CPT 47562
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
Price Negotiated by Insurer
$32,312.00Deductible 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]
$11.02BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$62.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.18FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1,394.39HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.06PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$50.56PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$856.68ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$12.70This 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
Price Negotiated by Insurer
$11,663.34Deductible 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]
$0.02BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$52.02DEXAMETHASONE 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
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.02PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.02This 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
Price Negotiated by Insurer
$8,553.12Deductible 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]
$80.61BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$80.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.01HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$38.64PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.01ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$80.61This 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
Price Negotiated by Insurer
$7,775.56Deductible 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]
$0.02BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$226.61DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.01HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.02PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.02This 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
Price Negotiated by Insurer
$16,261.00Deductible 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]
$18.55BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$1.82DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$79.98FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.50HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$115.09PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$41.23PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.99ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2.98This 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
Price Negotiated by Insurer
$8,695.24Deductible 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]
$135.58BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.50DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.22FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$85.05ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$65.50PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.24PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$70.20ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$3.22This 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
Price Negotiated by Insurer
$11,663.34Deductible 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]
$61.26BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$2.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$88.43FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.18HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$92.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$727.06ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.31This 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
Price Negotiated by Insurer
$8,553.12Deductible 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]
$41.17BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$71.40DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$16.52FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.37HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$30.60PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.55PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$26.57ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.40This 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
Price Negotiated by Insurer
$7,775.56Deductible 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]
$3.06BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$102.00FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$12.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.07PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.63PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.90ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$4.79This 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
Price Negotiated by Insurer
$12,829.67Deductible 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]
$150.20BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$18.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.70FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$4.49HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.67PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$463.96PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.48ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$6.42This 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
Price Negotiated by Insurer
$8,553.12Deductible 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]
$4.82BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$13.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$43.68FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.42HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$228.91PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.83PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.12ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$109.24This 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
Price Negotiated by Insurer
$12,751.92Deductible 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]
$381.66BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$75.21DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$75.21FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$97.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$97.63PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$381.66PROPOFOL 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
Price Negotiated by Insurer
$783.08Deductible 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]
$1.44BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$215.95DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.22FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.01HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$215.95PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$83.94PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.03ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$172.48This 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
Price Negotiated by Insurer
$7,775.56Deductible 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]
$103.20BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$19.52DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$387.45FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$19.52ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$49.30PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.86PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$19.52ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$53.08This 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
Price Negotiated by Insurer
$885.63Deductible 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]
$9.73BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$89.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$5.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.28HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.96PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$5.78PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$9.60ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$16.82This 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
Price Negotiated by Insurer
$10,885.78Deductible 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]
$0.05BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$255.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.52HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.41PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$17.95PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$5.66ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.89This 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
Price Negotiated by Insurer
$9,797.21Deductible 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]
$2.23BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$3.08DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.24HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$13.38PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$301.56PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.37ZINC 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
Price Negotiated by Insurer
$10,419.25Deductible 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]
$2.53BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.23FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$45.71HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$171.15PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.12PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.23ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.21This 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
Price Negotiated by Insurer
$11,811.52Deductible 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
Price Negotiated by Insurer
$11,690.99Deductible 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
Price Negotiated by Insurer
$28,817.00Deductible 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]
$0.04BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.50DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.12HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.18PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$12.27PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.11ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$87.67This 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
Price Negotiated by Insurer
$18,075.00Deductible 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]
$0.05BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.80FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$16.26HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.43PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.11PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.06ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.45This 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
Price Negotiated by Insurer
$16,561.00Deductible 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]
$0.19BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1,623.23FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.11HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.23PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.12PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$73.88ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$112.59This 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
Price Negotiated by Insurer
$7,775.56Deductible 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]
$51.22BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$45.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$45.86FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$45.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$45.86PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$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
Price Negotiated by Insurer
$11,663.34Deductible 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]
$4.08BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$113.79DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.46FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$92.82HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$19.28PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.57PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$7.75ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$4.08This 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
Price Negotiated by Insurer
$8,553.12Deductible 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]
$62.76BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$33.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.46FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$70.30HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$48.33PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.52PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$35.85ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.31This 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
Price Negotiated by Insurer
$7,775.56Deductible 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]
$15.99BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$85.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$4.45FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$142.21HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.47PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$11.53PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.41ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$4.59This 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.