CPT 97166
The standard charge for Occupational Therapy Evaluation - Moderate Complexity is $963.00. 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
$963.00Insurance Discount
-$568.17Price Negotiated by Insurer
$394.83Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$90.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$304.22HC CBC WITHOUT DIFFERENTIAL
$20.80HC COMPREHENSIVE METABOLIC PANEL
$159.00HC GLUCOSE TESTING POC
$27.40HC INJECT THER/PROP/DIAG SC/IM
$79.60HC PHOSPHORUS
$34.60HC SBBB PHLEBOTOMY
$40.00HC SOM MAGNESIUM RANDOM UR
$1.48HC THERAPEUTIC ACTIVITY 15 MIN WC
$58.63HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$135.71HC TROPONIN-T
$63.00This 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
$963.00Insurance Discount
-$331.37Price Negotiated by Insurer
$631.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$295.15HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$486.68HC CBC WITHOUT DIFFERENTIAL
$68.21HC COMPREHENSIVE METABOLIC PANEL
$521.44HC GLUCOSE TESTING POC
$89.86HC INJECT THER/PROP/DIAG SC/IM
$261.05HC PHOSPHORUS
$113.47HC SBBB PHLEBOTOMY
$131.18HC SOM MAGNESIUM RANDOM UR
$4.86HC THERAPEUTIC ACTIVITY 15 MIN WC
$93.79HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$217.10HC TROPONIN-T
$206.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC INJECT THER/PROP/DIAG SC/IM
$135.65HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$18.70This 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
$963.00Insurance Discount
-$433.35Price Negotiated by Insurer
$529.65Deductible 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.
HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC INJECT THER/PROP/DIAG SC/IM
$99.47HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$78.65HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$182.05HC TROPONIN-T
$13.72This 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
$963.00Insurance Discount
-$240.75Price Negotiated by Insurer
$722.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC INJECT THER/PROP/DIAG SC/IM
$90.43HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$107.25HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$248.25HC TROPONIN-T
$12.47This 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
$963.00Insurance Discount
-$506.00Price Negotiated by Insurer
$457.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$83.59HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$457.00HC CBC WITHOUT DIFFERENTIAL
$63.90HC COMPREHENSIVE METABOLIC PANEL
$104.53HC GLUCOSE TESTING POC
$84.13HC INJECT THER/PROP/DIAG SC/IM
$991.00HC PHOSPHORUS
$46.75HC SOM MAGNESIUM RANDOM UR
$65.77HC THERAPEUTIC ACTIVITY 15 MIN WC
$457.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$457.00HC TROPONIN-T
$188.45This 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
$963.00Insurance Discount
-$542.00Price Negotiated by Insurer
$421.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$301.05HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$421.00HC CBC WITHOUT DIFFERENTIAL
$69.58HC COMPREHENSIVE METABOLIC PANEL
$531.86HC GLUCOSE TESTING POC
$91.65HC PHOSPHORUS
$115.74HC SBBB PHLEBOTOMY
$133.80HC SOM MAGNESIUM RANDOM UR
$4.96HC THERAPEUTIC ACTIVITY 15 MIN WC
$421.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$421.00HC TROPONIN-T
$210.74This 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
$963.00Insurance Discount
-$684.00Price Negotiated by Insurer
$279.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$198.90HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$279.00HC CBC WITHOUT DIFFERENTIAL
$45.97HC COMPREHENSIVE METABOLIC PANEL
$351.39HC GLUCOSE TESTING POC
$60.55HC PHOSPHORUS
$76.47HC SBBB PHLEBOTOMY
$88.40HC SOM MAGNESIUM RANDOM UR
$3.28HC THERAPEUTIC ACTIVITY 15 MIN WC
$279.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$279.00HC TROPONIN-T
$139.23This 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
$963.00Insurance Discount
-$433.35Price Negotiated by Insurer
$529.65Deductible 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.
HC BASIC METABOLIC PANEL
$247.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$408.10HC CBC WITHOUT DIFFERENTIAL
$57.20HC COMPREHENSIVE METABOLIC PANEL
$437.25HC GLUCOSE TESTING POC
$75.35HC INJECT THER/PROP/DIAG SC/IM
$218.90HC PHOSPHORUS
$95.15HC SBBB PHLEBOTOMY
$200.00HC SOM MAGNESIUM RANDOM UR
$7.41HC THERAPEUTIC ACTIVITY 15 MIN WC
$78.65HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$182.05HC TROPONIN-T
$173.25This 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
$963.00Insurance Discount
-$346.68Price Negotiated by Insurer
$616.32Deductible 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.
