
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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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 ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SODIUM
$4.81HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,116.05Price Negotiated by Insurer
$468.95Deductible 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 KUB SUPINE
$102.10HC BASIC METABOLIC PANEL
$62.09HC BLOOD GAS AND COOXIMETRY
$208.31HC CA CALCIUM IONIZED
$100.32HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$404.40HC CBC WO DIFFERENTIAL
$47.49HC CBC W WBC AUTO DIFF
$57.06HC CHEST SINGLE VIEW
$59.76HC CHLORIDE
$33.75HC COMPREHENSIVE METABOLIC PANEL
$77.56HC CT ABDOMEN & PELVIS W/CONTRAST
$2,364.00HC CULTURE BLOOD
$75.78HC GLUCOSE TESTING POC
$17.18HC HYDRATION INFUSION EA ADDL HR
$90.93HC LACTATE (CSF/POC)
$78.41HC LIPASE
$50.56HC LUPUS SCREEN PTT
$44.05HC MAGNESIUM
$49.21HC PHOSPHORUS
$34.79HC POTASSIUM
$33.75HC PROTHROMBIN TIME QUICK
$28.84HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$134.25HC SODIUM
$35.28HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$134.37HC VENIPUNCTURE W SPECIMEN
$15.83This 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
-$1,240.66Price Negotiated by Insurer
$344.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$170.31HC BASIC METABOLIC PANEL
$12.69HC BLOOD GAS AND COOXIMETRY
$118.16HC CA CALCIUM IONIZED
$20.52HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$830.08HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC CHLORIDE
$6.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC POTASSIUM
$7.14HC PROTHROMBIN TIME QUICK
$6.44HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$7.22HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$12.86This 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
-$1,332.48Price Negotiated by Insurer
$252.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.37HC ABDOMEN KUB SUPINE
$124.89HC BASIC METABOLIC PANEL
$9.31HC BLOOD GAS AND COOXIMETRY
$86.65HC CA CALCIUM IONIZED
$15.05HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$608.73HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC CHLORIDE
$5.06HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LOCM (HEXABRIX) PER ML
$2.36HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC POTASSIUM
$5.24HC PROTHROMBIN TIME QUICK
$4.72HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$143.55HC SODIUM
$5.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$161.15HC VENIPUNCTURE W SPECIMEN
$9.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.37HC ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LOCM (HEXABRIX) PER ML
$2.36HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$143.55HC SODIUM
$4.81HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$161.15HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,313.77Price 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.51HC ABDOMEN KUB SUPINE
$143.26HC BASIC METABOLIC PANEL
$61.56HC BLOOD GAS AND COOXIMETRY
$204.53HC CA CALCIUM IONIZED
$99.42HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$336.00HC CBC WO DIFFERENTIAL
$47.07HC CBC W WBC AUTO DIFF
$56.57HC CHEST SINGLE VIEW
$91.78HC CHLORIDE
$33.75HC COMPREHENSIVE METABOLIC PANEL
$76.99HC CT ABDOMEN & PELVIS W/CONTRAST
$1,459.81HC CULTURE BLOOD
$75.08HC GLUCOSE TESTING POC
$1,833.00HC HYDRATION INFUSION EA ADDL HR
$1,833.00HC LACTATE (CSF/POC)
$77.68HC LIPASE
$50.05HC LOCM (HEXABRIX) PER ML
$0.77HC LUPUS SCREEN PTT
$43.69HC MAGNESIUM
$48.44HC PHOSPHORUS
$34.43HC POTASSIUM
$33.75HC PROTHROMBIN TIME QUICK
$28.65HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$336.00HC SODIUM
$34.87HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$336.00HC VENIPUNCTURE W SPECIMEN
$15.57This 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
-$1,254.16Price Negotiated by Insurer
$330.84Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.56HC ABDOMEN KUB SUPINE
$174.74HC BASIC METABOLIC PANEL
$75.09HC BLOOD GAS AND COOXIMETRY
$249.47HC CA CALCIUM IONIZED
$121.27HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$408.00HC CBC WO DIFFERENTIAL
$57.41HC CBC W WBC AUTO DIFF
$69.00HC CHEST SINGLE VIEW
$111.95HC CHLORIDE
$41.16HC COMPREHENSIVE METABOLIC PANEL
$93.91HC CT ABDOMEN & PELVIS W/CONTRAST
$2,757.26HC CULTURE BLOOD
$91.58HC GLUCOSE TESTING POC
$2,356.00HC HYDRATION INFUSION EA ADDL HR
$126.43HC LACTATE (CSF/POC)
$94.75HC LIPASE
$61.05HC LOCM (HEXABRIX) PER ML
$0.84HC LUPUS SCREEN PTT
$53.29HC MAGNESIUM
$59.08HC PHOSPHORUS
