CPT 76604
The standard charge for Ultrasound of chest is $1,787.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
11234 Anderson Street, Loma Linda, CA, 92373CONTACT
877-558-6248 Visit WebsiteLoma Linda University Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Loma Linda University Medical Center provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Loma Linda University Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 877-558-6248.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$1,787.00Insurance Discount
-$1,429.60Price Negotiated by Insurer
$357.40Deductible 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 ABO UNIT CONFIRMATION
$50.60HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$166.00HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC CT CHEST W CONTRAST
$552.20HC CT CSPINE WO CONTRAST
$536.80HC CT HEAD NO CONTRAST
$531.20HC ECHO-F 2D/M-MODE FOLLOWUP
$393.80HC GLUCOSE TESTING POC
$2.60HC INTRODUCER 3FR TEARAWAY
$17.00HC LACTATE (CSF/POC)
$16.40HC PROTHROMBIN TIME (POC)
$19.52HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC SBBB PHLEBOTOMY
$40.00HC SLOW ACTIVATION
$12.80HC SOM CONTROLLED SUB MON 2
$12.95HC TOTAL HEMOGLOBIN
$2.00HC ULTRASOUND LIMITED SINGLE AREA
$439.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$701.75Price Negotiated by Insurer
$1,085.25Deductible 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 ABO UNIT CONFIRMATION
$153.65HC CBC W WBC AUTO DIFF
$31.58HC CHEST SINGLE VIEW
$504.06HC COMPREHENSIVE METABOLIC PANEL
$42.51HC CT ABDOMEN & PELVIS W/CONTRAST
$2,364.00HC CT CHEST W CONTRAST
$2,364.00HC CT CSPINE WO CONTRAST
$2,364.00HC CT HEAD NO CONTRAST
$2,364.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,195.77HC GLUCOSE TESTING POC
$7.89HC INTRODUCER 3FR TEARAWAY
$51.62HC LACTATE (CSF/POC)
$49.80HC PROTHROMBIN TIME (POC)
$59.27HC RH UNIT CONFIRMATION
$71.05HC SBBB ANTIBODY SCREEN
$67.41HC SBBB PHLEBOTOMY
$121.46HC SLOW ACTIVATION
$38.87HC SOM CONTROLLED SUB MON 2
$39.33HC TOTAL HEMOGLOBIN
$6.07HC ULTRASOUND LIMITED SINGLE AREA
$1,334.24IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,584.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$245.67HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME (POC)
$6.43HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM CONTROLLED SUB MON 2
$93.21HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,638.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$180.16HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC INTRODUCER 3FR TEARAWAY
$46.75HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME (POC)
$4.72HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM CONTROLLED SUB MON 2
$68.35HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC INTRODUCER 3FR TEARAWAY
$63.75HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,515.18Price Negotiated by Insurer
$271.82Deductible 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 ABO UNIT CONFIRMATION
$122.50HC CBC W WBC AUTO DIFF
$56.57HC CHEST SINGLE VIEW
$91.78HC COMPREHENSIVE METABOLIC PANEL
$76.99HC CT ABDOMEN & PELVIS W/CONTRAST
$1,459.81HC CT CHEST W CONTRAST
$1,459.42HC CT CSPINE WO CONTRAST
$1,220.26HC CT HEAD NO CONTRAST
$975.13HC ECHO-F 2D/M-MODE FOLLOWUP
$503.92HC GLUCOSE TESTING POC
$6.29HC INTRODUCER 3FR TEARAWAY
$41.16HC LACTATE (CSF/POC)
$77.68HC PROTHROMBIN TIME (POC)
$28.65HC RH UNIT CONFIRMATION
$56.65HC SBBB ANTIBODY SCREEN
$78.56HC SLOW ACTIVATION
$43.69HC SOM CONTROLLED SUB MON 2
$448.29HC TOTAL HEMOGLOBIN
