
CPT 59510
The standard charge for Routine obstetric care for cesarean delivery, including pre-and postdelivery care is $22,280.00. 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
$22,280.00Insurance Discount
-$17,824.00Price Negotiated by Insurer
$4,456.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.03DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.67FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$26.64HC ABO UNIT CONFIRMATION
$50.60HC CATH FOLEY SLCN 22FR 2WY 30C
$6.33HC CBC WITHOUT DIFFERENTIAL
$20.80HC CROSSMATCH COMP
$53.80HC DRSNG WOUND 3.6 X 8" MEDPORE
$1.56HC RH UNIT CONFIRMATION
$22.80HC SBBB ANTIBODY SCREEN
$22.20HC SBBB PHLEBOTOMY
$40.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.44METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$51.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.54OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.60PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.01SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.54This 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
$22,280.00Price 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$33.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$24.62FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$157.42HC ABO UNIT CONFIRMATION
$165.94HC CATH FOLEY SLCN 22FR 2WY 30C
$20.76HC CBC WITHOUT DIFFERENTIAL
$68.21HC CROSSMATCH COMP
$176.44HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.11HC RH UNIT CONFIRMATION
$74.77HC SBBB ANTIBODY SCREEN
$72.80HC SBBB PHLEBOTOMY
$131.18INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$157.42METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$33.06MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$157.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$33.06OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$24.62PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$24.62SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$24.62This 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
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.04DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.32FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.04HC ABO UNIT CONFIRMATION
$245.67HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$9.71HC CROSSMATCH COMP
$326.60HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.04METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.04MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.04OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.04PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$10,026.00Price Negotiated by Insurer
$12,254.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$1.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.96FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$60.06HC ABO UNIT CONFIRMATION
$180.16HC CATH FOLEY SLCN 22FR 2WY 30C
$17.41HC CBC WITHOUT DIFFERENTIAL
$7.12HC CROSSMATCH COMP
$239.50HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.28HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.96METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.13MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.96ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.96OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$60.06PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.96SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.96This 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
$22,280.00Insurance Discount
-$5,570.00Price Negotiated by Insurer
$16,710.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.50DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.50FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.50HC ABO UNIT CONFIRMATION
$163.78HC CATH FOLEY SLCN 22FR 2WY 30C
$23.74HC CBC WITHOUT DIFFERENTIAL
$6.47HC CROSSMATCH COMP
$217.73HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.84HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.50METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.50MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.50ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.50OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.50PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$10,867.00Price Negotiated by Insurer
$11,413.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.04HC ABO UNIT CONFIRMATION
$155.37HC CATH FOLEY SLCN 22FR 2WY 30C
$19.44HC CBC WITHOUT DIFFERENTIAL
$63.90HC CROSSMATCH COMP
$83.79HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.78HC RH UNIT CONFIRMATION
$70.01HC SBBB ANTIBODY SCREEN
$106.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.04METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.54MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.04OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.02PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.72This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$11,049.35Price Negotiated by Insurer
$11,230.65Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.43DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.37HC CBC WITHOUT DIFFERENTIAL
$69.58HC CROSSMATCH COMP
$179.96HC SBBB ANTIBODY SCREEN
$74.26HC SBBB PHLEBOTOMY
$133.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$3.66METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.44MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$24.31ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.43OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.78PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$24.31SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$19,457.06Price Negotiated by Insurer
$2,822.94Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$24.61DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$24.00FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$30.50HC CBC WITHOUT DIFFERENTIAL
$45.97HC CROSSMATCH COMP
$118.90HC SBBB ANTIBODY SCREEN
$49.06HC SBBB PHLEBOTOMY
$88.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.86METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.80MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$313.77ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$4.80OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$2.52PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$7.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.96This 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
$22,280.00Insurance Discount
-$10,026.00Price Negotiated by Insurer
$12,254.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$1.58DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.18FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$32.11HC ABO UNIT CONFIRMATION
$139.15HC CATH FOLEY SLCN 22FR 2WY 30C
$17.41HC CBC WITHOUT DIFFERENTIAL
$57.20HC CROSSMATCH COMP
$147.95HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.28HC RH UNIT CONFIRMATION
$62.70HC SBBB ANTIBODY SCREEN
$111.00HC SBBB PHLEBOTOMY
$200.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.76METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.47MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$77.27OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$2.44PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$399.19SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.52This 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
