
CPT 76604
The standard charge for Ultrasound of chest is $1,590.00. 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
$1,590.00Insurance Discount
-$1,201.51Price Negotiated by Insurer
$388.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$24.82HC CBC W WBC AUTO DIFF
$64.66HC CHEST SINGLE VIEW
$67.71HC COMPREHENSIVE METABOLIC PANEL
$87.88HC CT ABDOMEN & PELVIS W/CONTRAST
$2,754.00HC CT CHEST W CONTRAST
$2,754.00HC CT CSPINE WO CONTRAST
$2,754.00HC CT HEAD NO CONTRAST
$2,754.00HC DRUG SCREEN, PRE-EMPLOYMENT
$471.64HC ECHO-F 2D/M-MODE FOLLOWUP
$537.68HC GLUCOSE TESTING POC
$19.47HC LACTATE (CSF/POC)
$88.85HC LUPUS SCREEN PTT
$49.92HC PROTHROMBIN TIME QUICK
$32.68HC RH UNIT CONFIRMATION
$24.82HC ULTRASOUND LIMITED SINGLE AREA
$496.73This 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
$1,590.00Insurance Discount
-$1,383.96Price Negotiated by Insurer
$206.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$239.40HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CT CHEST W CONTRAST
$344.34HC CT CSPINE WO CONTRAST
$206.04HC CT HEAD NO CONTRAST
$206.04HC DRUG SCREEN, PRE-EMPLOYMENT
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$459.24HC GLUCOSE TESTING POC
$4.92HC LACTATE (CSF/POC)
$17.36HC LUPUS SCREEN PTT
$9.02HC PROTHROMBIN TIME QUICK
$6.44HC RH UNIT CONFIRMATION
$75.16HC ULTRASOUND LIMITED SINGLE AREA
$206.04This 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
$1,590.00Insurance Discount
-$1,438.90Price Negotiated by Insurer
$151.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$175.56HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CT CHEST W CONTRAST
$252.52HC CT CSPINE WO CONTRAST
$151.10HC CT HEAD NO CONTRAST
$151.10HC DRUG SCREEN, PRE-EMPLOYMENT
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$336.78HC GLUCOSE TESTING POC
$3.61HC LACTATE (CSF/POC)
$12.73HC LUPUS SCREEN PTT
$6.61HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$55.12HC ULTRASOUND LIMITED SINGLE AREA
$151.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$642.68Price Negotiated by Insurer
$947.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$161.46HC CBC W WBC AUTO DIFF
$70.94HC CHEST SINGLE VIEW
$115.11HC COMPREHENSIVE METABOLIC PANEL
$96.56HC CT ABDOMEN & PELVIS W/CONTRAST
$2,780.60HC CT CHEST W CONTRAST
$1,935.16HC CT CSPINE WO CONTRAST
$1,881.54HC CT HEAD NO CONTRAST
$1,861.88HC DRUG SCREEN, PRE-EMPLOYMENT
$562.21HC ECHO-F 2D/M-MODE FOLLOWUP
$1,465.07HC LACTATE (CSF/POC)
$97.42HC LUPUS SCREEN PTT
$54.79HC PROTHROMBIN TIME QUICK
$35.93HC RH UNIT CONFIRMATION
$74.48HC ULTRASOUND LIMITED SINGLE AREA
$1,164.79This 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
$1,590.00Insurance Discount
-$636.00Price Negotiated by Insurer
$954.00Deductible 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 ABO UNIT CONFIRMATION
$162.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CT CHEST W CONTRAST
$1,948.80HC CT CSPINE WO CONTRAST
$1,894.80HC CT HEAD NO CONTRAST
$1,875.00HC DRUG SCREEN, PRE-EMPLOYMENT
$63.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,475.40HC GLUCOSE TESTING POC
$7.20HC LACTATE (CSF/POC)
$18.60HC LUPUS SCREEN PTT
$12.00HC PROTHROMBIN TIME QUICK
$7.80HC RH UNIT CONFIRMATION
$75.00HC ULTRASOUND LIMITED SINGLE AREA
$1,173.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$650.31Price Negotiated by Insurer
$939.69Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$199.73HC CBC W WBC AUTO DIFF
