CPT 96376
The standard charge for Intravenous infusion, for treatment, prophylaxis, or diagnosis-same drug add on is $391.00. 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
$391.00Insurance Discount
-$312.80Price Negotiated by Insurer
$78.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC GLUCOSE TESTING POC
$2.60HC HSTROPONIN T
$17.00HC HYDRATION INFUSION EA ADDL HR
$40.20HC INTRODUCER 3FR TEARAWAY
$17.00HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60HC IV PUSH SINGLE OR INIT DRUG
$119.60HC ROUTINE URINALYSIS
$6.60HC SBBB PHLEBOTOMY
$40.00HC SOM MAGNESIUM RANDOM UR
$1.48MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$48.00This 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
$391.00Price Negotiated by Insurer
$400.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$400.00HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.44ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$75.93TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$47.80This 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
$391.00Insurance Discount
-$153.55Price Negotiated by Insurer
$237.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$31.58HC CBC W WBC AUTO DIFF
$31.58HC COMPREHENSIVE METABOLIC PANEL
$42.51HC GLUCOSE TESTING POC
$7.89HC HSTROPONIN T
$51.62HC HYDRATION INFUSION EA ADDL HR
$122.07HC INTRODUCER 3FR TEARAWAY
$51.62HC IV PUSH EA ADDL SEQ NEW DRUG
$363.17HC IV PUSH SINGLE OR INIT DRUG
$363.17HC ROUTINE URINALYSIS
$20.04HC SBBB PHLEBOTOMY
$121.46HC SOM MAGNESIUM RANDOM UR
$4.50MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.21TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$134.47This 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC HYDRATION INFUSION EA ADDL HR
$87.94HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH SINGLE OR INIT DRUG
$401.55HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.79ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$17.38TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.31This 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
$391.00Insurance Discount
-$175.95Price Negotiated by Insurer
$215.05Deductible 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 CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC HYDRATION INFUSION EA ADDL HR
$64.49HC INTRODUCER 3FR TEARAWAY
$46.75HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH SINGLE OR INIT DRUG
$294.47HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.39TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.10This 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
$391.00Insurance Discount
-$97.75Price Negotiated by Insurer
$293.25Deductible 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 CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$58.63HC INTRODUCER 3FR TEARAWAY
$63.75HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$690.90ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$690.90TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$7.40This 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
$391.00Price Negotiated by Insurer
$1,833.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$47.07HC CBC W WBC AUTO DIFF
$56.57HC COMPREHENSIVE METABOLIC PANEL
$76.99HC GLUCOSE TESTING POC
$6.29HC HSTROPONIN T
$138.80HC HYDRATION INFUSION EA ADDL HR
$1,833.00HC INTRODUCER 3FR TEARAWAY
$41.16HC IV PUSH EA ADDL SEQ NEW DRUG
$742.00HC IV PUSH SINGLE OR INIT DRUG
$742.00HC ROUTINE URINALYSIS
$22.24HC SOM MAGNESIUM RANDOM UR
$48.44MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$11.82TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.07This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Price Negotiated by Insurer
$990.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.55HC CBC W WBC AUTO DIFF
$11.48HC COMPREHENSIVE METABOLIC PANEL
$15.63HC GLUCOSE TESTING POC
$7.63HC HSTROPONIN T
$28.17HC HYDRATION INFUSION EA ADDL HR
$118.05HC INTRODUCER 3FR TEARAWAY
$49.92HC IV PUSH EA ADDL SEQ NEW DRUG
$2,582.00HC IV PUSH SINGLE OR INIT DRUG
$990.00HC ROUTINE URINALYSIS
$4.51HC SOM MAGNESIUM RANDOM UR
$9.83MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.16ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.34TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$175.95Price Negotiated by Insurer
$215.05Deductible 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 CBC WITHOUT DIFFERENTIAL
$28.60HC CBC W WBC AUTO DIFF
$28.60HC COMPREHENSIVE METABOLIC PANEL
$38.50HC GLUCOSE TESTING POC
$7.15HC HSTROPONIN T
$46.75HC HYDRATION INFUSION EA ADDL HR
$110.55HC INTRODUCER 3FR TEARAWAY
$46.75HC IV PUSH EA ADDL SEQ NEW DRUG
$328.90HC IV PUSH SINGLE OR INIT DRUG
$328.90HC ROUTINE URINALYSIS
$18.15HC SBBB PHLEBOTOMY
$200.00HC SOM MAGNESIUM RANDOM UR
$7.41MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$6.97ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.30TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.48This 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
$391.00Insurance Discount
-$78.20Price Negotiated by Insurer
$312.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$41.60HC CBC W WBC AUTO DIFF