$22,280.00Insurance Discount
-$8,020.80Price Negotiated by Insurer
$14,259.20Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.63DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$93.69FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$160.35HC ABO UNIT CONFIRMATION
$161.92HC CATH FOLEY SLCN 22FR 2WY 30C
$20.26HC CBC WITHOUT DIFFERENTIAL
$66.56HC CROSSMATCH COMP
$172.16HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.99HC RH UNIT CONFIRMATION
$72.96HC SBBB ANTIBODY SCREEN
$71.04HC SBBB PHLEBOTOMY
$128.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$7.56METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$16.80MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.68ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.52OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.97PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$682.71SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$5,792.80Price Negotiated by Insurer
$16,487.20Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$189.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$630.00FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.04HC ABO UNIT CONFIRMATION
$187.22HC CATH FOLEY SLCN 22FR 2WY 30C
$23.42HC CBC WITHOUT DIFFERENTIAL
$76.96HC CROSSMATCH COMP
$199.06HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.76HC RH UNIT CONFIRMATION
$84.36HC SBBB ANTIBODY SCREEN
$82.14HC SBBB PHLEBOTOMY
$148.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.67METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.07MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$9.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$6.75OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$4.94PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$17.39SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$168.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$333.05DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.32FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.12HC ABO UNIT CONFIRMATION
$245.67HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$9.71HC CROSSMATCH COMP
$326.60HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.01METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.58MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.41OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.06PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$242.90SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$649.39This 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
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.11DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$101.80FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.20HC ABO UNIT CONFIRMATION
$180.16HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$7.12HC CROSSMATCH COMP
$239.50HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.17METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$6.02MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$10.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$6.02OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.12PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$5.10SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$2.81DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.15FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$12.33HC ABO UNIT CONFIRMATION
$163.78HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$6.47HC CROSSMATCH COMP
$217.73HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.40METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$2.40MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$4.08OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.20PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.77SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.92This 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
$22,280.00Insurance Discount
-$13,368.00Price Negotiated by Insurer
$8,912.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$1.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.72FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.11HC ABO UNIT CONFIRMATION
$221.10HC CATH FOLEY SLCN 22FR 2WY 30C
$12.66HC CBC WITHOUT DIFFERENTIAL
$8.73HC CROSSMATCH COMP
$293.94HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.12HC RH UNIT CONFIRMATION
$67.32HC SBBB ANTIBODY SCREEN
$91.65HC SBBB PHLEBOTOMY
$12.27INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.24METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$10.77MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.14ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$21.67OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.04PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$71.65SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$13,368.00Price Negotiated by Insurer
$8,912.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$6.43DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$30.77FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$18.75HC ABO UNIT CONFIRMATION
$163.78HC CATH FOLEY SLCN 22FR 2WY 30C
$12.66HC CBC WITHOUT DIFFERENTIAL
$6.47HC CROSSMATCH COMP
$217.73HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.12HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.56METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$5.52MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$5.39ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.64OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.43PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$72.62HC ABO UNIT CONFIRMATION
$215.05HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$88.40HC CROSSMATCH COMP
$228.65HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$13.25METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.95MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$3.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$28.56OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$111.94PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.84SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.26This 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
$22,280.00Insurance Discount
-$8,912.00Price Negotiated by Insurer
$13,368.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$18.97FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$68.40HC ABO UNIT CONFIRMATION
$151.80HC CATH FOLEY SLCN 22FR 2WY 30C
$18.99HC CBC WITHOUT DIFFERENTIAL
$62.40HC CROSSMATCH COMP
$161.40HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.14METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$2.99MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$238.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.19OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$2.20PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$203.92This 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
$22,280.00Insurance Discount
-$18,420.13Price Negotiated by Insurer