$42.00HC POTASSIUM
$41.16HC PROTHROMBIN TIME QUICK
$34.95HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$408.00HC SODIUM
$42.53HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$408.00HC VENIPUNCTURE W SPECIMEN
$19.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.40HC ABDOMEN KUB SUPINE
$323.40HC BASIC METABOLIC PANEL
$12.00HC BLOOD GAS AND COOXIMETRY
$852.00HC CA CALCIUM IONIZED
$27.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$486.00HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC CHLORIDE
$9.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CULTURE BLOOD
$37.80HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$128.40HC LACTATE (CSF/POC)
$18.60HC LIPASE
$15.60HC LOCM (HEXABRIX) PER ML
$2.58HC LUPUS SCREEN PTT
$12.00HC MAGNESIUM
$12.00HC PHOSPHORUS
$9.00HC POTASSIUM
$9.00HC PROTHROMBIN TIME QUICK
$7.80HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$156.60HC SODIUM
$9.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$175.80HC VENIPUNCTURE W SPECIMEN
$34.80This 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
-$605.47Price Negotiated by Insurer
$979.53Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.42HC ABDOMEN KUB SUPINE
$333.10HC BASIC METABOLIC PANEL
$12.36HC BLOOD GAS AND COOXIMETRY
$877.56HC CA CALCIUM IONIZED
$27.81HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$400.00HC CBC WO DIFFERENTIAL
$9.89HC CBC W WBC AUTO DIFF
$9.89HC CHEST SINGLE VIEW
$512.94HC CHLORIDE
$9.27HC COMPREHENSIVE METABOLIC PANEL
$15.45HC CT ABDOMEN & PELVIS W/CONTRAST
$2,884.21HC CULTURE BLOOD
$38.93HC GLUCOSE TESTING POC
$7.42HC HYDRATION INFUSION EA ADDL HR
$134.61HC LACTATE (CSF/POC)
$19.16HC LIPASE
$16.07HC LOCM (HEXABRIX) PER ML
$2.70HC LUPUS SCREEN PTT
$12.36HC MAGNESIUM
$12.36HC PHOSPHORUS
$9.27HC POTASSIUM
$9.27HC PROTHROMBIN TIME QUICK
$8.03HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$400.00HC SODIUM
$9.27HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$400.00HC VENIPUNCTURE W SPECIMEN
$35.84This 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
-$814.69Price Negotiated by Insurer
$770.31Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.33HC ABDOMEN KUB SUPINE
$261.95HC BASIC METABOLIC PANEL
$9.72HC BLOOD GAS AND COOXIMETRY
$690.12HC CA CALCIUM IONIZED
$21.87HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$287.00HC CBC WO DIFFERENTIAL
$7.78HC CBC W WBC AUTO DIFF
$7.78HC CHEST SINGLE VIEW
$403.38HC CHLORIDE
$7.29HC COMPREHENSIVE METABOLIC PANEL
$12.15HC CT ABDOMEN & PELVIS W/CONTRAST
$2,268.16HC CULTURE BLOOD
$30.62HC GLUCOSE TESTING POC
$5.83HC HYDRATION INFUSION EA ADDL HR
$104.65HC LACTATE (CSF/POC)
$15.07HC LIPASE
$12.64HC LOCM (HEXABRIX) PER ML
$2.10HC LUPUS SCREEN PTT
$9.72HC MAGNESIUM
$9.72HC PHOSPHORUS
$7.29HC POTASSIUM
$7.29HC PROTHROMBIN TIME QUICK
$6.32HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$287.00HC SODIUM
$7.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$287.00HC VENIPUNCTURE W SPECIMEN
$28.19This 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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 ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SODIUM
$4.81HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$871.75Price Negotiated by Insurer
$713.25Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.30HC ABDOMEN KUB SUPINE
$242.55HC BASIC METABOLIC PANEL
$9.00HC BLOOD GAS AND COOXIMETRY
$639.00HC CA CALCIUM IONIZED
$20.25HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$364.50HC CBC WO DIFFERENTIAL
$7.20HC CBC W WBC AUTO DIFF
$7.20HC CHEST SINGLE VIEW
$373.50HC CHLORIDE
$6.75HC COMPREHENSIVE METABOLIC PANEL
$11.25HC CT ABDOMEN & PELVIS W/CONTRAST
$2,100.15HC CULTURE BLOOD
$28.35HC GLUCOSE TESTING POC
$5.40HC HYDRATION INFUSION EA ADDL HR
$96.30HC LACTATE (CSF/POC)
$13.95HC LIPASE
$11.70HC LOCM (HEXABRIX) PER ML
$1.94HC LUPUS SCREEN PTT
$9.00HC MAGNESIUM
$9.00HC PHOSPHORUS
$6.75HC POTASSIUM
$6.75HC PROTHROMBIN TIME QUICK
$5.85HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$117.45HC SODIUM
$6.75HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$131.85HC VENIPUNCTURE W SPECIMEN
$26.10This 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
-$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.54HC ABDOMEN KUB SUPINE
$431.20HC BASIC METABOLIC PANEL
$16.00HC BLOOD GAS AND COOXIMETRY
$1,136.00HC CA CALCIUM IONIZED
$36.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$648.00HC CBC WO DIFFERENTIAL
$12.80HC CBC W WBC AUTO DIFF
$12.80HC CHEST SINGLE VIEW
$664.00HC CHLORIDE
