CPT 76604
The standard charge for Ultrasound of chest is $1,736.00. 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
$1,736.00Insurance Discount
-$1,388.80Price Negotiated by Insurer
$347.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$50.60HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$141.20HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC CT CHEST W CONTRAST
$552.20HC CT CSPINE WO CONTRAST
$536.80HC CT HEAD NO CONTRAST
$531.20HC DRUGS ABUSE SCREEN,URINE(7)COC
$48.40HC ECHO-F 2D/M-MODE FOLLOWUP
$454.60HC GLUCOSE TESTING POC
$2.60HC HEMOGLOBIN (POC)
$19.00HC LACTATE (CSF/POC)
$16.40HC PROTHROMBIN TIME QUICK
$8.40HC RH UNIT CONFIRMATION
$22.80HC SBBB ANTIBODY SCREEN
$22.20HC SLOW ACTIVATION
$12.80HC ULTRASOUND LIMITED SINGLE AREA
$426.80HC VENIPUNCTURE W/SPECIMEN
$9.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.12This 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
$1,736.00Insurance Discount
-$597.36Price Negotiated by Insurer
$1,138.64Deductible 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
$165.94HC CBC W WBC AUTO DIFF
$34.11HC CHEST SINGLE VIEW
$463.07HC COMPREHENSIVE METABOLIC PANEL
$45.91HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$158.73HC ECHO-F 2D/M-MODE FOLLOWUP
$1,490.86HC GLUCOSE TESTING POC
$8.53HC HEMOGLOBIN (POC)
$62.31HC LACTATE (CSF/POC)
$53.78HC PROTHROMBIN TIME QUICK
$27.55HC RH UNIT CONFIRMATION
$74.77HC SBBB ANTIBODY SCREEN
$72.80HC SLOW ACTIVATION
$41.98HC ULTRASOUND LIMITED SINGLE AREA
$1,399.69HC VENIPUNCTURE W/SPECIMEN
$30.83IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.15This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,533.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC HEMOGLOBIN (POC)
$3.56HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$101.90This 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
$1,736.00Insurance Discount
-$1,587.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC HEMOGLOBIN (POC)
$2.61HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.60This 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
$1,736.00Insurance Discount
-$669.92Price Negotiated by Insurer
$1,066.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$155.37HC CBC W WBC AUTO DIFF
$76.80HC CHEST SINGLE VIEW
$124.62HC COMPREHENSIVE METABOLIC PANEL
$104.53HC CT ABDOMEN & PELVIS W/CONTRAST
$2,436.13HC CT CHEST W CONTRAST
$1,695.53HC CT CSPINE WO CONTRAST
$1,648.24HC CT HEAD NO CONTRAST
$1,631.05HC DRUGS ABUSE SCREEN,URINE(7)COC
$608.65HC ECHO-F 2D/M-MODE FOLLOWUP
$1,395.85HC GLUCOSE TESTING POC
$7.98HC HEMOGLOBIN (POC)
$23.34HC LACTATE (CSF/POC)
$105.46HC PROTHROMBIN TIME QUICK
$38.90HC RH UNIT CONFIRMATION
$70.01HC SBBB ANTIBODY SCREEN
$106.66HC SLOW ACTIVATION
$59.32HC ULTRASOUND LIMITED SINGLE AREA
$1,310.49IOPAMIDOL 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
$1,736.00Insurance Discount
-$673.57Price Negotiated by Insurer
$1,062.43Deductible 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 W WBC AUTO DIFF
$34.79HC CHEST SINGLE VIEW
$432.07HC COMPREHENSIVE METABOLIC PANEL
$46.83HC CT ABDOMEN & PELVIS W/CONTRAST
$2,427.80HC CT CHEST W CONTRAST
$1,689.73HC CT CSPINE WO CONTRAST
$1,642.61HC CT HEAD NO CONTRAST
$1,625.47HC DRUGS ABUSE SCREEN,URINE(7)COC
$161.90HC ECHO-F 2D/M-MODE FOLLOWUP
$1,391.08HC GLUCOSE TESTING POC
$8.70HC HEMOGLOBIN (POC)
$63.55HC LACTATE (CSF/POC)
$54.86HC PROTHROMBIN TIME QUICK
$28.10HC SBBB ANTIBODY SCREEN
$74.26HC SLOW ACTIVATION
$42.82HC ULTRASOUND LIMITED SINGLE AREA
