CPT 96366
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- additional infusions is $168.00. 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
$168.00Insurance Discount
-$134.40Price Negotiated by Insurer
$33.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INFUSION INITIAL HOUR GT 16MIN
$172.80HC IV PUSH EA ADDL SEQ NEW DRUG
$100.40HC VENIPUNCTURE W/SPECIMEN
$9.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.99This 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
$168.00Insurance Discount
-$57.81Price Negotiated by Insurer
$110.19Deductible 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 COMPREHENSIVE METABOLIC PANEL
$45.91HC INFUSION INITIAL HOUR GT 16MIN
$566.70HC IV PUSH EA ADDL SEQ NEW DRUG
$329.26HC VENIPUNCTURE W/SPECIMEN
$30.83SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$15.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$80.06Price Negotiated by Insurer
$87.94Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INFUSION INITIAL HOUR GT 16MIN
$401.55HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$103.51Price Negotiated by Insurer
$64.49Deductible 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 COMPREHENSIVE METABOLIC PANEL
$11.62HC INFUSION INITIAL HOUR GT 16MIN
$294.47HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Price Negotiated by Insurer
$991.00Deductible 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 COMPREHENSIVE METABOLIC PANEL
$104.53HC INFUSION INITIAL HOUR GT 16MIN
$991.00HC IV PUSH EA ADDL SEQ NEW DRUG
$991.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.63This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$92.40Price Negotiated by Insurer
$75.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$31.50HC INFUSION INITIAL HOUR GT 16MIN
$388.80HC IV PUSH EA ADDL SEQ NEW DRUG
$225.90HC VENIPUNCTURE W/SPECIMEN
$21.15SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$59.24This 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
$168.00Insurance Discount
-$60.48Price Negotiated by Insurer
$107.52Deductible 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 COMPREHENSIVE METABOLIC PANEL
$44.80HC INFUSION INITIAL HOUR GT 16MIN
$552.96HC IV PUSH EA ADDL SEQ NEW DRUG
$321.28HC VENIPUNCTURE W/SPECIMEN
$30.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.69This 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
$168.00Insurance Discount
-$43.68Price Negotiated by Insurer
$124.32Deductible 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 COMPREHENSIVE METABOLIC PANEL
$51.80HC INFUSION INITIAL HOUR GT 16MIN
$639.36HC IV PUSH EA ADDL SEQ NEW DRUG
$371.48HC VENIPUNCTURE W/SPECIMEN
$34.78SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.60This 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
$168.00Insurance Discount
-$80.06Price Negotiated by Insurer
$87.94Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INFUSION INITIAL HOUR GT 16MIN
$401.55HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$110.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$103.51Price Negotiated by Insurer
$64.49Deductible 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 COMPREHENSIVE METABOLIC PANEL
$11.62HC INFUSION INITIAL HOUR GT 16MIN
$294.47HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.55This 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
$168.00Insurance Discount
-$88.85Price Negotiated by Insurer
$79.15Deductible 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 COMPREHENSIVE METABOLIC PANEL
$14.26HC INFUSION INITIAL HOUR GT 16MIN
$361.39HC IV PUSH EA ADDL SEQ NEW DRUG
$79.15HC VENIPUNCTURE W/SPECIMEN
$12.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$68.08This 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
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$25.20Price Negotiated by Insurer
$142.80Deductible 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 COMPREHENSIVE METABOLIC PANEL
$59.50HC INFUSION INITIAL HOUR GT 16MIN
$734.40HC IV PUSH EA ADDL SEQ NEW DRUG
$426.70HC VENIPUNCTURE W/SPECIMEN
$39.95SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$67.20Price Negotiated by Insurer
$100.80Deductible 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 COMPREHENSIVE METABOLIC PANEL
$42.00HC INFUSION INITIAL HOUR GT 16MIN
$518.40HC IV PUSH EA ADDL SEQ NEW DRUG
$301.20HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$60.00This 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
$168.00Insurance Discount
-$71.85Price Negotiated by Insurer
$96.15Deductible 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 COMPREHENSIVE METABOLIC PANEL
$17.32HC INFUSION INITIAL HOUR GT 16MIN
$439.03HC IV PUSH EA ADDL SEQ NEW DRUG
$96.15HC VENIPUNCTURE W/SPECIMEN
$14.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$48.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$135.63Price Negotiated by Insurer
$32.37Deductible 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 COMPREHENSIVE METABOLIC PANEL
$15.44HC INFUSION INITIAL HOUR GT 16MIN
$105.17HC IV PUSH EA ADDL SEQ NEW DRUG
$35.77SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.25This 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
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$55.94Price Negotiated by Insurer
$112.06Deductible 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 COMPREHENSIVE METABOLIC PANEL
$46.69HC INFUSION INITIAL HOUR GT 16MIN
$576.29HC IV PUSH EA ADDL SEQ NEW DRUG
$334.83HC VENIPUNCTURE W/SPECIMEN
$31.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$131.39Price Negotiated by Insurer