$12.00HC COMPREHENSIVE METABOLIC PANEL
$20.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,733.60HC CULTURE BLOOD
$50.40HC GLUCOSE TESTING POC
$9.60HC HYDRATION INFUSION EA ADDL HR
$171.20HC LACTATE (CSF/POC)
$24.80HC LIPASE
$20.80HC LOCM (HEXABRIX) PER ML
$3.44HC LUPUS SCREEN PTT
$16.00HC MAGNESIUM
$16.00HC PHOSPHORUS
$12.00HC POTASSIUM
$12.00HC PROTHROMBIN TIME QUICK
$10.40HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$208.80HC SODIUM
$12.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$234.40HC VENIPUNCTURE W SPECIMEN
$46.40This 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
$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.43HC ABDOMEN KUB SUPINE
$344.96HC BASIC METABOLIC PANEL
$12.80HC BLOOD GAS AND COOXIMETRY
$908.80HC CA CALCIUM IONIZED
$28.80HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$518.40HC CBC WO DIFFERENTIAL
$10.24HC CBC W WBC AUTO DIFF
$10.24HC CHEST SINGLE VIEW
$531.20HC CHLORIDE
$9.60HC COMPREHENSIVE METABOLIC PANEL
$16.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,986.88HC CULTURE BLOOD
$40.32HC GLUCOSE TESTING POC
$7.68HC LACTATE (CSF/POC)
$19.84HC LIPASE
$16.64HC LOCM (HEXABRIX) PER ML
$2.75HC LUPUS SCREEN PTT
$12.80HC MAGNESIUM
$12.80HC PHOSPHORUS
$9.60HC POTASSIUM
$9.60HC PROTHROMBIN TIME QUICK
$8.32HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$167.04HC SODIUM
$9.60HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$187.52HC VENIPUNCTURE W SPECIMEN
$37.12This 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
-$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.50HC ABDOMEN KUB SUPINE
$398.86HC BASIC METABOLIC PANEL
$14.80HC BLOOD GAS AND COOXIMETRY
$1,050.80HC CA CALCIUM IONIZED
$33.30HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$599.40HC CBC WO DIFFERENTIAL
$11.84HC CBC W WBC AUTO DIFF
$11.84HC CHEST SINGLE VIEW
$614.20HC CHLORIDE
$11.10HC COMPREHENSIVE METABOLIC PANEL
$18.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,453.58HC CULTURE BLOOD
$46.62HC GLUCOSE TESTING POC
$8.88HC HYDRATION INFUSION EA ADDL HR
$158.36HC LACTATE (CSF/POC)
$22.94HC LIPASE
$19.24HC LOCM (HEXABRIX) PER ML
$3.18HC LUPUS SCREEN PTT
$14.80HC MAGNESIUM
$14.80HC PHOSPHORUS
$11.10HC POTASSIUM
$11.10HC PROTHROMBIN TIME QUICK
$9.62HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$193.14HC SODIUM
$11.10HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$216.82HC VENIPUNCTURE W SPECIMEN
$42.92This 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
-$1,240.66Price Negotiated by Insurer
$344.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$170.31HC BASIC METABOLIC PANEL
$12.69HC BLOOD GAS AND COOXIMETRY
$118.16HC CA CALCIUM IONIZED
$20.52HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$830.08HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC CHLORIDE
$6.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC POTASSIUM
$7.14HC PROTHROMBIN TIME QUICK
$6.44HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$7.22HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$12.86This 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$4.81HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,332.48Price Negotiated by Insurer
$252.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$124.89HC BASIC METABOLIC PANEL
$9.31HC BLOOD GAS AND COOXIMETRY
$86.65HC CA CALCIUM IONIZED
$15.05HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$608.73HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC CHLORIDE
$5.06HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC POTASSIUM
$5.24HC PROTHROMBIN TIME QUICK
$4.72HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$5.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$9.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
-$1,275.09Price Negotiated by Insurer
$309.91Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.27HC ABDOMEN KUB SUPINE
$153.28HC BASIC METABOLIC PANEL
$11.42HC BLOOD GAS AND COOXIMETRY
$106.34HC CA CALCIUM IONIZED
$18.47HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$747.08HC CBC WO DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$153.28HC CHLORIDE
$6.21HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT ABDOMEN & PELVIS W/CONTRAST
$648.68HC CULTURE BLOOD
$13.93HC GLUCOSE TESTING POC
$4.43HC HYDRATION INFUSION EA ADDL HR
$80.12HC LACTATE (CSF/POC)
$15.62HC LIPASE
$9.30HC LOCM (HEXABRIX) PER ML
$1.72HC LUPUS SCREEN PTT
$8.11HC MAGNESIUM
$9.04HC PHOSPHORUS
$6.40HC POTASSIUM
$6.43HC PROTHROMBIN TIME QUICK
$5.79HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$104.40HC SODIUM