$1,306.01HC VENIPUNCTURE W/SPECIMEN
$31.44This 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
$1,736.00Insurance Discount
-$1,034.66Price Negotiated by Insurer
$701.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$22.98HC CHEST SINGLE VIEW
$285.22HC COMPREHENSIVE METABOLIC PANEL
$30.94HC CT ABDOMEN & PELVIS W/CONTRAST
$1,602.67HC CT CHEST W CONTRAST
$1,115.44HC CT CSPINE WO CONTRAST
$1,084.34HC CT HEAD NO CONTRAST
$1,073.02HC DRUGS ABUSE SCREEN,URINE(7)COC
$106.96HC ECHO-F 2D/M-MODE FOLLOWUP
$918.29HC GLUCOSE TESTING POC
$5.75HC HEMOGLOBIN (POC)
$41.99HC LACTATE (CSF/POC)
$36.24HC PROTHROMBIN TIME QUICK
$18.56HC SBBB ANTIBODY SCREEN
$49.06HC SLOW ACTIVATION
$28.29HC ULTRASOUND LIMITED SINGLE AREA
$862.14HC VENIPUNCTURE W/SPECIMEN
$20.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$954.80Price Negotiated by Insurer
$781.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$113.85HC CBC W WBC AUTO DIFF
$23.40HC CHEST SINGLE VIEW
$317.70HC COMPREHENSIVE METABOLIC PANEL
$31.50HC CT ABDOMEN & PELVIS W/CONTRAST
$1,785.15HC CT CHEST W CONTRAST
$1,242.45HC CT CSPINE WO CONTRAST
$1,207.80HC CT HEAD NO CONTRAST
$1,195.20HC DRUGS ABUSE SCREEN,URINE(7)COC
$108.90HC ECHO-F 2D/M-MODE FOLLOWUP
$1,022.85HC GLUCOSE TESTING POC
$5.85HC HEMOGLOBIN (POC)
$42.75HC LACTATE (CSF/POC)
$36.90HC PROTHROMBIN TIME QUICK
$18.90HC RH UNIT CONFIRMATION
$51.30HC SBBB ANTIBODY SCREEN
$111.00HC SLOW ACTIVATION
$28.80HC ULTRASOUND LIMITED SINGLE AREA
$960.30HC VENIPUNCTURE W/SPECIMEN
$21.15IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$624.96Price Negotiated by Insurer
$1,111.04Deductible 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
$161.92HC CBC W WBC AUTO DIFF
$33.28HC CHEST SINGLE VIEW
$451.84HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,538.88HC CT CHEST W CONTRAST
$1,767.04HC CT CSPINE WO CONTRAST
$1,717.76HC CT HEAD NO CONTRAST
$1,699.84HC DRUGS ABUSE SCREEN,URINE(7)COC
$154.88HC ECHO-F 2D/M-MODE FOLLOWUP
$1,454.72HC GLUCOSE TESTING POC
$8.32HC HEMOGLOBIN (POC)
$60.80HC LACTATE (CSF/POC)
$52.48HC PROTHROMBIN TIME QUICK
$26.88HC RH UNIT CONFIRMATION
$72.96HC SBBB ANTIBODY SCREEN
$71.04HC SLOW ACTIVATION
$40.96HC ULTRASOUND LIMITED SINGLE AREA
$1,365.76HC VENIPUNCTURE W/SPECIMEN
$30.08IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.07This 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
$1,736.00Insurance Discount
-$451.36Price Negotiated by Insurer
$1,284.64Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$187.22HC CBC W WBC AUTO DIFF
$38.48HC CHEST SINGLE VIEW
$522.44HC COMPREHENSIVE METABOLIC PANEL
$51.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,935.58HC CT CHEST W CONTRAST
$2,043.14HC CT CSPINE WO CONTRAST
$1,986.16HC CT HEAD NO CONTRAST
$1,965.44HC DRUGS ABUSE SCREEN,URINE(7)COC
$179.08HC ECHO-F 2D/M-MODE FOLLOWUP
$1,682.02HC GLUCOSE TESTING POC
$9.62HC HEMOGLOBIN (POC)
$70.30HC LACTATE (CSF/POC)
$60.68HC PROTHROMBIN TIME QUICK
$31.08HC RH UNIT CONFIRMATION
$84.36HC SBBB ANTIBODY SCREEN
$82.14HC SLOW ACTIVATION
$47.36HC ULTRASOUND LIMITED SINGLE AREA
$1,579.16HC VENIPUNCTURE W/SPECIMEN
$34.78IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.45This 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
$1,736.00Insurance Discount
-$1,533.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC HEMOGLOBIN (POC)
$3.56HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$6.60This 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
$1,736.00Insurance Discount
