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
$9.60HC CBC W DIFFERENTIAL
$18.80HC COMPREHENSIVE METABOLIC PANEL
$159.00HC GLUCOSE TESTING POC
$27.40HC HSTROPONIN T
$17.00HC INJECT THER/PROP/DIAG SC/IM
$79.60HC MAGNESIUM
$8.00HC PHOSPHORUS
$34.60HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$132.43HC VENIPUNCTURE W SPECIMEN
$10.80This 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
$963.00Insurance Discount
-$496.02Price Negotiated by Insurer
$466.98Deductible 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
$70.36HC CBC W DIFFERENTIAL
$53.81HC COMPREHENSIVE METABOLIC PANEL
$87.88HC GLUCOSE TESTING POC
$19.47HC HSTROPONIN T
$81.83HC INJECT THER/PROP/DIAG SC/IM
$163.17HC MAGNESIUM
$55.76HC PHOSPHORUS
$39.42HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$164.98HC VENIPUNCTURE W SPECIMEN
$18.35This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC INJECT THER/PROP/DIAG SC/IM
$138.90HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC INJECT THER/PROP/DIAG SC/IM
$101.86HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$177.65HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC INJECT THER/PROP/DIAG SC/IM
$92.60HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$242.25HC VENIPUNCTURE W SPECIMEN
$9.34This 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
-$485.00Price Negotiated by Insurer
$478.00Deductible 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
$87.35HC CBC W DIFFERENTIAL
$66.78HC COMPREHENSIVE METABOLIC PANEL
$109.24HC HSTROPONIN T
$196.93HC INJECT THER/PROP/DIAG SC/IM
$1,036.00HC MAGNESIUM
$68.72HC PHOSPHORUS
$48.85HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$478.00HC VENIPUNCTURE W SPECIMEN
$22.10This 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
-$672.00Price Negotiated by Insurer
$291.00Deductible 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
$22.13HC CBC W DIFFERENTIAL
$43.33HC COMPREHENSIVE METABOLIC PANEL
$32.27HC GLUCOSE TESTING POC
$95.49HC HSTROPONIN T
$61.34HC MAGNESIUM
$27.88HC PHOSPHORUS
$21.61HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$291.00HC VENIPUNCTURE W SPECIMEN
$37.64This 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
-$529.65Price Negotiated by Insurer
$433.35Deductible 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
$21.60HC CBC W DIFFERENTIAL
$42.30HC COMPREHENSIVE METABOLIC PANEL
$31.50HC GLUCOSE TESTING POC
$5.85HC HSTROPONIN T
$39.60HC INJECT THER/PROP/DIAG SC/IM
$179.10HC MAGNESIUM
$68.40HC PHOSPHORUS
$13.95HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$145.35HC VENIPUNCTURE W SPECIMEN
$24.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$60.16HC COMPREHENSIVE METABOLIC PANEL
$44.80HC GLUCOSE TESTING POC
$8.32HC HSTROPONIN T
$56.32HC INJECT THER/PROP/DIAG SC/IM
$254.72HC MAGNESIUM
$97.28HC PHOSPHORUS
$19.84HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$206.72HC VENIPUNCTURE W SPECIMEN
$34.56This 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
$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
$35.52HC CBC W DIFFERENTIAL
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC GLUCOSE TESTING POC
$101.38HC HSTROPONIN T
$65.12HC INJECT THER/PROP/DIAG SC/IM
$294.52HC MAGNESIUM
$29.60HC PHOSPHORUS
$22.94HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$239.02HC VENIPUNCTURE W SPECIMEN
$39.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC INJECT THER/PROP/DIAG SC/IM
$138.90HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC INJECT THER/PROP/DIAG SC/IM
$101.86HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC INJECT THER/PROP/DIAG SC/IM
$92.60HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$9.34This 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
$33.60HC CBC W DIFFERENTIAL
$65.80HC COMPREHENSIVE METABOLIC PANEL
$49.00HC GLUCOSE TESTING POC
$95.90HC HSTROPONIN T
$59.50HC INJECT THER/PROP/DIAG SC/IM
$278.60HC MAGNESIUM
$106.40HC PHOSPHORUS
$121.10HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$226.10HC VENIPUNCTURE W SPECIMEN
$32.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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
$13.96HC CBC W DIFFERENTIAL
$10.68HC COMPREHENSIVE METABOLIC PANEL
$17.42HC GLUCOSE TESTING POC
$5.41HC HSTROPONIN T
$20.58HC INJECT THER/PROP/DIAG SC/IM
$152.79HC MAGNESIUM
$11.05HC PHOSPHORUS
$7.82HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$129.20HC VENIPUNCTURE W SPECIMEN
$15.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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
$9.31HC CBC W DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC INJECT THER/PROP/DIAG SC/IM
$101.86HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$129.20HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$44.20HC COMPREHENSIVE METABOLIC PANEL
$675.75HC GLUCOSE TESTING POC
$116.45HC HSTROPONIN T
$72.25HC INJECT THER/PROP/DIAG SC/IM
$338.30HC MAGNESIUM
$129.20HC PHOSPHORUS
$147.05HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$45.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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
$28.80HC CBC W DIFFERENTIAL
$56.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC GLUCOSE TESTING POC
$7.80HC HSTROPONIN T
$52.80HC INJECT THER/PROP/DIAG SC/IM
$238.80HC MAGNESIUM
$24.00HC PHOSPHORUS
$18.60HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$193.80HC VENIPUNCTURE W SPECIMEN
$32.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$963.00Insurance Discount
-$351.50Price Negotiated by Insurer
