CPT 96375
The standard charge for Intravenous infusion, for treatment, prophylaxis, or diagnosis-new drug add on is $526.00. 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, 92373CONTACT
877-558-6248 Visit WebsiteLoma Linda University Medical Center 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 Medical Center 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 Medical Center 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
$526.00Insurance Discount
-$420.80Price Negotiated by Insurer
$105.20Deductible 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 CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$45.81This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.44This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Price Negotiated by Insurer
$27,467.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.58HC COMPREHENSIVE METABOLIC PANEL
$42.51HC INTRODUCER 3FR TEARAWAY
$51.62SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$32.07This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$438.06Price Negotiated by Insurer
$87.94Deductible 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
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.94This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$461.51Price Negotiated by Insurer
$64.49Deductible 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 CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$46.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$63.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$29.60This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Price Negotiated by Insurer
$742.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$56.57HC COMPREHENSIVE METABOLIC PANEL
$76.99HC INTRODUCER 3FR TEARAWAY
$41.16SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$910.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Price Negotiated by Insurer
$990.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.48HC COMPREHENSIVE METABOLIC PANEL
$15.63HC INTRODUCER 3FR TEARAWAY
$49.92SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$58.92This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$432.60Price Negotiated by Insurer
$93.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Price Negotiated by Insurer
$7,837.47Deductible 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
$31.56HC COMPREHENSIVE METABOLIC PANEL
$42.49HC INTRODUCER 3FR TEARAWAY
$51.94SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Price Negotiated by Insurer
$5,113.68Deductible 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 CBC W WBC AUTO DIFF
$20.64HC COMPREHENSIVE METABOLIC PANEL
$27.79HC INTRODUCER 3FR TEARAWAY
$33.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$236.70Price Negotiated by Insurer
$289.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$28.60HC COMPREHENSIVE METABOLIC PANEL
$38.50HC INTRODUCER 3FR TEARAWAY
$46.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$64.63This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$105.20Price Negotiated by Insurer
$420.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$41.60HC COMPREHENSIVE METABOLIC PANEL
$56.00HC INTRODUCER 3FR TEARAWAY
$68.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$189.36Price Negotiated by Insurer
$336.64Deductible 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 CBC W WBC AUTO DIFF
$33.28HC COMPREHENSIVE METABOLIC PANEL
$44.80HC INTRODUCER 3FR TEARAWAY
$54.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.20This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$136.76Price Negotiated by Insurer
$389.24Deductible 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
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC INTRODUCER 3FR TEARAWAY
$62.90SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$438.06Price Negotiated by Insurer
$87.94Deductible 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
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$49.62This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$461.51Price Negotiated by Insurer
$64.49Deductible 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 CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$446.85Price Negotiated by Insurer
$79.15Deductible 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
$10.49HC COMPREHENSIVE METABOLIC PANEL
$14.26HC INTRODUCER 3FR TEARAWAY
$34.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.40This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$34.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.07This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$78.90Price Negotiated by Insurer
$447.10Deductible 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 CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.67This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$210.40Price Negotiated by Insurer
$315.60Deductible 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 CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$52.60Price Negotiated by Insurer
$473.40Deductible 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 CBC W WBC AUTO DIFF
$46.80HC COMPREHENSIVE METABOLIC PANEL
$63.00HC INTRODUCER 3FR TEARAWAY
$76.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.76This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$429.85Price Negotiated by Insurer
$96.15Deductible 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
$12.74HC COMPREHENSIVE METABOLIC PANEL
$17.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$15.04This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$489.38Price Negotiated by Insurer
$36.62Deductible 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
$11.61HC COMPREHENSIVE METABOLIC PANEL
$15.81HC INTRODUCER 3FR TEARAWAY
$0.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.04This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.98This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$438.06Price Negotiated by Insurer
$87.94Deductible 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
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$42.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.88This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$175.16Price Negotiated by Insurer
$350.84Deductible 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
$34.68HC COMPREHENSIVE METABOLIC PANEL
$46.69HC INTRODUCER 3FR TEARAWAY
$56.70SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.51This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$485.55Price Negotiated by Insurer
$40.45Deductible 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
$12.82HC COMPREHENSIVE METABOLIC PANEL
$17.46HC INTRODUCER 3FR TEARAWAY
$0.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$8.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$52.62SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$420.80Price Negotiated by Insurer
$105.20Deductible 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 CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$447.44Price Negotiated by Insurer
$78.56Deductible 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
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.56This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$447.44Price Negotiated by Insurer
$78.56Deductible 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
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$17.39This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$131.50Price Negotiated by Insurer
$394.50Deductible 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 CBC W WBC AUTO DIFF
$39.00HC COMPREHENSIVE METABOLIC PANEL
$52.50HC INTRODUCER 3FR TEARAWAY
$63.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.91This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$432.60Price Negotiated by Insurer
$93.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$184.10Price Negotiated by Insurer
$341.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$33.80HC COMPREHENSIVE METABOLIC PANEL
$45.50HC INTRODUCER 3FR TEARAWAY
$55.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$430.69Price Negotiated by Insurer
$95.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$78.90Price Negotiated by Insurer
$447.10Deductible 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 CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$96.39This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$463.85Price Negotiated by Insurer
$62.15Deductible 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
$8.24HC COMPREHENSIVE METABOLIC PANEL
$11.19SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.46This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$433.55Price Negotiated by Insurer
$92.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$461.51Price Negotiated by Insurer
$64.49Deductible 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 CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$34.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.44This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$210.40Price Negotiated by Insurer
$315.60Deductible 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 CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$263.00Price Negotiated by Insurer
$263.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.33This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$263.00Price Negotiated by Insurer
$263.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.77This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$263.00Price Negotiated by Insurer
$263.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$263.00Price Negotiated by Insurer
$263.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$438.06Price Negotiated by Insurer
$87.94Deductible 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
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.98This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$461.51Price Negotiated by Insurer
$64.49Deductible 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 CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$61.20This 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 Medical Center 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 Medical Center directly.
Total estimated charges
$526.00Insurance Discount
-$467.37Price Negotiated by Insurer
$58.63Deductible 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 CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.22This 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 Medical Center 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 Medical Center directly.