39
Rate for Payer: IEHP Medi-Cal	$28,930.91
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$37,714.39

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$24,667.05

Service Code	APR-DRG 0262
Min. Negotiated Rate	$18,922.23
Max. Negotiated Rate	$24,667.05
Rate for Payer: IEHP Medi-Cal	$18,922.23
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,667.05

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$19,470.82

Service Code	APR-DRG 0261
Min. Negotiated Rate	$14,936.17
Max. Negotiated Rate	$19,470.82
Rate for Payer: IEHP Medi-Cal	$14,936.17
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$19,470.82

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility IP

$70,413.45

Service Code	APR-DRG 0264
Min. Negotiated Rate	$54,014.53
Max. Negotiated Rate	$70,413.45
Rate for Payer: IEHP Medi-Cal	$54,014.53
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$70,413.45

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$6,810.09

Service Code	APR-DRG 4251
Min. Negotiated Rate	$5,224.06
Max. Negotiated Rate	$6,810.09
Rate for Payer: IEHP Medi-Cal	$5,224.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$6,810.09

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$22,317.23

Service Code	APR-DRG 4254
Min. Negotiated Rate	$17,119.66
Max. Negotiated Rate	$22,317.23
Rate for Payer: IEHP Medi-Cal	$17,119.66
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$22,317.23

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$11,288.07

Service Code	APR-DRG 4253
Min. Negotiated Rate	$8,659.14
Max. Negotiated Rate	$11,288.07
Rate for Payer: IEHP Medi-Cal	$8,659.14
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,288.07

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility IP

$8,340.58

Service Code	APR-DRG 4252
Min. Negotiated Rate	$6,398.10
Max. Negotiated Rate	$8,340.58
Rate for Payer: IEHP Medi-Cal	$6,398.10
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$8,340.58

OTHER OPEN CRANIOTOMY

Facility IP

$25,887.20

Service Code	APR-DRG 0271
Min. Negotiated Rate	$19,858.20
Max. Negotiated Rate	$25,887.20
Rate for Payer: IEHP Medi-Cal	$19,858.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$25,887.20

OTHER OPEN CRANIOTOMY

Facility IP

$30,134.63

Service Code	APR-DRG 0272
Min. Negotiated Rate	$23,116.43
Max. Negotiated Rate	$30,134.63
Rate for Payer: IEHP Medi-Cal	$23,116.43
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,134.63

OTHER OPEN CRANIOTOMY

Facility IP

$80,729.67

Service Code	APR-DRG 0274
Min. Negotiated Rate	$61,928.15
Max. Negotiated Rate	$80,729.67
Rate for Payer: IEHP Medi-Cal	$61,928.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$80,729.67

OTHER OPEN CRANIOTOMY

Facility IP

$48,963.46

Service Code	APR-DRG 0273
Min. Negotiated Rate	$37,560.12
Max. Negotiated Rate	$48,963.46
Rate for Payer: IEHP Medi-Cal	$37,560.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$48,963.46

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$41,087.52

Service Code	APR-DRG 6813
Min. Negotiated Rate	$31,518.45
Max. Negotiated Rate	$41,087.52
Rate for Payer: IEHP Medi-Cal	$31,518.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,087.52

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$18,240.04

Service Code	APR-DRG 6811
Min. Negotiated Rate	$13,992.03
Max. Negotiated Rate	$18,240.04
Rate for Payer: IEHP Medi-Cal	$13,992.03
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$18,240.04

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$87,420.94

Service Code	APR-DRG 6814
Min. Negotiated Rate	$67,061.06
Max. Negotiated Rate	$87,420.94
Rate for Payer: IEHP Medi-Cal	$67,061.06
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$87,420.94

OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility IP

$23,938.16

Service Code	APR-DRG 6812
Min. Negotiated Rate	$18,363.09
Max. Negotiated Rate	$23,938.16
Rate for Payer: IEHP Medi-Cal	$18,363.09
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,938.16

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$65,449.55

Service Code	APR-DRG 0294
Min. Negotiated Rate	$50,206.69
Max. Negotiated Rate	$65,449.55
Rate for Payer: IEHP Medi-Cal	$50,206.69
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$65,449.55

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$29,329.48

Service Code	APR-DRG 0291
Min. Negotiated Rate	$22,498.80
Max. Negotiated Rate	$29,329.48
Rate for Payer: IEHP Medi-Cal	$22,498.80
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,329.48

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$39,626.19

Service Code	APR-DRG 0293
Min. Negotiated Rate	$30,397.46
Max. Negotiated Rate	$39,626.19
Rate for Payer: IEHP Medi-Cal	$30,397.46
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$39,626.19

Price Transparency.

All Charges