CPT 72170
The standard charge for X-ray Pelvis, 1-2 Views is $646.00. 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
$646.00Insurance Discount
-$516.80Price Negotiated by Insurer
$129.20Deductible 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 ABO UNIT CONFIRMATION
$50.60HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$141.20HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT HEAD NO CONTRAST
$531.20HC RH UNIT CONFIRMATION
$22.80HC VENIPUNCTURE W/SPECIMEN
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$222.29Price Negotiated by Insurer
$423.71Deductible 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 ABO UNIT CONFIRMATION
$165.94HC CBC W WBC AUTO DIFF
$34.11HC CHEST SINGLE VIEW
$463.07HC COMPREHENSIVE METABOLIC PANEL
$45.91HC CT HEAD NO CONTRAST
$2,754.00HC RH UNIT CONFIRMATION
$74.77HC VENIPUNCTURE W/SPECIMEN
$30.83This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$443.32Price Negotiated by Insurer
$202.68Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$202.68HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$646.00Insurance Discount
-$497.37Price Negotiated by Insurer
$148.63Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$148.63HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$498.51Price Negotiated by Insurer
$147.49Deductible 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 ABO UNIT CONFIRMATION
$155.37HC CBC W WBC AUTO DIFF
$76.80HC CHEST SINGLE VIEW
$124.62HC COMPREHENSIVE METABOLIC PANEL
$104.53HC CT HEAD NO CONTRAST
$1,631.05HC RH UNIT CONFIRMATION
$70.01This 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
$646.00Insurance Discount
-$250.65Price Negotiated by Insurer
$395.35Deductible 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 CBC W WBC AUTO DIFF
$34.79HC CHEST SINGLE VIEW
$432.07HC COMPREHENSIVE METABOLIC PANEL
$46.83HC CT HEAD NO CONTRAST
$1,625.47HC VENIPUNCTURE W/SPECIMEN
$31.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$385.02Price Negotiated by Insurer
$260.98Deductible 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 CBC W WBC AUTO DIFF
$22.98HC CHEST SINGLE VIEW
$285.22HC COMPREHENSIVE METABOLIC PANEL
$30.94HC CT HEAD NO CONTRAST
$1,073.02HC VENIPUNCTURE W/SPECIMEN
$20.77This 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
$646.00Insurance Discount
-$355.30Price Negotiated by Insurer
$290.70Deductible 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 ABO UNIT CONFIRMATION
$113.85HC CBC W WBC AUTO DIFF
$23.40HC CHEST SINGLE VIEW
$317.70HC COMPREHENSIVE METABOLIC PANEL
$31.50HC CT HEAD NO CONTRAST
$1,195.20HC RH UNIT CONFIRMATION
$51.30HC VENIPUNCTURE W/SPECIMEN
$21.15This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$232.56Price Negotiated by Insurer
$413.44Deductible 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 ABO UNIT CONFIRMATION
$161.92HC CBC W WBC AUTO DIFF
$33.28HC CHEST SINGLE VIEW
$451.84HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CT HEAD NO CONTRAST
$1,699.84HC RH UNIT CONFIRMATION
$72.96HC VENIPUNCTURE W/SPECIMEN
$30.08This 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
$646.00Insurance Discount
-$167.96Price Negotiated by Insurer
$478.04Deductible 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 ABO UNIT CONFIRMATION
$187.22HC CBC W WBC AUTO DIFF
$38.48HC CHEST SINGLE VIEW
$522.44HC COMPREHENSIVE METABOLIC PANEL
$51.80HC CT HEAD NO CONTRAST
$1,965.44HC RH UNIT CONFIRMATION
$84.36HC VENIPUNCTURE W/SPECIMEN
$34.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$443.32Price Negotiated by Insurer
$202.68Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$202.68HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$646.00Insurance Discount
-$497.37Price Negotiated by Insurer
$148.63Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$148.63HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$463.59Price Negotiated by Insurer
$182.41Deductible 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 ABO UNIT CONFIRMATION
$4.04HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$151.04HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT HEAD NO CONTRAST
$182.41HC RH UNIT CONFIRMATION
$4.04HC VENIPUNCTURE W/SPECIMEN
$12.27This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$96.90Price Negotiated by Insurer
$549.10Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT HEAD NO CONTRAST
$2,257.60HC RH UNIT CONFIRMATION
$96.90HC VENIPUNCTURE W/SPECIMEN
$39.95This 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
$646.00Insurance Discount
-$258.40Price Negotiated by Insurer
$387.60Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$1,593.60HC RH UNIT CONFIRMATION
$68.40HC 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
$646.00Insurance Discount
-$424.40Price Negotiated by Insurer
$221.60Deductible 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 ABO UNIT CONFIRMATION
$4.90HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$183.48HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT HEAD NO CONTRAST
$221.60HC RH UNIT CONFIRMATION
$4.90HC VENIPUNCTURE W/SPECIMEN
$14.91This 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
$646.00Insurance Discount
-$609.68Price Negotiated by Insurer
$36.32Deductible 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 ABO UNIT CONFIRMATION
$4.00HC CBC W WBC AUTO DIFF
$11.34HC CHEST SINGLE VIEW
$29.65HC COMPREHENSIVE METABOLIC PANEL
