The standard charge for Intravenous infusion, for treatment, prophylaxis, or diagnosis-same drug add on is $345.00. 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
$345.00Insurance Discount
-$252.88Price Negotiated by Insurer
$92.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$53.81HC CBC W WBC AUTO DIFF
$64.66HC COMPREHENSIVE METABOLIC PANEL
$87.88HC GLUCOSE TESTING POC
$19.47HC HYDRATION INFUSION EA ADDL HR
$103.03HC IV PUSH EA ADDL SEQ NEW DRUG
$154.48HC IV PUSH SINGLE OR INIT DRUG
$378.27HC MAGNESIUM
$55.76HC ROUTINE URINALYSIS
$26.28HC TROPONIN-T
$81.83HC VENIPUNCTURE W SPECIMEN
$17.94HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$28.89MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$29.33ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.62SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.02This 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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC IV PUSH SINGLE OR INIT DRUG
$401.70HC MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.76HC TROPONIN-T
$18.70HC VENIPUNCTURE W SPECIMEN
$12.86HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$155.25Price Negotiated by Insurer
$189.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC IV PUSH SINGLE OR INIT DRUG
$294.58HC MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC TROPONIN-T
$13.72HC VENIPUNCTURE W SPECIMEN
$9.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.37IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.51ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$345.00Insurance Discount
-$155.25Price Negotiated by Insurer
$189.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC IV PUSH SINGLE OR INIT DRUG
$267.80HC MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC TROPONIN-T
$12.47HC VENIPUNCTURE W SPECIMEN
$8.57HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.37IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.51ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$345.00Price Negotiated by Insurer
$914.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$59.03HC CBC W WBC AUTO DIFF
$70.94HC COMPREHENSIVE METABOLIC PANEL
$96.56HC HYDRATION INFUSION EA ADDL HR
$2,299.00HC IV PUSH EA ADDL SEQ NEW DRUG
$2,299.00HC IV PUSH SINGLE OR INIT DRUG
$2,299.00HC MAGNESIUM
$60.75HC ROUTINE URINALYSIS
$27.89HC TROPONIN-T
$174.08HC VENIPUNCTURE W SPECIMEN
$19.53HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$3.18IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.83MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$1.38ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$12.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$345.00Insurance Discount
-$138.00Price Negotiated by Insurer
$207.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$106.20HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC IV PUSH SINGLE OR INIT DRUG
$316.20HC MAGNESIUM
$12.00HC ROUTINE URINALYSIS
$7.20HC TROPONIN-T
$17.40HC VENIPUNCTURE W SPECIMEN
$34.80HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$345.00Insurance Discount
-$189.75Price Negotiated by Insurer
$155.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$7.20HC CBC W WBC AUTO DIFF
$7.20HC COMPREHENSIVE METABOLIC PANEL
$11.25HC GLUCOSE TESTING POC
$5.40HC HYDRATION INFUSION EA ADDL HR
$79.65HC IV PUSH EA ADDL SEQ NEW DRUG
$237.15HC IV PUSH SINGLE OR INIT DRUG
$237.15HC MAGNESIUM
$9.00HC ROUTINE URINALYSIS
$5.40HC TROPONIN-T
$13.05HC VENIPUNCTURE W SPECIMEN
$26.10HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.30IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.27MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$7.56This 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
$345.00Insurance Discount
-$124.20Price Negotiated by Insurer
$220.80Deductible 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 CBC WO DIFFERENTIAL
$10.24HC CBC W WBC AUTO DIFF
$10.24HC COMPREHENSIVE METABOLIC PANEL
$16.00HC GLUCOSE TESTING POC
$7.68HC IV PUSH EA ADDL SEQ NEW DRUG
$337.28HC IV PUSH SINGLE OR INIT DRUG
$337.28HC MAGNESIUM
$12.80HC ROUTINE URINALYSIS
$7.68HC TROPONIN-T
$18.56HC VENIPUNCTURE W SPECIMEN
$37.12HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.47IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.39MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.65ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.37SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.76This 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
$345.00Insurance Discount
-$89.70Price Negotiated by Insurer
$255.30Deductible 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.
