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 DRUGS ABUSE SCREEN,URINE(7)COC
$48.40HC 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 QUICK
$8.40HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC SLOW ACTIVATION
$12.80HC TOTAL HEMOGLOBIN
$2.00HC ULTRASOUND LIMITED SINGLE AREA
$439.40HC VENIPUNCTURE W/SPECIMEN
$9.40IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$23.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$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 DRUGS ABUSE SCREEN,URINE(7)COC
$146.97HC 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 QUICK
$25.51HC RH UNIT CONFIRMATION
$71.05HC SBBB ANTIBODY SCREEN
$67.41HC SLOW ACTIVATION
$38.87HC TOTAL HEMOGLOBIN
$6.07HC ULTRASOUND LIMITED SINGLE AREA
$1,334.24HC VENIPUNCTURE W/SPECIMEN
$28.54IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.92This 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
-$1,584.32Price 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
$4.49HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC 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 QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 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
-$1,638.37Price 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
$3.29HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC 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 QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC 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 QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$448.29HC 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 QUICK
$28.65HC RH UNIT CONFIRMATION
$56.65HC SBBB ANTIBODY SCREEN
$78.56HC SLOW ACTIVATION
$43.69HC TOTAL HEMOGLOBIN
$17.19HC ULTRASOUND LIMITED SINGLE AREA
$296.16IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$58.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$90.98HC 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 QUICK
$5.81HC RH UNIT CONFIRMATION
$68.71HC SBBB ANTIBODY SCREEN
$15.94HC SLOW ACTIVATION
$8.87HC TOTAL HEMOGLOBIN
$3.49HC ULTRASOUND LIMITED SINGLE AREA
$1,290.30IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$146.89HC 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 QUICK
$25.49HC RH UNIT CONFIRMATION
$71.49HC SBBB ANTIBODY SCREEN
$67.38HC SLOW ACTIVATION
$38.85HC TOTAL HEMOGLOBIN
$6.07HC ULTRASOUND LIMITED SINGLE AREA
$1,333.58HC VENIPUNCTURE W/SPECIMEN
$28.53IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$96.07HC 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 QUICK
$16.67HC RH UNIT CONFIRMATION
$46.68HC SBBB ANTIBODY SCREEN
$44.07HC SLOW ACTIVATION
$25.41HC TOTAL HEMOGLOBIN
$3.97HC ULTRASOUND LIMITED SINGLE AREA
$872.21HC VENIPUNCTURE W/SPECIMEN
$18.66IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$1,787.00Insurance Discount
-$982.85Price Negotiated by Insurer
$804.15Deductible 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 ABO UNIT CONFIRMATION
$113.85HC CBC W WBC AUTO DIFF
$23.40HC CHEST SINGLE VIEW
$373.50HC COMPREHENSIVE METABOLIC PANEL
$31.50HC CT ABDOMEN & PELVIS W/CONTRAST
$1,785.15HC CT CHEST W CONTRAST
$1,242.45HC CT CSPINE WO CONTRAST
$1,207.80HC CT HEAD NO CONTRAST
$1,195.20HC DRUGS ABUSE SCREEN,URINE(7)COC
$108.90HC ECHO-F 2D/M-MODE FOLLOWUP
$886.05HC GLUCOSE TESTING POC
$5.85HC INTRODUCER 3FR TEARAWAY
$38.25HC LACTATE (CSF/POC)
$36.90HC PROTHROMBIN TIME QUICK
$18.90HC RH UNIT CONFIRMATION
$52.65HC SBBB ANTIBODY SCREEN
$111.00HC SLOW ACTIVATION
$28.80HC TOTAL HEMOGLOBIN
$4.50HC ULTRASOUND LIMITED SINGLE AREA
$988.65HC VENIPUNCTURE W/SPECIMEN
$21.15IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$65.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$193.60HC 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 QUICK
$33.60HC RH UNIT CONFIRMATION
$93.60HC SBBB ANTIBODY SCREEN
$88.80HC SLOW ACTIVATION
$51.20HC TOTAL HEMOGLOBIN
$8.00HC ULTRASOUND LIMITED SINGLE AREA
$1,757.60HC VENIPUNCTURE W/SPECIMEN
$37.60IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$95.90This 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$154.88HC 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 QUICK
$26.88HC RH UNIT CONFIRMATION
$74.88HC SBBB ANTIBODY SCREEN
$71.04HC SLOW ACTIVATION
$40.96HC TOTAL HEMOGLOBIN
$6.40HC ULTRASOUND LIMITED SINGLE AREA
$1,406.08HC VENIPUNCTURE W/SPECIMEN
$30.08IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$179.08HC 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 QUICK
$31.08HC RH UNIT CONFIRMATION
$86.58HC SBBB ANTIBODY SCREEN
$82.14HC SLOW ACTIVATION
$47.36HC TOTAL HEMOGLOBIN
$7.40HC ULTRASOUND LIMITED SINGLE AREA
$1,625.78HC VENIPUNCTURE W/SPECIMEN
$34.78IOPAMIDOL 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
$4.49HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC 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 QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 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
-$1,638.37Price 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
$3.29HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC 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 QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC 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 QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 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
-$1,604.59Price 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
$4.04HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$83.89HC 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 QUICK
$5.79HC RH UNIT CONFIRMATION
$4.04HC SBBB ANTIBODY SCREEN
$13.19HC SLOW ACTIVATION