$41.60HC COMPREHENSIVE METABOLIC PANEL
$56.00HC GLUCOSE TESTING POC
$10.40HC HSTROPONIN T
$68.00HC HYDRATION INFUSION EA ADDL HR
$160.80HC INTRODUCER 3FR TEARAWAY
$68.00HC IV PUSH EA ADDL SEQ NEW DRUG
$478.40HC IV PUSH SINGLE OR INIT DRUG
$478.40HC ROUTINE URINALYSIS
$26.40HC SBBB PHLEBOTOMY
$160.00HC SOM MAGNESIUM RANDOM UR
$5.93MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$526.78ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$96.00TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.92This 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
$391.00Insurance Discount
-$140.76Price Negotiated by Insurer
$250.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$33.28HC CBC W WBC AUTO DIFF
$33.28HC COMPREHENSIVE METABOLIC PANEL
$44.80HC GLUCOSE TESTING POC
$8.32HC HSTROPONIN T
$54.40HC HYDRATION INFUSION EA ADDL HR
$128.64HC INTRODUCER 3FR TEARAWAY
$54.40HC IV PUSH EA ADDL SEQ NEW DRUG
$382.72HC IV PUSH SINGLE OR INIT DRUG
$382.72HC ROUTINE URINALYSIS
$21.12HC SBBB PHLEBOTOMY
$128.00HC SOM MAGNESIUM RANDOM UR
$4.74MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.24ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.44TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$92.18This 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
$391.00Insurance Discount
-$101.66Price Negotiated by Insurer
$289.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$38.48HC CBC W WBC AUTO DIFF
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC GLUCOSE TESTING POC
$9.62HC HSTROPONIN T
$62.90HC HYDRATION INFUSION EA ADDL HR
$148.74HC INTRODUCER 3FR TEARAWAY
$62.90HC IV PUSH EA ADDL SEQ NEW DRUG
$442.52HC IV PUSH SINGLE OR INIT DRUG
$442.52HC ROUTINE URINALYSIS
$24.42HC SBBB PHLEBOTOMY
$148.00HC SOM MAGNESIUM RANDOM UR
$5.48MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.22ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$11.44TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.29This 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC HYDRATION INFUSION EA ADDL HR
$87.94HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH SINGLE OR INIT DRUG
$401.55HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.08ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.08TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.63This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC HYDRATION INFUSION EA ADDL HR
$64.49HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH SINGLE OR INIT DRUG
$294.47HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$39.78ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.64TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.18This 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$58.63HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$69.72ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$13.66TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.26This 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
$391.00Insurance Discount
-$234.60Price Negotiated by Insurer
$156.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC COMPREHENSIVE METABOLIC PANEL
$14.26HC GLUCOSE TESTING POC
$4.43HC HSTROPONIN T
$16.83HC HYDRATION INFUSION EA ADDL HR
$79.15HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$79.15HC IV PUSH SINGLE OR INIT DRUG
$361.39HC ROUTINE URINALYSIS
$4.28HC SBBB PHLEBOTOMY
$12.27HC SOM MAGNESIUM RANDOM UR
$9.04MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.44ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$23.74TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$32.57This 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
$391.00Insurance Discount
-$234.60Price Negotiated by Insurer
$156.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$58.63HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.72ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.28TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC HSTROPONIN T
$72.25HC HYDRATION INFUSION EA ADDL HR
$170.85HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30HC IV PUSH SINGLE OR INIT DRUG
$508.30HC ROUTINE URINALYSIS
$28.05HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$8.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$23.52TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$23.52This 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
$391.00Insurance Discount
-$156.40Price Negotiated by Insurer
$234.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC HSTROPONIN T
$51.00HC HYDRATION INFUSION EA ADDL HR
$120.60HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80HC IV PUSH SINGLE OR INIT DRUG
$358.80HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$84.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$13.42This 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
$391.00Insurance Discount
-$39.10Price Negotiated by Insurer
$351.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$46.80HC CBC W WBC AUTO DIFF
$46.80HC COMPREHENSIVE METABOLIC PANEL
$63.00HC GLUCOSE TESTING POC
$11.70HC HSTROPONIN T
$76.50HC HYDRATION INFUSION EA ADDL HR