HC CBC WO DIFFERENTIAL
$11.84HC CBC W WBC AUTO DIFF
$11.84HC COMPREHENSIVE METABOLIC PANEL
$18.50HC GLUCOSE TESTING POC
$8.88HC HYDRATION INFUSION EA ADDL HR
$130.98HC IV PUSH EA ADDL SEQ NEW DRUG
$389.98HC IV PUSH SINGLE OR INIT DRUG
$389.98HC MAGNESIUM
$14.80HC ROUTINE URINALYSIS
$8.88HC TROPONIN-T
$21.46HC VENIPUNCTURE W SPECIMEN
$42.92HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.23IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.45MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.65ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.37SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.76This 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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC IV PUSH SINGLE OR INIT DRUG
$401.70HC MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.76HC TROPONIN-T
$18.70HC VENIPUNCTURE W SPECIMEN
$12.86HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC IV PUSH SINGLE OR INIT DRUG
$267.80HC MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC TROPONIN-T
$12.47HC VENIPUNCTURE W SPECIMEN
$8.57HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC IV PUSH SINGLE OR INIT DRUG
$294.58HC MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC TROPONIN-T
$13.72HC VENIPUNCTURE W SPECIMEN
$9.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$207.00Price Negotiated by Insurer
$138.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC COMPREHENSIVE METABOLIC PANEL
$14.26HC GLUCOSE TESTING POC
$4.43HC HYDRATION INFUSION EA ADDL HR
$80.12HC IV PUSH EA ADDL SEQ NEW DRUG
$80.12HC IV PUSH SINGLE OR INIT DRUG
$361.53HC MAGNESIUM
$9.04HC ROUTINE URINALYSIS
$4.28HC TROPONIN-T
$16.83HC VENIPUNCTURE W SPECIMEN
$11.57HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.27IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.24MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.37ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
$345.00Insurance Discount
-$207.00Price Negotiated by Insurer
$138.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC IV PUSH SINGLE OR INIT DRUG
$267.80HC MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC TROPONIN-T
$12.47HC VENIPUNCTURE W SPECIMEN
$8.57HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.13IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.24MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.37ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$13.60HC CBC W WBC AUTO DIFF
$13.60HC COMPREHENSIVE METABOLIC PANEL
$21.25HC GLUCOSE TESTING POC
$10.20HC HYDRATION INFUSION EA ADDL HR
$150.45HC IV PUSH EA ADDL SEQ NEW DRUG
$447.95HC IV PUSH SINGLE OR INIT DRUG
$447.95HC MAGNESIUM
$17.00HC ROUTINE URINALYSIS
$10.20HC TROPONIN-T
$24.65HC VENIPUNCTURE W SPECIMEN
$49.30HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$138.00Price Negotiated by Insurer
$207.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$106.20HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC IV PUSH SINGLE OR INIT DRUG
$316.20HC MAGNESIUM
$12.00HC ROUTINE URINALYSIS
$7.20HC TROPONIN-T
$17.40HC VENIPUNCTURE W SPECIMEN
$34.80HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$345.00Insurance Discount
-$86.25Price Negotiated by Insurer
$258.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$12.00HC CBC W WBC AUTO DIFF
$12.00HC COMPREHENSIVE METABOLIC PANEL
$18.75HC GLUCOSE TESTING POC
$9.00HC HYDRATION INFUSION EA ADDL HR
$132.75HC IV PUSH EA ADDL SEQ NEW DRUG
$395.25HC IV PUSH SINGLE OR INIT DRUG
$395.25HC MAGNESIUM
$15.00HC ROUTINE URINALYSIS
$9.00HC TROPONIN-T
$21.75HC VENIPUNCTURE W SPECIMEN
$43.50HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.25IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.46MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$12.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$345.00Insurance Discount
-$114.88Price Negotiated by Insurer
$230.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$10.67HC CBC W WBC AUTO DIFF
$10.67HC COMPREHENSIVE METABOLIC PANEL
$16.68HC GLUCOSE TESTING POC
$8.00HC HYDRATION INFUSION EA ADDL HR
$118.06HC IV PUSH EA ADDL SEQ NEW DRUG
$351.51HC IV PUSH SINGLE OR INIT DRUG
$351.51HC MAGNESIUM
$13.34HC ROUTINE URINALYSIS
$8.00HC TROPONIN-T
$19.34HC VENIPUNCTURE W SPECIMEN
$38.69HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.45IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.41MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.62ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.21This 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
$345.00Insurance Discount
-$213.56Price Negotiated by Insurer
$131.44Deductible 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 CBC WO DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC HYDRATION INFUSION EA ADDL HR
$27.74HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45HC IV PUSH SINGLE OR INIT DRUG
$94.66HC MAGNESIUM
$11.32HC ROUTINE URINALYSIS
$5.26HC TROPONIN-T
$16.09HC VENIPUNCTURE W SPECIMEN
$22.10HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$17.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.32MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$17.35ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.66SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.75This 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
$345.00Insurance Discount
-$262.20Price Negotiated by Insurer
$82.80Deductible 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 CBC WO DIFFERENTIAL
$3.84HC CBC W WBC AUTO DIFF
$3.84HC COMPREHENSIVE METABOLIC PANEL
$6.00HC GLUCOSE TESTING POC
$2.88HC HYDRATION INFUSION EA ADDL HR
$42.48HC IV PUSH EA ADDL SEQ NEW DRUG
$126.48HC IV PUSH SINGLE OR INIT DRUG
$126.48HC MAGNESIUM
$4.80HC ROUTINE URINALYSIS
$2.88HC TROPONIN-T
$6.96HC VENIPUNCTURE W SPECIMEN
