CPT 97162
The standard charge for PT Evaluation - Moderate Complexity is $1,086.00. 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
$1,086.00Insurance Discount
-$640.74Price Negotiated by Insurer
$445.26Deductible 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.
HC BASIC METABOLIC PANEL
$10.04HC CBC WITHOUT DIFFERENTIAL
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC GLUCOSE TESTING POC
$2.60HC MAGNESIUM
$7.93HC PHOSPHORUS
$6.21HC THERAPEUTIC ACTIVITY 15 MIN WC
$58.63HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$135.71HC VENIPUNCTURE W/SPECIMEN
$9.40This 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
$1,086.00Insurance Discount
-$373.69Price Negotiated by Insurer
$712.31Deductible 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.
HC BASIC METABOLIC PANEL
$32.93HC CBC WITHOUT DIFFERENTIAL
$34.11HC COMPREHENSIVE METABOLIC PANEL
$45.91HC GLUCOSE TESTING POC
$8.53HC MAGNESIUM
$26.01HC PHOSPHORUS
$20.36HC THERAPEUTIC ACTIVITY 15 MIN WC
$93.79HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$217.10HC VENIPUNCTURE W/SPECIMEN
$30.83This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$1,086.00Insurance Discount
-$488.70Price Negotiated by Insurer
$597.30Deductible 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.
HC BASIC METABOLIC PANEL
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN WC
$78.65HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$182.05HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$1,086.00Insurance Discount
-$271.50Price Negotiated by Insurer
$814.50Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$107.25HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$248.25HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$1,086.00Insurance Discount
-$629.00Price Negotiated by Insurer
$457.00Deductible 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.
HC BASIC METABOLIC PANEL
$83.59HC CBC WITHOUT DIFFERENTIAL
$63.90HC COMPREHENSIVE METABOLIC PANEL
$104.53HC GLUCOSE TESTING POC
$7.98HC MAGNESIUM
$65.77HC PHOSPHORUS
$46.75HC THERAPEUTIC ACTIVITY 15 MIN WC
$457.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$457.00This 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
$1,086.00Insurance Discount
-$665.00Price Negotiated by Insurer
$421.00Deductible 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.
HC BASIC METABOLIC PANEL
$33.58HC CBC WITHOUT DIFFERENTIAL
$34.79HC COMPREHENSIVE METABOLIC PANEL
$46.83HC GLUCOSE TESTING POC
$8.70HC MAGNESIUM
$26.53HC PHOSPHORUS
$20.77HC THERAPEUTIC ACTIVITY 15 MIN WC
$421.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$421.00HC VENIPUNCTURE W/SPECIMEN
$31.44This 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
$1,086.00Insurance Discount
-$807.00Price Negotiated by Insurer
$279.00Deductible 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.
HC BASIC METABOLIC PANEL
$22.19HC CBC WITHOUT DIFFERENTIAL
$22.98HC COMPREHENSIVE METABOLIC PANEL
$30.94HC GLUCOSE TESTING POC
$5.75HC MAGNESIUM
$17.53HC PHOSPHORUS
$13.72HC THERAPEUTIC ACTIVITY 15 MIN WC
$279.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$279.00HC VENIPUNCTURE W/SPECIMEN
$20.77This 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
$1,086.00Insurance Discount
-$597.30Price Negotiated by Insurer
$488.70Deductible 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.
HC BASIC METABOLIC PANEL
$22.59HC CBC WITHOUT DIFFERENTIAL
$23.40HC COMPREHENSIVE METABOLIC PANEL
$31.50HC GLUCOSE TESTING POC
$5.85HC MAGNESIUM
$17.85HC PHOSPHORUS
$13.97HC THERAPEUTIC ACTIVITY 15 MIN WC
$64.35HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$148.95HC VENIPUNCTURE W/SPECIMEN
$21.15This 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
$1,086.00Insurance Discount
-$390.96Price Negotiated by Insurer
$695.04Deductible 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.
HC BASIC METABOLIC PANEL
$32.13HC CBC WITHOUT DIFFERENTIAL
$33.28HC COMPREHENSIVE METABOLIC PANEL
$44.80HC GLUCOSE TESTING POC
$8.32HC MAGNESIUM
$25.38HC PHOSPHORUS
$19.87HC THERAPEUTIC ACTIVITY 15 MIN WC
$91.52HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$211.84HC VENIPUNCTURE W/SPECIMEN
$30.08This 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
$1,086.00Insurance Discount
-$282.36Price Negotiated by Insurer
$803.64Deductible 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.
HC BASIC METABOLIC PANEL
$37.15HC CBC WITHOUT DIFFERENTIAL
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC GLUCOSE TESTING POC
$9.62HC MAGNESIUM
$29.35HC PHOSPHORUS
$22.97HC THERAPEUTIC ACTIVITY 15 MIN WC
$105.82HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$244.94HC VENIPUNCTURE W/SPECIMEN
$34.78This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$1,086.00Insurance Discount
-$651.60Price Negotiated by Insurer
$434.40Deductible 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.
HC BASIC METABOLIC PANEL
$11.42HC CBC WITHOUT DIFFERENTIAL
$8.73HC COMPREHENSIVE METABOLIC PANEL
$14.26HC GLUCOSE TESTING POC
$4.43HC MAGNESIUM
$9.04HC PHOSPHORUS
$6.40HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$132.40HC VENIPUNCTURE W/SPECIMEN
$12.27This 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
$1,086.00Insurance Discount
-$651.60Price Negotiated by Insurer
$434.40Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$132.40HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$42.67HC CBC WITHOUT DIFFERENTIAL
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC MAGNESIUM
$33.71HC PHOSPHORUS
$26.38HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$39.95This 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
$1,086.00Insurance Discount
-$434.40Price Negotiated by Insurer
$651.60Deductible 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.