-$1,587.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC HEMOGLOBIN (POC)
$2.61HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$6.60This 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
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.51This 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
$1,736.00Insurance Discount
-$1,553.59Price Negotiated by Insurer
$182.41Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.04HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$151.04HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT ABDOMEN & PELVIS W/CONTRAST
$612.59HC CT CHEST W CONTRAST
$305.36HC CT CSPINE WO CONTRAST
$182.41HC CT HEAD NO CONTRAST
$182.41HC DRUGS ABUSE SCREEN,URINE(7)COC
$83.89HC ECHO-F 2D/M-MODE FOLLOWUP
$414.63HC GLUCOSE TESTING POC
$4.43HC HEMOGLOBIN (POC)
$3.20HC LACTATE (CSF/POC)
$15.62HC PROTHROMBIN TIME QUICK
$5.79HC RH UNIT CONFIRMATION
$4.04HC SBBB ANTIBODY SCREEN
$13.19HC SLOW ACTIVATION
$8.11HC ULTRASOUND LIMITED SINGLE AREA
$182.41HC VENIPUNCTURE W/SPECIMEN
$12.27IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$47.95This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.10This 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
$1,736.00Insurance Discount
-$260.40Price Negotiated by Insurer
$1,475.60Deductible 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
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CT CHEST W CONTRAST
$2,346.85HC CT CSPINE WO CONTRAST
$2,281.40HC CT HEAD NO CONTRAST
$2,257.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$205.70HC ECHO-F 2D/M-MODE FOLLOWUP
$1,932.05HC GLUCOSE TESTING POC
$11.05HC HEMOGLOBIN (POC)
$80.75HC LACTATE (CSF/POC)
$69.70HC PROTHROMBIN TIME QUICK
$35.70HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SLOW ACTIVATION
$54.40HC ULTRASOUND LIMITED SINGLE AREA
$1,813.90HC VENIPUNCTURE W/SPECIMEN
$39.95IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.51This 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
$1,736.00Insurance Discount
-$694.40Price Negotiated by Insurer
$1,041.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC ECHO-F 2D/M-MODE FOLLOWUP
$1,363.80HC GLUCOSE TESTING POC
$7.80HC HEMOGLOBIN (POC)
$57.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME QUICK
$25.20HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC ULTRASOUND LIMITED SINGLE AREA
$1,280.40HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$71.93This 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
$1,736.00Insurance Discount
-$1,514.40Price Negotiated by Insurer
$221.60Deductible 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
$4.90HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$183.48HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$744.18HC CT CHEST W CONTRAST
$370.95HC CT CSPINE WO CONTRAST
$221.60HC CT HEAD NO CONTRAST
$221.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$101.91HC ECHO-F 2D/M-MODE FOLLOWUP
$503.69HC GLUCOSE TESTING POC
$5.38HC HEMOGLOBIN (POC)
$3.89HC LACTATE (CSF/POC)
$18.97HC PROTHROMBIN TIME QUICK
$7.04HC RH UNIT CONFIRMATION
$4.90HC SBBB ANTIBODY SCREEN
$16.02HC SLOW ACTIVATION
$9.86HC ULTRASOUND LIMITED SINGLE AREA
$221.60HC VENIPUNCTURE W/SPECIMEN
$14.91This 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
$1,736.00Insurance Discount
-$1,646.67Price Negotiated by Insurer
$89.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.00HC CBC W WBC AUTO DIFF
$11.34HC CHEST SINGLE VIEW
$29.65HC COMPREHENSIVE METABOLIC PANEL
