The standard charge for Chemotherapy infusion-additional IV pushes of the same medication 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
$457.00Price Negotiated by Insurer
$503.41Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$10.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.75HC CBC W WBC AUTO DIFF
$64.66HC CHEMO INFUSION EA ADDL HR
$216.42HC CHEMO INFUSION INITIAL
$1,021.83HC COMPREHENSIVE METABOLIC PANEL
$87.88HC IV PUSH EA ADDL SEQ NEW DRUG
$154.48HC VENIPUNCTURE W SPECIMEN
$17.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.62SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.23TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.02This 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
-$324.97Price Negotiated by Insurer
$132.03Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$11.66HC CHEMO INFUSION EA ADDL HR
$132.03HC CHEMO INFUSION INITIAL
$634.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC VENIPUNCTURE W SPECIMEN
$12.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$360.18Price Negotiated by Insurer
$96.82Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$96.82HC CHEMO INFUSION INITIAL
$465.45HC COMPREHENSIVE METABOLIC PANEL
$11.62HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC VENIPUNCTURE W SPECIMEN
$9.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This 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
$457.00Insurance Discount
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This 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
$457.00Price Negotiated by Insurer
$914.00Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$5.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.76HC CBC W WBC AUTO DIFF
$70.94HC CHEMO INFUSION EA ADDL HR
$914.00HC CHEMO INFUSION INITIAL
$914.00HC COMPREHENSIVE METABOLIC PANEL
$96.56HC IV PUSH EA ADDL SEQ NEW DRUG
$914.00HC VENIPUNCTURE W SPECIMEN
$19.53ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$12.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$17.68This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$16.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08HC CBC W WBC AUTO DIFF
$9.60HC CHEMO INFUSION EA ADDL HR
$366.60HC CHEMO INFUSION INITIAL
$1,026.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC VENIPUNCTURE W SPECIMEN
$34.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$12.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.56HC CBC W WBC AUTO DIFF
$7.20HC CHEMO INFUSION EA ADDL HR
$274.95HC CHEMO INFUSION INITIAL
$769.95HC COMPREHENSIVE METABOLIC PANEL
$11.25HC IV PUSH EA ADDL SEQ NEW DRUG
$237.15HC VENIPUNCTURE W SPECIMEN
$26.10ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$7.56This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$19.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.43HC CBC W WBC AUTO DIFF
$10.24HC CHEMO INFUSION EA ADDL HR
$391.04HC CHEMO INFUSION INITIAL
$1,095.04HC COMPREHENSIVE METABOLIC PANEL
$16.00HC IV PUSH EA ADDL SEQ NEW DRUG
$337.28HC VENIPUNCTURE W SPECIMEN
$37.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.37SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.76This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$19.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.43HC CBC W WBC AUTO DIFF
$11.84HC CHEMO INFUSION EA ADDL HR
$452.14HC CHEMO INFUSION INITIAL
$1,266.14HC COMPREHENSIVE METABOLIC PANEL
$18.50HC IV PUSH EA ADDL SEQ NEW DRUG
$389.98HC VENIPUNCTURE W SPECIMEN
$42.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.37SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.76This 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
-$324.97Price Negotiated by Insurer
$132.03Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.59DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$11.66HC CHEMO INFUSION EA ADDL HR
$132.03HC CHEMO INFUSION INITIAL
$634.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC VENIPUNCTURE W SPECIMEN
$12.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$360.18Price Negotiated by Insurer
$96.82Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$96.82HC CHEMO INFUSION INITIAL
$465.45HC COMPREHENSIVE METABOLIC PANEL
$11.62HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC VENIPUNCTURE W SPECIMEN
$9.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$338.17Price Negotiated by Insurer
$118.83Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.33DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39HC CBC W WBC AUTO DIFF
$10.49HC CHEMO INFUSION EA ADDL HR
$118.83HC CHEMO INFUSION INITIAL
$571.24HC COMPREHENSIVE METABOLIC PANEL
$14.26HC IV PUSH EA ADDL SEQ NEW DRUG
$80.12HC VENIPUNCTURE W SPECIMEN
$11.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$23.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$13.60HC CHEMO INFUSION EA ADDL HR