$10.34HC CHEST SINGLE VIEW
$490.53HC COMPREHENSIVE METABOLIC PANEL
$16.15HC CT ABDOMEN & PELVIS W/CONTRAST
$2,758.20HC CT CHEST W CONTRAST
$1,919.57HC CT CSPINE WO CONTRAST
$1,866.38HC CT HEAD NO CONTRAST
$1,846.88HC DRUG SCREEN, PRE-EMPLOYMENT
$67.83HC ECHO-F 2D/M-MODE FOLLOWUP
$1,453.27HC GLUCOSE TESTING POC
$7.75HC LACTATE (CSF/POC)
$20.03HC LUPUS SCREEN PTT
$12.92HC PROTHROMBIN TIME QUICK
$8.40HC RH UNIT CONFIRMATION
$92.12HC ULTRASOUND LIMITED SINGLE AREA
$1,155.40This 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
$1,590.00Insurance Discount
-$844.29Price Negotiated by Insurer
$745.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$158.26HC CBC W WBC AUTO DIFF
$8.19HC CHEST SINGLE VIEW
$389.27HC COMPREHENSIVE METABOLIC PANEL
$12.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,188.82HC CT CHEST W CONTRAST
$1,523.31HC CT CSPINE WO CONTRAST
$1,481.10HC CT HEAD NO CONTRAST
$1,465.62HC DRUG SCREEN, PRE-EMPLOYMENT
$53.76HC ECHO-F 2D/M-MODE FOLLOWUP
$1,153.27HC GLUCOSE TESTING POC
$6.14HC LACTATE (CSF/POC)
$15.87HC LUPUS SCREEN PTT
$10.24HC PROTHROMBIN TIME QUICK
$6.66HC RH UNIT CONFIRMATION
$73.00HC ULTRASOUND LIMITED SINGLE AREA
$916.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$874.50Price Negotiated by Insurer
$715.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$121.95HC CBC W WBC AUTO DIFF
$7.20HC CHEST SINGLE VIEW
$373.50HC COMPREHENSIVE METABOLIC PANEL
$11.25HC CT ABDOMEN & PELVIS W/CONTRAST
$2,100.15HC CT CHEST W CONTRAST
$1,461.60HC CT CSPINE WO CONTRAST
$1,421.10HC CT HEAD NO CONTRAST
$1,406.25HC DRUG SCREEN, PRE-EMPLOYMENT
$47.25HC ECHO-F 2D/M-MODE FOLLOWUP
$1,106.55HC GLUCOSE TESTING POC
$5.40HC LACTATE (CSF/POC)
$13.95HC LUPUS SCREEN PTT
$9.00HC PROTHROMBIN TIME QUICK
$5.85HC RH UNIT CONFIRMATION
$56.25HC ULTRASOUND LIMITED SINGLE AREA
$879.75This 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
$1,590.00Insurance Discount
-$572.40Price Negotiated by Insurer
$1,017.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$173.44HC CBC W WBC AUTO DIFF
$10.24HC CHEST SINGLE VIEW
$531.20HC COMPREHENSIVE METABOLIC PANEL
$16.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,986.88HC CT CHEST W CONTRAST
$2,078.72HC CT CSPINE WO CONTRAST
$2,021.12HC CT HEAD NO CONTRAST
$2,000.00HC DRUG SCREEN, PRE-EMPLOYMENT
$67.20HC ECHO-F 2D/M-MODE FOLLOWUP
$1,573.76HC GLUCOSE TESTING POC
$7.68HC LACTATE (CSF/POC)
$19.84HC LUPUS SCREEN PTT
$12.80HC PROTHROMBIN TIME QUICK
$8.32HC RH UNIT CONFIRMATION
$80.00HC ULTRASOUND LIMITED SINGLE AREA
$1,251.20This 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
$1,590.00Insurance Discount
-$413.40Price Negotiated by Insurer
$1,176.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$200.54HC CBC W WBC AUTO DIFF
$11.84HC CHEST SINGLE VIEW
$614.20HC COMPREHENSIVE METABOLIC PANEL
$18.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,453.58HC CT CHEST W CONTRAST
$2,403.52HC CT CSPINE WO CONTRAST
$2,336.92HC CT HEAD NO CONTRAST
$2,312.50HC DRUG SCREEN, PRE-EMPLOYMENT
$77.70HC ECHO-F 2D/M-MODE FOLLOWUP
$1,819.66HC GLUCOSE TESTING POC
$8.88HC LACTATE (CSF/POC)
$22.94HC LUPUS SCREEN PTT
$14.80HC PROTHROMBIN TIME QUICK
$9.62HC RH UNIT CONFIRMATION
$92.50HC ULTRASOUND LIMITED SINGLE AREA
$1,446.70This 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
$1,590.00Insurance Discount
-$1,383.96Price Negotiated by Insurer