$611.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$30.48HC CBC W DIFFERENTIAL
$33.02HC COMPREHENSIVE METABOLIC PANEL
$44.45HC GLUCOSE TESTING POC
$8.26HC HSTROPONIN T
$55.88HC INJECT THER/PROP/DIAG SC/IM
$252.73HC MAGNESIUM
$25.40HC PHOSPHORUS
$19.68HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$205.10HC VENIPUNCTURE W SPECIMEN
$29.84This 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
-$613.43Price Negotiated by Insurer
$349.57Deductible 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 CBC W DIFFERENTIAL
$10.85HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC HSTROPONIN T
$16.09HC INJECT THER/PROP/DIAG SC/IM
$35.62HC MAGNESIUM
$11.32HC PHOSPHORUS
$8.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$21.17HC VENIPUNCTURE W SPECIMEN
$19.60This 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
-$394.83Price Negotiated by Insurer
$568.17Deductible 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
$11.84HC CBC W DIFFERENTIAL
$9.06HC COMPREHENSIVE METABOLIC PANEL
$14.78HC GLUCOSE TESTING POC
$4.59HC HSTROPONIN T
$17.46HC INJECT THER/PROP/DIAG SC/IM
$129.64HC MAGNESIUM
$9.38HC PHOSPHORUS
$6.64HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$190.57HC VENIPUNCTURE W SPECIMEN
$13.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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
$11.52HC CBC W DIFFERENTIAL
$22.56HC COMPREHENSIVE METABOLIC PANEL
$190.80HC GLUCOSE TESTING POC
$3.12HC HSTROPONIN T
$20.40HC INJECT THER/PROP/DIAG SC/IM
$95.52HC MAGNESIUM
$9.60HC PHOSPHORUS
$7.44HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$77.52HC VENIPUNCTURE W SPECIMEN
$11.28This 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
$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 CBC W DIFFERENTIAL
$8.15HC COMPREHENSIVE METABOLIC PANEL
$13.31HC GLUCOSE TESTING POC
$4.13HC HSTROPONIN T
$15.71HC INJECT THER/PROP/DIAG SC/IM
$116.68HC MAGNESIUM
$8.44HC PHOSPHORUS
$5.97HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$226.10HC VENIPUNCTURE W SPECIMEN
$11.77This 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 CBC W DIFFERENTIAL
$8.67HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC HSTROPONIN T
$16.71HC INJECT THER/PROP/DIAG SC/IM
$124.08HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$226.10HC VENIPUNCTURE W SPECIMEN
$12.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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
$38.40HC CBC W DIFFERENTIAL
$41.60HC COMPREHENSIVE METABOLIC PANEL
$636.00HC GLUCOSE TESTING POC
$10.40HC HSTROPONIN T
$70.40HC INJECT THER/PROP/DIAG SC/IM
$318.40HC MAGNESIUM
$121.60HC PHOSPHORUS
$138.40HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$258.40HC VENIPUNCTURE W SPECIMEN
$37.60This 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
-$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
$31.20HC CBC W DIFFERENTIAL
$33.80HC COMPREHENSIVE METABOLIC PANEL
$516.75HC GLUCOSE TESTING POC
$8.45HC HSTROPONIN T
$55.25HC INJECT THER/PROP/DIAG SC/IM
$258.70HC MAGNESIUM
$26.00HC PHOSPHORUS
$20.15HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$209.95HC VENIPUNCTURE W SPECIMEN
$30.55This 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
$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 CBC W DIFFERENTIAL
$79.90HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC HSTROPONIN T
$72.25HC INJECT THER/PROP/DIAG SC/IM
$338.30HC MAGNESIUM
$34.00HC PHOSPHORUS
$147.05HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$45.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$82.20HC HSTROPONIN T
$52.80HC INJECT THER/PROP/DIAG SC/IM
$238.80HC MAGNESIUM
$24.00HC PHOSPHORUS
$103.80HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$193.80HC VENIPUNCTURE W SPECIMEN
$28.20This 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
$28.80HC CBC W DIFFERENTIAL
$56.40HC COMPREHENSIVE METABOLIC PANEL
$477.00HC GLUCOSE TESTING POC
$82.20HC HSTROPONIN T
$52.80HC INJECT THER/PROP/DIAG SC/IM
$111.12HC MAGNESIUM
$91.20HC PHOSPHORUS
$18.60HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$193.80HC VENIPUNCTURE W SPECIMEN
$32.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC INJECT THER/PROP/DIAG SC/IM
$676.00HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$417.00HC VENIPUNCTURE W SPECIMEN
$2.43This 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 CBC W DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC INJECT THER/PROP/DIAG SC/IM
$663.00HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$295.00HC VENIPUNCTURE W SPECIMEN
$2.43This 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 CBC W DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC INJECT THER/PROP/DIAG SC/IM
$662.00HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$224.00HC VENIPUNCTURE W SPECIMEN
$2.43This 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 CBC W DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC INJECT THER/PROP/DIAG SC/IM
$199.00HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$206.00HC VENIPUNCTURE W SPECIMEN
$2.43This 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 CBC W DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC INJECT THER/PROP/DIAG SC/IM
$138.90HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC INJECT THER/PROP/DIAG SC/IM
$101.86HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 CBC W DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC INJECT THER/PROP/DIAG SC/IM
$92.60HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$274.55HC VENIPUNCTURE W SPECIMEN
$9.34This 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.