$3,859.87Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$16.36DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.09FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$76.43HC ABO UNIT CONFIRMATION
$4.00HC CBC WITHOUT DIFFERENTIAL
$9.59HC RH UNIT CONFIRMATION
$4.13HC SBBB ANTIBODY SCREEN
$4.37INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$9.52METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.87MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$143.22ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.59OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.59PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$16.36This 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
$22,280.00Insurance Discount
-$7,419.24Price Negotiated by Insurer
$14,860.76Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$2.21DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$7.72FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.07HC ABO UNIT CONFIRMATION
$168.75HC CATH FOLEY SLCN 22FR 2WY 30C
$21.11HC CBC WITHOUT DIFFERENTIAL
$69.37HC CROSSMATCH COMP
$179.42HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.20HC RH UNIT CONFIRMATION
$76.04HC SBBB ANTIBODY SCREEN
$74.04HC SBBB PHLEBOTOMY
$133.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.29METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$320.16MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.32ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$3.98PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.47This 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
$22,280.00Insurance Discount
-$17,914.67Price Negotiated by Insurer
$4,365.33Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.08DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.03FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$6.31HC ABO UNIT CONFIRMATION
$4.52HC CATH FOLEY SLCN 22FR 2WY 30C
$12.06HC CBC WITHOUT DIFFERENTIAL
$10.85HC DRSNG WOUND 3.6 X 8" MEDPORE
$2.97HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC SBBB PHLEBOTOMY
$76.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.26METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$10.64ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$98.74OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$2.30PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$8,488.68Price Negotiated by Insurer
$13,791.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$13.88DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$296.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$15.23HC ABO UNIT CONFIRMATION
$163.78HC CATH FOLEY SLCN 22FR 2WY 30C
$19.59HC CBC WITHOUT DIFFERENTIAL
$6.47HC CROSSMATCH COMP
$217.73HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.82HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$266.67METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$2.23MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$9.62ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.49OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.69PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$36.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.45This 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
$22,280.00Insurance Discount
-$16,932.80Price Negotiated by Insurer
$5,347.20Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.32DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.05FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.16HC ABO UNIT CONFIRMATION
$60.72HC CATH FOLEY SLCN 22FR 2WY 30C
$7.60HC CBC WITHOUT DIFFERENTIAL
$24.96HC CROSSMATCH COMP
$64.56HC DRSNG WOUND 3.6 X 8" MEDPORE
$1.87HC RH UNIT CONFIRMATION
$27.36HC SBBB ANTIBODY SCREEN
$26.64HC SBBB PHLEBOTOMY
$48.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$41.62METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$130.18MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$3.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$7.84OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$10.30PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.39SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$23.47This 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
$22,280.00Insurance Discount
-$6,684.00Price Negotiated by Insurer
$15,596.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$3.47DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$11.72FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.21HC ABO UNIT CONFIRMATION
$206.36HC CATH FOLEY SLCN 22FR 2WY 30C
$22.16HC CBC WITHOUT DIFFERENTIAL
$8.15HC CROSSMATCH COMP
$274.34HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.45HC RH UNIT CONFIRMATION
$62.84HC SBBB ANTIBODY SCREEN
$85.54HC SBBB PHLEBOTOMY
$11.45INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.16METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.46MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$3.08ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.54OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.48PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$30.86SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.81This 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
$22,280.00Insurance Discount
-$6,684.00Price Negotiated by Insurer
$15,596.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$17.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$29.40FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$4.24HC ABO UNIT CONFIRMATION
$219.47HC CATH FOLEY SLCN 22FR 2WY 30C
$22.16HC CBC WITHOUT DIFFERENTIAL
$8.67HC CROSSMATCH COMP
$291.76HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.45HC RH UNIT CONFIRMATION
$66.83HC SBBB ANTIBODY SCREEN
$90.97HC SBBB PHLEBOTOMY
$12.18INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.20METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$10.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.30ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.18OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.07PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$173.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$22,280.00Insurance Discount
-$4,456.00Price Negotiated by Insurer
$17,824.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$41.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$167.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.94HC ABO UNIT CONFIRMATION
$202.40HC CATH FOLEY SLCN 22FR 2WY 30C
$25.32HC CBC WITHOUT DIFFERENTIAL
$83.20HC CROSSMATCH COMP
$215.20HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.23HC RH UNIT CONFIRMATION
$91.20HC SBBB ANTIBODY SCREEN
$88.80HC SBBB PHLEBOTOMY
$160.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.27METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$271.89MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$11.57ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$243.84OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.94PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$9.89SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.23This 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
$22,280.00Insurance Discount
-$7,798.00Price Negotiated by Insurer