HC BASIC METABOLIC PANEL
$288.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$474.88HC CBC WITHOUT DIFFERENTIAL
$66.56HC COMPREHENSIVE METABOLIC PANEL
$508.80HC GLUCOSE TESTING POC
$87.68HC INJECT THER/PROP/DIAG SC/IM
$254.72HC PHOSPHORUS
$110.72HC SBBB PHLEBOTOMY
$128.00HC SOM MAGNESIUM RANDOM UR
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$91.52HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$211.84HC TROPONIN-T
$201.60This 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
$963.00Insurance Discount
-$250.38Price Negotiated by Insurer
$712.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$333.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$549.08HC CBC WITHOUT DIFFERENTIAL
$76.96HC COMPREHENSIVE METABOLIC PANEL
$588.30HC GLUCOSE TESTING POC
$101.38HC INJECT THER/PROP/DIAG SC/IM
$294.52HC PHOSPHORUS
$128.02HC SBBB PHLEBOTOMY
$148.00HC SOM MAGNESIUM RANDOM UR
$5.48HC THERAPEUTIC ACTIVITY 15 MIN WC
$105.82HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$244.94HC TROPONIN-T
$233.10This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC INJECT THER/PROP/DIAG SC/IM
$135.65HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$18.70This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC INJECT THER/PROP/DIAG SC/IM
$99.47HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$13.72This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC INJECT THER/PROP/DIAG SC/IM
$90.43HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$12.47This 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
$963.00Insurance Discount
-$577.80Price Negotiated by Insurer
$385.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$11.42HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$730.42HC CBC WITHOUT DIFFERENTIAL
$8.73HC COMPREHENSIVE METABOLIC PANEL
$14.26HC GLUCOSE TESTING POC
$4.43HC INJECT THER/PROP/DIAG SC/IM
$122.08HC PHOSPHORUS
$6.40HC SBBB PHLEBOTOMY
$12.27HC SOM MAGNESIUM RANDOM UR
$9.04HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$132.40HC TROPONIN-T
$16.83This 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
$963.00Insurance Discount
-$577.80Price Negotiated by Insurer
$385.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC INJECT THER/PROP/DIAG SC/IM
$90.43HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$132.40HC TROPONIN-T
$12.47This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$382.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$630.70HC CBC WITHOUT DIFFERENTIAL
$88.40HC COMPREHENSIVE METABOLIC PANEL
$675.75HC GLUCOSE TESTING POC
$116.45HC INJECT THER/PROP/DIAG SC/IM
$338.30HC PHOSPHORUS
$147.05HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$267.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$963.00Insurance Discount
-$385.20Price Negotiated by Insurer
$577.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$270.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$445.20HC CBC WITHOUT DIFFERENTIAL
$62.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC GLUCOSE TESTING POC
$82.20HC INJECT THER/PROP/DIAG SC/IM
$238.80HC PHOSPHORUS
$103.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC TROPONIN-T
$189.00This 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
$963.00Insurance Discount
-$320.68Price Negotiated by Insurer
$642.32Deductible 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.
HC BASIC METABOLIC PANEL
$300.15HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$494.91HC CBC WITHOUT DIFFERENTIAL
$69.37HC COMPREHENSIVE METABOLIC PANEL
$530.26HC GLUCOSE TESTING POC
$91.38HC INJECT THER/PROP/DIAG SC/IM
$265.47HC PHOSPHORUS
$115.39HC SBBB PHLEBOTOMY
$133.40HC SOM MAGNESIUM RANDOM UR
$4.94HC THERAPEUTIC ACTIVITY 15 MIN WC
$95.38HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$220.78HC TROPONIN-T
$210.10This 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
$963.00Insurance Discount
-$596.10Price Negotiated by Insurer
$366.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$13.81HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$282.70HC CBC WITHOUT DIFFERENTIAL
$10.85HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC INJECT THER/PROP/DIAG SC/IM
$35.62HC PHOSPHORUS
$8.00HC SBBB PHLEBOTOMY
$76.20HC SOM MAGNESIUM RANDOM UR
$11.32HC THERAPEUTIC ACTIVITY 15 MIN WC
$21.17HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$20.82HC TROPONIN-T
$16.09This 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
$963.00Insurance Discount
-$366.90Price Negotiated by Insurer
$596.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC INJECT THER/PROP/DIAG SC/IM
$90.43HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$88.52HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$204.89HC TROPONIN-T
$12.47This 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
$963.00Insurance Discount
-$731.88Price Negotiated by Insurer
$231.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$108.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$178.08HC CBC WITHOUT DIFFERENTIAL
$24.96HC COMPREHENSIVE METABOLIC PANEL
$190.80HC GLUCOSE TESTING POC
$32.88HC INJECT THER/PROP/DIAG SC/IM
$95.52HC PHOSPHORUS
$41.52HC SBBB PHLEBOTOMY
$48.00HC SOM MAGNESIUM RANDOM UR
$1.78HC THERAPEUTIC ACTIVITY 15 MIN WC
$34.32HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$79.44HC TROPONIN-T
$75.60This 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
$963.00Insurance Discount
-$288.90Price Negotiated by Insurer
$674.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$10.66HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$681.72HC CBC WITHOUT DIFFERENTIAL
$8.15HC COMPREHENSIVE METABOLIC PANEL
