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 MAGNESIUM
$7.93HC ROUTINE URINALYSIS
$6.60HC VENIPUNCTURE W/SPECIMEN
$9.40MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.19TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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
$58.63HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63HC IV PUSH SINGLE OR INIT DRUG
$267.70HC MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$7.98ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.44TROPICAMIDE 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
-$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 MAGNESIUM
$24.09HC ROUTINE URINALYSIS
$20.04HC VENIPUNCTURE W/SPECIMEN
$28.54MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.24ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.49TROPICAMIDE 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
-$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 MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.75HC VENIPUNCTURE W/SPECIMEN
$13.63MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$87.11ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$35.33TROPICAMIDE 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
-$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 MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC VENIPUNCTURE W/SPECIMEN
$10.00MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.02ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.31TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.55This 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 MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.87TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Price Negotiated by Insurer
$742.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC 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
$97.32HC INTRODUCER 3FR TEARAWAY
$41.16HC IV PUSH EA ADDL SEQ NEW DRUG
$742.00HC IV PUSH SINGLE OR INIT DRUG
$1,833.00HC MAGNESIUM
$48.44HC ROUTINE URINALYSIS
$22.24MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.05ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.96TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.27This 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
$2,582.00HC INTRODUCER 3FR TEARAWAY
$49.92HC IV PUSH EA ADDL SEQ NEW DRUG
$990.00HC IV PUSH SINGLE OR INIT DRUG
$990.00HC MAGNESIUM
$9.83HC ROUTINE URINALYSIS
$4.51MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.25ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.63TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$391.00Insurance Discount
-$215.05Price Negotiated by Insurer
$175.95Deductible 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 CBC WITHOUT DIFFERENTIAL
$23.40HC CBC W WBC AUTO DIFF
$23.40HC COMPREHENSIVE METABOLIC PANEL
$31.50HC GLUCOSE TESTING POC
$5.85HC HSTROPONIN T
$38.25HC HYDRATION INFUSION EA ADDL HR
$90.45HC INTRODUCER 3FR TEARAWAY
$38.25HC IV PUSH EA ADDL SEQ NEW DRUG
$269.10HC IV PUSH SINGLE OR INIT DRUG
$269.10HC MAGNESIUM
$17.85HC ROUTINE URINALYSIS
$14.85HC VENIPUNCTURE W/SPECIMEN
$21.15MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.06ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$168.32TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$30.31This 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
-$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 MAGNESIUM
$31.73HC ROUTINE URINALYSIS
$26.40HC VENIPUNCTURE W/SPECIMEN
$37.60MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.33TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$630.40This 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
$391.00Insurance 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 MAGNESIUM
$25.38HC ROUTINE URINALYSIS
$21.12HC VENIPUNCTURE W/SPECIMEN
$30.08MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.59ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.57TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.32This 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
-$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 MAGNESIUM
$29.35HC ROUTINE URINALYSIS
$24.42HC VENIPUNCTURE W/SPECIMEN
$34.78MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.65ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.34TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.75HC VENIPUNCTURE W/SPECIMEN
$13.63MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$35.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.57TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.55This 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 MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC VENIPUNCTURE W/SPECIMEN
$10.00MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.95ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.10TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$3.66ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$45.39TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$25.50This 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
$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 MAGNESIUM
$9.04HC ROUTINE URINALYSIS
$4.28HC VENIPUNCTURE W/SPECIMEN
$12.27MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$40.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.10TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.96This 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 MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.54ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$22.56TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.26This 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
-$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 MAGNESIUM
$33.71HC ROUTINE URINALYSIS
$28.05HC VENIPUNCTURE W/SPECIMEN
$39.95MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.10ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$23.80HC ROUTINE URINALYSIS
$19.80HC VENIPUNCTURE W/SPECIMEN
$28.20MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.44ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.98TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$105.67This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$35.69HC ROUTINE URINALYSIS
$29.70HC VENIPUNCTURE W/SPECIMEN
$42.30MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.01ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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
$25.11HC INTRODUCER 3FR TEARAWAY
$0.02HC IV PUSH EA ADDL SEQ NEW DRUG
$36.62HC IV PUSH SINGLE OR INIT DRUG
$85.69HC MAGNESIUM
$10.25HC ROUTINE URINALYSIS
$4.76MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$1.72ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.60TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.21This 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
