CPT 11200
The standard charge for Removal of skin tags, multiple fibrocutaneous tags, any area is $457.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
11234 Anderson Street, Loma Linda, CA, 92354CONTACT
877-558-6248 Visit WebsiteLoma Linda University Children's Hospital is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Loma Linda University Children's Hospital provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Loma Linda University Children's Hospital physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 877-558-6248.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$457.00Insurance Discount
-$365.60Price Negotiated by Insurer
$91.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$385.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$920.37HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$158.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$385.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$385.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.07This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$3,171.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.09DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$179.41FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.09PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1,199.79ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$179.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$69.93Price Negotiated by Insurer
$387.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.57FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$52.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$173.14Price Negotiated by Insurer
$283.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.01HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$80.61ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$198.95Price Negotiated by Insurer
$258.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$5,641.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$11.92DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$4.14FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.17HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.66PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$28.48ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$251.35Price Negotiated by Insurer
$205.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$11.88DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.62FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.12HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$356.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.31ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$21.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$164.52Price Negotiated by Insurer
$292.48Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$7.39DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.24FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.03HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$506.88INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.65ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$118.82Price Negotiated by Insurer
$338.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.34DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$821.79FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.34HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$586.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.46PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.92ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$3.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$69.93Price Negotiated by Insurer
$387.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$2.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.69FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$3.65HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$101.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$8.98ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$161.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$173.14Price Negotiated by Insurer
$283.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$3.26DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.43FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$70,764.77HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.10PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.06ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$198.95Price Negotiated by Insurer
$258.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.46DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.16FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$107.21HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.17PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$5.94ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$137.10Price Negotiated by Insurer
$319.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$3.79DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.41FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$12.87HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.79PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$7,392.30ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$31.22Price Negotiated by Insurer
$425.78Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.03DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3,038.08FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.77PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.15ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.58This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$173.14Price Negotiated by Insurer
$283.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$41.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.97FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.49HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$7.67PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$6.72ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$68.55Price Negotiated by Insurer
$388.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.61DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$14.28HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.35PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.23ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$128.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$182.80Price Negotiated by Insurer
$274.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3,323.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.70HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.70PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.91ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$4.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$33.80Price Negotiated by Insurer
$423.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$75.21DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$97.63FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$381.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$97.63PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$97.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$75.21This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$973.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$7.54DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$8.46PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$24.41ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$168.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$198.95Price Negotiated by Insurer
$258.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.86FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$53.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$47.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$33.92ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$49.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$166.81Price Negotiated by Insurer
$290.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.08DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.03FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$69.34HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$502.92INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$11.43PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$22.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$17.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$396.87Price Negotiated by Insurer
$60.13Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$12.10DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$5.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.25HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$9.29PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.11ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$179.60Price Negotiated by Insurer
$277.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.24FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.04HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$33.28PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.86ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$21.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$347.32Price Negotiated by Insurer
$109.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.03DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.27FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.50HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$190.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$19.85PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$17.42ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$131.86Price Negotiated by Insurer
$325.14Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.89FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$13.38HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$80.46PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$378.27ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$111.21Price Negotiated by Insurer
$345.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.92FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.11HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.13PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.20ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$91.40Price Negotiated by Insurer
$365.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$8.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.11HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$633.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.69PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$8.16ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$32.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$54.73Price Negotiated by Insurer
$402.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$159.95Price Negotiated by Insurer
$297.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.11FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$480.00HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$514.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$40.41PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$4.67This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$68.55Price Negotiated by Insurer
$388.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$191.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$22.25FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$6,896.03HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5,787.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.29ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$58.83Price Negotiated by Insurer
$398.17Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$182.80Price Negotiated by Insurer
$274.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.49DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.44FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$35.61HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$12.27PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.79ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1,616.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$796.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.39FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.52HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$43.81PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$97.83ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2,079.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$608.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.55DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$82.96FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.87HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.13PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$5.65ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$6.58This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Price Negotiated by Insurer
$480.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.22FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$14.58HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.35PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$4.29ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$147.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$17.00Price Negotiated by Insurer
$440.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1,814.21DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.47FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.04PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.95ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$198.95Price Negotiated by Insurer
$258.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$45.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$51.22FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$45.86INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$45.86PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$45.86ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$45.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$69.93Price Negotiated by Insurer
$387.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.14DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.23FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$66.35PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$6.12ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$173.14Price Negotiated by Insurer
$283.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$21.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.79FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.89HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$4,270.32ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$96.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$457.00Insurance Discount
-$198.95Price Negotiated by Insurer
$258.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$11.57DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.98FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$328.55HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.59PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.11ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$365.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.