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]
$0.23DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.97FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.05HC ABO UNIT CONFIRMATION
$50.60HC CATH FOLEY SLCN 22FR 2WY 30C
$6.33HC CBC WITHOUT DIFFERENTIAL
$10.40HC CROSSMATCH COMP
$53.80HC DRSNG WOUND 3.6 X 8" MEDPORE
$1.56HC RH UNIT CONFIRMATION
$22.80HC SBBB ANTIBODY SCREEN
$22.20HC VENIPUNCTURE W/SPECIMEN
$9.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.06METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.48MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$3.97ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.96OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$3.97PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$5.52SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.97This 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]
$15.55DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$15.55FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$15.55HC ABO UNIT CONFIRMATION
$165.94HC CATH FOLEY SLCN 22FR 2WY 30C
$20.76HC CBC WITHOUT DIFFERENTIAL
$34.11HC CROSSMATCH COMP
$176.44HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.11HC RH UNIT CONFIRMATION
$74.77HC SBBB ANTIBODY SCREEN
$72.80HC VENIPUNCTURE W/SPECIMEN
$30.83INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$15.55METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$6.28MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$6.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$15.55OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$6.28PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$15.55SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$15.55This 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]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.73HC ABO UNIT CONFIRMATION
$4.49HC 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
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC VENIPUNCTURE W/SPECIMEN
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.06METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.06MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.06ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.06OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$141.58PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.06SODIUM 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
-$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]
$0.36DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.59FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.59HC ABO UNIT CONFIRMATION
$3.29HC 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
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC VENIPUNCTURE W/SPECIMEN
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.59METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.48MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.59ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.59OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$69.72PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.59SODIUM 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
-$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]
$53.08DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$90.00FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.05HC ABO UNIT CONFIRMATION
$2.99HC 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
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC VENIPUNCTURE W/SPECIMEN
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.17METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.87MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.05ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.05OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.05PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.46SODIUM 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
-$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]
$513.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.60FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1,124.36HC 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]
$0.49METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.27MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.16ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$3.46PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$4.30SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$263.83This 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]
$12.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.60HC CBC WITHOUT DIFFERENTIAL
$34.79HC CROSSMATCH COMP
$179.96HC SBBB ANTIBODY SCREEN
$74.26HC VENIPUNCTURE W/SPECIMEN
$31.44INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.43METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$77.85MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$24.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1,687.20OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.01PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$10.97SODIUM 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
-$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]
$48.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.10FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$13.77HC CBC WITHOUT DIFFERENTIAL
$22.98HC CROSSMATCH COMP
$118.90HC SBBB ANTIBODY SCREEN
$49.06HC VENIPUNCTURE W/SPECIMEN
$20.77INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.96METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.18MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$24.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.75OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$17.64PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$4.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.80This 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
-$12,254.00Price Negotiated by Insurer
$10,026.00Deductible 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]
$134.64DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.33HC ABO UNIT CONFIRMATION
$113.85HC CATH FOLEY SLCN 22FR 2WY 30C
$14.24HC CBC WITHOUT DIFFERENTIAL
$23.40HC CROSSMATCH COMP
$121.05HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.51HC RH UNIT CONFIRMATION
$51.30HC SBBB ANTIBODY SCREEN
$111.00HC VENIPUNCTURE W/SPECIMEN
$21.15INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.47METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$86.41MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.16ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$28.84OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$28.84PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.28SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$31.19This 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
-$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]
$2.41DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$17.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$9.34HC ABO UNIT CONFIRMATION
$161.92HC CATH FOLEY SLCN 22FR 2WY 30C
$20.26HC CBC WITHOUT DIFFERENTIAL
$33.28HC CROSSMATCH COMP
$172.16HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.99HC RH UNIT CONFIRMATION
$72.96HC SBBB ANTIBODY SCREEN
$71.04HC VENIPUNCTURE W/SPECIMEN
$30.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$35.92METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$17.64MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.38ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$20.16OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.44PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$93.69SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.32This 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]
$15.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.18FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.29HC ABO UNIT CONFIRMATION
$187.22HC CATH FOLEY SLCN 22FR 2WY 30C
$23.42HC CBC WITHOUT DIFFERENTIAL
$38.48HC CROSSMATCH COMP
$199.06HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.76HC RH UNIT CONFIRMATION
$84.36HC SBBB ANTIBODY SCREEN
$82.14HC VENIPUNCTURE W/SPECIMEN
$34.78INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.01METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.14MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.08ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.01PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$168.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13This 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]
$0.79DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$20.40FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$31.91HC ABO UNIT CONFIRMATION
$4.49HC 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
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC VENIPUNCTURE W/SPECIMEN
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$7.93METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.33MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$107.21ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.03OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.33PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.33This 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]