$519.35HC CHEMO INFUSION INITIAL
$1,454.35HC COMPREHENSIVE METABOLIC PANEL
$21.25HC IV PUSH EA ADDL SEQ NEW DRUG
$447.95HC VENIPUNCTURE W SPECIMEN
$49.30ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$16.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08HC CBC W WBC AUTO DIFF
$9.60HC CHEMO INFUSION EA ADDL HR
$366.60HC CHEMO INFUSION INITIAL
$1,026.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC VENIPUNCTURE W SPECIMEN
$34.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$457.00Insurance Discount
-$114.25Price Negotiated by Insurer
$342.75Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$21.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.60HC CBC W WBC AUTO DIFF
$12.00HC CHEMO INFUSION EA ADDL HR
$458.25HC CHEMO INFUSION INITIAL
$1,283.25HC COMPREHENSIVE METABOLIC PANEL
$18.75HC IV PUSH EA ADDL SEQ NEW DRUG
$395.25HC VENIPUNCTURE W SPECIMEN
$43.50ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$12.60This 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
-$312.65Price Negotiated by Insurer
$144.35Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.84HC CBC W WBC AUTO DIFF
$12.74HC CHEMO INFUSION EA ADDL HR
$144.35HC CHEMO INFUSION INITIAL
$693.95HC COMPREHENSIVE METABOLIC PANEL
$17.32HC IV PUSH EA ADDL SEQ NEW DRUG
$97.33HC VENIPUNCTURE W SPECIMEN
$14.05This 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
-$312.65Price Negotiated by Insurer
$144.35Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.84HC CBC W WBC AUTO DIFF
$12.74HC CHEMO INFUSION EA ADDL HR
$144.35HC CHEMO INFUSION INITIAL
$693.95HC COMPREHENSIVE METABOLIC PANEL
$17.32HC IV PUSH EA ADDL SEQ NEW DRUG
$97.33HC VENIPUNCTURE W SPECIMEN
$14.05This 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
-$314.41Price Negotiated by Insurer
$142.59Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.80HC CBC W WBC AUTO DIFF
$12.59HC CHEMO INFUSION EA ADDL HR
$142.59HC CHEMO INFUSION INITIAL
$685.49HC COMPREHENSIVE METABOLIC PANEL
$17.11HC IV PUSH EA ADDL SEQ NEW DRUG
$936.00HC VENIPUNCTURE W SPECIMEN
$13.88This 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
-$368.51Price Negotiated by Insurer
$88.49Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.80HC CBC W WBC AUTO DIFF
$12.59HC CHEMO INFUSION EA ADDL HR
$38.09HC CHEMO INFUSION INITIAL
$180.36HC COMPREHENSIVE METABOLIC PANEL
$17.11HC IV PUSH EA ADDL SEQ NEW DRUG
$96.15HC VENIPUNCTURE W SPECIMEN
$13.88This 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
-$350.50Price Negotiated by Insurer
$106.50Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$106.50HC CHEMO INFUSION INITIAL
$512.00HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$152.18Price Negotiated by Insurer
$304.82Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$18.68DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.31HC CBC W WBC AUTO DIFF
$10.67HC CHEMO INFUSION EA ADDL HR
$407.54HC CHEMO INFUSION INITIAL
$1,141.24HC COMPREHENSIVE METABOLIC PANEL
$16.68HC IV PUSH EA ADDL SEQ NEW DRUG
$351.51HC VENIPUNCTURE W SPECIMEN
$38.69ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.21This 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
$457.00Insurance Discount
-$402.68Price Negotiated by Insurer
$54.32Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$11.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.70HC CBC W WBC AUTO DIFF
$12.82HC CHEMO INFUSION EA ADDL HR
$40.83HC CHEMO INFUSION INITIAL
$54.32HC COMPREHENSIVE METABOLIC PANEL
$17.46HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45HC VENIPUNCTURE W SPECIMEN
$22.10ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.66SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$6.72DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.83HC CBC W WBC AUTO DIFF
$3.84HC CHEMO INFUSION EA ADDL HR
$146.64HC CHEMO INFUSION INITIAL
$410.64HC COMPREHENSIVE METABOLIC PANEL
$6.00HC IV PUSH EA ADDL SEQ NEW DRUG
$126.48HC VENIPUNCTURE W SPECIMEN
$13.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.02TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.03This 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
-$346.09Price Negotiated by Insurer
$110.91Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.18HC CBC W WBC AUTO DIFF
$9.79HC CHEMO INFUSION EA ADDL HR
$110.91HC CHEMO INFUSION INITIAL
$533.16HC COMPREHENSIVE METABOLIC PANEL
$13.31HC IV PUSH EA ADDL SEQ NEW DRUG
$74.78HC VENIPUNCTURE W SPECIMEN
$10.80This 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
-$339.05Price Negotiated by Insurer
$117.95Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.32HC CBC W WBC AUTO DIFF
$10.41HC CHEMO INFUSION EA ADDL HR
$117.95HC CHEMO INFUSION INITIAL
$567.01HC COMPREHENSIVE METABOLIC PANEL
$14.15HC IV PUSH EA ADDL SEQ NEW DRUG
$79.53HC VENIPUNCTURE W SPECIMEN
