CPT 54161
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]
$0.09BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$268.95DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.09FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$179.41HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,171.00HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.09ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.09PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$179.41ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$179.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$4,032.87Deductible 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]
$52.02BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$52.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$52.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.02HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,980.58HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$52.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$52.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$52.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$2,957.44Deductible 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]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$80.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$80.61HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,919.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$80.61SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$65.89ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$209.47This 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
$2,688.58Deductible 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]
$1.67BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$226.61DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.80FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$226.61HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,653.72HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$18.95PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.70This 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
$5,641.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.66BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$7.29FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.99HC ADJACNT TISS TRNSF LT 10 SQ CM
$6,716.00HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$53.32ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$438.65PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$12.58SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.50ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.99This 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
$3,897.87Deductible 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]
$1,687.20BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.04FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.55INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1,387.54PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.66SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.22ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$71.39This 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
$4,032.87Deductible 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]
$6.55BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.56DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.45FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$76.30HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,980.58HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$237.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.69PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.72SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.12This 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
$2,957.44Deductible 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]
$0.01BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.31DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.09FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.43HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,919.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$10.66ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.23PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$16.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$366.18ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$26.85This 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
$2,688.58Deductible 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]
$0.44BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$1.64DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$107.21FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$366.18HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,653.72HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$93.64ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$107.21PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$25.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$108.45ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.46This 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
$4,436.16Deductible 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]
$22.56DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$10.42FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.28HC ADJACNT TISS TRNSF LT 10 SQ CM
$4,378.64HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.42PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$32.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.81ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$373.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$2,957.44Deductible 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]
$0.12BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$257.10DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.98FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.12HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,919.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$56.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$21.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.10ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.87This 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
$4,409.27Deductible 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]
$97.63BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$381.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$97.63FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$75.21HC ADJACNT TISS TRNSF LT 10 SQ CM
$4,352.10INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$97.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$381.66PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$97.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$97.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$381.66This 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
$212.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.52BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$208.09FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
HC ADJACNT TISS TRNSF LT 10 SQ CM
$973.00HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$7.54PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$6.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.23ZINC 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
$2,688.58Deductible 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]
$77.34BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$34.11DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1,841.26FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$53.08HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,653.72INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.35ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$33.92PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$53.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$49.30ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$33.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$240.50Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.48BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$3.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2,316.40FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$89.85HC ADJACNT TISS TRNSF LT 10 SQ CM
$128.04HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$12.60ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$342.80PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$615.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$817.00ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$8.51This 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
$3,764.01Deductible 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]
$31.86BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$1.20DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$33.28FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.07HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,852.75HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.89ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$7.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.55ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.79This 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
$3,387.61Deductible 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]
$0.09BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$41.13FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$13.70HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,343.69HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.64ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.13PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.61SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.95ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.68This 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
Price Negotiated by Insurer
$3,602.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.02BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$123.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.58FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.19HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,555.98HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$3.78ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$16.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.36ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.46This 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
$4,147.14Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,703.23This 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
$4,104.83Deductible 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.
HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,665.45This 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
$16,122.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$7.01BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$15.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.20FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$3.95HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,904.50HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.66PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.26SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.38ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.11This 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
$10,165.00Deductible 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]
$0.84BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.08DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$245.40FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.86HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,904.50HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$917.94PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$11.15This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$9,312.00Deductible 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]
$232.64BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$1.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.56FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.18HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,904.50HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$4.72SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$107.78ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$15.35This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$2,688.58Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$45.86BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$45.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$51.22FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$51.22HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,653.72INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$45.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$45.86PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$51.22SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$4,032.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$7.75BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$28.56DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.58FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$207.82HC ADJACNT TISS TRNSF LT 10 SQ CM
$3,980.58HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$57.33ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$4.59PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.01SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.68ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$2,957.44Deductible 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]
$602.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$21.12FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.73HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,919.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$264.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.78SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.78ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$249.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$2,688.58Deductible 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]
$157.18BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION [1223]
$0.46DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$30.60FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.07HC ADJACNT TISS TRNSF LT 10 SQ CM
$2,653.72HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$228.91ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$70,764.77PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.30SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$6.49ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$9.85This 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.