$17.19HC ULTRASOUND LIMITED SINGLE AREA
$296.16IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.43This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$737.49Price Negotiated by Insurer
$1,049.51Deductible 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 ABO UNIT CONFIRMATION
$148.59HC CBC W WBC AUTO DIFF
$11.48HC CHEST SINGLE VIEW
$18.63HC COMPREHENSIVE METABOLIC PANEL
$15.63HC CT ABDOMEN & PELVIS W/CONTRAST
$2,329.82HC CT CHEST W CONTRAST
$1,621.54HC CT CSPINE WO CONTRAST
$1,576.31HC CT HEAD NO CONTRAST
$1,559.87HC ECHO-F 2D/M-MODE FOLLOWUP
$1,156.39HC GLUCOSE TESTING POC
$7.63HC INTRODUCER 3FR TEARAWAY
$49.92HC LACTATE (CSF/POC)
$15.76HC PROTHROMBIN TIME (POC)
$5.81HC RH UNIT CONFIRMATION
$68.71HC SBBB ANTIBODY SCREEN
$15.94HC SLOW ACTIVATION
$8.87HC SOM CONTROLLED SUB MON 2
$90.98HC TOTAL HEMOGLOBIN
$3.49HC ULTRASOUND LIMITED SINGLE AREA
$1,290.30IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$70.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$702.29Price Negotiated by Insurer
$1,084.71Deductible 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 ABO UNIT CONFIRMATION
$154.58HC CBC W WBC AUTO DIFF
$31.56HC CHEST SINGLE VIEW
$503.81HC COMPREHENSIVE METABOLIC PANEL
$42.49HC CT ABDOMEN & PELVIS W/CONTRAST
$2,407.97HC CT CHEST W CONTRAST
$1,675.93HC CT CSPINE WO CONTRAST
$1,629.19HC CT HEAD NO CONTRAST
$1,612.19HC ECHO-F 2D/M-MODE FOLLOWUP
$1,195.18HC GLUCOSE TESTING POC
$7.89HC INTRODUCER 3FR TEARAWAY
$51.94HC LACTATE (CSF/POC)
$49.77HC PROTHROMBIN TIME (POC)
$59.24HC RH UNIT CONFIRMATION
$71.49HC SBBB ANTIBODY SCREEN
$67.38HC SBBB PHLEBOTOMY
$121.40HC SLOW ACTIVATION
$38.85HC SOM CONTROLLED SUB MON 2
$39.32HC TOTAL HEMOGLOBIN
$6.07HC ULTRASOUND LIMITED SINGLE AREA
$1,333.58IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$73.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,077.56Price Negotiated by Insurer
$709.44Deductible 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 ABO UNIT CONFIRMATION
$100.95HC CBC W WBC AUTO DIFF
$20.64HC CHEST SINGLE VIEW
$329.51HC COMPREHENSIVE METABOLIC PANEL
$27.79HC CT ABDOMEN & PELVIS W/CONTRAST
$1,574.90HC CT CHEST W CONTRAST
$1,096.12HC CT CSPINE WO CONTRAST
$1,065.55HC CT HEAD NO CONTRAST
$1,054.43HC ECHO-F 2D/M-MODE FOLLOWUP
$781.69HC GLUCOSE TESTING POC
$5.16HC INTRODUCER 3FR TEARAWAY
$33.91HC LACTATE (CSF/POC)
$32.55HC PROTHROMBIN TIME (POC)
$38.75HC RH UNIT CONFIRMATION
$46.68HC SBBB ANTIBODY SCREEN
$44.07HC SBBB PHLEBOTOMY
$79.40HC SLOW ACTIVATION
$25.41HC SOM CONTROLLED SUB MON 2
$25.71HC TOTAL HEMOGLOBIN
$3.97HC ULTRASOUND LIMITED SINGLE AREA
$872.21IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$47.83This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$804.15Price Negotiated by Insurer
$982.85Deductible 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 ABO UNIT CONFIRMATION
$139.15HC CBC W WBC AUTO DIFF
$28.60HC CHEST SINGLE VIEW
$456.50HC COMPREHENSIVE METABOLIC PANEL
$38.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,181.85HC CT CHEST W CONTRAST
$1,518.55HC CT CSPINE WO CONTRAST
$1,476.20HC CT HEAD NO CONTRAST
$1,460.80HC ECHO-F 2D/M-MODE FOLLOWUP
$1,082.95HC GLUCOSE TESTING POC
$7.15HC INTRODUCER 3FR TEARAWAY
$46.75HC LACTATE (CSF/POC)
$45.10HC PROTHROMBIN TIME (POC)
$53.68HC RH UNIT CONFIRMATION
$64.35HC SBBB ANTIBODY SCREEN
$111.00HC SBBB PHLEBOTOMY
$200.00HC SLOW ACTIVATION
$35.20HC SOM CONTROLLED SUB MON 2
$64.77HC TOTAL HEMOGLOBIN
$5.50HC ULTRASOUND LIMITED SINGLE AREA