$11.48This 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
-$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$22.40DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.78HC CBC W WBC AUTO DIFF
$12.80HC CHEMO INFUSION EA ADDL HR
$488.80HC CHEMO INFUSION INITIAL
$1,368.80HC COMPREHENSIVE METABOLIC PANEL
$20.00HC IV PUSH EA ADDL SEQ NEW DRUG
$421.60HC VENIPUNCTURE W SPECIMEN
$46.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$13.44This 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
$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$14.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC CBC W WBC AUTO DIFF
$10.40HC CHEMO INFUSION EA ADDL HR
$397.15HC CHEMO INFUSION INITIAL
$1,112.15HC COMPREHENSIVE METABOLIC PANEL
$16.25HC IV PUSH EA ADDL SEQ NEW DRUG
$342.55HC VENIPUNCTURE W SPECIMEN
$37.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$23.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$13.60HC CHEMO INFUSION EA ADDL HR
$519.35HC CHEMO INFUSION INITIAL
$1,454.35HC COMPREHENSIVE METABOLIC PANEL
$21.25HC IV PUSH EA ADDL SEQ NEW DRUG
$447.95HC VENIPUNCTURE W SPECIMEN
$49.30ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$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.
HC CBC W WBC AUTO DIFF
$9.60HC CHEMO INFUSION EA ADDL HR
$366.60HC CHEMO INFUSION INITIAL
$1,026.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC VENIPUNCTURE W SPECIMEN
$34.80This 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$16.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08HC CBC W WBC AUTO DIFF
$9.60HC CHEMO INFUSION EA ADDL HR
$366.60HC CHEMO INFUSION INITIAL
$1,026.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC VENIPUNCTURE W SPECIMEN
$34.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$16.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08HC CBC W WBC AUTO DIFF
$9.60HC CHEMO INFUSION EA ADDL HR
$366.60HC CHEMO INFUSION INITIAL
$1,026.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC IV PUSH EA ADDL SEQ NEW DRUG
$71.22HC VENIPUNCTURE W SPECIMEN
$34.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$457.00Price Negotiated by Insurer
$1,387.00Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$14.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$1,387.00HC CHEMO INFUSION INITIAL
$1,387.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC IV PUSH EA ADDL SEQ NEW DRUG
$642.00HC VENIPUNCTURE W SPECIMEN
$2.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$457.00Price Negotiated by Insurer
$1,288.00Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$14.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$1,288.00HC CHEMO INFUSION INITIAL
$1,288.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC IV PUSH EA ADDL SEQ NEW DRUG
$263.50HC VENIPUNCTURE W SPECIMEN
$2.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$457.00Price Negotiated by Insurer
$845.00Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$14.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$845.00HC CHEMO INFUSION INITIAL
$845.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC IV PUSH EA ADDL SEQ NEW DRUG
$630.00HC VENIPUNCTURE W SPECIMEN
$2.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$457.00Price Negotiated by Insurer
$773.00Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$14.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$773.00HC CHEMO INFUSION INITIAL
$773.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC IV PUSH EA ADDL SEQ NEW DRUG
$263.50HC VENIPUNCTURE W SPECIMEN
$2.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$457.00Insurance Discount
-$324.97Price Negotiated by Insurer
$132.03Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$2.59DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$11.66HC CHEMO INFUSION EA ADDL HR
$132.03HC CHEMO INFUSION INITIAL
$634.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC VENIPUNCTURE W SPECIMEN
$12.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$360.18Price Negotiated by Insurer
$96.82Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$96.82HC CHEMO INFUSION INITIAL
$465.45HC COMPREHENSIVE METABOLIC PANEL
$11.62HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC VENIPUNCTURE W SPECIMEN
$9.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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
$457.00Insurance Discount
-$368.98Price Negotiated by Insurer
$88.02Deductible 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.
APREPITANT 7.2 MG/ML INTRAVENOUS EMULSION [220348]
$1.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$88.02HC CHEMO INFUSION INITIAL
$423.14HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC VENIPUNCTURE W SPECIMEN
$8.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This 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.