$1.64DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.18FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$115.44HC ABO UNIT CONFIRMATION
$3.29HC 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
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC VENIPUNCTURE W/SPECIMEN
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.44METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.50MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.16ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.07OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$102.00PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$50.74This 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]
$480.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.55FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.13HC ABO UNIT CONFIRMATION
$2.99HC 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
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC VENIPUNCTURE W/SPECIMEN
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.14METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.47MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.35ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.15OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.55PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.65SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.15This 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
$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]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$5.90FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.88HC ABO UNIT CONFIRMATION
$4.04HC 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
$4.04HC SBBB ANTIBODY SCREEN
$13.19HC VENIPUNCTURE W/SPECIMEN
$12.27INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.88METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.94MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$33.82ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.22OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.89PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.16SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.33This 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]
$0.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.40FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC ABO UNIT CONFIRMATION
$2.99HC 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
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC VENIPUNCTURE W/SPECIMEN
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$33.00METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.36MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$7.52OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$28.94PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$8.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.22This 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
$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]
$0.29DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.21FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.03HC ABO UNIT CONFIRMATION
$215.05HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$44.20HC CROSSMATCH COMP
$228.65HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC VENIPUNCTURE W/SPECIMEN
$39.95INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.19METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.98MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$48.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.20OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.33PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$25.70SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.68This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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]
$16.64DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$6.84FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.17HC ABO UNIT CONFIRMATION
$151.80HC CATH FOLEY SLCN 22FR 2WY 30C
$18.99HC CBC WITHOUT DIFFERENTIAL
$31.20HC CROSSMATCH COMP
$161.40HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC VENIPUNCTURE W/SPECIMEN
$28.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.35METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$201.46MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$513.22ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.19OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$32.40PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.01SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$513.22This 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
$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]
$0.19DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$12.42FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$880.67HC 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]
$3.51METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$16.77MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$4.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$27.84OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.28PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.05SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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]
$0.33DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.62HC ABO UNIT CONFIRMATION
$168.75HC CATH FOLEY SLCN 22FR 2WY 30C
$21.11HC CBC WITHOUT DIFFERENTIAL
$34.68HC CROSSMATCH COMP
$179.42HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.20HC RH UNIT CONFIRMATION
$76.04HC SBBB ANTIBODY SCREEN
$74.04HC VENIPUNCTURE W/SPECIMEN
$31.35INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.80METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$4.87MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$6.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.11OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$4.00PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.22This 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
$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]
$9.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.55FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$48.26HC 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 VENIPUNCTURE W/SPECIMEN
$17.91INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$142.04METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$165.51MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.90OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$3.68PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.21SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.29This 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]
$0.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.12FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.19HC ABO UNIT CONFIRMATION
$2.99HC 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
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC VENIPUNCTURE W/SPECIMEN
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.93METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$15.88MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$36.42OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$36.42PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.72This 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
-$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]
$6.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.19FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.13HC ABO UNIT CONFIRMATION
$60.72HC CATH FOLEY SLCN 22FR 2WY 30C
$7.60HC CBC WITHOUT DIFFERENTIAL
$12.48HC CROSSMATCH COMP
$64.56HC DRSNG WOUND 3.6 X 8" MEDPORE
$1.87HC RH UNIT CONFIRMATION
$27.36HC SBBB ANTIBODY SCREEN
$26.64HC VENIPUNCTURE W/SPECIMEN
$11.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.83METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.84ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.07OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.11PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$89.71SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04This 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]
$0.14DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.89FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$35.62HC ABO UNIT CONFIRMATION
$3.77HC 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
$3.77HC SBBB ANTIBODY SCREEN
$12.31HC VENIPUNCTURE W/SPECIMEN
$11.45INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$3.66METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$78.54MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.15ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$78.64OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$10.91PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.54SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$33.60This 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