$1,208.35IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$357.40Price Negotiated by Insurer
$1,429.60Deductible 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 ABO UNIT CONFIRMATION
$202.40HC CBC W WBC AUTO DIFF
$41.60HC CHEST SINGLE VIEW
$664.00HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,173.60HC CT CHEST W CONTRAST
$2,208.80HC CT CSPINE WO CONTRAST
$2,147.20HC CT HEAD NO CONTRAST
$2,124.80HC ECHO-F 2D/M-MODE FOLLOWUP
$1,575.20HC GLUCOSE TESTING POC
$10.40HC INTRODUCER 3FR TEARAWAY
$68.00HC LACTATE (CSF/POC)
$65.60HC PROTHROMBIN TIME (POC)
$78.08HC RH UNIT CONFIRMATION
$93.60HC SBBB ANTIBODY SCREEN
$88.80HC SBBB PHLEBOTOMY
$160.00HC SLOW ACTIVATION
$51.20HC SOM CONTROLLED SUB MON 2
$51.82HC TOTAL HEMOGLOBIN
$8.00HC ULTRASOUND LIMITED SINGLE AREA
$1,757.60IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$643.32Price Negotiated by Insurer
$1,143.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$161.92HC CBC W WBC AUTO DIFF
$33.28HC CHEST SINGLE VIEW
$531.20HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,538.88HC CT CHEST W CONTRAST
$1,767.04HC CT CSPINE WO CONTRAST
$1,717.76HC CT HEAD NO CONTRAST
$1,699.84HC ECHO-F 2D/M-MODE FOLLOWUP
$1,260.16HC GLUCOSE TESTING POC
$8.32HC INTRODUCER 3FR TEARAWAY
$54.40HC LACTATE (CSF/POC)
$52.48HC PROTHROMBIN TIME (POC)
$62.46HC RH UNIT CONFIRMATION
$74.88HC SBBB ANTIBODY SCREEN
$71.04HC SBBB PHLEBOTOMY
$128.00HC SLOW ACTIVATION
$40.96HC SOM CONTROLLED SUB MON 2
$41.45HC TOTAL HEMOGLOBIN
$6.40HC ULTRASOUND LIMITED SINGLE AREA
$1,406.08IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$76.72This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$464.62Price Negotiated by Insurer
$1,322.38Deductible 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 ABO UNIT CONFIRMATION
$187.22HC CBC W WBC AUTO DIFF
$38.48HC CHEST SINGLE VIEW
$614.20HC COMPREHENSIVE METABOLIC PANEL
$51.80HC CT ABDOMEN & PELVIS W/CONTRAST
$2,935.58HC CT CHEST W CONTRAST
$2,043.14HC CT CSPINE WO CONTRAST
$1,986.16HC CT HEAD NO CONTRAST
$1,965.44HC ECHO-F 2D/M-MODE FOLLOWUP
$1,457.06HC GLUCOSE TESTING POC
$9.62HC INTRODUCER 3FR TEARAWAY
$62.90HC LACTATE (CSF/POC)
$60.68HC PROTHROMBIN TIME (POC)
$72.22HC RH UNIT CONFIRMATION
$86.58HC SBBB ANTIBODY SCREEN
$82.14HC SBBB PHLEBOTOMY
$148.00HC SLOW ACTIVATION
$47.36HC SOM CONTROLLED SUB MON 2
$47.93HC TOTAL HEMOGLOBIN
$7.40HC ULTRASOUND LIMITED SINGLE AREA
$1,625.78IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,584.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$245.67HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME (POC)
$6.43HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM CONTROLLED SUB MON 2
$93.21HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,638.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$180.16HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME (POC)
$4.72HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM CONTROLLED SUB MON 2
$68.35HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$5.84This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,604.59Price Negotiated by Insurer
$182.41Deductible 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 ABO UNIT CONFIRMATION
$221.10HC CBC W WBC AUTO DIFF
$10.49HC CHEST SINGLE VIEW
$151.04HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CT ABDOMEN & PELVIS W/CONTRAST
$612.59HC CT CHEST W CONTRAST
$305.36HC CT CSPINE WO CONTRAST
$182.41HC CT HEAD NO CONTRAST
$182.41HC ECHO-F 2D/M-MODE FOLLOWUP
$414.63HC GLUCOSE TESTING POC
$4.43HC INTRODUCER 3FR TEARAWAY