$6.49HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC VENIPUNCTURE W SPECIMEN
$11.57This 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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 ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SODIUM
$4.81HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.27HC ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LOCM (HEXABRIX) PER ML
$1.72HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$104.40HC SODIUM
$4.81HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$458.15HC BASIC METABOLIC PANEL
$17.00HC BLOOD GAS AND COOXIMETRY
$1,207.00HC CA CALCIUM IONIZED
$38.25HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$688.50HC CBC WO DIFFERENTIAL
$13.60HC CBC W WBC AUTO DIFF
$13.60HC CHEST SINGLE VIEW
$705.50HC CHLORIDE
$12.75HC COMPREHENSIVE METABOLIC PANEL
$21.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,966.95HC CULTURE BLOOD
$53.55HC GLUCOSE TESTING POC
$10.20HC HYDRATION INFUSION EA ADDL HR
$181.90HC LACTATE (CSF/POC)
$26.35HC LIPASE
$22.10HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$17.00HC MAGNESIUM
$17.00HC PHOSPHORUS
$12.75HC POTASSIUM
$12.75HC PROTHROMBIN TIME QUICK
$11.05HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$12.75HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$49.30This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.40HC ABDOMEN KUB SUPINE
$323.40HC BASIC METABOLIC PANEL
$12.00HC BLOOD GAS AND COOXIMETRY
$852.00HC CA CALCIUM IONIZED
$27.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$486.00HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC CHLORIDE
$9.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CULTURE BLOOD
$37.80HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$128.40HC LACTATE (CSF/POC)
$18.60HC LIPASE
$15.60HC LOCM (HEXABRIX) PER ML
$2.58HC LUPUS SCREEN PTT
$12.00HC MAGNESIUM
$12.00HC PHOSPHORUS
$9.00HC POTASSIUM
$9.00HC PROTHROMBIN TIME QUICK
$7.80HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$156.60HC SODIUM
$9.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$175.80HC VENIPUNCTURE W SPECIMEN
$34.80This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.60HC ABDOMEN KUB SUPINE
$485.10HC BASIC METABOLIC PANEL
$18.00HC BLOOD GAS AND COOXIMETRY
$1,278.00HC CA CALCIUM IONIZED
$40.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$729.00HC CBC WO DIFFERENTIAL
$14.40HC CBC W WBC AUTO DIFF
$14.40HC CHEST SINGLE VIEW
$747.00HC CHLORIDE
$13.50HC COMPREHENSIVE METABOLIC PANEL
$22.50HC CT ABDOMEN & PELVIS W/CONTRAST
$4,200.30HC CULTURE BLOOD
$56.70HC GLUCOSE TESTING POC
$10.80HC HYDRATION INFUSION EA ADDL HR
$192.60HC LACTATE (CSF/POC)
$27.90HC LIPASE
$23.40HC LOCM (HEXABRIX) PER ML
$3.87HC LUPUS SCREEN PTT
$18.00HC MAGNESIUM
$18.00HC PHOSPHORUS
$13.50HC POTASSIUM
$13.50HC PROTHROMBIN TIME QUICK
$11.70HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$234.90HC SODIUM
$13.50HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$263.70HC VENIPUNCTURE W SPECIMEN
$52.20This 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
$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.50HC ABDOMEN KUB SUPINE
$404.25HC BASIC METABOLIC PANEL
$15.00HC BLOOD GAS AND COOXIMETRY
$1,065.00HC CA CALCIUM IONIZED
$33.75HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$607.50HC CBC WO DIFFERENTIAL
$12.00HC CBC W WBC AUTO DIFF
$12.00HC CHEST SINGLE VIEW
$622.50HC CHLORIDE
$11.25HC COMPREHENSIVE METABOLIC PANEL
$18.75HC CT ABDOMEN & PELVIS W/CONTRAST
$3,500.25HC CULTURE BLOOD
$47.25HC GLUCOSE TESTING POC
$9.00HC HYDRATION INFUSION EA ADDL HR
$160.50HC LACTATE (CSF/POC)
$23.25HC LIPASE
$19.50HC LOCM (HEXABRIX) PER ML
$3.22HC LUPUS SCREEN PTT
$15.00HC MAGNESIUM
$15.00HC PHOSPHORUS
$11.25HC POTASSIUM
$11.25HC PROTHROMBIN TIME QUICK
$9.75HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$195.75HC SODIUM
$11.25HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$219.75HC VENIPUNCTURE W SPECIMEN
$43.50This 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
-$1,208.52Price Negotiated by Insurer
$376.48Deductible 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 KUB SUPINE
$186.21HC BASIC METABOLIC PANEL
$13.87HC BLOOD GAS AND COOXIMETRY
$129.18HC CA CALCIUM IONIZED
$22.44HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$907.56HC CBC WO DIFFERENTIAL
$10.61HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$186.21HC CHLORIDE
$7.54HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$788.02HC CULTURE BLOOD
$16.92HC GLUCOSE TESTING POC
