
CPT 36430
The standard charge for Transfusion of Blood or Blood Products is $2,506.00. 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
$2,506.00Insurance Discount
-$2,004.80Price Negotiated by Insurer
$501.20Deductible 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 ABO UNIT CONFIRMATION
$50.60HC BLOOD DRAW FOR VAD
$67.40HC CBC WITHOUT DIFFERENTIAL
$20.80HC CBC W WBC AUTO DIFF
$29.16HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$24.80HC COMPREHENSIVE METABOLIC PANEL
$159.00HC CROSSMATCH COMP
$53.80HC IRRADIATION PROCEDURE
$56.00HC RH UNIT CONFIRMATION
$22.80HC SBBB ANTIBODY SCREEN
$22.20HC SBBB PHLEBOTOMY
$40.00HC SBBB RBC LEUKOREDUCED
$69.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.06This 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
$2,506.00Price Negotiated by Insurer
$3,429.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$165.94HC BLOOD DRAW FOR VAD
$221.04HC CBC WITHOUT DIFFERENTIAL
$68.21HC CBC W WBC AUTO DIFF
$95.63HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$81.33HC COMPREHENSIVE METABOLIC PANEL
$521.44HC CROSSMATCH COMP
$176.44HC IRRADIATION PROCEDURE
$183.65HC RH UNIT CONFIRMATION
$74.77HC SBBB ANTIBODY SCREEN
$72.80HC SBBB PHLEBOTOMY
$131.18HC SBBB RBC LEUKOREDUCED
$226.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$516.85TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.12This 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
$2,506.00Insurance Discount
-$1,672.78Price Negotiated by Insurer
$833.22Deductible 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 ABO UNIT CONFIRMATION
$245.67HC BLOOD DRAW FOR VAD
$245.67HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SBBB RBC LEUKOREDUCED
$346.88SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.32TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.63This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,894.97Price Negotiated by Insurer
$611.03Deductible 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.
HC ABO UNIT CONFIRMATION
$180.16HC BLOOD DRAW FOR VAD
$180.16HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SBBB RBC LEUKOREDUCED
$254.38SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.10TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.15This 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
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$103.57TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$213.75This 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
$2,506.00Price Negotiated by Insurer
$5,398.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$155.37HC BLOOD DRAW FOR VAD
$211.46HC CBC WITHOUT DIFFERENTIAL
$63.90HC CBC W WBC AUTO DIFF
$76.80HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$33.98HC COMPREHENSIVE METABOLIC PANEL
$104.53HC CROSSMATCH COMP
$83.79HC IRRADIATION PROCEDURE
$171.95HC RH UNIT CONFIRMATION
$70.01HC SBBB ANTIBODY SCREEN
$106.66HC SBBB RBC LEUKOREDUCED
$211.86SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.69TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$34.75This 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
$2,506.00Insurance Discount
-$1,127.70Price Negotiated by Insurer
$1,378.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$139.15HC BLOOD DRAW FOR VAD
$185.35HC CBC WITHOUT DIFFERENTIAL
$57.20HC CBC W WBC AUTO DIFF
$80.19HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$68.20HC COMPREHENSIVE METABOLIC PANEL
$437.25HC CROSSMATCH COMP
$147.95HC IRRADIATION PROCEDURE
$154.00HC RH UNIT CONFIRMATION
$62.70HC SBBB ANTIBODY SCREEN
$111.00HC SBBB PHLEBOTOMY
$200.00HC SBBB RBC LEUKOREDUCED
$345.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.52TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$902.16Price Negotiated by Insurer
$1,603.84Deductible 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 ABO UNIT CONFIRMATION
$161.92HC BLOOD DRAW FOR VAD
$215.68HC CBC WITHOUT DIFFERENTIAL
$66.56HC CBC W WBC AUTO DIFF
$93.31HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$79.36HC COMPREHENSIVE METABOLIC PANEL
$508.80HC CROSSMATCH COMP
$172.16HC IRRADIATION PROCEDURE
$179.20HC RH UNIT CONFIRMATION
$72.96HC SBBB ANTIBODY SCREEN
$71.04HC SBBB PHLEBOTOMY
$128.00HC SBBB RBC LEUKOREDUCED
$220.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$148.40TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.17This 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
$2,506.00Insurance Discount
-$651.56Price Negotiated by Insurer
$1,854.44Deductible 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.
