CPT 74250
The standard charge for X-ray small bowel is $1,585.00. 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
$1,585.00Insurance Discount
-$1,268.00Price Negotiated by Insurer
$317.00Deductible 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 ABDOMEN SINGLE AP VIEW
$107.80HC BASIC METABOLIC PANEL
$10.04HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$399.75HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$166.00HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC CULTURE BLOOD
$22.00HC GLUCOSE TESTING POC
$2.60HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60HC IV PUSH EA ADDL SEQ SAME DRUG
$78.20HC LACTATE (CSF/POC)
$16.40HC PHOSPHORUS
$6.21HC PROTHROMBIN TIME (POC)
$19.52HC SBBB PHLEBOTOMY
$40.00HC SLOW ACTIVATION
$12.80HC SOM MAGNESIUM RANDOM UR
$1.48HC THERAPEUTIC ACTIVITY 15 MIN WC
$58.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$23.98This 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$400.00HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$622.43Price Negotiated by Insurer
$962.57Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$327.33HC BASIC METABOLIC PANEL
$30.49HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$592.12HC CBC WITHOUT DIFFERENTIAL
$31.58HC CBC W WBC AUTO DIFF
$31.58HC CHEST SINGLE VIEW
$504.06HC COMPREHENSIVE METABOLIC PANEL
$42.51HC CT ABDOMEN & PELVIS W/CONTRAST
$2,364.00HC CULTURE BLOOD
$66.80HC GLUCOSE TESTING POC
$7.89HC IV PUSH EA ADDL SEQ NEW DRUG
$2,696.00HC IV PUSH EA ADDL SEQ SAME DRUG
$237.45HC LACTATE (CSF/POC)
$49.80HC PHOSPHORUS
$18.85HC PROTHROMBIN TIME (POC)
$59.27HC SBBB PHLEBOTOMY
$121.46HC SLOW ACTIVATION
$38.87HC SOM MAGNESIUM RANDOM UR
$4.50HC THERAPEUTIC ACTIVITY 15 MIN WC
$86.84IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.17This 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
$1,585.00Insurance Discount
-$1,245.71Price Negotiated by Insurer
$339.29Deductible 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 ABDOMEN SINGLE AP VIEW
$167.82HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$17.36HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME (POC)
$6.43HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,336.19Price Negotiated by Insurer
$248.81Deductible 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 ABDOMEN SINGLE AP VIEW
$123.07HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH EA ADDL SEQ SAME DRUG
$215.05HC LACTATE (CSF/POC)
$12.73HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME (POC)
$4.72HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$78.65IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$65.93This 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 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$293.25HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$107.25IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,313.77Price Negotiated by Insurer
$271.23Deductible 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 ABDOMEN SINGLE AP VIEW
$143.26HC BASIC METABOLIC PANEL
$61.56HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$336.00HC CBC WITHOUT DIFFERENTIAL
$47.07HC CBC W WBC AUTO DIFF
$56.57HC CHEST SINGLE VIEW
$91.78HC COMPREHENSIVE METABOLIC PANEL
$76.99HC CT ABDOMEN & PELVIS W/CONTRAST
$1,459.81HC CULTURE BLOOD
$75.08HC GLUCOSE TESTING POC
$6.29HC IV PUSH EA ADDL SEQ NEW DRUG
$742.00HC IV PUSH EA ADDL SEQ SAME DRUG
$742.00HC LACTATE (CSF/POC)
$77.68HC PHOSPHORUS
$34.43HC PROTHROMBIN TIME (POC)
$28.65HC SLOW ACTIVATION
$43.69HC SOM MAGNESIUM RANDOM UR
$48.44HC THERAPEUTIC ACTIVITY 15 MIN WC
$336.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.57This 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
$1,585.00Insurance Discount
-$1,529.95Price Negotiated by Insurer
$55.05Deductible 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 ABDOMEN SINGLE AP VIEW
$29.07HC BASIC METABOLIC PANEL
$12.49HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$447.00HC CBC WITHOUT DIFFERENTIAL
$9.55HC CBC W WBC AUTO DIFF
