Loma Linda University Children's Hospital

All Charges

Charge

Type

Price

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility IP

$30,796.13

Service Code	APR-DRG 0292
Min. Negotiated Rate	$23,623.87
Max. Negotiated Rate	$30,796.13
Rate for Payer: IEHP Medi-Cal	$23,623.87
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$30,796.13

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$29,288.69

Service Code	APR-DRG 1821
Min. Negotiated Rate	$22,467.51
Max. Negotiated Rate	$29,288.69
Rate for Payer: IEHP Medi-Cal	$22,467.51
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$29,288.69

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$38,489.40

Service Code	APR-DRG 1823
Min. Negotiated Rate	$29,525.42
Max. Negotiated Rate	$38,489.40
Rate for Payer: IEHP Medi-Cal	$29,525.42
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$38,489.40

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$68,943.27

Service Code	APR-DRG 1824
Min. Negotiated Rate	$52,886.74
Max. Negotiated Rate	$68,943.27
Rate for Payer: IEHP Medi-Cal	$52,886.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,943.27

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility IP

$31,803.45

Service Code	APR-DRG 1822
Min. Negotiated Rate	$24,396.60
Max. Negotiated Rate	$31,803.45
Rate for Payer: IEHP Medi-Cal	$24,396.60
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$31,803.45

OTHER PNEUMONIA

Facility IP

$20,520.70

Service Code	APR-DRG 1394
Min. Negotiated Rate	$15,741.54
Max. Negotiated Rate	$20,520.70
Rate for Payer: IEHP Medi-Cal	$15,741.54
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,520.70

OTHER PNEUMONIA

Facility IP

$9,844.47

Service Code	APR-DRG 1392
Min. Negotiated Rate	$7,551.74
Max. Negotiated Rate	$9,844.47
Rate for Payer: IEHP Medi-Cal	$7,551.74
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$9,844.47

OTHER PNEUMONIA

Facility IP

$7,097.39

Service Code	APR-DRG 1391
Min. Negotiated Rate	$5,444.45
Max. Negotiated Rate	$7,097.39
Rate for Payer: IEHP Medi-Cal	$5,444.45
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,097.39

OTHER PNEUMONIA

Facility IP

$13,645.00

Service Code	APR-DRG 1393
Min. Negotiated Rate	$10,467.15
Max. Negotiated Rate	$13,645.00
Rate for Payer: IEHP Medi-Cal	$10,467.15
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$13,645.00

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$35,192.54

Service Code	APR-DRG 4053
Min. Negotiated Rate	$26,996.38
Max. Negotiated Rate	$35,192.54
Rate for Payer: IEHP Medi-Cal	$26,996.38
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$35,192.54

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$23,168.49

Service Code	APR-DRG 4052
Min. Negotiated Rate	$17,772.67
Max. Negotiated Rate	$23,168.49
Rate for Payer: IEHP Medi-Cal	$17,772.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$23,168.49

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$69,833.53

Service Code	APR-DRG 4054
Min. Negotiated Rate	$53,569.67
Max. Negotiated Rate	$69,833.53
Rate for Payer: IEHP Medi-Cal	$53,569.67
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$69,833.53

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility IP

$20,549.09

Service Code	APR-DRG 4051
Min. Negotiated Rate	$15,763.31
Max. Negotiated Rate	$20,549.09
Rate for Payer: IEHP Medi-Cal	$15,763.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$20,549.09

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$75,669.99

Service Code	APR-DRG 6514
Min. Negotiated Rate	$58,046.85
Max. Negotiated Rate	$75,669.99
Rate for Payer: IEHP Medi-Cal	$58,046.85
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$75,669.99

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$16,638.60

Service Code	APR-DRG 6511
Min. Negotiated Rate	$12,763.56
Max. Negotiated Rate	$16,638.60
Rate for Payer: IEHP Medi-Cal	$12,763.56
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,638.60

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$32,933.16

Service Code	APR-DRG 6513
Min. Negotiated Rate	$25,263.20
Max. Negotiated Rate	$32,933.16
Rate for Payer: IEHP Medi-Cal	$25,263.20
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$32,933.16

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility IP

$24,356.71

Service Code	APR-DRG 6512
Min. Negotiated Rate	$18,684.16
Max. Negotiated Rate	$24,356.71
Rate for Payer: IEHP Medi-Cal	$18,684.16
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,356.71

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$27,226.16

Service Code	APR-DRG 1212
Min. Negotiated Rate	$20,885.33
Max. Negotiated Rate	$27,226.16
Rate for Payer: IEHP Medi-Cal	$20,885.33
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$27,226.16

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$68,769.46

Service Code	APR-DRG 1214
Min. Negotiated Rate	$52,753.41
Max. Negotiated Rate	$68,769.46
Rate for Payer: IEHP Medi-Cal	$52,753.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$68,769.46

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$21,059.85

Service Code	APR-DRG 1211
Min. Negotiated Rate	$16,155.12
Max. Negotiated Rate	$21,059.85
Rate for Payer: IEHP Medi-Cal	$16,155.12
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$21,059.85

OTHER RESPIRATORY AND CHEST PROCEDURES

Facility IP

$41,412.06

Service Code	APR-DRG 1213
Min. Negotiated Rate	$31,767.41
Max. Negotiated Rate	$41,412.06
Rate for Payer: IEHP Medi-Cal	$31,767.41
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$41,412.06

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$11,190.52

Service Code	APR-DRG 1432
Min. Negotiated Rate	$8,584.31
Max. Negotiated Rate	$11,190.52
Rate for Payer: IEHP Medi-Cal	$8,584.31
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$11,190.52

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$16,010.81

Service Code	APR-DRG 1433
Min. Negotiated Rate	$12,281.97
Max. Negotiated Rate	$16,010.81
Rate for Payer: IEHP Medi-Cal	$12,281.97
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$16,010.81

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$7,897.22

Service Code	APR-DRG 1431
Min. Negotiated Rate	$6,058.00
Max. Negotiated Rate	$7,897.22
Rate for Payer: IEHP Medi-Cal	$6,058.00
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$7,897.22

OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility IP

$24,659.97

Service Code	APR-DRG 1434
Min. Negotiated Rate	$18,916.79
Max. Negotiated Rate	$24,659.97
Rate for Payer: IEHP Medi-Cal	$18,916.79
Rate for Payer: Kaiser Permanente of CA Medi-Cal	$24,659.97

Price Transparency.

All Charges