HC ABO UNIT CONFIRMATION
$187.22HC BLOOD DRAW FOR VAD
$249.38HC CBC WITHOUT DIFFERENTIAL
$76.96HC CBC W WBC AUTO DIFF
$107.89HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$91.76HC COMPREHENSIVE METABOLIC PANEL
$588.30HC CROSSMATCH COMP
$199.06HC IRRADIATION PROCEDURE
$207.20HC RH UNIT CONFIRMATION
$84.36HC SBBB ANTIBODY SCREEN
$82.14HC SBBB PHLEBOTOMY
$148.00HC SBBB RBC LEUKOREDUCED
$255.30SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$6.39TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,672.78Price Negotiated by Insurer
$833.22Deductible 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 ABO UNIT CONFIRMATION
$245.67HC BLOOD DRAW FOR VAD
$245.67HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SBBB RBC LEUKOREDUCED
$346.88SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$18.36TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,894.97Price Negotiated by Insurer
$611.03Deductible 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.
HC ABO UNIT CONFIRMATION
$180.16HC BLOOD DRAW FOR VAD
$180.16HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SBBB RBC LEUKOREDUCED
$254.38SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.96TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.08This 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
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.22TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,756.10Price Negotiated by Insurer
$749.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$221.10HC BLOOD DRAW FOR VAD
$221.10HC CBC WITHOUT DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.13HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CROSSMATCH COMP
$293.94HC IRRADIATION PROCEDURE
$67.32HC RH UNIT CONFIRMATION
$67.32HC SBBB ANTIBODY SCREEN
$91.65HC SBBB PHLEBOTOMY
$12.27HC SBBB RBC LEUKOREDUCED
$312.19SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.08This 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
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$375.90Price Negotiated by Insurer
$2,130.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$215.05HC BLOOD DRAW FOR VAD
$286.45HC CBC WITHOUT DIFFERENTIAL
$88.40HC CBC W WBC AUTO DIFF
$123.93HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$105.40HC COMPREHENSIVE METABOLIC PANEL
$675.75HC CROSSMATCH COMP
$228.65HC IRRADIATION PROCEDURE
$238.00HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00HC SBBB RBC LEUKOREDUCED
$293.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.58TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.02This 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
$2,506.00Insurance Discount
-$1,002.40Price Negotiated by Insurer
$1,503.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC BLOOD DRAW FOR VAD
$202.20HC CBC WITHOUT DIFFERENTIAL
$62.40HC CBC W WBC AUTO DIFF
$87.48HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$74.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC CROSSMATCH COMP
$161.40HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SBBB RBC LEUKOREDUCED
$207.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.70TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,595.01Price Negotiated by Insurer
$910.99Deductible 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 ABO UNIT CONFIRMATION
$268.60HC BLOOD DRAW FOR VAD
$268.60HC CBC WITHOUT DIFFERENTIAL
$10.61HC CBC W WBC AUTO DIFF
$12.74HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$6.23HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CROSSMATCH COMP
$357.08HC IRRADIATION PROCEDURE
$81.79HC RH UNIT CONFIRMATION
$81.79HC SBBB ANTIBODY SCREEN
$111.34HC SBBB PHLEBOTOMY
$14.91HC SBBB RBC LEUKOREDUCED
$379.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$124.53TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$124.53This 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
$2,506.00Insurance Discount
-$1,533.00Price Negotiated by Insurer
$973.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.00HC CBC WITHOUT DIFFERENTIAL
$9.59HC CBC W WBC AUTO DIFF
$11.34HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.55HC COMPREHENSIVE METABOLIC PANEL
$15.44HC IRRADIATION PROCEDURE
$42.27HC RH UNIT CONFIRMATION
$4.13HC SBBB ANTIBODY SCREEN
$4.37HC SBBB RBC LEUKOREDUCED
$311.05SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$284.34TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.50This 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
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.69TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$2,506.00Insurance Discount
-$834.50Price Negotiated by Insurer