$5.38HC HYDRATION INFUSION EA ADDL HR
$97.33HC LACTATE (CSF/POC)
$18.97HC LIPASE
$11.30HC LUPUS SCREEN PTT
$9.86HC MAGNESIUM
$10.99HC PHOSPHORUS
$7.77HC POTASSIUM
$7.81HC PROTHROMBIN TIME QUICK
$7.04HC SODIUM
$7.89HC VENIPUNCTURE W SPECIMEN
$14.05This 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
$1,585.00Insurance Discount
-$1,206.23Price Negotiated by Insurer
$378.77Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.22HC ABDOMEN KUB SUPINE
$187.34HC BASIC METABOLIC PANEL
$13.96HC BLOOD GAS AND COOXIMETRY
$129.97HC CA CALCIUM IONIZED
$22.57HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$913.09HC CBC WO DIFFERENTIAL
$10.68HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$187.34HC CHLORIDE
$7.59HC COMPREHENSIVE METABOLIC PANEL
$17.42HC CT ABDOMEN & PELVIS W/CONTRAST
$792.82HC CULTURE BLOOD
$17.03HC GLUCOSE TESTING POC
$5.41HC HYDRATION INFUSION EA ADDL HR
$97.93HC LACTATE (CSF/POC)
$19.09HC LIPASE
$11.37HC LOCM (HEXABRIX) PER ML
$0.14HC LUPUS SCREEN PTT
$9.92HC MAGNESIUM
$11.06HC PHOSPHORUS
$7.82HC POTASSIUM
$7.85HC PROTHROMBIN TIME QUICK
$7.08HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$91.35HC SODIUM
$7.94HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$102.55HC VENIPUNCTURE W SPECIMEN
$14.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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 ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SODIUM
$4.81HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,240.66Price Negotiated by Insurer
$344.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN KUB SUPINE
$170.31HC BASIC METABOLIC PANEL
$12.69HC BLOOD GAS AND COOXIMETRY
$118.16HC CA CALCIUM IONIZED
$20.52HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$830.08HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC CHLORIDE
$6.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC POTASSIUM
$7.14HC PROTHROMBIN TIME QUICK
$6.44HC SODIUM
$7.22HC VENIPUNCTURE W SPECIMEN
$12.86This 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
-$527.80Price Negotiated by Insurer
$1,057.20Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.45HC ABDOMEN KUB SUPINE
$359.51HC BASIC METABOLIC PANEL
$13.34HC BLOOD GAS AND COOXIMETRY
$947.14HC CA CALCIUM IONIZED
$30.02HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$540.27HC CBC WO DIFFERENTIAL
$10.67HC CBC W WBC AUTO DIFF
$10.67HC CHEST SINGLE VIEW
$553.61HC CHLORIDE
$10.00HC COMPREHENSIVE METABOLIC PANEL
$16.68HC CT ABDOMEN & PELVIS W/CONTRAST
$3,112.89HC CULTURE BLOOD
$42.02HC GLUCOSE TESTING POC
$8.00HC HYDRATION INFUSION EA ADDL HR
$142.74HC LACTATE (CSF/POC)
$20.68HC LIPASE
$17.34HC LOCM (HEXABRIX) PER ML
$2.87HC LUPUS SCREEN PTT
$13.34HC MAGNESIUM
$13.34HC PHOSPHORUS
$10.00HC POTASSIUM
$10.00HC PROTHROMBIN TIME QUICK
$8.67HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$174.09HC SODIUM
$10.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$195.43HC VENIPUNCTURE W SPECIMEN
$38.69This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.40HC ABDOMEN KUB SUPINE
$46.80HC BASIC METABOLIC PANEL
$13.81HC BLOOD GAS AND COOXIMETRY
$46.17HC CA CALCIUM IONIZED
$23.10HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$308.61HC CBC WO DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$33.57HC CHLORIDE
$5.72HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT ABDOMEN & PELVIS W/CONTRAST
$535.42HC CULTURE BLOOD
$17.06HC GLUCOSE TESTING POC
$3.80HC HYDRATION INFUSION EA ADDL HR
$27.74HC LACTATE (CSF/POC)
$17.88HC LIPASE
$11.55HC LOCM (HEXABRIX) PER ML
$0.32HC LUPUS SCREEN PTT
$10.15HC MAGNESIUM
$11.32HC PHOSPHORUS
$8.00HC POTASSIUM
$6.54HC PROTHROMBIN TIME QUICK
$6.63HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$10.09HC SODIUM
$6.67HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$21.17HC VENIPUNCTURE W SPECIMEN
$22.10This 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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 ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SODIUM
$4.81HC VENIPUNCTURE W SPECIMEN
$8.57This 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
-$1,268.00Price 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.13HC ABDOMEN KUB SUPINE
$107.80HC BASIC METABOLIC PANEL
$4.00HC BLOOD GAS AND COOXIMETRY
$284.00HC CA CALCIUM IONIZED
$9.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$332.10HC CBC WO DIFFERENTIAL
$3.20HC CBC W WBC AUTO DIFF
$3.20HC CHEST SINGLE VIEW
$166.00HC CHLORIDE
$3.00HC COMPREHENSIVE METABOLIC PANEL
$5.00HC CT ABDOMEN & PELVIS W/CONTRAST
$933.40HC CULTURE BLOOD