$15.44HC CT ABDOMEN & PELVIS W/CONTRAST
$473.42HC CT CHEST W CONTRAST
$270.38HC CT CSPINE WO CONTRAST
$209.98HC CT HEAD NO CONTRAST
$170.13HC DRUGS ABUSE SCREEN,URINE(7)COC
$73.08HC ECHO-F 2D/M-MODE FOLLOWUP
$126.08HC GLUCOSE TESTING POC
$3.36HC HEMOGLOBIN (POC)
$3.48HC LACTATE (CSF/POC)
$15.81HC PROTHROMBIN TIME QUICK
$5.86HC RH UNIT CONFIRMATION
$4.13HC SBBB ANTIBODY SCREEN
$4.37HC SLOW ACTIVATION
$8.97HC ULTRASOUND LIMITED SINGLE AREA
$102.04IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.14This 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
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$578.09Price Negotiated by Insurer
$1,157.91Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$168.75HC CBC W WBC AUTO DIFF
$34.68HC CHEST SINGLE VIEW
$470.90HC COMPREHENSIVE METABOLIC PANEL
$46.69HC CT ABDOMEN & PELVIS W/CONTRAST
$2,645.99HC CT CHEST W CONTRAST
$1,841.59HC CT CSPINE WO CONTRAST
$1,790.23HC CT HEAD NO CONTRAST
$1,771.55HC DRUGS ABUSE SCREEN,URINE(7)COC
$161.41HC ECHO-F 2D/M-MODE FOLLOWUP
$1,516.09HC GLUCOSE TESTING POC
$8.67HC HEMOGLOBIN (POC)
$63.37HC LACTATE (CSF/POC)
$54.69HC PROTHROMBIN TIME QUICK
$28.01HC RH UNIT CONFIRMATION
$76.04HC SBBB ANTIBODY SCREEN
$74.04HC SLOW ACTIVATION
$42.69HC ULTRASOUND LIMITED SINGLE AREA
$1,423.38HC VENIPUNCTURE W/SPECIMEN
$31.35IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,634.98Price 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
$33.53HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$82.65HC ECHO-F 2D/M-MODE FOLLOWUP
$142.59HC GLUCOSE TESTING POC
$3.80HC HEMOGLOBIN (POC)
$3.93HC LACTATE (CSF/POC)
$17.88HC PROTHROMBIN TIME QUICK
$6.63HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC SLOW ACTIVATION
$10.15HC ULTRASOUND LIMITED SINGLE AREA
$115.41HC VENIPUNCTURE W/SPECIMEN
$17.91IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,319.36Price Negotiated by Insurer
$416.64Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$60.72HC CBC W WBC AUTO DIFF
$12.48HC CHEST SINGLE VIEW
$169.44HC COMPREHENSIVE METABOLIC PANEL
$16.80HC CT ABDOMEN & PELVIS W/CONTRAST
$952.08HC CT CHEST W CONTRAST
$662.64HC CT CSPINE WO CONTRAST
$644.16HC CT HEAD NO CONTRAST
$637.44HC DRUGS ABUSE SCREEN,URINE(7)COC
$58.08HC ECHO-F 2D/M-MODE FOLLOWUP
$545.52HC GLUCOSE TESTING POC
$3.12HC HEMOGLOBIN (POC)
$22.80HC LACTATE (CSF/POC)
$19.68HC PROTHROMBIN TIME QUICK
$10.08HC RH UNIT CONFIRMATION
$27.36HC SBBB ANTIBODY SCREEN
$26.64HC SLOW ACTIVATION
$15.36HC ULTRASOUND LIMITED SINGLE AREA
$512.16HC VENIPUNCTURE W/SPECIMEN
$11.28IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$28.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,565.75Price Negotiated by Insurer
$170.25Deductible 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 ABO UNIT CONFIRMATION
$3.77HC CBC W WBC AUTO DIFF
$9.79HC CHEST SINGLE VIEW
$140.97HC COMPREHENSIVE METABOLIC PANEL
$13.31HC CT ABDOMEN & PELVIS W/CONTRAST
$571.75HC CT CHEST W CONTRAST
$285.00HC CT CSPINE WO CONTRAST
$170.25HC CT HEAD NO CONTRAST
$170.25HC DRUGS ABUSE SCREEN,URINE(7)COC
$78.30HC ECHO-F 2D/M-MODE FOLLOWUP
$386.98HC GLUCOSE TESTING POC
$4.13HC HEMOGLOBIN (POC)
$2.99HC LACTATE (CSF/POC)
$14.58HC PROTHROMBIN TIME QUICK
$5.41HC RH UNIT CONFIRMATION
$3.77HC SBBB ANTIBODY SCREEN
$12.31HC SLOW ACTIVATION
$7.57HC ULTRASOUND LIMITED SINGLE AREA
$170.25HC VENIPUNCTURE W/SPECIMEN
$11.45IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,554.94Price Negotiated by Insurer