$1,671.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$168.75HC BLOOD DRAW FOR VAD
$224.78HC CBC WITHOUT DIFFERENTIAL
$69.37HC CBC W WBC AUTO DIFF
$97.25HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$82.71HC COMPREHENSIVE METABOLIC PANEL
$530.26HC CROSSMATCH COMP
$179.42HC IRRADIATION PROCEDURE
$186.76HC RH UNIT CONFIRMATION
$76.04HC SBBB ANTIBODY SCREEN
$74.04HC SBBB PHLEBOTOMY
$133.40HC SBBB RBC LEUKOREDUCED
$230.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$8.34TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.27This 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
$2,506.00Insurance Discount
-$1,551.21Price Negotiated by Insurer
$954.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.52HC BLOOD DRAW FOR VAD
$128.40HC CBC WITHOUT DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.15HC COMPREHENSIVE METABOLIC PANEL
$17.46HC IRRADIATION PROCEDURE
$47.80HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC SBBB PHLEBOTOMY
$76.20HC SBBB RBC LEUKOREDUCED
$351.79SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.14TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.75This 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
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$29.30TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,904.56Price Negotiated by Insurer
$601.44Deductible 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.
HC ABO UNIT CONFIRMATION
$60.72HC BLOOD DRAW FOR VAD
$80.88HC CBC WITHOUT DIFFERENTIAL
$24.96HC CBC W WBC AUTO DIFF
$34.99HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$29.76HC COMPREHENSIVE METABOLIC PANEL
$190.80HC CROSSMATCH COMP
$64.56HC IRRADIATION PROCEDURE
$67.20HC RH UNIT CONFIRMATION
$27.36HC SBBB ANTIBODY SCREEN
$26.64HC SBBB PHLEBOTOMY
$48.00HC SBBB RBC LEUKOREDUCED
$82.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.35TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,806.10Price Negotiated by Insurer
$699.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$206.36HC BLOOD DRAW FOR VAD
$206.36HC CBC WITHOUT DIFFERENTIAL
$8.15HC CBC W WBC AUTO DIFF
$9.79HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.79HC COMPREHENSIVE METABOLIC PANEL
$13.31HC CROSSMATCH COMP
$274.34HC IRRADIATION PROCEDURE
$62.84HC RH UNIT CONFIRMATION
$62.84HC SBBB ANTIBODY SCREEN
$85.54HC SBBB PHLEBOTOMY
$11.45HC SBBB RBC LEUKOREDUCED
$291.38SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.33TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,761.66Price Negotiated by Insurer
$744.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$219.47HC BLOOD DRAW FOR VAD
$219.47HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.09HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CROSSMATCH COMP
$291.76HC IRRADIATION PROCEDURE
$66.83HC RH UNIT CONFIRMATION
$66.83HC SBBB ANTIBODY SCREEN
$90.97HC SBBB PHLEBOTOMY
$12.18HC SBBB RBC LEUKOREDUCED
$309.88SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$18.33TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.96This 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
$2,506.00Insurance Discount
-$501.20Price Negotiated by Insurer
$2,004.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$202.40HC BLOOD DRAW FOR VAD
$269.60HC CBC WITHOUT DIFFERENTIAL
$83.20HC CBC W WBC AUTO DIFF
$116.64HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$99.20HC COMPREHENSIVE METABOLIC PANEL
$636.00HC CROSSMATCH COMP
$215.20HC IRRADIATION PROCEDURE
$224.00HC RH UNIT CONFIRMATION
$91.20HC SBBB ANTIBODY SCREEN
$88.80HC SBBB PHLEBOTOMY
$160.00HC SBBB RBC LEUKOREDUCED
$276.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$10.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$5.66This 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
$2,506.00Insurance Discount
-$1,620.94Price Negotiated by Insurer
$885.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$877.10Price Negotiated by Insurer
$1,628.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$164.45HC BLOOD DRAW FOR VAD
$219.05HC CBC WITHOUT DIFFERENTIAL
$67.60HC CBC W WBC AUTO DIFF
$94.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$80.60HC COMPREHENSIVE METABOLIC PANEL
$516.75HC CROSSMATCH COMP
$174.85HC IRRADIATION PROCEDURE
$182.00HC RH UNIT CONFIRMATION
$74.10HC SBBB ANTIBODY SCREEN
$72.15HC SBBB PHLEBOTOMY
$130.00HC SBBB RBC LEUKOREDUCED
$224.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.50TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.60This 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
$2,506.00Insurance Discount
-$375.90Price Negotiated by Insurer
$2,130.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$215.05HC BLOOD DRAW FOR VAD
$286.45HC CBC WITHOUT DIFFERENTIAL