$180.90HC INTRODUCER 3FR TEARAWAY
$76.50HC IV PUSH EA ADDL SEQ NEW DRUG
$538.20HC IV PUSH SINGLE OR INIT DRUG
$538.20HC ROUTINE URINALYSIS
$29.70HC SBBB PHLEBOTOMY
$180.00HC SOM MAGNESIUM RANDOM UR
$6.67MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.14ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.55TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$21.30This 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
$391.00Price Negotiated by Insurer
$973.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.82HC CBC W WBC AUTO DIFF
$11.61HC COMPREHENSIVE METABOLIC PANEL
$15.81HC GLUCOSE TESTING POC
$3.44HC HSTROPONIN T
$14.57HC HYDRATION INFUSION EA ADDL HR
$973.00HC INTRODUCER 3FR TEARAWAY
$0.02HC IV PUSH EA ADDL SEQ NEW DRUG
$36.62HC IV PUSH SINGLE OR INIT DRUG
$85.69HC ROUTINE URINALYSIS
$4.76HC SOM MAGNESIUM RANDOM UR
$10.25MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.06ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Insurance Discount
-$195.50Price Negotiated by Insurer
$195.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC HYDRATION INFUSION EA ADDL HR
$87.94HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH SINGLE OR INIT DRUG
$401.55HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.12TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.16This 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
$391.00Insurance Discount
-$130.20Price Negotiated by Insurer
$260.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$34.68HC CBC W WBC AUTO DIFF
$34.68HC COMPREHENSIVE METABOLIC PANEL
$46.69HC GLUCOSE TESTING POC
$8.67HC HSTROPONIN T
$56.70HC HYDRATION INFUSION EA ADDL HR
$134.07HC INTRODUCER 3FR TEARAWAY
$56.70HC IV PUSH EA ADDL SEQ NEW DRUG
$398.87HC IV PUSH SINGLE OR INIT DRUG
$398.87HC ROUTINE URINALYSIS
$22.01HC SBBB PHLEBOTOMY
$133.40HC SOM MAGNESIUM RANDOM UR
$4.94MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$289.74ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.71TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$19.21This 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
$391.00Insurance Discount
-$242.03Price Negotiated by Insurer
$148.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC HSTROPONIN T
$16.09HC HYDRATION INFUSION EA ADDL HR
$27.74HC INTRODUCER 3FR TEARAWAY
$0.02HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45HC IV PUSH SINGLE OR INIT DRUG
$94.66HC ROUTINE URINALYSIS
$5.26HC SBBB PHLEBOTOMY
$76.20HC SOM MAGNESIUM RANDOM UR
$11.32MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$31.55ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.85This 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
$391.00Insurance Discount
-$148.97Price Negotiated by Insurer
$242.03Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$58.63HC INTRODUCER 3FR TEARAWAY
$52.62HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$53.85ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$36.14TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$312.80Price Negotiated by Insurer
$78.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC GLUCOSE TESTING POC
$2.60HC HSTROPONIN T
$17.00HC HYDRATION INFUSION EA ADDL HR
$40.20HC INTRODUCER 3FR TEARAWAY
$17.00HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60HC IV PUSH SINGLE OR INIT DRUG
$119.60HC ROUTINE URINALYSIS
$6.60HC SBBB PHLEBOTOMY
$40.00HC SOM MAGNESIUM RANDOM UR
$1.48MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.25TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Insurance Discount
-$117.30Price Negotiated by Insurer
$273.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC HSTROPONIN T
$16.71HC HYDRATION INFUSION EA ADDL HR
$78.56HC INTRODUCER 3FR TEARAWAY
$59.50HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56HC IV PUSH SINGLE OR INIT DRUG
$358.72HC ROUTINE URINALYSIS
$4.25HC SBBB PHLEBOTOMY
$12.18HC SOM MAGNESIUM RANDOM UR
$8.98MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.83TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$117.30Price Negotiated by Insurer
$273.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC HSTROPONIN T
$16.71HC HYDRATION INFUSION EA ADDL HR
$78.56HC INTRODUCER 3FR TEARAWAY
$59.50HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56HC IV PUSH SINGLE OR INIT DRUG
$358.72HC ROUTINE URINALYSIS
$4.25HC SBBB PHLEBOTOMY
$12.18HC SOM MAGNESIUM RANDOM UR
$8.98MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.58ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$75.60TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Insurance Discount
-$97.75Price Negotiated by Insurer
$293.25Deductible 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 CBC WITHOUT DIFFERENTIAL
$39.00HC CBC W WBC AUTO DIFF
$39.00HC COMPREHENSIVE METABOLIC PANEL
$52.50HC GLUCOSE TESTING POC
$9.75HC HSTROPONIN T
$63.75HC HYDRATION INFUSION EA ADDL HR
$150.75HC INTRODUCER 3FR TEARAWAY
$63.75HC IV PUSH EA ADDL SEQ NEW DRUG
$448.50HC IV PUSH SINGLE OR INIT DRUG
$448.50HC ROUTINE URINALYSIS
$24.75HC SBBB PHLEBOTOMY
$150.00HC SOM MAGNESIUM RANDOM UR