$11.48HC CHEST SINGLE VIEW
$18.63HC COMPREHENSIVE METABOLIC PANEL
$15.63HC CT ABDOMEN & PELVIS W/CONTRAST
$2,329.82HC CULTURE BLOOD
$15.24HC GLUCOSE TESTING POC
$7.63HC IV PUSH EA ADDL SEQ NEW DRUG
$990.00HC IV PUSH EA ADDL SEQ SAME DRUG
$2,582.00HC LACTATE (CSF/POC)
$15.76HC PHOSPHORUS
$6.99HC PROTHROMBIN TIME (POC)
$5.81HC SLOW ACTIVATION
$8.87HC SOM MAGNESIUM RANDOM UR
$9.83HC THERAPEUTIC ACTIVITY 15 MIN WC
$447.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$622.90Price Negotiated by Insurer
$962.10Deductible 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 ABDOMEN SINGLE AP VIEW
$327.17HC BASIC METABOLIC PANEL
$30.47HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$412.00HC CBC WITHOUT DIFFERENTIAL
$31.56HC CBC W WBC AUTO DIFF
$31.56HC CHEST SINGLE VIEW
$503.81HC COMPREHENSIVE METABOLIC PANEL
$42.49HC CT ABDOMEN & PELVIS W/CONTRAST
$2,407.97HC CULTURE BLOOD
$66.77HC GLUCOSE TESTING POC
$7.89HC LACTATE (CSF/POC)
$49.77HC PHOSPHORUS
$18.84HC PROTHROMBIN TIME (POC)
$59.24HC SBBB PHLEBOTOMY
$121.40HC SLOW ACTIVATION
$38.85HC SOM MAGNESIUM RANDOM UR
$4.50HC THERAPEUTIC ACTIVITY 15 MIN WC
$412.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$73.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$955.75Price Negotiated by Insurer
$629.25Deductible 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 ABDOMEN SINGLE AP VIEW
$213.98HC BASIC METABOLIC PANEL
$19.93HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$268.00HC CBC WITHOUT DIFFERENTIAL
$20.64HC CBC W WBC AUTO DIFF
$20.64HC CHEST SINGLE VIEW
$329.51HC COMPREHENSIVE METABOLIC PANEL
$27.79HC CT ABDOMEN & PELVIS W/CONTRAST
$1,574.90HC CULTURE BLOOD
$43.67HC GLUCOSE TESTING POC
$5.16HC LACTATE (CSF/POC)
$32.55HC PHOSPHORUS
$12.32HC PROTHROMBIN TIME (POC)
$38.75HC SBBB PHLEBOTOMY
$79.40HC SLOW ACTIVATION
$25.41HC SOM MAGNESIUM RANDOM UR
$2.94HC THERAPEUTIC ACTIVITY 15 MIN WC
$268.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$713.25Price Negotiated by Insurer
$871.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$296.45HC BASIC METABOLIC PANEL
$27.61HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$536.25HC CBC WITHOUT DIFFERENTIAL
$28.60HC CBC W WBC AUTO DIFF
$28.60HC CHEST SINGLE VIEW
$456.50HC COMPREHENSIVE METABOLIC PANEL
$38.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,181.85HC CULTURE BLOOD
$60.50HC GLUCOSE TESTING POC
$7.15HC IV PUSH EA ADDL SEQ NEW DRUG
$328.90HC IV PUSH EA ADDL SEQ SAME DRUG
$215.05HC LACTATE (CSF/POC)
$45.10HC PHOSPHORUS
$17.07HC PROTHROMBIN TIME (POC)
$53.68HC SBBB PHLEBOTOMY
$200.00HC SLOW ACTIVATION
$35.20HC SOM MAGNESIUM RANDOM UR
$7.41HC THERAPEUTIC ACTIVITY 15 MIN WC
$78.65IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34This 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
$1,585.00Insurance Discount
-$317.00Price Negotiated by Insurer
$1,268.00Deductible 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 ABDOMEN SINGLE AP VIEW
$431.20HC BASIC METABOLIC PANEL
$40.16HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$780.00HC CBC WITHOUT DIFFERENTIAL
$41.60HC CBC W WBC AUTO DIFF
$41.60HC CHEST SINGLE VIEW
$664.00HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,173.60HC CULTURE BLOOD
$88.00HC GLUCOSE TESTING POC
$10.40HC IV PUSH EA ADDL SEQ NEW DRUG
$478.40HC IV PUSH EA ADDL SEQ SAME DRUG
$312.80HC LACTATE (CSF/POC)
$65.60HC PHOSPHORUS
$24.83HC PROTHROMBIN TIME (POC)
$78.08HC SBBB PHLEBOTOMY
$160.00HC SLOW ACTIVATION
$51.20HC SOM MAGNESIUM RANDOM UR
$5.93HC THERAPEUTIC ACTIVITY 15 MIN WC
$114.40IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$570.60Price Negotiated by Insurer
$1,014.40Deductible 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 ABDOMEN SINGLE AP VIEW
$344.96HC BASIC METABOLIC PANEL
$32.13HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$624.00HC CBC WITHOUT DIFFERENTIAL
$33.28HC CBC W WBC AUTO DIFF
$33.28HC CHEST SINGLE VIEW
$531.20HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,538.88HC CULTURE BLOOD