$15.44HC CT HEAD NO CONTRAST
$170.13HC RH UNIT CONFIRMATION
$4.13This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$215.12Price Negotiated by Insurer
$430.88Deductible 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 ABO UNIT CONFIRMATION
$168.75HC CBC W WBC AUTO DIFF
$34.68HC CHEST SINGLE VIEW
$470.90HC COMPREHENSIVE METABOLIC PANEL
$46.69HC CT HEAD NO CONTRAST
$1,771.55HC RH UNIT CONFIRMATION
$76.04HC VENIPUNCTURE W/SPECIMEN
$31.35This 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
$646.00Insurance Discount
-$604.92Price Negotiated by Insurer
$41.08Deductible 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 ABO UNIT CONFIRMATION
$4.52HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$33.53HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT HEAD NO CONTRAST
$192.41HC RH UNIT CONFIRMATION
$4.67HC VENIPUNCTURE W/SPECIMEN
$17.91This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$490.96Price Negotiated by Insurer
$155.04Deductible 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 ABO UNIT CONFIRMATION
$60.72HC CBC W WBC AUTO DIFF
$12.48HC CHEST SINGLE VIEW
$169.44HC COMPREHENSIVE METABOLIC PANEL
$16.80HC CT HEAD NO CONTRAST
$637.44HC RH UNIT CONFIRMATION
$27.36HC 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
$646.00Insurance Discount
-$475.75Price Negotiated by Insurer
$170.25Deductible 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 ABO UNIT CONFIRMATION
$3.77HC CBC W WBC AUTO DIFF
$9.79HC CHEST SINGLE VIEW
$140.97HC COMPREHENSIVE METABOLIC PANEL
$13.31HC CT HEAD NO CONTRAST
$170.25HC RH UNIT CONFIRMATION
$3.77HC VENIPUNCTURE W/SPECIMEN
$11.45This 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
$646.00Insurance Discount
-$464.94Price Negotiated by Insurer
$181.06Deductible 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 ABO UNIT CONFIRMATION
$4.01HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT HEAD NO CONTRAST
$181.06HC RH UNIT CONFIRMATION
$4.01HC VENIPUNCTURE W/SPECIMEN
$12.18This 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
$646.00Insurance Discount
-$129.20Price Negotiated by Insurer
$516.80Deductible 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 ABO UNIT CONFIRMATION
$202.40HC CBC W WBC AUTO DIFF
$41.60HC CHEST SINGLE VIEW
$564.80HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CT HEAD NO CONTRAST
$2,124.80HC RH UNIT CONFIRMATION
$91.20HC 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
$646.00Insurance Discount
-$226.10Price Negotiated by Insurer
$419.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$164.45HC CBC W WBC AUTO DIFF
$33.80HC CHEST SINGLE VIEW
$458.90HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CT HEAD NO CONTRAST
$1,726.40HC RH UNIT CONFIRMATION
$74.10HC 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
$646.00Insurance Discount
-$96.90Price Negotiated by Insurer
$549.10Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT HEAD NO CONTRAST
$2,257.60HC RH UNIT CONFIRMATION
$96.90HC VENIPUNCTURE W/SPECIMEN
$39.95This 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
$646.00Insurance Discount
-$258.40Price Negotiated by Insurer
$387.60Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$1,593.60HC RH UNIT CONFIRMATION
$68.40HC 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
$646.00Insurance Discount
-$258.40Price Negotiated by Insurer
$387.60Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$1,593.60HC RH UNIT CONFIRMATION
$68.40HC 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
$646.00Insurance Discount
-$531.31Price Negotiated by Insurer
$114.69Deductible 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 ABO UNIT CONFIRMATION
$676.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$1,328.00HC RH UNIT CONFIRMATION
$676.00HC 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
$646.00Insurance Discount
-$531.31Price Negotiated by Insurer
$114.69Deductible 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 ABO UNIT CONFIRMATION
$663.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$1,328.00HC RH UNIT CONFIRMATION
$663.00HC 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
$646.00Insurance Discount
-$531.31Price Negotiated by Insurer
$114.69Deductible 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 ABO UNIT CONFIRMATION
$662.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$1,328.00HC RH UNIT CONFIRMATION
$662.00HC 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
$646.00Insurance Discount
-$531.31Price Negotiated by Insurer
$114.69Deductible 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 ABO UNIT CONFIRMATION
$605.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$1,328.00HC RH UNIT CONFIRMATION
$605.00HC 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$443.32Price Negotiated by Insurer
$202.68Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$202.68HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W/SPECIMEN
$13.63This 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
$646.00Insurance Discount
-$497.37Price Negotiated by Insurer
$148.63Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$148.63HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W/SPECIMEN
$10.00This 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
$646.00Insurance Discount
-$510.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$135.12HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.