$206.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$239.40HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CT CHEST W CONTRAST
$344.34HC CT CSPINE WO CONTRAST
$206.04HC CT HEAD NO CONTRAST
$206.04HC DRUG SCREEN, PRE-EMPLOYMENT
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$459.24HC GLUCOSE TESTING POC
$4.92HC LACTATE (CSF/POC)
$17.36HC LUPUS SCREEN PTT
$9.02HC PROTHROMBIN TIME QUICK
$6.44HC RH UNIT CONFIRMATION
$75.16HC ULTRASOUND LIMITED SINGLE AREA
$206.04This 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
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,438.90Price Negotiated by Insurer
$151.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$175.56HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CT CHEST W CONTRAST
$252.52HC CT CSPINE WO CONTRAST
$151.10HC CT HEAD NO CONTRAST
$151.10HC DRUG SCREEN, PRE-EMPLOYMENT
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$336.78HC GLUCOSE TESTING POC
$3.61HC LACTATE (CSF/POC)
$12.73HC LUPUS SCREEN PTT
$6.61HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$55.12HC ULTRASOUND LIMITED SINGLE AREA
$151.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,404.56Price Negotiated by Insurer
$185.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$215.46HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$153.28HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT ABDOMEN & PELVIS W/CONTRAST
$648.68HC CT CHEST W CONTRAST
$309.91HC CT CSPINE WO CONTRAST
$185.44HC CT HEAD NO CONTRAST
$185.44HC DRUG SCREEN, PRE-EMPLOYMENT
$83.89HC ECHO-F 2D/M-MODE FOLLOWUP
$413.32HC GLUCOSE TESTING POC
$4.43HC LACTATE (CSF/POC)
$15.62HC LUPUS SCREEN PTT
$8.11HC PROTHROMBIN TIME QUICK
$5.79HC RH UNIT CONFIRMATION
$67.65HC ULTRASOUND LIMITED SINGLE AREA
$185.44This 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
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$238.50Price Negotiated by Insurer
$1,351.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$230.35HC CBC W WBC AUTO DIFF
$13.60HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$21.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,966.95HC CT CHEST W CONTRAST
$2,760.80HC CT CSPINE WO CONTRAST
$2,684.30HC CT HEAD NO CONTRAST
$2,656.25HC DRUG SCREEN, PRE-EMPLOYMENT
$89.25HC ECHO-F 2D/M-MODE FOLLOWUP
$2,090.15HC GLUCOSE TESTING POC
$10.20HC LACTATE (CSF/POC)
$26.35HC LUPUS SCREEN PTT
$17.00HC PROTHROMBIN TIME QUICK
$11.05HC RH UNIT CONFIRMATION
$106.25HC ULTRASOUND LIMITED SINGLE AREA
$1,661.75This 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
$1,590.00Insurance Discount
-$636.00Price Negotiated by Insurer
$954.00Deductible 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 ABO UNIT CONFIRMATION
$162.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CT CHEST W CONTRAST
$1,948.80HC CT CSPINE WO CONTRAST
$1,894.80HC CT HEAD NO CONTRAST
$1,875.00HC DRUG SCREEN, PRE-EMPLOYMENT
$63.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,475.40HC GLUCOSE TESTING POC
$7.20HC LACTATE (CSF/POC)
$18.60HC LUPUS SCREEN PTT
$12.00HC PROTHROMBIN TIME QUICK
$7.80HC RH UNIT CONFIRMATION
$75.00HC ULTRASOUND LIMITED SINGLE AREA
$1,173.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$397.50Price Negotiated by Insurer
$1,192.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$203.25HC CBC W WBC AUTO DIFF
$12.00HC CHEST SINGLE VIEW
$622.50HC COMPREHENSIVE METABOLIC PANEL
$18.75HC CT ABDOMEN & PELVIS W/CONTRAST