$34.00HC LACTATE (CSF/POC)
$15.62HC PROTHROMBIN TIME (POC)
$5.79HC RH UNIT CONFIRMATION
$67.32HC SBBB ANTIBODY SCREEN
$91.65HC SBBB PHLEBOTOMY
$12.27HC SLOW ACTIVATION
$8.11HC SOM CONTROLLED SUB MON 2
$83.89HC TOTAL HEMOGLOBIN
$3.20HC ULTRASOUND LIMITED SINGLE AREA
$182.41IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC INTRODUCER 3FR TEARAWAY
$34.00HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$268.05Price Negotiated by Insurer
$1,518.95Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CT CHEST W CONTRAST
$2,346.85HC CT CSPINE WO CONTRAST
$2,281.40HC CT HEAD NO CONTRAST
$2,257.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,673.65HC GLUCOSE TESTING POC
$11.05HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$69.70HC PROTHROMBIN TIME (POC)
$82.96HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00HC SLOW ACTIVATION
$54.40HC SOM CONTROLLED SUB MON 2
$55.05HC TOTAL HEMOGLOBIN
$8.50HC ULTRASOUND LIMITED SINGLE AREA
$1,867.45IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$714.80Price Negotiated by Insurer
$1,072.20Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,181.40HC GLUCOSE TESTING POC
$7.80HC INTRODUCER 3FR TEARAWAY
$51.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME (POC)
$58.56HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM CONTROLLED SUB MON 2
$38.86HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$178.70Price Negotiated by Insurer
$1,608.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$227.70HC CBC W WBC AUTO DIFF
$46.80HC CHEST SINGLE VIEW
$747.00HC COMPREHENSIVE METABOLIC PANEL
$63.00HC CT ABDOMEN & PELVIS W/CONTRAST
$3,570.30HC CT CHEST W CONTRAST
$2,484.90HC CT CSPINE WO CONTRAST
$2,415.60HC CT HEAD NO CONTRAST
$2,390.40HC ECHO-F 2D/M-MODE FOLLOWUP
$1,772.10HC GLUCOSE TESTING POC
$11.70HC INTRODUCER 3FR TEARAWAY
$76.50HC LACTATE (CSF/POC)
$73.80HC PROTHROMBIN TIME (POC)
$87.84HC RH UNIT CONFIRMATION
$105.30HC SBBB ANTIBODY SCREEN
$99.90HC SBBB PHLEBOTOMY
$180.00HC SLOW ACTIVATION
$57.60HC SOM CONTROLLED SUB MON 2
$58.29HC TOTAL HEMOGLOBIN
$9.00HC ULTRASOUND LIMITED SINGLE AREA
$1,977.30IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$107.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,565.40Price Negotiated by Insurer
$221.60Deductible 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 ABO UNIT CONFIRMATION
$268.60HC CBC W WBC AUTO DIFF
$12.74HC CHEST SINGLE VIEW
$183.48HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CT ABDOMEN & PELVIS W/CONTRAST
$744.18HC CT CHEST W CONTRAST
$370.95HC CT CSPINE WO CONTRAST
$221.60HC CT HEAD NO CONTRAST
$221.60HC ECHO-F 2D/M-MODE FOLLOWUP
$503.69HC GLUCOSE TESTING POC
$5.38HC LACTATE (CSF/POC)
$18.97HC PROTHROMBIN TIME (POC)
$7.04HC RH UNIT CONFIRMATION
$81.79HC SBBB ANTIBODY SCREEN
$111.34HC SBBB PHLEBOTOMY
$14.91HC SLOW ACTIVATION
$9.86HC SOM CONTROLLED SUB MON 2
$101.91HC TOTAL HEMOGLOBIN
$3.89HC ULTRASOUND LIMITED SINGLE AREA
$221.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,695.55Price Negotiated by Insurer
$91.45Deductible 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 ABO UNIT CONFIRMATION
$4.09HC CBC W WBC AUTO DIFF
$11.61HC CHEST SINGLE VIEW
$30.36HC COMPREHENSIVE METABOLIC PANEL
$15.81HC CT ABDOMEN & PELVIS W/CONTRAST
$484.70HC CT CHEST W CONTRAST
$276.82HC CT CSPINE WO CONTRAST
$214.98HC CT HEAD NO CONTRAST
$174.18HC ECHO-F 2D/M-MODE FOLLOWUP
$129.09HC GLUCOSE TESTING POC
$3.44HC INTRODUCER 3FR TEARAWAY
$0.02HC LACTATE (CSF/POC)
$16.19HC PROTHROMBIN TIME (POC)