$36.61Deductible 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 COMPREHENSIVE METABOLIC PANEL
$17.46HC INFUSION INITIAL HOUR GT 16MIN
$118.94HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45HC VENIPUNCTURE W/SPECIMEN
$17.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$8.70This 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
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.64This 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
$168.00Insurance Discount
-$127.68Price Negotiated by Insurer
$40.32Deductible 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 COMPREHENSIVE METABOLIC PANEL
$16.80HC INFUSION INITIAL HOUR GT 16MIN
$207.36HC IV PUSH EA ADDL SEQ NEW DRUG
$120.48HC VENIPUNCTURE W/SPECIMEN
$11.28SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$94.13Price Negotiated by Insurer
$73.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$13.31HC INFUSION INITIAL HOUR GT 16MIN
$337.30HC IV PUSH EA ADDL SEQ NEW DRUG
$73.87HC VENIPUNCTURE W/SPECIMEN
$11.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.94This 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
$168.00Insurance Discount
-$89.44Price Negotiated by Insurer
$78.56Deductible 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 COMPREHENSIVE METABOLIC PANEL
$14.15HC INFUSION INITIAL HOUR GT 16MIN
$358.72HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56HC VENIPUNCTURE W/SPECIMEN
$12.18SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$57.96This 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
$168.00Insurance Discount
-$33.60Price Negotiated by Insurer
$134.40Deductible 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 COMPREHENSIVE METABOLIC PANEL
$56.00HC INFUSION INITIAL HOUR GT 16MIN
$691.20HC IV PUSH EA ADDL SEQ NEW DRUG
$401.60HC VENIPUNCTURE W/SPECIMEN
$37.60SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$74.60Price Negotiated by Insurer
$93.40Deductible 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 INFUSION INITIAL HOUR GT 16MIN
$426.54HC IV PUSH EA ADDL SEQ NEW DRUG
$93.40This 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
$168.00Insurance Discount
-$58.80Price Negotiated by Insurer
$109.20Deductible 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 COMPREHENSIVE METABOLIC PANEL
$45.50HC INFUSION INITIAL HOUR GT 16MIN
$561.60HC IV PUSH EA ADDL SEQ NEW DRUG
$326.30HC VENIPUNCTURE W/SPECIMEN
$30.55SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$25.20Price Negotiated by Insurer
$142.80Deductible 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 COMPREHENSIVE METABOLIC PANEL
$59.50HC INFUSION INITIAL HOUR GT 16MIN
$734.40HC IV PUSH EA ADDL SEQ NEW DRUG
$426.70HC VENIPUNCTURE W/SPECIMEN
$39.95SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.71This 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
$168.00Insurance Discount
-$75.55Price Negotiated by Insurer
$92.45Deductible 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 INFUSION INITIAL HOUR GT 16MIN
$422.18HC IV PUSH EA ADDL SEQ NEW DRUG
$92.45This 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
$168.00Insurance Discount
-$67.20Price Negotiated by Insurer
$100.80Deductible 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 COMPREHENSIVE METABOLIC PANEL
$42.00HC INFUSION INITIAL HOUR GT 16MIN
$518.40HC IV PUSH EA ADDL SEQ NEW DRUG
$301.20HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$97.64Price Negotiated by Insurer
$70.36Deductible 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 COMPREHENSIVE METABOLIC PANEL
$42.00HC INFUSION INITIAL HOUR GT 16MIN
$321.24HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$380.52This 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
$168.00Insurance Discount
-$84.00Price Negotiated by Insurer
$84.00Deductible 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 COMPREHENSIVE METABOLIC PANEL
$8.55HC INFUSION INITIAL HOUR GT 16MIN
$432.00HC IV PUSH EA ADDL SEQ NEW DRUG
$251.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$84.00Price Negotiated by Insurer
$84.00Deductible 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 COMPREHENSIVE METABOLIC PANEL
$8.55HC INFUSION INITIAL HOUR GT 16MIN
$432.00HC IV PUSH EA ADDL SEQ NEW DRUG
$663.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Price Negotiated by Insurer
$662.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INFUSION INITIAL HOUR GT 16MIN
$432.00HC IV PUSH EA ADDL SEQ NEW DRUG
$251.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Price Negotiated by Insurer
$605.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INFUSION INITIAL HOUR GT 16MIN
$432.00HC IV PUSH EA ADDL SEQ NEW DRUG
$605.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$80.06Price Negotiated by Insurer
$87.94Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INFUSION INITIAL HOUR GT 16MIN
$401.55HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$168.00Insurance Discount
-$103.51Price Negotiated by Insurer
$64.49Deductible 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 COMPREHENSIVE METABOLIC PANEL
$11.62HC INFUSION INITIAL HOUR GT 16MIN
$294.47HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.11This 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
$168.00Insurance Discount
-$109.37Price Negotiated by Insurer
$58.63Deductible 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 COMPREHENSIVE METABOLIC PANEL
$10.56HC INFUSION INITIAL HOUR GT 16MIN
$267.70HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.87This 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.