$13.31HC GLUCOSE TESTING POC
$4.13HC INJECT THER/PROP/DIAG SC/IM
$113.94HC PHOSPHORUS
$5.97HC SBBB PHLEBOTOMY
$11.45HC SOM MAGNESIUM RANDOM UR
$8.44HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$231.70HC TROPONIN-T
$15.71This 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
$963.00Insurance Discount
-$288.90Price Negotiated by Insurer
$674.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$11.34HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$725.01HC CBC WITHOUT DIFFERENTIAL
$8.67HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC INJECT THER/PROP/DIAG SC/IM
$121.18HC PHOSPHORUS
$6.35HC SBBB PHLEBOTOMY
$12.18HC SOM MAGNESIUM RANDOM UR
$8.98HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$231.70HC TROPONIN-T
$16.71This 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
$963.00Insurance Discount
-$192.60Price Negotiated by Insurer
$770.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$360.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$593.60HC CBC WITHOUT DIFFERENTIAL
$83.20HC COMPREHENSIVE METABOLIC PANEL
$636.00HC GLUCOSE TESTING POC
$109.60HC INJECT THER/PROP/DIAG SC/IM
$318.40HC PHOSPHORUS
$138.40HC SBBB PHLEBOTOMY
$160.00HC SOM MAGNESIUM RANDOM UR
$5.93HC THERAPEUTIC ACTIVITY 15 MIN WC
$114.40HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$264.80HC TROPONIN-T
$252.00This 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
$963.00Insurance Discount
-$337.05Price Negotiated by Insurer
$625.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$292.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$482.30HC CBC WITHOUT DIFFERENTIAL
$67.60HC COMPREHENSIVE METABOLIC PANEL
$516.75HC GLUCOSE TESTING POC
$89.05HC INJECT THER/PROP/DIAG SC/IM
$258.70HC PHOSPHORUS
$112.45HC SBBB PHLEBOTOMY
$130.00HC SOM MAGNESIUM RANDOM UR
$4.82HC THERAPEUTIC ACTIVITY 15 MIN WC
$92.95HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$215.15HC TROPONIN-T
$204.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$382.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$630.70HC CBC WITHOUT DIFFERENTIAL
$88.40HC COMPREHENSIVE METABOLIC PANEL
$675.75HC GLUCOSE TESTING POC
$116.45HC INJECT THER/PROP/DIAG SC/IM
$338.30HC PHOSPHORUS
$147.05HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$267.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$963.00Insurance Discount
-$385.20Price Negotiated by Insurer
$577.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$270.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$445.20HC CBC WITHOUT DIFFERENTIAL
$62.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC GLUCOSE TESTING POC
$82.20HC INJECT THER/PROP/DIAG SC/IM
$238.80HC PHOSPHORUS
$103.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC TROPONIN-T
$189.00This 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
$963.00Insurance Discount
-$385.20Price Negotiated by Insurer
$577.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$270.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$649.26HC CBC WITHOUT DIFFERENTIAL
$62.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC GLUCOSE TESTING POC
$82.20HC INJECT THER/PROP/DIAG SC/IM
$108.52HC PHOSPHORUS
$103.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$198.60HC TROPONIN-T
$189.00This 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
$963.00Insurance Discount
-$546.00Price Negotiated by Insurer
$417.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$417.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC INJECT THER/PROP/DIAG SC/IM
$676.00HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$417.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$417.00HC TROPONIN-T
$10.10This 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
$963.00Insurance Discount
-$668.00Price Negotiated by Insurer
$295.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$295.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC INJECT THER/PROP/DIAG SC/IM
$663.00HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$295.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$295.00HC TROPONIN-T
$10.10This 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
$963.00Insurance Discount
-$739.00Price Negotiated by Insurer
$224.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$224.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC INJECT THER/PROP/DIAG SC/IM
$662.00HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$224.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$224.00HC TROPONIN-T
$10.10This 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
$963.00Insurance Discount
-$757.00Price Negotiated by Insurer
$206.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$206.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC INJECT THER/PROP/DIAG SC/IM
$199.00HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$206.00HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$206.00HC TROPONIN-T
$10.10This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC INJECT THER/PROP/DIAG SC/IM
$135.65HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$18.70This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC INJECT THER/PROP/DIAG SC/IM
$99.47HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$13.72This 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
$963.00Insurance Discount
-$144.45Price Negotiated by Insurer
$818.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC INJECT THER/PROP/DIAG SC/IM
$90.43HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55HC THERAPEUTIC PROCEDURE 15 MIN MCAL
$281.35HC TROPONIN-T
$12.47This 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.