CPT 73560
The standard charge for X-ray Knee, 1-2 Views is $620.00. 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
$620.00Insurance Discount
-$496.00Price Negotiated by Insurer
$124.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.20HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$158.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.03ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$46.92This 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
$620.00Insurance Discount
-$466.70Price Negotiated by Insurer
$153.30Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1,199.79HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$519.47INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$179.41PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1,199.79ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.09This 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
$620.00Insurance Discount
-$452.10Price Negotiated by Insurer
$167.90Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$52.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$52.02ZINC 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
$620.00Insurance Discount
-$496.88Price Negotiated by Insurer
$123.12Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$53.91HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$435.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$80.61ZINC 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
$620.00Insurance Discount
-$508.07Price Negotiated by Insurer
$111.93Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.02HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$594.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.23PROPOFOL 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
$620.00Insurance Discount
-$465.87Price 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.15HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$508.23INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.17PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.66ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.50This 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
$620.00Insurance Discount
-$358.98Price Negotiated by Insurer
$261.02Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$3.38INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$97.43ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$3.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$341.00Price Negotiated by Insurer
$279.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.53HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$356.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.24PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.70ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$5.05This 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
$620.00Insurance Discount
-$223.20Price Negotiated by Insurer
$396.80Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$15.13HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$506.88INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$33,755.76PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$8.10ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$8.89This 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
$620.00Insurance Discount
-$161.20Price Negotiated by Insurer
$458.80Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.78HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$586.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.09PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$50.40ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$452.10Price Negotiated by Insurer
$167.90Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.60HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$91.55PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$15.30ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.98This 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
$620.00Insurance Discount
-$496.88Price Negotiated by Insurer
$123.12Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$9.18HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$163.83PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.71ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$508.07Price Negotiated by Insurer
$111.93Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.52HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$20.11PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$107.21ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$90.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$186.00Price Negotiated by Insurer
$434.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.38HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.67PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.20This 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
$620.00Insurance Discount
-$435.32Price Negotiated by Insurer
$184.68Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$10.14HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.77PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.48ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.01This 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
$620.00Insurance Discount
-$496.88Price Negotiated by Insurer
$123.12Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.38HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$316.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$11.68PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$41.62ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$8.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$93.00Price Negotiated by Insurer
$527.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.96HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$6.80PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.09ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$14.28This 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
$620.00Insurance Discount
-$248.00Price Negotiated by Insurer
$372.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$3.40HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.70PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$164.24ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.04This 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
$620.00Insurance Discount
-$436.43Price Negotiated by Insurer
$183.57Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$381.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$75.21PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$97.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$97.63This 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
$620.00Insurance Discount
-$588.05Price Negotiated by Insurer
$31.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.57PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.94ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$508.07Price Negotiated by Insurer
$111.93Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$387.45INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$387.45PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$34.11ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$2.77This 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
$620.00Insurance Discount
-$226.30Price Negotiated by Insurer
$393.70Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$482.21HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$502.92INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1,032.56PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.19ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.43This 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
$620.00Insurance Discount
-$583.86Price Negotiated by Insurer
$36.14Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.15HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$0.02INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$15.03PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$8.82ZINC 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
$620.00Insurance Discount
-$463.30Price Negotiated by Insurer
$156.70Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$62.30HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$467.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$33.28PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$5.66ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$31.15This 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
$620.00Insurance Discount
-$471.20Price Negotiated by Insurer
$148.80Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.88HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$190.08INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.21PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2,911.31ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$73.15This 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
$620.00Insurance Discount
-$478.97Price Negotiated by Insurer
$141.03Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.22HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.95ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.85This 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
$620.00Insurance Discount
-$470.01Price Negotiated by Insurer
$149.99Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.23HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$554.40INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$14.57PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$10.33ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$3.42This 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
$620.00Insurance Discount
-$124.00Price Negotiated by Insurer
$496.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$8.16HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$633.60INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.66PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.78ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$8.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$620.00Insurance Discount
-$217.00Price Negotiated by Insurer
$403.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.21HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$514.80INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.31PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.96ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.38This 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
$620.00Insurance Discount
-$93.00Price Negotiated by Insurer
$527.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.56HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$12.55PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$4.63ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$1.02This 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
$620.00Insurance Discount
-$248.00Price Negotiated by Insurer
$372.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$24.27HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.94PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$403.85ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.43This 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
$620.00Insurance Discount
-$248.00Price Negotiated by Insurer
$372.00Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.28HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$475.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.30PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.54ZINC 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
$620.00Insurance Discount
-$505.31Price 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.34HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.10PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$2.39ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$502.61This 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
$620.00Insurance Discount
-$505.31Price 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$16.11HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$13.15ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$14.78This 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
$620.00Insurance Discount
-$505.31Price 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.80HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.99PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.05ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$28.89This 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
$620.00Insurance Discount
-$505.31Price 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.04HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$396.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.67ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$6.02This 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
$620.00Insurance Discount
-$508.07Price Negotiated by Insurer
$111.93Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$45.86INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$45.86PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$51.22ZINC 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
$620.00Insurance Discount
-$452.10Price Negotiated by Insurer
$167.90Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$7.75HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.18PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$1.22ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$6.80This 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
$620.00Insurance Discount
-$496.88Price Negotiated by Insurer
$123.12Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.60HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$11.68PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$13.21ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$0.68This 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
$620.00Insurance Discount
-$508.07Price Negotiated by Insurer
$111.93Deductible 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.
FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.09HC BRUSH CYTOLOGY OLYMPUS PEDS 1.2MM
$673.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.10PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$3.15ZINC SULFATE 1 MG/ML INTRAVENOUS SOLUTION [8878]
$24.68This 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.