$6.00HC RH UNIT CONFIRMATION
$4.23HC SBBB ANTIBODY SCREEN
$4.47HC SLOW ACTIVATION
$9.18HC SOM CONTROLLED SUB MON 2
$74.82HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$104.47IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,584.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$245.67HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC INTRODUCER 3FR TEARAWAY
$42.50HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME (POC)
$6.43HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM CONTROLLED SUB MON 2
$93.21HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$595.07Price Negotiated by Insurer
$1,191.93Deductible 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 ABO UNIT CONFIRMATION
$168.75HC CBC W WBC AUTO DIFF
$34.68HC CHEST SINGLE VIEW
$553.61HC COMPREHENSIVE METABOLIC PANEL
$46.69HC CT ABDOMEN & PELVIS W/CONTRAST
$2,645.99HC CT CHEST W CONTRAST
$1,841.59HC CT CSPINE WO CONTRAST
$1,790.23HC CT HEAD NO CONTRAST
$1,771.55HC ECHO-F 2D/M-MODE FOLLOWUP
$1,313.32HC GLUCOSE TESTING POC
$8.67HC INTRODUCER 3FR TEARAWAY
$56.70HC LACTATE (CSF/POC)
$54.69HC PROTHROMBIN TIME (POC)
$65.10HC RH UNIT CONFIRMATION
$78.04HC SBBB ANTIBODY SCREEN
$74.04HC SBBB PHLEBOTOMY
$133.40HC SLOW ACTIVATION
$42.69HC SOM CONTROLLED SUB MON 2
$43.20HC TOTAL HEMOGLOBIN
$6.67HC ULTRASOUND LIMITED SINGLE AREA
$1,465.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,685.98Price Negotiated by Insurer
$101.02Deductible 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 ABO UNIT CONFIRMATION
$4.52HC CBC W WBC AUTO DIFF
$12.82HC CHEST SINGLE VIEW
$33.53HC COMPREHENSIVE METABOLIC PANEL
$17.46HC CT ABDOMEN & PELVIS W/CONTRAST
$535.42HC CT CHEST W CONTRAST
$305.79HC CT CSPINE WO CONTRAST
$237.48HC CT HEAD NO CONTRAST
$192.41HC ECHO-F 2D/M-MODE FOLLOWUP
$142.59HC GLUCOSE TESTING POC
$3.80HC INTRODUCER 3FR TEARAWAY
$0.02HC LACTATE (CSF/POC)
$17.88HC PROTHROMBIN TIME (POC)
$6.63HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC SBBB PHLEBOTOMY
$76.20HC SLOW ACTIVATION
$10.15HC SOM CONTROLLED SUB MON 2
$82.65HC TOTAL HEMOGLOBIN
$3.93HC ULTRASOUND LIMITED SINGLE AREA
$115.41IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.32This 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
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC INTRODUCER 3FR TEARAWAY
$52.62HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$74.21This 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
$1,787.00Insurance Discount
-$1,429.60Price Negotiated by Insurer
$357.40Deductible 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 ABO UNIT CONFIRMATION
$50.60HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$166.00HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC CT CHEST W CONTRAST
$552.20HC CT CSPINE WO CONTRAST
$536.80HC CT HEAD NO CONTRAST
$531.20HC ECHO-F 2D/M-MODE FOLLOWUP
$393.80HC GLUCOSE TESTING POC
$2.60HC INTRODUCER 3FR TEARAWAY
$17.00HC LACTATE (CSF/POC)
$16.40HC PROTHROMBIN TIME (POC)
$19.52HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC SBBB PHLEBOTOMY
$40.00HC SLOW ACTIVATION
$12.80HC SOM CONTROLLED SUB MON 2
$12.95HC TOTAL HEMOGLOBIN
$2.00HC ULTRASOUND LIMITED SINGLE AREA
$439.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$1,605.94Price Negotiated by Insurer
$181.06Deductible 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 ABO UNIT CONFIRMATION
$219.47HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$608.05HC CT CHEST W CONTRAST
$303.09HC CT CSPINE WO CONTRAST
$181.06HC CT HEAD NO CONTRAST