$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]
$1.60DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$37.80FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.35HC ABO UNIT CONFIRMATION
$4.01HC 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
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC VENIPUNCTURE W/SPECIMEN
$12.18INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.35METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.35MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.41ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.08OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$130.83PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.71SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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]
$42.24DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.32FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.95HC ABO UNIT CONFIRMATION
$202.40HC CATH FOLEY SLCN 22FR 2WY 30C
$25.32HC CBC WITHOUT DIFFERENTIAL
$41.60HC CROSSMATCH COMP
$215.20HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.23HC RH UNIT CONFIRMATION
$91.20HC SBBB ANTIBODY SCREEN
$88.80HC VENIPUNCTURE W/SPECIMEN
$37.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$89.76METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.22MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$7.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.54OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.31PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.07SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.70This 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
$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]
$21.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$77.19HC ABO UNIT CONFIRMATION
$164.45HC CATH FOLEY SLCN 22FR 2WY 30C
$20.57HC CBC WITHOUT DIFFERENTIAL
$33.80HC CROSSMATCH COMP
$174.85HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.06HC RH UNIT CONFIRMATION
$74.10HC SBBB ANTIBODY SCREEN
$72.15HC VENIPUNCTURE W/SPECIMEN
$30.55INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.80METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$300.00MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$70.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$53.99OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.71PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.10SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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]
$1.70DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.92FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.71HC ABO UNIT CONFIRMATION
$215.05HC CATH FOLEY SLCN 22FR 2WY 30C
$26.90HC CBC WITHOUT DIFFERENTIAL
$44.20HC CROSSMATCH COMP
$228.65HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC VENIPUNCTURE W/SPECIMEN
$39.95INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$64.87METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.31MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$15.99OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.37PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$457.98This 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
-$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]
$0.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.29FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$10.80HC ABO UNIT CONFIRMATION
$151.80HC CATH FOLEY SLCN 22FR 2WY 30C
$18.99HC CBC WITHOUT DIFFERENTIAL
$31.20HC CROSSMATCH COMP
$161.40HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC VENIPUNCTURE W/SPECIMEN
$28.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.40METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$7.57MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.07ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.59OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$144.00PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$15.39SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$513.22This 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
$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]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.36FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$11.71HC 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 VENIPUNCTURE W/SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.91METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.52MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.70OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$266.59PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.67This 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
-$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]
$0.15DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.93FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.25HC 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 VENIPUNCTURE W/SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.62METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$41.16MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$21.81ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.95OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.22PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.93This 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]
$78.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.57FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.30HC 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 VENIPUNCTURE W/SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.29METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$1.21MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$39.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$46.32OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.42PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$14.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.49This 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]
$62.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$6.70FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$145.41HC 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 VENIPUNCTURE W/SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.07METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.45MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$5.85ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.05OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.08PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$13.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04This 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]
$0.55DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$12.55FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.84HC ABO UNIT CONFIRMATION
$4.49HC 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
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC VENIPUNCTURE W/SPECIMEN
$13.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$35.70METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$0.51MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$16.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.47OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$0.40PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$12.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.15This 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
$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]
$0.47DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.68HC ABO UNIT CONFIRMATION
$3.29HC 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
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC VENIPUNCTURE W/SPECIMEN
$10.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$3.06METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$3.77MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.98ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.20OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$16.83PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.06SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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.
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]
$12.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$9.44FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.01HC ABO UNIT CONFIRMATION
$2.99HC 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
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC VENIPUNCTURE W/SPECIMEN
$9.09INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.84METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [5002]
$9.44MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.48ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.84OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV (TITRATABLE) [4085635]
$1.46PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$28.49SODIUM 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.