$12.60HC GLUCOSE TESTING POC
$2.40HC HYDRATION INFUSION EA ADDL HR
$42.80HC LACTATE (CSF/POC)
$6.20HC LIPASE
$5.20HC LOCM (HEXABRIX) PER ML
$0.86HC LUPUS SCREEN PTT
$4.00HC MAGNESIUM
$4.00HC PHOSPHORUS
$3.00HC POTASSIUM
$3.00HC PROTHROMBIN TIME QUICK
$2.60HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$107.01HC SODIUM
$3.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$120.13HC VENIPUNCTURE W SPECIMEN
$11.60This 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
$1,585.00Insurance Discount
-$1,277.39Price Negotiated by Insurer
$307.61Deductible 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 KUB SUPINE
$152.14HC BASIC METABOLIC PANEL
$11.34HC BLOOD GAS AND COOXIMETRY
$105.55HC CA CALCIUM IONIZED
$18.33HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$741.54HC CBC WO DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$152.14HC CHLORIDE
$6.16HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$643.87HC CULTURE BLOOD
$13.83HC GLUCOSE TESTING POC
$4.40HC HYDRATION INFUSION EA ADDL HR
$79.53HC LACTATE (CSF/POC)
$15.50HC LIPASE
$9.23HC LUPUS SCREEN PTT
$8.05HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC POTASSIUM
$6.38HC PROTHROMBIN TIME QUICK
$5.75HC SODIUM
$6.45HC VENIPUNCTURE W SPECIMEN
$11.48This 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
-$1,277.39Price Negotiated by Insurer
$307.61Deductible 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 KUB SUPINE
$152.14HC BASIC METABOLIC PANEL
$11.34HC BLOOD GAS AND COOXIMETRY
$105.55HC CA CALCIUM IONIZED
$18.33HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$741.54HC CBC WO DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$152.14HC CHLORIDE
$6.16HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$643.87HC CULTURE BLOOD
$13.83HC GLUCOSE TESTING POC
$4.40HC HYDRATION INFUSION EA ADDL HR
$79.53HC LACTATE (CSF/POC)
$15.50HC LIPASE
$9.23HC LUPUS SCREEN PTT
$8.05HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC POTASSIUM
$6.38HC PROTHROMBIN TIME QUICK
$5.75HC SODIUM
$6.45HC VENIPUNCTURE W SPECIMEN
$11.48This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.50HC ABDOMEN KUB SUPINE
$404.25HC BASIC METABOLIC PANEL
$15.00HC BLOOD GAS AND COOXIMETRY
$1,065.00HC CA CALCIUM IONIZED
$33.75HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$607.50HC CBC WO DIFFERENTIAL
$12.00HC CBC W WBC AUTO DIFF
$12.00HC CHEST SINGLE VIEW
$622.50HC CHLORIDE
$11.25HC COMPREHENSIVE METABOLIC PANEL
$18.75HC CT ABDOMEN & PELVIS W/CONTRAST
$3,500.25HC CULTURE BLOOD
$47.25HC GLUCOSE TESTING POC
$9.00HC HYDRATION INFUSION EA ADDL HR
$160.50HC LACTATE (CSF/POC)
$23.25HC LIPASE
$19.50HC LOCM (HEXABRIX) PER ML
$3.22HC LUPUS SCREEN PTT
$15.00HC MAGNESIUM
$15.00HC PHOSPHORUS
$11.25HC POTASSIUM
$11.25HC PROTHROMBIN TIME QUICK
$9.75HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$195.75HC SODIUM
$11.25HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$219.75HC VENIPUNCTURE W SPECIMEN
$43.50This 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
-$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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.44HC ABDOMEN KUB SUPINE
$350.35HC BASIC METABOLIC PANEL
$13.00HC BLOOD GAS AND COOXIMETRY
$923.00HC CA CALCIUM IONIZED
$29.25HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$526.50HC CBC WO DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$539.50HC CHLORIDE
$9.75HC COMPREHENSIVE METABOLIC PANEL
$16.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,033.55HC CULTURE BLOOD
$40.95HC GLUCOSE TESTING POC
$7.80HC HYDRATION INFUSION EA ADDL HR
$139.10HC LACTATE (CSF/POC)
$20.15HC LIPASE
$16.90HC LOCM (HEXABRIX) PER ML
$2.80HC LUPUS SCREEN PTT
$13.00HC MAGNESIUM
$13.00HC PHOSPHORUS
$9.75HC POTASSIUM
$9.75HC PROTHROMBIN TIME QUICK
$8.45HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$169.65HC SODIUM
$9.75HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$190.45HC VENIPUNCTURE W SPECIMEN
$37.70This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$458.15HC BASIC METABOLIC PANEL
$17.00HC BLOOD GAS AND COOXIMETRY
$1,207.00HC CA CALCIUM IONIZED
$38.25HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$688.50HC CBC WO DIFFERENTIAL
$13.60HC CBC W WBC AUTO DIFF
$13.60HC CHEST SINGLE VIEW
$705.50HC CHLORIDE
$12.75HC COMPREHENSIVE METABOLIC PANEL
$21.25HC CT ABDOMEN & PELVIS W/CONTRAST
$3,966.95HC CULTURE BLOOD
$53.55HC GLUCOSE TESTING POC
$10.20HC HYDRATION INFUSION EA ADDL HR
$181.90HC LACTATE (CSF/POC)
$26.35HC LIPASE
$22.10HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$17.00HC MAGNESIUM