$181.06HC ECHO-F 2D/M-MODE FOLLOWUP
$411.55HC GLUCOSE TESTING POC
$4.40HC INTRODUCER 3FR TEARAWAY
$59.50HC LACTATE (CSF/POC)
$15.50HC PROTHROMBIN TIME (POC)
$5.75HC RH UNIT CONFIRMATION
$66.83HC SBBB ANTIBODY SCREEN
$90.97HC SBBB PHLEBOTOMY
$12.18HC SLOW ACTIVATION
$8.05HC SOM CONTROLLED SUB MON 2
$83.27HC TOTAL HEMOGLOBIN
$3.18HC ULTRASOUND LIMITED SINGLE AREA
$181.06IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,605.94Price Negotiated by Insurer
$181.06Deductible 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 ABO UNIT CONFIRMATION
$219.47HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.92HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$608.05HC CT CHEST W CONTRAST
$303.09HC CT CSPINE WO CONTRAST
$181.06HC CT HEAD NO CONTRAST
$181.06HC ECHO-F 2D/M-MODE FOLLOWUP
$411.55HC GLUCOSE TESTING POC
$4.40HC INTRODUCER 3FR TEARAWAY
$59.50HC LACTATE (CSF/POC)
$15.50HC PROTHROMBIN TIME (POC)
$5.75HC RH UNIT CONFIRMATION
$66.83HC SBBB ANTIBODY SCREEN
$90.97HC SBBB PHLEBOTOMY
$12.18HC SLOW ACTIVATION
$8.05HC SOM CONTROLLED SUB MON 2
$83.27HC TOTAL HEMOGLOBIN
$3.18HC ULTRASOUND LIMITED SINGLE AREA
$181.06IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$446.75Price Negotiated by Insurer
$1,340.25Deductible 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 ABO UNIT CONFIRMATION
$189.75HC CBC W WBC AUTO DIFF
$39.00HC CHEST SINGLE VIEW
$622.50HC COMPREHENSIVE METABOLIC PANEL
$52.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,975.25HC CT CHEST W CONTRAST
$2,070.75HC CT CSPINE WO CONTRAST
$2,013.00HC CT HEAD NO CONTRAST
$1,992.00HC ECHO-F 2D/M-MODE FOLLOWUP
$1,476.75HC GLUCOSE TESTING POC
$9.75HC INTRODUCER 3FR TEARAWAY
$63.75HC LACTATE (CSF/POC)
$61.50HC PROTHROMBIN TIME (POC)
$73.20HC RH UNIT CONFIRMATION
$87.75HC SBBB ANTIBODY SCREEN
$83.25HC SBBB PHLEBOTOMY
$150.00HC SLOW ACTIVATION
$48.00HC SOM CONTROLLED SUB MON 2
$48.58HC TOTAL HEMOGLOBIN
$7.50HC ULTRASOUND LIMITED SINGLE AREA
$1,647.75IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$89.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$625.45Price Negotiated by Insurer
$1,161.55Deductible 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 ABO UNIT CONFIRMATION
$164.45HC CBC W WBC AUTO DIFF
$33.80HC CHEST SINGLE VIEW
$539.50HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CT ABDOMEN & PELVIS W/CONTRAST
$2,578.55HC CT CHEST W CONTRAST
$1,794.65HC CT CSPINE WO CONTRAST
$1,744.60HC CT HEAD NO CONTRAST
$1,726.40HC ECHO-F 2D/M-MODE FOLLOWUP
$1,279.85HC GLUCOSE TESTING POC
$8.45HC INTRODUCER 3FR TEARAWAY
$55.25HC LACTATE (CSF/POC)
$53.30HC PROTHROMBIN TIME (POC)
$63.44HC RH UNIT CONFIRMATION
$76.05HC SBBB ANTIBODY SCREEN
$72.15HC SBBB PHLEBOTOMY
$130.00HC SLOW ACTIVATION
$41.60HC SOM CONTROLLED SUB MON 2
$42.10HC TOTAL HEMOGLOBIN
$6.50HC ULTRASOUND LIMITED SINGLE AREA
$1,428.05IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$77.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$268.05Price Negotiated by Insurer
$1,518.95Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC W WBC AUTO DIFF
$44.20HC CHEST SINGLE VIEW
$705.50HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CT ABDOMEN & PELVIS W/CONTRAST
$3,371.95HC CT CHEST W CONTRAST
$2,346.85HC CT CSPINE WO CONTRAST
$2,281.40HC CT HEAD NO CONTRAST
$2,257.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,673.65HC GLUCOSE TESTING POC
$11.05HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$69.70HC PROTHROMBIN TIME (POC)
$82.96HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC SBBB PHLEBOTOMY
