CPT 42826
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
Price Negotiated by Insurer
$32,312.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$77.53FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$746.89HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$14.51ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$14.51PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$746.89ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$746.89This 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
Price Negotiated by Insurer
$6,396.35Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$52.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$52.02This 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
Price Negotiated by Insurer
$4,690.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$80.61DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$209.47HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$80.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.01ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$80.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$4,264.23Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$21.60ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.02ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.02This 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
Price Negotiated by Insurer
$9,104.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$7.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$732.25HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$79.98ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$79.98PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$862.78ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$9.60This 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
Price Negotiated by Insurer
$5,508.41Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$175.88FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.45LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$2.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.55PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$105.07ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$24.00This 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
Price Negotiated by Insurer
$6,396.35Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.57HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$0.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$18.31PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$4,690.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.06FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.61HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$3.83ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$62.48ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$18.36This 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
Price Negotiated by Insurer
$4,264.23Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.19DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$47.66HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$0.07ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.22PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2,948,041.12ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
Price Negotiated by Insurer
$7,035.98Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.81FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.32HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$7.78PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$6.54ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$45.98This 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
Price Negotiated by Insurer
$4,690.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$7.68DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$204.72FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$5.76HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$18.96ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.41PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.38ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.05This 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
Price Negotiated by Insurer
$6,993.34Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$97.63DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$75.21FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$97.63LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$75.21ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$75.21PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$75.21ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$75.21This 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
Price Negotiated by Insurer
$340.25Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$215.95DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$31.32ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.22PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$215.95ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$215.95This 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
Price Negotiated by Insurer
$4,264.23Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$77.34DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$33.92FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$8.19LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$77.34ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$53.08PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.77ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$53.08This 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
Price Negotiated by Insurer
$384.81Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$9.10DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.61FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.48HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$165.19ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.29PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.08ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$420.32This 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
Price Negotiated by Insurer
$5,969.92Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.47DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.12FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$7.08HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$1.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.18PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.19ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.89This 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
Price Negotiated by Insurer
$5,372.93Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$3.81DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$13.86FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.08HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$26.68ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.08PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.14ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.42This 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
Price Negotiated by Insurer
$5,714.07Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.07FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.21HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$395.78ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$35.28PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$999.71ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$71.13This 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
Price Negotiated by Insurer
$6,565.51Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$6,498.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$16,122.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$70.14DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$11.93FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.71HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$10.28ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$147.98PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$5.65ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$5.65This 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
Price Negotiated by Insurer
$10,165.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.43FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$478.64ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$35.25PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.31ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$255.21This 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
Price Negotiated by Insurer
$9,312.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.30DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.39FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.16HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$1.41ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.77PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1,814.21ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$6.89This 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
Price Negotiated by Insurer
$4,264.23Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$51.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$45.86FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$45.86LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$45.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$45.86PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$45.86ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$45.86This 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
Price Negotiated by Insurer
$6,396.35Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$61.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$15.93FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$238.84HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$0.07ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.43PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.38ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$76.50This 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
Price Negotiated by Insurer
$4,690.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$3.31DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.55FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.07HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$1.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$70.30PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$53.91ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.43This 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
Price Negotiated by Insurer
$4,264.23Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$5.01DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.86FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$115.39HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20LACTATED RINGERS INTRAVENOUS SOLUTION [4318]
$0.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$74.36PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.40This 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.