$17.00HC PHOSPHORUS
$12.75HC POTASSIUM
$12.75HC PROTHROMBIN TIME QUICK
$11.05HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$12.75HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$49.30This 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
-$1,341.67Price Negotiated by Insurer
$243.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN KUB SUPINE
$120.35HC BASIC METABOLIC PANEL
$8.97HC BLOOD GAS AND COOXIMETRY
$83.50HC CA CALCIUM IONIZED
$14.50HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$586.59HC CBC WO DIFFERENTIAL
$6.86HC CBC W WBC AUTO DIFF
$8.24HC CHEST SINGLE VIEW
$120.35HC CHLORIDE
$4.88HC COMPREHENSIVE METABOLIC PANEL
$11.19HC CT ABDOMEN & PELVIS W/CONTRAST
$509.33HC CULTURE BLOOD
$10.94HC GLUCOSE TESTING POC
$3.48HC HYDRATION INFUSION EA ADDL HR
$62.91HC LACTATE (CSF/POC)
$12.26HC LIPASE
$7.30HC LUPUS SCREEN PTT
$6.37HC MAGNESIUM
$7.10HC PHOSPHORUS
$5.02HC POTASSIUM
$5.05HC PROTHROMBIN TIME QUICK
$4.55HC SODIUM
$5.10HC VENIPUNCTURE W SPECIMEN
$9.08This 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
-$1,332.48Price Negotiated by Insurer
$252.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.27HC ABDOMEN KUB SUPINE
$124.89HC BASIC METABOLIC PANEL
$9.31HC BLOOD GAS AND COOXIMETRY
$86.65HC CA CALCIUM IONIZED
$15.05HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$608.73HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC CHLORIDE
$5.06HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LOCM (HEXABRIX) PER ML
$1.72HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC POTASSIUM
$5.24HC PROTHROMBIN TIME QUICK
$4.72HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$104.40HC SODIUM
$5.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC VENIPUNCTURE W SPECIMEN
$9.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.40HC ABDOMEN KUB SUPINE
$323.40HC BASIC METABOLIC PANEL
$12.00HC BLOOD GAS AND COOXIMETRY
$852.00HC CA CALCIUM IONIZED
$27.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$486.00HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC CHLORIDE
$9.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CULTURE BLOOD
$37.80HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$128.40HC LACTATE (CSF/POC)
$18.60HC LIPASE
$15.60HC LOCM (HEXABRIX) PER ML
$2.58HC LUPUS SCREEN PTT
$12.00HC MAGNESIUM
$12.00HC PHOSPHORUS
$9.00HC POTASSIUM
$9.00HC PROTHROMBIN TIME QUICK
$7.80HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$156.60HC SODIUM
$9.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$175.80HC VENIPUNCTURE W SPECIMEN
$34.80This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.40HC ABDOMEN KUB SUPINE
$323.40HC BASIC METABOLIC PANEL
$12.00HC BLOOD GAS AND COOXIMETRY
$852.00HC CA CALCIUM IONIZED
$27.00HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$664.07HC CBC WO DIFFERENTIAL
$9.60HC CBC W WBC AUTO DIFF
$9.60HC CHEST SINGLE VIEW
$498.00HC CHLORIDE
$9.00HC COMPREHENSIVE METABOLIC PANEL
$15.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,800.20HC CULTURE BLOOD
$37.80HC GLUCOSE TESTING POC
$7.20HC HYDRATION INFUSION EA ADDL HR
$128.40HC LACTATE (CSF/POC)
$18.60HC LIPASE
$15.60HC LOCM (HEXABRIX) PER ML
$2.58HC LUPUS SCREEN PTT
$12.00HC MAGNESIUM
$12.00HC PHOSPHORUS
$9.00HC POTASSIUM
$9.00HC PROTHROMBIN TIME QUICK
$7.80HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$156.60HC SODIUM
$9.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$175.80HC VENIPUNCTURE W SPECIMEN
$34.80This 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.34HC ABDOMEN KUB SUPINE
$159.01HC BASIC METABOLIC PANEL
$6.85HC BLOOD GAS AND COOXIMETRY
$63.80HC CA CALCIUM IONIZED
$11.08HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$396.00HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC CHLORIDE
$3.73HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$107.00HC LACTATE (CSF/POC)
$9.37HC LIPASE
$5.58HC LOCM (HEXABRIX) PER ML
$2.15HC LUPUS SCREEN PTT
$4.87HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC POTASSIUM
$3.85HC PROTHROMBIN TIME QUICK
$3.47HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$396.00HC SODIUM
$3.90HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$396.00HC VENIPUNCTURE W SPECIMEN
$2.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.34HC ABDOMEN KUB SUPINE
$159.01HC BASIC METABOLIC PANEL
$6.85HC BLOOD GAS AND COOXIMETRY
$63.80HC CA CALCIUM IONIZED
$11.08HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$281.00HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC CHLORIDE
