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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$158.40HC CHEST SINGLE VIEW
$141.20HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT HEAD NO CONTRAST
$1,143.80HC RH UNIT CONFIRMATION
$23.40HC VENIPUNCTURE W SPECIMEN
$10.80This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$517.18Price Negotiated by Insurer
$128.82Deductible 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
$24.82HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47HC CHEST SINGLE VIEW
$74.11HC COMPREHENSIVE METABOLIC PANEL
$87.88HC CT HEAD NO CONTRAST
$2,754.00HC RH UNIT CONFIRMATION
$24.82HC VENIPUNCTURE W SPECIMEN
$18.35This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$444.31Price Negotiated by Insurer
$201.69Deductible 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
$4.49HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$201.69HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$498.09Price Negotiated by Insurer
$147.91Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$147.91HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$511.54Price Negotiated by Insurer
$134.46Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$134.46HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W SPECIMEN
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$491.87Price Negotiated by Insurer
$154.13Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23HC CHEST SINGLE VIEW
$130.22HC COMPREHENSIVE METABOLIC PANEL
$109.24HC CT HEAD NO CONTRAST
$1,704.36HC RH UNIT CONFIRMATION
$71.85HC VENIPUNCTURE W SPECIMEN
$22.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$233.85Price Negotiated by Insurer
$412.15Deductible 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 CHEST SINGLE VIEW
$297.23HC COMPREHENSIVE METABOLIC PANEL
$366.50HC CT HEAD NO CONTRAST
$3,648.72HC VENIPUNCTURE W SPECIMEN
$24.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$356.40HC CHEST SINGLE VIEW
$317.70HC COMPREHENSIVE METABOLIC PANEL
$31.50HC CT HEAD NO CONTRAST
$1,195.20HC RH UNIT CONFIRMATION
$52.65HC VENIPUNCTURE W SPECIMEN
$24.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$506.88HC CHEST SINGLE VIEW
$451.84HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CT HEAD NO CONTRAST
$1,699.84HC RH UNIT CONFIRMATION
$74.88HC VENIPUNCTURE W SPECIMEN
$34.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$586.08HC CHEST SINGLE VIEW
$522.44HC COMPREHENSIVE METABOLIC PANEL
$588.30HC CT HEAD NO CONTRAST
$4,232.06HC RH UNIT CONFIRMATION
$86.58HC VENIPUNCTURE W SPECIMEN
$39.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$444.31Price Negotiated by Insurer
$201.69Deductible 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
$4.49HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$201.69HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$498.09Price Negotiated by Insurer
$147.91Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$147.91HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$511.54Price Negotiated by Insurer
$134.46Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$134.46HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W SPECIMEN
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$193.80Price Negotiated by Insurer
$452.20Deductible 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
$177.10HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40HC CHEST SINGLE VIEW
$494.20HC COMPREHENSIVE METABOLIC PANEL
$49.00HC CT HEAD NO CONTRAST
$1,859.20HC RH UNIT CONFIRMATION
$81.90HC VENIPUNCTURE W SPECIMEN
$32.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$424.14Price Negotiated by Insurer
$221.86Deductible 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
$4.93HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80HC CHEST SINGLE VIEW
$184.68HC COMPREHENSIVE METABOLIC PANEL
$17.42HC CT HEAD NO CONTRAST
$221.86HC RH UNIT CONFIRMATION
$4.93HC VENIPUNCTURE W SPECIMEN
$15.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$498.09Price Negotiated by Insurer
$147.91Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$147.91HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$675.75HC CT HEAD NO CONTRAST
$4,861.15HC RH UNIT CONFIRMATION
$99.45HC VENIPUNCTURE W SPECIMEN
$45.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$3,431.40HC RH UNIT CONFIRMATION
$70.20HC VENIPUNCTURE W SPECIMEN
$32.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$425.49Price Negotiated by Insurer
$220.51Deductible 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 CHEST SINGLE VIEW
$183.57HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT HEAD NO CONTRAST
$220.51HC RH UNIT CONFIRMATION