$70.40HC GLUCOSE TESTING POC
$8.32HC IV PUSH EA ADDL SEQ NEW DRUG
$382.72HC IV PUSH EA ADDL SEQ SAME DRUG
$250.24HC LACTATE (CSF/POC)
$52.48HC PHOSPHORUS
$19.87HC PROTHROMBIN TIME (POC)
$62.46HC SBBB PHLEBOTOMY
$128.00HC SLOW ACTIVATION
$40.96HC SOM MAGNESIUM RANDOM UR
$4.74HC THERAPEUTIC ACTIVITY 15 MIN WC
$91.52IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$412.10Price Negotiated by Insurer
$1,172.90Deductible 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 ABDOMEN SINGLE AP VIEW
$398.86HC BASIC METABOLIC PANEL
$37.15HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$721.50HC CBC WITHOUT DIFFERENTIAL
$38.48HC CBC W WBC AUTO DIFF
$38.48HC CHEST SINGLE VIEW
$614.20HC COMPREHENSIVE METABOLIC PANEL
$51.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,935.58HC CULTURE BLOOD
$81.40HC GLUCOSE TESTING POC
$9.62HC IV PUSH EA ADDL SEQ NEW DRUG
$442.52HC IV PUSH EA ADDL SEQ SAME DRUG
$289.34HC LACTATE (CSF/POC)
$60.68HC PHOSPHORUS
$22.97HC PROTHROMBIN TIME (POC)
$72.22HC SBBB PHLEBOTOMY
$148.00HC SLOW ACTIVATION
$47.36HC SOM MAGNESIUM RANDOM UR
$5.48HC THERAPEUTIC ACTIVITY 15 MIN WC
$105.82IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$88.71This 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
$1,585.00Insurance Discount
-$1,245.71Price Negotiated by Insurer
$339.29Deductible 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 ABDOMEN SINGLE AP VIEW
$167.82HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$17.36HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME (POC)
$6.43HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$5.84This 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 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
$1,585.00Insurance Discount
-$1,336.19Price Negotiated by Insurer
$248.81Deductible 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 ABDOMEN SINGLE AP VIEW
$123.07HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$12.73HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME (POC)
$4.72HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,279.64Price Negotiated by Insurer
$305.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$151.04HC BASIC METABOLIC PANEL
$11.42HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$730.42HC CBC WITHOUT DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$151.04HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT ABDOMEN & PELVIS W/CONTRAST
$612.59HC CULTURE BLOOD
$13.93HC GLUCOSE TESTING POC
$4.43HC IV PUSH EA ADDL SEQ NEW DRUG
$79.15HC IV PUSH EA ADDL SEQ SAME DRUG
$156.40HC LACTATE (CSF/POC)
$15.62HC PHOSPHORUS
$6.40HC PROTHROMBIN TIME (POC)
$5.79HC SBBB PHLEBOTOMY
$12.27HC SLOW ACTIVATION
$8.11HC SOM MAGNESIUM RANDOM UR
$9.04HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$1.92This 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$156.40HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.12This 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 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
$1,585.00Insurance Discount
-$237.75Price Negotiated by Insurer
$1,347.25Deductible 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 ABDOMEN SINGLE AP VIEW
$458.15HC BASIC METABOLIC PANEL
$42.67HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$828.75HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CULTURE BLOOD
$93.50HC GLUCOSE TESTING POC
$11.05HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$69.70HC PHOSPHORUS
$26.38HC PROTHROMBIN TIME (POC)
$82.96HC SBBB PHLEBOTOMY
$170.00HC SLOW ACTIVATION
$54.40HC SOM MAGNESIUM RANDOM UR
$6.30HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$634.00Price Negotiated by Insurer
$951.00Deductible 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 ABDOMEN SINGLE AP VIEW
$323.40HC BASIC METABOLIC PANEL
$30.12HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$585.00HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CULTURE BLOOD
$66.00HC GLUCOSE TESTING POC
$7.80HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80HC IV PUSH EA ADDL SEQ SAME DRUG