$13.92HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.16IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.15MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.22ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.02TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$345.00Insurance Discount
-$69.00Price Negotiated by Insurer
$276.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$12.80HC CBC W WBC AUTO DIFF
$12.80HC COMPREHENSIVE METABOLIC PANEL
$20.00HC GLUCOSE TESTING POC
$9.60HC HYDRATION INFUSION EA ADDL HR
$141.60HC IV PUSH EA ADDL SEQ NEW DRUG
$421.60HC IV PUSH SINGLE OR INIT DRUG
$421.60HC MAGNESIUM
$16.00HC ROUTINE URINALYSIS
$9.60HC TROPONIN-T
$23.20HC VENIPUNCTURE W SPECIMEN
$46.40HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.54IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.49MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.74ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$13.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$345.00Insurance Discount
-$120.75Price Negotiated by Insurer
$224.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$16.25HC GLUCOSE TESTING POC
$7.80HC HYDRATION INFUSION EA ADDL HR
$115.05HC IV PUSH EA ADDL SEQ NEW DRUG
$342.55HC IV PUSH SINGLE OR INIT DRUG
$342.55HC MAGNESIUM
$13.00HC ROUTINE URINALYSIS
$7.80HC TROPONIN-T
$18.85HC VENIPUNCTURE W SPECIMEN
$37.70HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.17IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.40MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$13.60HC CBC W WBC AUTO DIFF
$13.60HC COMPREHENSIVE METABOLIC PANEL
$21.25HC GLUCOSE TESTING POC
$10.20HC HYDRATION INFUSION EA ADDL HR
$150.45HC IV PUSH EA ADDL SEQ NEW DRUG
$447.95HC IV PUSH SINGLE OR INIT DRUG
$447.95HC MAGNESIUM
$17.00HC ROUTINE URINALYSIS
$10.20HC TROPONIN-T
$24.65HC VENIPUNCTURE W SPECIMEN
$49.30HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$138.00Price Negotiated by Insurer
$207.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$106.20HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC IV PUSH SINGLE OR INIT DRUG
$316.20HC MAGNESIUM
$12.00HC ROUTINE URINALYSIS
$7.20HC TROPONIN-T
$17.40HC VENIPUNCTURE W SPECIMEN
$34.80IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37This 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
$345.00Insurance Discount
-$138.00Price Negotiated by Insurer
$207.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$106.20HC IV PUSH EA ADDL SEQ NEW DRUG
$316.20HC IV PUSH SINGLE OR INIT DRUG
$316.20HC MAGNESIUM
$12.00HC ROUTINE URINALYSIS
$7.20HC TROPONIN-T
$17.40HC VENIPUNCTURE W SPECIMEN
$34.80HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$345.00Insurance Discount
-$138.00Price Negotiated by Insurer
$207.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC COMPREHENSIVE METABOLIC PANEL
$15.00HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$71.22HC IV PUSH SINGLE OR INIT DRUG
$321.36HC MAGNESIUM
$12.00HC ROUTINE URINALYSIS
$7.20HC TROPONIN-T
$17.40HC VENIPUNCTURE W SPECIMEN
$34.80HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$345.00Price Negotiated by Insurer
$642.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$88.50HC IV PUSH EA ADDL SEQ NEW DRUG
$263.50HC IV PUSH SINGLE OR INIT DRUG
$263.50HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC TROPONIN-T
$10.10HC VENIPUNCTURE W SPECIMEN
$2.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.34IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$345.00Price Negotiated by Insurer
$631.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$631.00HC IV PUSH EA ADDL SEQ NEW DRUG
$631.00HC IV PUSH SINGLE OR INIT DRUG
$263.50HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC TROPONIN-T
$10.10HC VENIPUNCTURE W SPECIMEN
$2.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.34IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$345.00Price Negotiated by Insurer
$630.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$630.00HC IV PUSH EA ADDL SEQ NEW DRUG
$630.00HC IV PUSH SINGLE OR INIT DRUG
$630.00HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC TROPONIN-T
$10.10HC VENIPUNCTURE W SPECIMEN
$2.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.17IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$345.00Price Negotiated by Insurer
$575.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$88.50HC IV PUSH EA ADDL SEQ NEW DRUG
$575.00HC IV PUSH SINGLE OR INIT DRUG
$575.00HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC TROPONIN-T
$10.10HC VENIPUNCTURE W SPECIMEN
$2.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.34IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This 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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC IV PUSH EA ADDL SEQ NEW DRUG
$89.02HC IV PUSH SINGLE OR INIT DRUG
$401.70HC MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.76HC TROPONIN-T
$18.70HC VENIPUNCTURE W SPECIMEN
$12.86HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC IV PUSH EA ADDL SEQ NEW DRUG
$65.28HC IV PUSH SINGLE OR INIT DRUG
$294.58HC MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC TROPONIN-T
$13.72HC VENIPUNCTURE W SPECIMEN
$9.43HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$345.00Insurance Discount
-$51.75Price Negotiated by Insurer
$293.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC IV PUSH EA ADDL SEQ NEW DRUG
$59.35HC IV PUSH SINGLE OR INIT DRUG
$267.80HC MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC TROPONIN-T
$12.47HC VENIPUNCTURE W SPECIMEN
$8.57HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52MORPHINE 50 MG/ML INTRAVENOUS SOLUTION [111254]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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.