$181.06Deductible 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
$4.01HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$608.05HC CT CHEST W CONTRAST
$303.09HC CT CSPINE WO CONTRAST
$181.06HC CT HEAD NO CONTRAST
$181.06HC DRUGS ABUSE SCREEN,URINE(7)COC
$83.27HC ECHO-F 2D/M-MODE FOLLOWUP
$411.55HC GLUCOSE TESTING POC
$4.40HC HEMOGLOBIN (POC)
$3.18HC LACTATE (CSF/POC)
$15.50HC PROTHROMBIN TIME QUICK
$5.75HC RH UNIT CONFIRMATION
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC SLOW ACTIVATION
$8.05HC ULTRASOUND LIMITED SINGLE AREA
$181.06HC VENIPUNCTURE W/SPECIMEN
$12.18IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.39This 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
$1,736.00Insurance Discount
-$347.20Price Negotiated by Insurer
$1,388.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$202.40HC CBC W WBC AUTO DIFF
$41.60HC CHEST SINGLE VIEW
$564.80HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,173.60HC CT CHEST W CONTRAST
$2,208.80HC CT CSPINE WO CONTRAST
$2,147.20HC CT HEAD NO CONTRAST
$2,124.80HC DRUGS ABUSE SCREEN,URINE(7)COC
$193.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,818.40HC GLUCOSE TESTING POC
$10.40HC HEMOGLOBIN (POC)
$76.00HC LACTATE (CSF/POC)
$65.60HC PROTHROMBIN TIME QUICK
$33.60HC RH UNIT CONFIRMATION
$91.20HC SBBB ANTIBODY SCREEN
$88.80HC SLOW ACTIVATION
$51.20HC ULTRASOUND LIMITED SINGLE AREA
$1,707.20HC VENIPUNCTURE W/SPECIMEN
$37.60IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.84This 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
$1,736.00Insurance Discount
-$607.60Price Negotiated by Insurer
$1,128.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$164.45HC CBC W WBC AUTO DIFF
$33.80HC CHEST SINGLE VIEW
$458.90HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,578.55HC CT CHEST W CONTRAST
$1,794.65HC CT CSPINE WO CONTRAST
$1,744.60HC CT HEAD NO CONTRAST
$1,726.40HC DRUGS ABUSE SCREEN,URINE(7)COC
$157.30HC ECHO-F 2D/M-MODE FOLLOWUP
$1,477.45HC GLUCOSE TESTING POC
$8.45HC HEMOGLOBIN (POC)
$61.75HC LACTATE (CSF/POC)
$53.30HC PROTHROMBIN TIME QUICK
$27.30HC RH UNIT CONFIRMATION
$74.10HC SBBB ANTIBODY SCREEN
$72.15HC SLOW ACTIVATION
$41.60HC ULTRASOUND LIMITED SINGLE AREA
$1,387.10HC VENIPUNCTURE W/SPECIMEN
$30.55IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.40This 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
$1,736.00Insurance Discount
-$260.40Price Negotiated by Insurer
$1,475.60Deductible 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
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$600.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CT CHEST W CONTRAST
$2,346.85HC CT CSPINE WO CONTRAST
$2,281.40HC CT HEAD NO CONTRAST
$2,257.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$205.70HC ECHO-F 2D/M-MODE FOLLOWUP
$1,932.05HC GLUCOSE TESTING POC
$11.05HC HEMOGLOBIN (POC)
$80.75HC LACTATE (CSF/POC)
$69.70HC PROTHROMBIN TIME QUICK
$35.70HC RH UNIT CONFIRMATION
$96.90HC SBBB ANTIBODY SCREEN
$94.35HC SLOW ACTIVATION
$54.40HC ULTRASOUND LIMITED SINGLE AREA
$1,813.90HC VENIPUNCTURE W/SPECIMEN
$39.95IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.49This 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
$1,736.00Insurance Discount
-$694.40Price Negotiated by Insurer
$1,041.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC ECHO-F 2D/M-MODE FOLLOWUP
$1,363.80HC GLUCOSE TESTING POC
$7.80HC HEMOGLOBIN (POC)
$57.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME QUICK