$234.60HC LACTATE (CSF/POC)
$49.20HC PHOSPHORUS
$18.62HC PROTHROMBIN TIME (POC)
$58.56HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$158.50Price Negotiated by Insurer
$1,426.50Deductible 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 ABDOMEN SINGLE AP VIEW
$485.10HC BASIC METABOLIC PANEL
$45.18HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$877.50HC CBC WITHOUT DIFFERENTIAL
$46.80HC CBC W WBC AUTO DIFF
$46.80HC CHEST SINGLE VIEW
$747.00HC COMPREHENSIVE METABOLIC PANEL
$63.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,570.30HC CULTURE BLOOD
$99.00HC GLUCOSE TESTING POC
$11.70HC IV PUSH EA ADDL SEQ NEW DRUG
$538.20HC IV PUSH EA ADDL SEQ SAME DRUG
$351.90HC LACTATE (CSF/POC)
$73.80HC PHOSPHORUS
$27.94HC PROTHROMBIN TIME (POC)
$87.84HC SBBB PHLEBOTOMY
$180.00HC SLOW ACTIVATION
$57.60HC SOM MAGNESIUM RANDOM UR
$6.67HC THERAPEUTIC ACTIVITY 15 MIN WC
$128.70IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,214.05Price Negotiated by Insurer
$370.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$183.48HC BASIC METABOLIC PANEL
$13.87HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$887.32HC CBC WITHOUT DIFFERENTIAL
$10.61HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$183.48HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$744.18HC CULTURE BLOOD
$16.92HC GLUCOSE TESTING POC
$5.38HC IV PUSH EA ADDL SEQ NEW DRUG
$96.15HC LACTATE (CSF/POC)
$18.97HC PHOSPHORUS
$7.77HC PROTHROMBIN TIME (POC)
$7.04HC SBBB PHLEBOTOMY
$14.91HC SLOW ACTIVATION
$9.86HC SOM MAGNESIUM RANDOM UR
$10.99This 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
$1,585.00Insurance Discount
-$1,422.25Price Negotiated by Insurer
$162.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$42.31HC BASIC METABOLIC PANEL
$12.50HC CBC WITHOUT DIFFERENTIAL
$9.82HC CBC W WBC AUTO DIFF
$11.61HC CHEST SINGLE VIEW
$30.36HC COMPREHENSIVE METABOLIC PANEL
$15.81HC CT ABDOMEN & PELVIS W/CONTRAST
$484.70HC CULTURE BLOOD
$15.45HC GLUCOSE TESTING POC
$3.44HC IV PUSH EA ADDL SEQ NEW DRUG
$36.62HC IV PUSH EA ADDL SEQ SAME DRUG
$973.00HC LACTATE (CSF/POC)
$16.19HC PHOSPHORUS
$7.24HC PROTHROMBIN TIME (POC)
$6.00HC SLOW ACTIVATION
$9.18HC SOM MAGNESIUM RANDOM UR
$10.25HC THERAPEUTIC ACTIVITY 15 MIN WC
$19.16IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,245.71Price Negotiated by Insurer
$339.29Deductible 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 ABDOMEN SINGLE AP VIEW
$167.82HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH EA ADDL SEQ SAME DRUG
$195.50HC LACTATE (CSF/POC)
$17.36HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME (POC)
$6.43HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$71.50IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$527.81Price Negotiated by Insurer
$1,057.19Deductible 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 ABDOMEN SINGLE AP VIEW
$359.51HC BASIC METABOLIC PANEL
$33.48HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$650.33HC CBC WITHOUT DIFFERENTIAL
$34.68HC CBC W WBC AUTO DIFF
$34.68HC CHEST SINGLE VIEW
$553.61HC COMPREHENSIVE METABOLIC PANEL
$46.69HC CT ABDOMEN & PELVIS W/CONTRAST
$2,645.99HC CULTURE BLOOD
$73.37HC GLUCOSE TESTING POC
$8.67HC IV PUSH EA ADDL SEQ NEW DRUG
$398.87HC IV PUSH EA ADDL SEQ SAME DRUG
$260.80HC LACTATE (CSF/POC)
$54.69HC PHOSPHORUS
$20.70HC PROTHROMBIN TIME (POC)
$65.10HC SBBB PHLEBOTOMY
$133.40HC SLOW ACTIVATION
$42.69HC SOM MAGNESIUM RANDOM UR
$4.94HC THERAPEUTIC ACTIVITY 15 MIN WC
$95.38IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$5.18This 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
$1,585.00Insurance Discount
-$1,405.22Price Negotiated by Insurer
$179.78Deductible 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 ABDOMEN SINGLE AP VIEW
$46.74HC BASIC METABOLIC PANEL
$13.81HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$371.48HC CBC WITHOUT DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$33.53HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT ABDOMEN & PELVIS W/CONTRAST