$3,500.25HC CT CHEST W CONTRAST
$2,436.00HC CT CSPINE WO CONTRAST
$2,368.50HC CT HEAD NO CONTRAST
$2,343.75HC DRUG SCREEN, PRE-EMPLOYMENT
$78.75HC ECHO-F 2D/M-MODE FOLLOWUP
$1,844.25HC GLUCOSE TESTING POC
$9.00HC LACTATE (CSF/POC)
$23.25HC LUPUS SCREEN PTT
$15.00HC PROTHROMBIN TIME QUICK
$9.75HC RH UNIT CONFIRMATION
$93.75HC ULTRASOUND LIMITED SINGLE AREA
$1,466.25This 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
$1,590.00Insurance Discount
-$1,364.73Price Negotiated by Insurer
$225.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$261.74HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$186.21HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$788.02HC CT CHEST W CONTRAST
$376.48HC CT CSPINE WO CONTRAST
$225.27HC CT HEAD NO CONTRAST
$225.27HC DRUG SCREEN, PRE-EMPLOYMENT
$101.91HC ECHO-F 2D/M-MODE FOLLOWUP
$502.10HC GLUCOSE TESTING POC
$5.38HC LACTATE (CSF/POC)
$18.97HC LUPUS SCREEN PTT
$9.86HC PROTHROMBIN TIME QUICK
$7.04HC RH UNIT CONFIRMATION
$82.18HC ULTRASOUND LIMITED SINGLE AREA
$225.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,364.73Price Negotiated by Insurer
$225.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$261.74HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$186.21HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$788.02HC CT CHEST W CONTRAST
$376.48HC CT CSPINE WO CONTRAST
$225.27HC CT HEAD NO CONTRAST
$225.27HC DRUG SCREEN, PRE-EMPLOYMENT
$101.91HC ECHO-F 2D/M-MODE FOLLOWUP
$502.10HC GLUCOSE TESTING POC
$5.38HC LACTATE (CSF/POC)
$18.97HC LUPUS SCREEN PTT
$9.86HC PROTHROMBIN TIME QUICK
$7.04HC RH UNIT CONFIRMATION
$82.18HC ULTRASOUND LIMITED SINGLE AREA
$225.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,367.48Price Negotiated by Insurer
$222.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$258.55HC CBC W WBC AUTO DIFF
$12.59HC CHEST SINGLE VIEW
$183.93HC COMPREHENSIVE METABOLIC PANEL
$17.11HC CT ABDOMEN & PELVIS W/CONTRAST
$778.41HC CT CHEST W CONTRAST
$371.89HC CT CSPINE WO CONTRAST
$222.52HC CT HEAD NO CONTRAST
$222.52HC DRUG SCREEN, PRE-EMPLOYMENT
$100.67HC ECHO-F 2D/M-MODE FOLLOWUP
$495.98HC GLUCOSE TESTING POC
$5.31HC LACTATE (CSF/POC)
$18.74HC LUPUS SCREEN PTT
$9.74HC PROTHROMBIN TIME QUICK
$6.95HC RH UNIT CONFIRMATION
$81.18HC ULTRASOUND LIMITED SINGLE AREA
$222.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,367.48Price Negotiated by Insurer
$222.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$258.55HC CBC W WBC AUTO DIFF
$12.59HC CHEST SINGLE VIEW
$183.93HC COMPREHENSIVE METABOLIC PANEL
$17.11HC CT ABDOMEN & PELVIS W/CONTRAST
$778.41HC CT CHEST W CONTRAST
$371.89HC CT CSPINE WO CONTRAST
$222.52HC CT HEAD NO CONTRAST
$222.52HC DRUG SCREEN, PRE-EMPLOYMENT
$100.67HC ECHO-F 2D/M-MODE FOLLOWUP
$495.98HC GLUCOSE TESTING POC
$5.31HC LACTATE (CSF/POC)
$18.74HC LUPUS SCREEN PTT
$9.74HC PROTHROMBIN TIME QUICK
$6.95HC RH UNIT CONFIRMATION
$81.18HC ULTRASOUND LIMITED SINGLE AREA
$222.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$529.47Price Negotiated by Insurer
$1,060.53Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$180.76HC CBC W WBC AUTO DIFF
$10.67HC CHEST SINGLE VIEW
$553.61HC COMPREHENSIVE METABOLIC PANEL
$16.68HC CT ABDOMEN & PELVIS W/CONTRAST
$3,112.89HC CT CHEST W CONTRAST
$2,166.42HC CT CSPINE WO CONTRAST
$2,106.39HC CT HEAD NO CONTRAST
$2,084.38HC DRUG SCREEN, PRE-EMPLOYMENT
$70.04HC ECHO-F 2D/M-MODE FOLLOWUP