$170.00HC SLOW ACTIVATION
$54.40HC SOM CONTROLLED SUB MON 2
$55.05HC TOTAL HEMOGLOBIN
$8.50HC ULTRASOUND LIMITED SINGLE AREA
$1,867.45IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$1,643.77Price Negotiated by Insurer
$143.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$173.61HC CBC W WBC AUTO DIFF
$8.24HC CHEST SINGLE VIEW
$118.59HC COMPREHENSIVE METABOLIC PANEL
$11.19HC CT ABDOMEN & PELVIS W/CONTRAST
$481.00HC CT CHEST W CONTRAST
$239.76HC CT CSPINE WO CONTRAST
$143.23HC CT HEAD NO CONTRAST
$143.23HC ECHO-F 2D/M-MODE FOLLOWUP
$325.56HC GLUCOSE TESTING POC
$3.48HC LACTATE (CSF/POC)
$12.26HC PROTHROMBIN TIME (POC)
$4.55HC RH UNIT CONFIRMATION
$52.86HC SBBB ANTIBODY SCREEN
$71.96HC SBBB PHLEBOTOMY
$9.64HC SLOW ACTIVATION
$6.37HC SOM CONTROLLED SUB MON 2
$65.87HC TOTAL HEMOGLOBIN
$2.51HC ULTRASOUND LIMITED SINGLE AREA
$143.23This 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
$1,787.00Insurance Discount
-$1,638.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$180.16HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC INTRODUCER 3FR TEARAWAY
$34.00HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME (POC)
$4.72HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM CONTROLLED SUB MON 2
$68.35HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$47.95This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$714.80Price Negotiated by Insurer
$1,072.20Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,181.40HC GLUCOSE TESTING POC
$7.80HC INTRODUCER 3FR TEARAWAY
$51.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME (POC)
$58.56HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM CONTROLLED SUB MON 2
$38.86HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$714.80Price Negotiated by Insurer
$1,072.20Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC W WBC AUTO DIFF
$31.20HC CHEST SINGLE VIEW
$498.00HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CT ABDOMEN & PELVIS W/CONTRAST
$2,380.20HC CT CHEST W CONTRAST
$1,656.60HC CT CSPINE WO CONTRAST
$1,610.40HC CT HEAD NO CONTRAST
$1,593.60HC ECHO-F 2D/M-MODE FOLLOWUP
$1,181.40HC GLUCOSE TESTING POC
$7.80HC INTRODUCER 3FR TEARAWAY
$51.00HC LACTATE (CSF/POC)
$49.20HC PROTHROMBIN TIME (POC)
$58.56HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SBBB PHLEBOTOMY
$120.00HC SLOW ACTIVATION
$38.40HC SOM CONTROLLED SUB MON 2
$38.86HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$71.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,625.93Price Negotiated by Insurer
$161.07Deductible 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 ABO UNIT CONFIRMATION
$676.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,328.00HC ECHO-F 2D/M-MODE FOLLOWUP
$968.00HC GLUCOSE TESTING POC
$2.65HC INTRODUCER 3FR TEARAWAY
$42.50HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME (POC)
$3.47HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM CONTROLLED SUB MON 2
$50.34HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,625.93Price Negotiated by Insurer
$161.07Deductible 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 ABO UNIT CONFIRMATION
$663.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,328.00HC ECHO-F 2D/M-MODE FOLLOWUP
$982.00HC GLUCOSE TESTING POC
$2.65HC INTRODUCER 3FR TEARAWAY
$42.50HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME (POC)
$3.47HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM CONTROLLED SUB MON 2