$14,482.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$83.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$24.00FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.66HC ABO UNIT CONFIRMATION
$164.45HC CATH FOLEY SLCN 22FR 2WY 30C
$20.57HC CBC WITHOUT DIFFERENTIAL
$67.60HC CROSSMATCH COMP
$174.85HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.06HC RH UNIT CONFIRMATION
$74.10HC SBBB ANTIBODY SCREEN
$72.15HC SBBB PHLEBOTOMY
$130.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.05METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.10MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$25.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.54OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$44.88PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$6.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$35.67This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$2.04DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$18.11FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.92HC ABO UNIT CONFIRMATION
$215.05HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$88.40HC CROSSMATCH COMP
$228.65HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.20METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$101.36MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$18.11ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.77OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$74.71PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.16SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$51.90This 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
$22,280.00Insurance Discount
-$8,912.00Price Negotiated by Insurer
$13,368.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$1.65DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$162.01HC ABO UNIT CONFIRMATION
$151.80HC CATH FOLEY SLCN 22FR 2WY 30C
$18.99HC CBC WITHOUT DIFFERENTIAL
$62.40HC CROSSMATCH COMP
$161.40HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$169.92METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.10MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$28.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.55OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$2.02PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.79SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$22,280.00Insurance Discount
-$11,140.00Price Negotiated by Insurer
$11,140.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$20.04DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$189.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$4.05HC ABO UNIT CONFIRMATION
$676.00HC CATH FOLEY SLCN 22FR 2WY 30C
$15.82HC CBC WITHOUT DIFFERENTIAL
$5.24HC CROSSMATCH COMP
$123.38HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.71MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$9.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.12OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$31.06PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.72SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$11,140.00Price Negotiated by Insurer
$11,140.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$8.52DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$8.64HC ABO UNIT CONFIRMATION
$663.00HC CATH FOLEY SLCN 22FR 2WY 30C
$15.82HC CBC WITHOUT DIFFERENTIAL
$5.24HC CROSSMATCH COMP
$123.38HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$27.88METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.12MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$40.25OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$6.87PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.86SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$11,140.00Price Negotiated by Insurer
$11,140.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.40DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC ABO UNIT CONFIRMATION
$662.00HC CATH FOLEY SLCN 22FR 2WY 30C
$15.82HC CBC WITHOUT DIFFERENTIAL
$5.24HC CROSSMATCH COMP
$123.38HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$8.79METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.41MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.26OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.86PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.19This 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
$22,280.00Insurance Discount
-$11,140.00Price Negotiated by Insurer
$11,140.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$46.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$5.35FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$38.51HC ABO UNIT CONFIRMATION
$605.00HC CATH FOLEY SLCN 22FR 2WY 30C
$15.82HC CBC WITHOUT DIFFERENTIAL
$5.24HC CROSSMATCH COMP
$123.38HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.77METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$65.37MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.13OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$100.22PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$75.98SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$5.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$45.90FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.28HC ABO UNIT CONFIRMATION
$245.67HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$9.71HC CROSSMATCH COMP
$326.60HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$8.47METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$2.34MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.55OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.01PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.36SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$0.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$9.44FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$4.40HC ABO UNIT CONFIRMATION
$180.16HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$7.12HC CROSSMATCH COMP
$239.50HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$6.12METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$3.06MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$11.19ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.94OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$6.44PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$30.60SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$189.80This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$22,280.00Insurance Discount
-$3,342.00Price Negotiated by Insurer
$18,938.00Deductible 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.
AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [21063]
$2.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.22HC ABO UNIT CONFIRMATION
$163.78HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$6.47HC CROSSMATCH COMP
$217.73HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.11METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$19.82MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.07ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.58OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.03PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.70SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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.