$1,640.15HC GLUCOSE TESTING POC
$8.00HC LACTATE (CSF/POC)
$20.68HC LUPUS SCREEN PTT
$13.34HC PROTHROMBIN TIME QUICK
$8.67HC RH UNIT CONFIRMATION
$83.38HC ULTRASOUND LIMITED SINGLE AREA
$1,303.98This 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
$1,590.00Insurance Discount
-$1,488.98Price Negotiated by Insurer
$101.02Deductible 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.
HC ABO UNIT CONFIRMATION
$4.52HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$33.57HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT ABDOMEN & PELVIS W/CONTRAST
$535.42HC CT CHEST W CONTRAST
$305.79HC CT CSPINE WO CONTRAST
$237.48HC CT HEAD NO CONTRAST
$192.41HC DRUG SCREEN, PRE-EMPLOYMENT
$82.65HC ECHO-F 2D/M-MODE FOLLOWUP
$142.60HC GLUCOSE TESTING POC
$3.80HC LACTATE (CSF/POC)
$17.88HC LUPUS SCREEN PTT
$10.15HC PROTHROMBIN TIME QUICK
$6.63HC RH UNIT CONFIRMATION
$4.67HC ULTRASOUND LIMITED SINGLE AREA
$115.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,208.40Price Negotiated by Insurer
$381.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$65.04HC CBC W WBC AUTO DIFF
$3.84HC CHEST SINGLE VIEW
$199.20HC COMPREHENSIVE METABOLIC PANEL
$6.00HC CT ABDOMEN & PELVIS W/CONTRAST
$1,120.08HC CT CHEST W CONTRAST
$779.52HC CT CSPINE WO CONTRAST
$757.92HC CT HEAD NO CONTRAST
$750.00HC DRUG SCREEN, PRE-EMPLOYMENT
$25.20HC ECHO-F 2D/M-MODE FOLLOWUP
$590.16HC GLUCOSE TESTING POC
$2.88HC LACTATE (CSF/POC)
$7.44HC LUPUS SCREEN PTT
$4.80HC PROTHROMBIN TIME QUICK
$3.12HC RH UNIT CONFIRMATION
$30.00HC ULTRASOUND LIMITED SINGLE AREA
$469.20This 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
$1,590.00Insurance Discount
-$1,416.93Price Negotiated by Insurer
$173.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$201.10HC CBC W WBC AUTO DIFF
$9.79HC CHEST SINGLE VIEW
$143.06HC COMPREHENSIVE METABOLIC PANEL
$13.31HC CT ABDOMEN & PELVIS W/CONTRAST
$605.43HC CT CHEST W CONTRAST
$289.25HC CT CSPINE WO CONTRAST
$173.07HC CT HEAD NO CONTRAST
$173.07HC DRUG SCREEN, PRE-EMPLOYMENT
$78.30HC ECHO-F 2D/M-MODE FOLLOWUP
$385.76HC GLUCOSE TESTING POC
$4.13HC LACTATE (CSF/POC)
$14.58HC LUPUS SCREEN PTT
$7.57HC PROTHROMBIN TIME QUICK
$5.41HC RH UNIT CONFIRMATION
$63.14HC ULTRASOUND LIMITED SINGLE AREA
$173.07This 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
$1,590.00Insurance Discount
-$1,405.94Price Negotiated by Insurer
$184.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$213.86HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$152.14HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$643.87HC CT CHEST W CONTRAST
$307.61HC CT CSPINE WO CONTRAST
$184.06HC CT HEAD NO CONTRAST
$184.06HC DRUG SCREEN, PRE-EMPLOYMENT
$83.27HC ECHO-F 2D/M-MODE FOLLOWUP
$410.25HC GLUCOSE TESTING POC
$4.40HC LACTATE (CSF/POC)
$15.50HC LUPUS SCREEN PTT
$8.05HC PROTHROMBIN TIME QUICK
$5.75HC RH UNIT CONFIRMATION
$67.15HC ULTRASOUND LIMITED SINGLE AREA
$184.06This 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
$1,590.00Insurance Discount
-$318.00Price Negotiated by Insurer
$1,272.00Deductible 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 ABO UNIT CONFIRMATION
$216.80HC CBC W WBC AUTO DIFF
$12.80HC CHEST SINGLE VIEW
$664.00HC COMPREHENSIVE METABOLIC PANEL
$20.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,733.60HC CT CHEST W CONTRAST
$2,598.40HC CT CSPINE WO CONTRAST
$2,526.40HC CT HEAD NO CONTRAST
$2,500.00HC DRUG SCREEN, PRE-EMPLOYMENT