$535.42HC CULTURE BLOOD
$17.06HC GLUCOSE TESTING POC
$3.80HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45HC IV PUSH EA ADDL SEQ SAME DRUG
$148.97HC LACTATE (CSF/POC)
$17.88HC PHOSPHORUS
$8.00HC PROTHROMBIN TIME (POC)
$6.63HC SBBB PHLEBOTOMY
$76.20HC SLOW ACTIVATION
$10.15HC SOM MAGNESIUM RANDOM UR
$11.32HC THERAPEUTIC ACTIVITY 15 MIN WC
$21.17IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.62This 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$242.03HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$88.52IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,268.00Price Negotiated by Insurer
$317.00Deductible 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 ABDOMEN SINGLE AP VIEW
$107.80HC BASIC METABOLIC PANEL
$10.04HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$399.75HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$166.00HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC CULTURE BLOOD
$22.00HC GLUCOSE TESTING POC
$2.60HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60HC IV PUSH EA ADDL SEQ SAME DRUG
$78.20HC LACTATE (CSF/POC)
$16.40HC PHOSPHORUS
$6.21HC PROTHROMBIN TIME (POC)
$19.52HC SBBB PHLEBOTOMY
$40.00HC SLOW ACTIVATION
$12.80HC SOM MAGNESIUM RANDOM UR
$1.48HC THERAPEUTIC ACTIVITY 15 MIN WC
$58.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$23.98This 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
$1,585.00Insurance Discount
-$1,281.91Price Negotiated by Insurer
$303.09Deductible 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 ABDOMEN SINGLE AP VIEW
$149.92HC BASIC METABOLIC PANEL
$11.34HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$725.01HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$608.05HC CULTURE BLOOD
$13.83HC GLUCOSE TESTING POC
$4.40HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56HC IV PUSH EA ADDL SEQ SAME DRUG
$273.70HC LACTATE (CSF/POC)
$15.50HC PHOSPHORUS
$6.35HC PROTHROMBIN TIME (POC)
$5.75HC SBBB PHLEBOTOMY
$12.18HC SLOW ACTIVATION
$8.05HC SOM MAGNESIUM RANDOM UR
$8.98HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$83.92This 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
$1,585.00Insurance Discount
-$1,281.91Price Negotiated by Insurer
$303.09Deductible 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 ABDOMEN SINGLE AP VIEW
$149.92HC BASIC METABOLIC PANEL
$11.34HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$725.01HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$608.05HC CULTURE BLOOD
$13.83HC GLUCOSE TESTING POC
$4.40HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56HC IV PUSH EA ADDL SEQ SAME DRUG
$273.70HC LACTATE (CSF/POC)
$15.50HC PHOSPHORUS
$6.35HC PROTHROMBIN TIME (POC)
$5.75HC SBBB PHLEBOTOMY
$12.18HC SLOW ACTIVATION
$8.05HC SOM MAGNESIUM RANDOM UR
$8.98HC THERAPEUTIC ACTIVITY 15 MIN WC
$100.10IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$396.25Price Negotiated by Insurer
$1,188.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN SINGLE AP VIEW
$404.25HC BASIC METABOLIC PANEL
$37.65HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$731.25HC CBC WITHOUT DIFFERENTIAL
$39.00HC CBC W WBC AUTO DIFF
$39.00HC CHEST SINGLE VIEW
$622.50HC COMPREHENSIVE METABOLIC PANEL
$52.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,975.25HC CULTURE BLOOD
$82.50HC GLUCOSE TESTING POC
$9.75HC IV PUSH EA ADDL SEQ NEW DRUG
$448.50HC IV PUSH EA ADDL SEQ SAME DRUG
$293.25HC LACTATE (CSF/POC)
$61.50HC PHOSPHORUS
$23.28HC PROTHROMBIN TIME (POC)
$73.20HC SBBB PHLEBOTOMY
$150.00HC SLOW ACTIVATION
$48.00HC SOM MAGNESIUM RANDOM UR
$5.56HC THERAPEUTIC ACTIVITY 15 MIN WC
$107.25IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$89.91This 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
$1,585.00Insurance Discount
-$554.75Price Negotiated by Insurer
$1,030.25Deductible 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 ABDOMEN SINGLE AP VIEW
$350.35HC BASIC METABOLIC PANEL