$50.34HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,625.93Price Negotiated by Insurer
$161.07Deductible 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 ABO UNIT CONFIRMATION
$662.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,328.00HC ECHO-F 2D/M-MODE FOLLOWUP
$832.00HC GLUCOSE TESTING POC
$2.65HC INTRODUCER 3FR TEARAWAY
$42.50HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME (POC)
$3.47HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM CONTROLLED SUB MON 2
$50.34HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,625.93Price Negotiated by Insurer
$161.07Deductible 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 ABO UNIT CONFIRMATION
$605.00HC CBC W WBC AUTO DIFF
$6.29HC CHEST SINGLE VIEW
$159.01HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CT ABDOMEN & PELVIS W/CONTRAST
$1,486.18HC CT CHEST W CONTRAST
$769.25HC CT CSPINE WO CONTRAST
$491.23HC CT HEAD NO CONTRAST
$1,328.00HC ECHO-F 2D/M-MODE FOLLOWUP
$762.00HC GLUCOSE TESTING POC
$2.65HC INTRODUCER 3FR TEARAWAY
$42.50HC LACTATE (CSF/POC)
$9.37HC PROTHROMBIN TIME (POC)
$3.47HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC SBBB PHLEBOTOMY
$2.43HC SLOW ACTIVATION
$4.87HC SOM CONTROLLED SUB MON 2
$50.34HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.31This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,584.32Price Negotiated by Insurer
$202.68Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$245.67HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.82HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$680.65HC CT CHEST W CONTRAST
$339.29HC CT CSPINE WO CONTRAST
$202.68HC CT HEAD NO CONTRAST
$202.68HC ECHO-F 2D/M-MODE FOLLOWUP
$460.69HC GLUCOSE TESTING POC
$4.92HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$17.36HC PROTHROMBIN TIME (POC)
$6.43HC RH UNIT CONFIRMATION
$74.81HC SBBB ANTIBODY SCREEN
$101.83HC SBBB PHLEBOTOMY
$13.63HC SLOW ACTIVATION
$9.02HC SOM CONTROLLED SUB MON 2
$93.21HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$101.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance Discount
-$1,638.37Price Negotiated by Insurer
$148.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$180.16HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.07HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$499.15HC CT CHEST W CONTRAST
$248.81HC CT CSPINE WO CONTRAST
$148.63HC CT HEAD NO CONTRAST
$148.63HC ECHO-F 2D/M-MODE FOLLOWUP
$337.84HC GLUCOSE TESTING POC
$3.61HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$12.73HC PROTHROMBIN TIME (POC)
$4.72HC RH UNIT CONFIRMATION
$54.86HC SBBB ANTIBODY SCREEN
$74.68HC SBBB PHLEBOTOMY
$10.00HC SLOW ACTIVATION
$6.61HC SOM CONTROLLED SUB MON 2
$68.35HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.51This 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
$1,787.00Insurance Discount
-$1,651.88Price Negotiated by Insurer
$135.12Deductible 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 ABO UNIT CONFIRMATION
$163.78HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.88HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$453.77HC CT CHEST W CONTRAST
$226.19HC CT CSPINE WO CONTRAST
$135.12HC CT HEAD NO CONTRAST
$135.12HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC INTRODUCER 3FR TEARAWAY
$72.25HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME (POC)
$4.29HC RH UNIT CONFIRMATION
$49.87HC SBBB ANTIBODY SCREEN
$67.89HC SBBB PHLEBOTOMY
$9.09HC SLOW ACTIVATION
$6.01HC SOM CONTROLLED SUB MON 2
$62.14HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.