$3.73HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$6.00HC HYDRATION INFUSION EA ADDL HR
$107.00HC LACTATE (CSF/POC)
$9.37HC LIPASE
$5.58HC LOCM (HEXABRIX) PER ML
$2.15HC LUPUS SCREEN PTT
$4.87HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC POTASSIUM
$3.85HC PROTHROMBIN TIME QUICK
$3.47HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$281.00HC SODIUM
$3.90HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$281.00HC VENIPUNCTURE W SPECIMEN
$2.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.34HC ABDOMEN KUB SUPINE
$159.01HC BASIC METABOLIC PANEL
$6.85HC BLOOD GAS AND COOXIMETRY
$63.80HC CA CALCIUM IONIZED
$11.08HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$213.00HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC CHLORIDE
$3.73HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$6.00HC HYDRATION INFUSION EA ADDL HR
$107.00HC LACTATE (CSF/POC)
$9.37HC LIPASE
$5.58HC LOCM (HEXABRIX) PER ML
$2.15HC LUPUS SCREEN PTT
$4.87HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC POTASSIUM
$3.85HC PROTHROMBIN TIME QUICK
$3.47HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$213.00HC SODIUM
$3.90HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$213.00HC VENIPUNCTURE W SPECIMEN
$2.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.34HC ABDOMEN KUB SUPINE
$159.01HC BASIC METABOLIC PANEL
$6.85HC BLOOD GAS AND COOXIMETRY
$63.80HC CA CALCIUM IONIZED
$11.08HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$196.00HC CBC WO DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC CHLORIDE
$3.73HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CULTURE BLOOD
$8.36HC GLUCOSE TESTING POC
$2.66HC HYDRATION INFUSION EA ADDL HR
$107.00HC LACTATE (CSF/POC)
$9.37HC LIPASE
$5.58HC LOCM (HEXABRIX) PER ML
$2.15HC LUPUS SCREEN PTT
$4.87HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC POTASSIUM
$3.85HC PROTHROMBIN TIME QUICK
$3.47HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$196.00HC SODIUM
$3.90HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$196.00HC VENIPUNCTURE W SPECIMEN
$2.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
-$1,240.66Price Negotiated by Insurer
$344.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABDOMEN KUB SUPINE
$170.31HC BASIC METABOLIC PANEL
$12.69HC BLOOD GAS AND COOXIMETRY
$118.16HC CA CALCIUM IONIZED
$20.52HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$830.08HC CBC WO DIFFERENTIAL
$9.70HC CBC W WBC AUTO DIFF
$11.66HC CHEST SINGLE VIEW
$170.31HC CHLORIDE
$6.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$720.75HC CULTURE BLOOD
$15.48HC GLUCOSE TESTING POC
$4.92HC HYDRATION INFUSION EA ADDL HR
$89.02HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC POTASSIUM
$7.14HC PROTHROMBIN TIME QUICK
$6.44HC SODIUM
$7.22HC VENIPUNCTURE W SPECIMEN
$12.86This 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
-$1,332.48Price Negotiated by Insurer
$252.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$124.89HC BASIC METABOLIC PANEL
$9.31HC BLOOD GAS AND COOXIMETRY
$86.65HC CA CALCIUM IONIZED
$15.05HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$608.73HC CBC WO DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$124.89HC CHLORIDE
$5.06HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$528.55HC CULTURE BLOOD
$11.35HC GLUCOSE TESTING POC
$3.61HC HYDRATION INFUSION EA ADDL HR
$65.28HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC POTASSIUM
$5.24HC PROTHROMBIN TIME QUICK
$4.72HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$5.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$9.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
-$1,355.44Price Negotiated by Insurer
$229.56Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.57HC ABDOMEN KUB SUPINE
$113.54HC BASIC METABOLIC PANEL
$8.46HC BLOOD GAS AND COOXIMETRY
$78.77HC CA CALCIUM IONIZED
$13.68HC CASE CONFERENCE GT 3 STAFF W/PT MCAL
$553.39HC CBC WO DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$113.54HC CHLORIDE
$4.60HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$480.50HC CULTURE BLOOD
$10.32HC GLUCOSE TESTING POC
$3.28HC HYDRATION INFUSION EA ADDL HR
$59.35HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LOCM (HEXABRIX) PER ML
$3.66HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC POTASSIUM
$4.76HC PROTHROMBIN TIME QUICK
$4.29HC SELF CARE/HOME MGT TRNG 15 MIN MCAL
$221.85HC SODIUM
$4.81HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC VENIPUNCTURE W SPECIMEN
$8.57This 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.