$32.63HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$633.75HC CBC WITHOUT DIFFERENTIAL
$33.80HC CBC W WBC AUTO DIFF
$33.80HC CHEST SINGLE VIEW
$539.50HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,578.55HC CULTURE BLOOD
$71.50HC GLUCOSE TESTING POC
$8.45HC IV PUSH EA ADDL SEQ NEW DRUG
$388.70HC IV PUSH EA ADDL SEQ SAME DRUG
$254.15HC LACTATE (CSF/POC)
$53.30HC PHOSPHORUS
$20.18HC PROTHROMBIN TIME (POC)
$63.44HC SBBB PHLEBOTOMY
$130.00HC SLOW ACTIVATION
$41.60HC SOM MAGNESIUM RANDOM UR
$4.82HC THERAPEUTIC ACTIVITY 15 MIN WC
$92.95IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$237.75Price Negotiated by Insurer
$1,347.25Deductible 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 ABDOMEN SINGLE AP VIEW
$458.15HC BASIC METABOLIC PANEL
$42.67HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$828.75HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CULTURE BLOOD
$93.50HC GLUCOSE TESTING POC
$11.05HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$69.70HC PHOSPHORUS
$26.38HC PROTHROMBIN TIME (POC)
$82.96HC SBBB PHLEBOTOMY
$170.00HC SLOW ACTIVATION
$54.40HC SOM MAGNESIUM RANDOM UR
$6.30HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,345.24Price Negotiated by Insurer
$239.76Deductible 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 ABDOMEN SINGLE AP VIEW
$118.59HC BASIC METABOLIC PANEL
$8.97HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$573.51HC CBC WITHOUT DIFFERENTIAL
$6.86HC CBC W WBC AUTO DIFF
$8.24HC CHEST SINGLE VIEW
$118.59HC COMPREHENSIVE METABOLIC PANEL
$11.19HC CT ABDOMEN & PELVIS W/CONTRAST
$481.00HC CULTURE BLOOD
$10.94HC GLUCOSE TESTING POC
$3.48HC IV PUSH EA ADDL SEQ NEW DRUG
$62.15HC LACTATE (CSF/POC)
$12.26HC PHOSPHORUS
$5.02HC PROTHROMBIN TIME (POC)
$4.55HC SBBB PHLEBOTOMY
$9.64HC SLOW ACTIVATION
$6.37HC SOM MAGNESIUM RANDOM UR
$7.10This 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 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
$1,585.00Insurance Discount
-$1,336.19Price Negotiated by Insurer
$248.81Deductible 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 ABDOMEN SINGLE AP VIEW
$123.07HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH EA ADDL SEQ SAME DRUG
$156.40HC LACTATE (CSF/POC)
$12.73HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME (POC)
$4.72HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$57.20IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$634.00Price Negotiated by Insurer
$951.00Deductible 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 ABDOMEN SINGLE AP VIEW
$323.40HC BASIC METABOLIC PANEL
$30.12HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$585.00HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CULTURE BLOOD
$66.00HC GLUCOSE TESTING POC
$7.80HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80HC IV PUSH EA ADDL SEQ SAME DRUG
$234.60HC LACTATE (CSF/POC)
$49.20HC PHOSPHORUS
$18.62HC PROTHROMBIN TIME (POC)
$58.56HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$634.00Price Negotiated by Insurer
$951.00Deductible 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 ABDOMEN SINGLE AP VIEW
$323.40HC BASIC METABOLIC PANEL
$30.12HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$649.26HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CULTURE BLOOD
$66.00HC GLUCOSE TESTING POC
$7.80HC IV PUSH EA ADDL SEQ NEW DRUG
$70.36HC IV PUSH EA ADDL SEQ SAME DRUG
$234.60HC LACTATE (CSF/POC)
$49.20HC PHOSPHORUS
$18.62HC PROTHROMBIN TIME (POC)
$58.56HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM MAGNESIUM RANDOM UR
$4.45HC THERAPEUTIC ACTIVITY 15 MIN WC
$85.80IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,365.27Price Negotiated by Insurer
$219.73Deductible 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 ABDOMEN SINGLE AP VIEW
$159.01HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$417.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC 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 CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.65HC IV PUSH EA ADDL SEQ NEW DRUG