$88.40HC CBC W WBC AUTO DIFF
$123.93HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$105.40HC COMPREHENSIVE METABOLIC PANEL
$675.75HC CROSSMATCH COMP
$228.65HC IRRADIATION PROCEDURE
$238.00HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00HC SBBB RBC LEUKOREDUCED
$293.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$18.11TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.40This 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
$2,506.00Insurance Discount
-$1,629.97Price Negotiated by Insurer
$876.03Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,002.40Price Negotiated by Insurer
$1,503.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC BLOOD DRAW FOR VAD
$202.20HC CBC WITHOUT DIFFERENTIAL
$62.40HC CBC W WBC AUTO DIFF
$87.48HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$74.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC CROSSMATCH COMP
$161.40HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SBBB RBC LEUKOREDUCED
$207.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.31TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$2,506.00Insurance Discount
-$1,002.40Price Negotiated by Insurer
$1,503.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC BLOOD DRAW FOR VAD
$202.20HC CBC WITHOUT DIFFERENTIAL
$62.40HC CBC W WBC AUTO DIFF
$87.48HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$74.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC CROSSMATCH COMP
$161.40HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SBBB RBC LEUKOREDUCED
$207.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.48TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$21.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,830.00Price Negotiated by Insurer
$676.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$676.00HC BLOOD DRAW FOR VAD
$168.50HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC IRRADIATION PROCEDURE
$676.00HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SBBB RBC LEUKOREDUCED
$676.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$40.98TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.06This 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
$2,506.00Insurance Discount
-$1,843.00Price Negotiated by Insurer
$663.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$663.00HC BLOOD DRAW FOR VAD
$168.50HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC IRRADIATION PROCEDURE
$663.00HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SBBB RBC LEUKOREDUCED
$663.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$32.79TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,844.00Price Negotiated by Insurer
$662.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$662.00HC BLOOD DRAW FOR VAD
$168.50HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC IRRADIATION PROCEDURE
$662.00HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SBBB RBC LEUKOREDUCED
$662.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.77TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.19This 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
$2,506.00Insurance Discount
-$1,901.00Price Negotiated by Insurer
$605.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$605.00HC BLOOD DRAW FOR VAD
$168.50HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC IRRADIATION PROCEDURE
$605.00HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SBBB RBC LEUKOREDUCED
$605.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$2,506.00Insurance Discount
-$1,672.78Price Negotiated by Insurer
$833.22Deductible 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 ABO UNIT CONFIRMATION
$245.67HC BLOOD DRAW FOR VAD
$245.67HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SBBB RBC LEUKOREDUCED
$346.88SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.09TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,894.97Price Negotiated by Insurer
$611.03Deductible 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.
HC ABO UNIT CONFIRMATION
$180.16HC BLOOD DRAW FOR VAD
$180.16HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SBBB RBC LEUKOREDUCED
$254.38SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.95This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$2,506.00Insurance Discount
-$1,950.52Price Negotiated by Insurer
$555.48Deductible 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.
HC ABO UNIT CONFIRMATION
$163.78HC BLOOD DRAW FOR VAD
$163.78HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SBBB RBC LEUKOREDUCED
$231.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.53TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.28This 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.