$25.20HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC ULTRASOUND LIMITED SINGLE AREA
$1,280.40HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.66This 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
$1,736.00Insurance Discount
-$694.40Price Negotiated by Insurer
$1,041.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$423.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC ECHO-F 2D/M-MODE FOLLOWUP
$1,363.80HC GLUCOSE TESTING POC
$7.80HC HEMOGLOBIN (POC)
$57.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME QUICK
$25.20HC RH UNIT CONFIRMATION
$68.40HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC ULTRASOUND LIMITED SINGLE AREA
$1,280.40HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.88This 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
$1,736.00Insurance Discount
-$1,574.93Price 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
$676.00HC 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
$1,328.00HC DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$968.00HC GLUCOSE TESTING POC
$2.65HC HEMOGLOBIN (POC)
$1.92HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.28This 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
$1,736.00Insurance Discount
-$1,574.93Price 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
$663.00HC 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
$1,328.00HC DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$982.00HC GLUCOSE TESTING POC
$2.65HC HEMOGLOBIN (POC)
$1.92HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$59.94This 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
$1,736.00Insurance Discount
-$1,574.93Price 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
$662.00HC 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
$1,328.00HC DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$832.00HC GLUCOSE TESTING POC
$2.65HC HEMOGLOBIN (POC)
$1.92HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.88This 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
$1,736.00Insurance Discount
-$1,574.93Price 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
$605.00HC 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
$1,328.00HC DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC ECHO-F 2D/M-MODE FOLLOWUP
$762.00HC GLUCOSE TESTING POC
$2.65HC HEMOGLOBIN (POC)
$1.92HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME QUICK
$3.47HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31This 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
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Children's Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Children's Hospital directly.
Total estimated charges
$1,736.00Insurance Discount
-$1,533.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$4.49HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC HEMOGLOBIN (POC)
$3.56HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$101.90This 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
$1,736.00Insurance Discount
-$1,587.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$3.29HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC HEMOGLOBIN (POC)
$2.61HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This 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
$1,736.00Insurance Discount
-$1,600.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC HEMOGLOBIN (POC)
$2.37HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$101.90This 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.