$299.00HC IV PUSH EA ADDL SEQ SAME DRUG
$676.00HC LACTATE (CSF/POC)
$9.37HC PHOSPHORUS
$3.84HC PROTHROMBIN TIME (POC)
$3.47HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$417.00IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,365.27Price Negotiated by Insurer
$219.73Deductible 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 ABDOMEN SINGLE AP VIEW
$159.01HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$295.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC 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 CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.65HC IV PUSH EA ADDL SEQ NEW DRUG
$299.00HC IV PUSH EA ADDL SEQ SAME DRUG
$195.50HC LACTATE (CSF/POC)
$9.37HC PHOSPHORUS
$3.84HC PROTHROMBIN TIME (POC)
$3.47HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$295.00IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,365.27Price Negotiated by Insurer
$219.73Deductible 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 ABDOMEN SINGLE AP VIEW
$159.01HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$224.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC 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 CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.65HC IV PUSH EA ADDL SEQ NEW DRUG
$662.00HC IV PUSH EA ADDL SEQ SAME DRUG
$662.00HC LACTATE (CSF/POC)
$9.37HC PHOSPHORUS
$3.84HC PROTHROMBIN TIME (POC)
$3.47HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$224.00IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,365.27Price Negotiated by Insurer
$219.73Deductible 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 ABDOMEN SINGLE AP VIEW
$159.01HC BASIC METABOLIC PANEL
$6.85HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$206.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC 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 CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.65HC IV PUSH EA ADDL SEQ NEW DRUG
$605.00HC IV PUSH EA ADDL SEQ SAME DRUG
$605.00HC LACTATE (CSF/POC)
$9.37HC PHOSPHORUS
$3.84HC PROTHROMBIN TIME (POC)
$3.47HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM MAGNESIUM RANDOM UR
$5.43HC THERAPEUTIC ACTIVITY 15 MIN WC
$206.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$1,585.00Insurance Discount
-$1,245.71Price Negotiated by Insurer
$339.29Deductible 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 ABDOMEN SINGLE AP VIEW
$167.82HC BASIC METABOLIC PANEL
$12.69HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$811.58HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$17.36HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME (POC)
$6.43HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM MAGNESIUM RANDOM UR
$10.05HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,336.19Price Negotiated by Insurer
$248.81Deductible 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 ABDOMEN SINGLE AP VIEW
$123.07HC BASIC METABOLIC PANEL
$9.31HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$595.15HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$12.73HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME (POC)
$4.72HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM MAGNESIUM RANDOM UR
$7.37HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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
$1,585.00Insurance Discount
-$1,358.81Price Negotiated by Insurer
$226.19Deductible 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 ABDOMEN SINGLE AP VIEW
$111.88HC BASIC METABOLIC PANEL
$8.46HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$541.05HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH EA ADDL SEQ SAME DRUG
$332.35HC LACTATE (CSF/POC)
$11.57HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME (POC)
$4.29HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM MAGNESIUM RANDOM UR
$6.70HC THERAPEUTIC ACTIVITY 15 MIN WC
$121.55IOPAMIDOL 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 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.