$5.56MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.05ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$69.61TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$391.00Insurance Discount
-$136.85Price Negotiated by Insurer
$254.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$33.80HC CBC W WBC AUTO DIFF
$33.80HC COMPREHENSIVE METABOLIC PANEL
$45.50HC GLUCOSE TESTING POC
$8.45HC HSTROPONIN T
$55.25HC HYDRATION INFUSION EA ADDL HR
$130.65HC INTRODUCER 3FR TEARAWAY
$55.25HC IV PUSH EA ADDL SEQ NEW DRUG
$388.70HC IV PUSH SINGLE OR INIT DRUG
$388.70HC ROUTINE URINALYSIS
$21.45HC SBBB PHLEBOTOMY
$130.00HC SOM MAGNESIUM RANDOM UR
$4.82MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.88TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.70This 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC HSTROPONIN T
$72.25HC HYDRATION INFUSION EA ADDL HR
$170.85HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30HC IV PUSH SINGLE OR INIT DRUG
$508.30HC ROUTINE URINALYSIS
$28.05HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.52ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.35TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$30.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Insurance Discount
-$234.60Price Negotiated by Insurer
$156.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC HYDRATION INFUSION EA ADDL HR
$64.49HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH SINGLE OR INIT DRUG
$294.47HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.11ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.11TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.51This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$156.40Price Negotiated by Insurer
$234.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC HSTROPONIN T
$51.00HC HYDRATION INFUSION EA ADDL HR
$120.60HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80HC IV PUSH SINGLE OR INIT DRUG
$358.80HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$4.32ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.72TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$156.40Price Negotiated by Insurer
$234.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC HSTROPONIN T
$51.00HC HYDRATION INFUSION EA ADDL HR
$70.36HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$70.36HC IV PUSH SINGLE OR INIT DRUG
$321.24HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.01TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$7.42This 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
$391.00Price Negotiated by Insurer
$676.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC HYDRATION INFUSION EA ADDL HR
$676.00HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$676.00HC IV PUSH SINGLE OR INIT DRUG
$299.00HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$4.05ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.53This 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
$391.00Price Negotiated by Insurer
$663.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC HYDRATION INFUSION EA ADDL HR
$663.00HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$663.00HC IV PUSH SINGLE OR INIT DRUG
$663.00HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$391.00Price Negotiated by Insurer
$662.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC HYDRATION INFUSION EA ADDL HR
$662.00HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$299.00HC IV PUSH SINGLE OR INIT DRUG
$299.00HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$240.33ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$15.01TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$85.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Price Negotiated by Insurer
$605.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC HSTROPONIN T
$10.10HC HYDRATION INFUSION EA ADDL HR
$605.00HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$605.00HC IV PUSH SINGLE OR INIT DRUG
$605.00HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$78.60TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC HSTROPONIN T
$18.70HC HYDRATION INFUSION EA ADDL HR
$87.94HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94HC IV PUSH SINGLE OR INIT DRUG
$401.55HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.32ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC HSTROPONIN T
$13.72HC HYDRATION INFUSION EA ADDL HR
$64.49HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49HC IV PUSH SINGLE OR INIT DRUG
$294.47HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$45.90ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$52.83TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.43This 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
$391.00Insurance Discount
-$58.65Price Negotiated by Insurer
$332.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC HSTROPONIN T
$12.47HC HYDRATION INFUSION EA ADDL HR
$58.63HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$19.12ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.41TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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.