$84.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,967.20HC GLUCOSE TESTING POC
$9.60HC LACTATE (CSF/POC)
$24.80HC LUPUS SCREEN PTT
$16.00HC PROTHROMBIN TIME QUICK
$10.40HC RH UNIT CONFIRMATION
$100.00HC ULTRASOUND LIMITED SINGLE AREA
$1,564.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$556.50Price Negotiated by Insurer
$1,033.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$176.15HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$539.50HC COMPREHENSIVE METABOLIC PANEL
$16.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,033.55HC CT CHEST W CONTRAST
$2,111.20HC CT CSPINE WO CONTRAST
$2,052.70HC CT HEAD NO CONTRAST
$2,031.25HC DRUG SCREEN, PRE-EMPLOYMENT
$68.25HC ECHO-F 2D/M-MODE FOLLOWUP
$1,598.35HC GLUCOSE TESTING POC
$7.80HC LACTATE (CSF/POC)
$20.15HC LUPUS SCREEN PTT
$13.00HC PROTHROMBIN TIME QUICK
$8.45HC RH UNIT CONFIRMATION
$81.25HC ULTRASOUND LIMITED SINGLE AREA
$1,270.75This 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
$1,590.00Insurance Discount
-$238.50Price Negotiated by Insurer
$1,351.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$230.35HC CBC W WBC AUTO DIFF
$13.60HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$21.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,966.95HC CT CHEST W CONTRAST
$2,760.80HC CT CSPINE WO CONTRAST
$2,684.30HC CT HEAD NO CONTRAST
$2,656.25HC DRUG SCREEN, PRE-EMPLOYMENT
$89.25HC ECHO-F 2D/M-MODE FOLLOWUP
$2,090.15HC GLUCOSE TESTING POC
$10.20HC LACTATE (CSF/POC)
$26.35HC LUPUS SCREEN PTT
$17.00HC PROTHROMBIN TIME QUICK
$11.05HC RH UNIT CONFIRMATION
$106.25HC ULTRASOUND LIMITED SINGLE AREA
$1,661.75This 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
$1,590.00Insurance Discount
-$636.00Price Negotiated by Insurer
$954.00Deductible 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 ABO UNIT CONFIRMATION
$162.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CT CHEST W CONTRAST
$1,948.80HC CT CSPINE WO CONTRAST
$1,894.80HC CT HEAD NO CONTRAST
$1,875.00HC DRUG SCREEN, PRE-EMPLOYMENT
$63.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,475.40HC GLUCOSE TESTING POC
$7.20HC LACTATE (CSF/POC)
$18.60HC LUPUS SCREEN PTT
$12.00HC PROTHROMBIN TIME QUICK
$7.80HC RH UNIT CONFIRMATION
$75.00HC ULTRASOUND LIMITED SINGLE AREA
$1,173.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$636.00Price Negotiated by Insurer
$954.00Deductible 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 ABO UNIT CONFIRMATION
$162.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CT CHEST W CONTRAST
$1,948.80HC CT CSPINE WO CONTRAST
$1,894.80HC CT HEAD NO CONTRAST
$1,875.00HC DRUG SCREEN, PRE-EMPLOYMENT
$63.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,475.40HC GLUCOSE TESTING POC
$7.20HC LACTATE (CSF/POC)
$18.60HC LUPUS SCREEN PTT
$12.00HC PROTHROMBIN TIME QUICK
$7.80HC RH UNIT CONFIRMATION
$75.00HC ULTRASOUND LIMITED SINGLE AREA
$1,173.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,428.93Price Negotiated by Insurer
$161.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$642.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,562.50HC DRUG SCREEN, PRE-EMPLOYMENT
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$919.00HC GLUCOSE TESTING POC
$2.66HC LACTATE (CSF/POC)
$9.37HC LUPUS SCREEN PTT
$4.87HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$642.00HC ULTRASOUND LIMITED SINGLE AREA
$246.56This 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