HC BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC MAGNESIUM
$23.80HC PHOSPHORUS
$18.62HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC VENIPUNCTURE W/SPECIMEN
$28.20This 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
$1,086.00Insurance Discount
-$361.64Price Negotiated by Insurer
$724.36Deductible 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.
HC BASIC METABOLIC PANEL
$33.48HC CBC WITHOUT DIFFERENTIAL
$34.68HC COMPREHENSIVE METABOLIC PANEL
$46.69HC GLUCOSE TESTING POC
$8.67HC MAGNESIUM
$26.45HC PHOSPHORUS
$20.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$95.38HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$220.78HC VENIPUNCTURE W/SPECIMEN
$31.35This 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
$1,086.00Insurance Discount
-$672.23Price Negotiated by Insurer
$413.77Deductible 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.
HC BASIC METABOLIC PANEL
$13.81HC CBC WITHOUT DIFFERENTIAL
$10.85HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC MAGNESIUM
$11.32HC PHOSPHORUS
$8.00HC THERAPEUTIC ACTIVITY 15 MIN WC
$21.17HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$20.82HC VENIPUNCTURE W/SPECIMEN
$17.91This 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
$1,086.00Insurance Discount
-$413.77Price Negotiated by Insurer
$672.23Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$88.52HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$204.89HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$1,086.00Insurance Discount
-$825.36Price Negotiated by Insurer
$260.64Deductible 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.
HC BASIC METABOLIC PANEL
$12.05HC CBC WITHOUT DIFFERENTIAL
$12.48HC COMPREHENSIVE METABOLIC PANEL
$16.80HC GLUCOSE TESTING POC
$3.12HC MAGNESIUM
$9.52HC PHOSPHORUS
$7.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$34.32HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$79.44HC VENIPUNCTURE W/SPECIMEN
$11.28This 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
$1,086.00Insurance Discount
-$325.80Price Negotiated by Insurer
$760.20Deductible 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.
HC BASIC METABOLIC PANEL
$10.66HC CBC WITHOUT DIFFERENTIAL
$8.15HC COMPREHENSIVE METABOLIC PANEL
$13.31HC GLUCOSE TESTING POC
$4.13HC MAGNESIUM
$8.44HC PHOSPHORUS
$5.97HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$231.70HC VENIPUNCTURE W/SPECIMEN
$11.45This 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
$1,086.00Insurance Discount
-$325.80Price Negotiated by Insurer
$760.20Deductible 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.
HC BASIC METABOLIC PANEL
$11.34HC CBC WITHOUT DIFFERENTIAL
$8.67HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$231.70HC VENIPUNCTURE W/SPECIMEN
$12.18This 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.
Total estimated charges
$1,086.00Insurance Discount
-$217.20Price Negotiated by Insurer
$868.80Deductible 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.
HC BASIC METABOLIC PANEL
$40.16HC CBC WITHOUT DIFFERENTIAL
$41.60HC COMPREHENSIVE METABOLIC PANEL
$56.00HC GLUCOSE TESTING POC
$10.40HC MAGNESIUM
$31.73HC PHOSPHORUS
$24.83HC THERAPEUTIC ACTIVITY 15 MIN WC
$114.40HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$264.80HC VENIPUNCTURE W/SPECIMEN
$37.60This 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
$1,086.00Insurance Discount
-$380.10Price Negotiated by Insurer
$705.90Deductible 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.
HC BASIC METABOLIC PANEL
$32.63HC CBC WITHOUT DIFFERENTIAL
$33.80HC COMPREHENSIVE METABOLIC PANEL
$45.50HC GLUCOSE TESTING POC
$8.45HC MAGNESIUM
$25.78HC PHOSPHORUS
$20.18HC THERAPEUTIC ACTIVITY 15 MIN WC
$92.95HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$215.15HC VENIPUNCTURE W/SPECIMEN
$30.55This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$42.67HC CBC WITHOUT DIFFERENTIAL
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC MAGNESIUM
$33.71HC PHOSPHORUS
$26.38HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$39.95This 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
$1,086.00Insurance Discount
-$434.40Price Negotiated by Insurer
$651.60Deductible 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.
HC BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC MAGNESIUM
$23.80HC PHOSPHORUS
$18.62HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC VENIPUNCTURE W/SPECIMEN
$28.20This 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
$1,086.00Insurance Discount
-$434.40Price Negotiated by Insurer
$651.60Deductible 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.
HC BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC MAGNESIUM
$23.80HC PHOSPHORUS
$18.62HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC VENIPUNCTURE W/SPECIMEN
$28.20This 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
$1,086.00Insurance Discount
-$669.00Price Negotiated by Insurer
$417.00Deductible 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.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN WC
$417.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$417.00HC VENIPUNCTURE W/SPECIMEN
$2.43This 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
$1,086.00Insurance Discount
-$791.00Price Negotiated by Insurer
$295.00Deductible 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.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN WC
$295.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$295.00HC VENIPUNCTURE W/SPECIMEN
$2.43This 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
$1,086.00Insurance Discount
-$862.00Price Negotiated by Insurer
$224.00Deductible 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.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN WC
$224.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$224.00HC VENIPUNCTURE W/SPECIMEN
$2.43This 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
$1,086.00Insurance Discount
-$880.00Price Negotiated by Insurer
$206.00Deductible 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.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN WC
$206.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$206.00HC VENIPUNCTURE W/SPECIMEN
$2.43This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$1,086.00Insurance Discount
-$162.90Price Negotiated by Insurer
$923.10Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC VENIPUNCTURE W/SPECIMEN
$9.09This 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.