-$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 MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.75HC VENIPUNCTURE W/SPECIMEN
$13.63MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.08TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.79This 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 MAGNESIUM
$26.45HC ROUTINE URINALYSIS
$22.01HC VENIPUNCTURE W/SPECIMEN
$31.35MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$11.11ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$48.02TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.80This 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
-$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 MAGNESIUM
$11.32HC ROUTINE URINALYSIS
$5.26HC VENIPUNCTURE W/SPECIMEN
$17.91MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.45ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$8.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.53This 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
$391.00Insurance 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 MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.50TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.15This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University 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 MAGNESIUM
$7.93HC ROUTINE URINALYSIS
$6.60HC VENIPUNCTURE W/SPECIMEN
$9.40MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
TROPICAMIDE 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 MAGNESIUM
$8.98HC ROUTINE URINALYSIS
$4.25HC VENIPUNCTURE W/SPECIMEN
$12.18MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$515.52ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$21.00TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.35This 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 MAGNESIUM
$8.98HC ROUTINE URINALYSIS
$4.25HC VENIPUNCTURE W/SPECIMEN
$12.18MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$12.73ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.35TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$29.75HC ROUTINE URINALYSIS
$24.75HC VENIPUNCTURE W/SPECIMEN
$35.25MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$9.90ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.90TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.38This 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
-$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 MAGNESIUM
$25.78HC ROUTINE URINALYSIS
$21.45HC VENIPUNCTURE W/SPECIMEN
$30.55MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$10.47ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$91.80TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.81This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$33.71HC ROUTINE URINALYSIS
$28.05HC VENIPUNCTURE W/SPECIMEN
$39.95MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$28.55ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$238.84TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.06This 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
-$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 MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC VENIPUNCTURE W/SPECIMEN
$10.00MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$2.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.54TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.29This 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
-$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 MAGNESIUM
$23.80HC ROUTINE URINALYSIS
$19.80HC VENIPUNCTURE W/SPECIMEN
$28.20MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$4.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$6.34TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$34.12This 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
-$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 MAGNESIUM
$23.80HC ROUTINE URINALYSIS
$19.80HC VENIPUNCTURE W/SPECIMEN
$28.20MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$87.52ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.19TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.11This 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
$299.00HC IV PUSH SINGLE OR INIT DRUG
$676.00HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC VENIPUNCTURE W/SPECIMEN
$2.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$5.77ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC VENIPUNCTURE W/SPECIMEN
$2.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$35.74ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.63TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.63This 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
$391.00Price 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
$100.50HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$662.00HC IV PUSH SINGLE OR INIT DRUG
$299.00HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC VENIPUNCTURE W/SPECIMEN
$2.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$6.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.10TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$20.16This 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
$391.00Price 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
$100.50HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$605.00HC IV PUSH SINGLE OR INIT DRUG
$605.00HC MAGNESIUM
$5.43HC ROUTINE URINALYSIS
$2.56HC VENIPUNCTURE W/SPECIMEN
$2.43MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$0.03ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.43TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.52This 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
-$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 MAGNESIUM
$10.05HC ROUTINE URINALYSIS
$4.75HC VENIPUNCTURE W/SPECIMEN
$13.63MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$37.74ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.84TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.23This 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 MAGNESIUM
$7.37HC ROUTINE URINALYSIS
$3.49HC VENIPUNCTURE W/SPECIMEN
$10.00MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$10.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$3.57TROPICAMIDE 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
-$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 MAGNESIUM
$6.70HC ROUTINE URINALYSIS
$3.17HC VENIPUNCTURE W/SPECIMEN
$9.09MORPHINE 50 MG/50 ML IN NS IV PCA SYRINGE [40820379]
$12.55ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.36TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$12.55This 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.