$1,590.00Insurance Discount
-$1,428.93Price Negotiated by Insurer
$161.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$631.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,562.50HC DRUG SCREEN, PRE-EMPLOYMENT
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$935.00HC GLUCOSE TESTING POC
$2.66HC LACTATE (CSF/POC)
$9.37HC LUPUS SCREEN PTT
$4.87HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$631.00HC ULTRASOUND LIMITED SINGLE AREA
$246.56This 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
$1,590.00Insurance Discount
-$1,428.93Price Negotiated by Insurer
$161.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$630.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,562.50HC DRUG SCREEN, PRE-EMPLOYMENT
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$792.00HC GLUCOSE TESTING POC
$2.66HC LACTATE (CSF/POC)
$9.37HC LUPUS SCREEN PTT
$4.87HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$630.00HC ULTRASOUND LIMITED SINGLE AREA
$246.56This 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
$1,590.00Insurance Discount
-$1,428.93Price Negotiated by Insurer
$161.07Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$575.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,562.50HC DRUG SCREEN, PRE-EMPLOYMENT
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$724.00HC GLUCOSE TESTING POC
$2.66HC LACTATE (CSF/POC)
$9.37HC LUPUS SCREEN PTT
$4.87HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$575.00HC ULTRASOUND LIMITED SINGLE AREA
$246.56This 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
$1,590.00Insurance Discount
-$1,383.96Price Negotiated by Insurer
$206.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$239.40HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CT CHEST W CONTRAST
$344.34HC CT CSPINE WO CONTRAST
$206.04HC CT HEAD NO CONTRAST
$206.04HC DRUG SCREEN, PRE-EMPLOYMENT
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$459.24HC GLUCOSE TESTING POC
$4.92HC LACTATE (CSF/POC)
$17.36HC LUPUS SCREEN PTT
$9.02HC PROTHROMBIN TIME QUICK
$6.44HC RH UNIT CONFIRMATION
$75.16HC ULTRASOUND LIMITED SINGLE AREA
$206.04This 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
$1,590.00Insurance Discount
-$1,438.90Price Negotiated by Insurer
$151.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$175.56HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CT CHEST W CONTRAST
$252.52HC CT CSPINE WO CONTRAST
$151.10HC CT HEAD NO CONTRAST
$151.10HC DRUG SCREEN, PRE-EMPLOYMENT
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$336.78HC GLUCOSE TESTING POC
$3.61HC LACTATE (CSF/POC)
$12.73HC LUPUS SCREEN PTT
$6.61HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$55.12HC ULTRASOUND LIMITED SINGLE AREA
$151.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,590.00Insurance Discount
-$1,452.64Price Negotiated by Insurer
$137.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$159.60HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CT CHEST W CONTRAST
$229.56HC CT CSPINE WO CONTRAST
$137.36HC CT HEAD NO CONTRAST
$137.36HC DRUG SCREEN, PRE-EMPLOYMENT
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$306.16HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC LUPUS SCREEN PTT
$6.01HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$50.11HC ULTRASOUND LIMITED SINGLE AREA
$137.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.