$4.90HC VENIPUNCTURE W SPECIMEN
$15.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02HC 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
-$511.54Price Negotiated by Insurer
$134.46Deductible 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 CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$134.46HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W SPECIMEN
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$235.79Price Negotiated by Insurer
$410.21Deductible 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
$160.66HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$502.92HC CHEST SINGLE VIEW
$448.31HC COMPREHENSIVE METABOLIC PANEL
$504.82HC CT HEAD NO CONTRAST
$1,686.56HC RH UNIT CONFIRMATION
$74.30HC VENIPUNCTURE W SPECIMEN
$34.29This 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
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02HC CHEST SINGLE VIEW
$33.53HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT HEAD NO CONTRAST
$192.41HC RH UNIT CONFIRMATION
$4.67HC VENIPUNCTURE W SPECIMEN
$19.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$457.76Price Negotiated by Insurer
$188.24Deductible 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
$4.19HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28HC CHEST SINGLE VIEW
$156.70HC COMPREHENSIVE METABOLIC PANEL
$14.78HC CT HEAD NO CONTRAST
$188.24HC RH UNIT CONFIRMATION
$4.19HC VENIPUNCTURE W SPECIMEN
$13.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$190.08HC CHEST SINGLE VIEW
$169.44HC COMPREHENSIVE METABOLIC PANEL
$16.80HC CT HEAD NO CONTRAST
$1,372.56HC RH UNIT CONFIRMATION
$28.08HC VENIPUNCTURE W SPECIMEN
$12.96This 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
$646.00Insurance Discount
-$476.58Price Negotiated by Insurer
$169.42Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40HC CHEST SINGLE VIEW
$141.03HC COMPREHENSIVE METABOLIC PANEL
$13.31HC CT HEAD NO CONTRAST
$169.42HC RH UNIT CONFIRMATION
$3.77HC VENIPUNCTURE W SPECIMEN
$11.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$465.82Price Negotiated by Insurer
$180.18Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40HC CHEST SINGLE VIEW
$149.99HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT HEAD NO CONTRAST
$180.18HC RH UNIT CONFIRMATION
$4.01HC VENIPUNCTURE W SPECIMEN
$12.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$633.60HC CHEST SINGLE VIEW
$564.80HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CT HEAD NO CONTRAST
$4,575.20HC RH UNIT CONFIRMATION
$93.60HC VENIPUNCTURE W SPECIMEN
$43.20This 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
-$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$514.80HC CHEST SINGLE VIEW
$458.90HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CT HEAD NO CONTRAST
$3,717.35HC RH UNIT CONFIRMATION
$76.05HC VENIPUNCTURE W SPECIMEN
$35.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$675.75HC CT HEAD NO CONTRAST
$2,257.60HC RH UNIT CONFIRMATION
$99.45HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$3,431.40HC RH UNIT CONFIRMATION
$70.20HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT HEAD NO CONTRAST
$3,431.40HC RH UNIT CONFIRMATION
$70.20HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$2,859.50HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$2,859.50HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00HC 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT HEAD NO CONTRAST
$2,859.50HC 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
-$511.54Price Negotiated by Insurer
$134.46Deductible 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 CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$134.46HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W SPECIMEN
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$444.31Price Negotiated by Insurer
$201.69Deductible 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
$4.49HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT HEAD NO CONTRAST
$201.69HC RH UNIT CONFIRMATION
$4.49HC VENIPUNCTURE W SPECIMEN
$14.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$498.09Price Negotiated by Insurer
$147.91Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT HEAD NO CONTRAST
$147.91HC RH UNIT CONFIRMATION
$3.29HC VENIPUNCTURE W SPECIMEN
$10.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$646.00Insurance Discount
-$511.54Price Negotiated by Insurer
$134.46Deductible 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 BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT HEAD NO CONTRAST
$134.46HC RH UNIT CONFIRMATION
$2.99HC VENIPUNCTURE W SPECIMEN
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.