$8.11HC TOTAL HEMOGLOBIN
$3.20HC ULTRASOUND LIMITED SINGLE AREA
$182.41HC VENIPUNCTURE W/SPECIMEN
$12.27IOPAMIDOL 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
-$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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC 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 QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$205.70HC 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 QUICK
$35.70HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC SLOW ACTIVATION
$54.40HC TOTAL HEMOGLOBIN
$8.50HC ULTRASOUND LIMITED SINGLE AREA
$1,867.45HC VENIPUNCTURE W/SPECIMEN
$39.95IOPAMIDOL 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 DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC 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 QUICK
$25.20HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.33This 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 DRUGS ABUSE SCREEN,URINE(7)COC
$217.80HC 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 QUICK
$37.80HC RH UNIT CONFIRMATION
$105.30HC SBBB ANTIBODY SCREEN
$99.90HC SLOW ACTIVATION
$57.60HC TOTAL HEMOGLOBIN
$9.00HC ULTRASOUND LIMITED SINGLE AREA
$1,977.30HC VENIPUNCTURE W/SPECIMEN
$42.30IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.55This 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
$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
$4.90HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$101.91HC ECHO-F 2D/M-MODE FOLLOWUP
$503.69HC GLUCOSE TESTING POC
$5.38HC LACTATE (CSF/POC)
$18.97HC PROTHROMBIN TIME QUICK
$7.04HC RH UNIT CONFIRMATION
$4.90HC SBBB ANTIBODY SCREEN
$16.02HC SLOW ACTIVATION
$9.86HC TOTAL HEMOGLOBIN
$3.89HC ULTRASOUND LIMITED SINGLE AREA
$221.60HC VENIPUNCTURE W/SPECIMEN
$14.91This 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$74.82HC 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 QUICK
$6.00HC RH UNIT CONFIRMATION
$4.23HC SBBB ANTIBODY SCREEN
$4.47HC SLOW ACTIVATION
$9.18HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$104.47IOPAMIDOL 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
-$1,651.88Price 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$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
$4.49HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC 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 QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$59.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$161.41HC 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 QUICK
$28.01HC RH UNIT CONFIRMATION
$78.04HC SBBB ANTIBODY SCREEN
$74.04HC SLOW ACTIVATION
$42.69HC TOTAL HEMOGLOBIN
$6.67HC ULTRASOUND LIMITED SINGLE AREA
$1,465.40HC VENIPUNCTURE W/SPECIMEN
$31.35IOPAMIDOL 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 DRUGS ABUSE SCREEN,URINE(7)COC
$82.65HC 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 QUICK
$6.63HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC SLOW ACTIVATION
$10.15HC TOTAL HEMOGLOBIN
$3.93HC ULTRASOUND LIMITED SINGLE AREA
$115.41HC VENIPUNCTURE W/SPECIMEN
$17.91IOPAMIDOL 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC 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 QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$48.40HC 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 QUICK
$8.40HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC SLOW ACTIVATION
$12.80HC TOTAL HEMOGLOBIN
$2.00HC ULTRASOUND LIMITED SINGLE AREA
$439.40HC VENIPUNCTURE W/SPECIMEN
$9.40IOPAMIDOL 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
$4.01HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$83.27HC 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 QUICK
$5.75HC RH UNIT CONFIRMATION
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC SLOW ACTIVATION
$8.05HC TOTAL HEMOGLOBIN
$3.18HC ULTRASOUND LIMITED SINGLE AREA
$181.06HC VENIPUNCTURE W/SPECIMEN
$12.18IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$83.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$4.01HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$83.27HC 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 QUICK
$5.75HC RH UNIT CONFIRMATION
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC SLOW ACTIVATION
$8.05HC TOTAL HEMOGLOBIN
$3.18HC ULTRASOUND LIMITED SINGLE AREA
$181.06HC VENIPUNCTURE W/SPECIMEN
$12.18IOPAMIDOL 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 DRUGS ABUSE SCREEN,URINE(7)COC
$181.50HC 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 QUICK
$31.50HC RH UNIT CONFIRMATION
$87.75HC SBBB ANTIBODY SCREEN
$83.25HC SLOW ACTIVATION
$48.00HC TOTAL HEMOGLOBIN
$7.50HC ULTRASOUND LIMITED SINGLE AREA
$1,647.75HC VENIPUNCTURE W/SPECIMEN
$35.25IOPAMIDOL 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$157.30HC 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 QUICK
$27.30HC RH UNIT CONFIRMATION
$76.05HC SBBB ANTIBODY SCREEN
$72.15HC SLOW ACTIVATION
$41.60HC TOTAL HEMOGLOBIN
$6.50HC ULTRASOUND LIMITED SINGLE AREA
$1,428.05HC VENIPUNCTURE W/SPECIMEN
$30.55IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$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 DRUGS ABUSE SCREEN,URINE(7)COC
$205.70HC 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 QUICK
$35.70HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC SLOW ACTIVATION
$54.40HC TOTAL HEMOGLOBIN
$8.50HC ULTRASOUND LIMITED SINGLE AREA
$1,867.45HC VENIPUNCTURE W/SPECIMEN
$39.95IOPAMIDOL 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
-$1,643.77Price 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
$3.17HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$65.87HC ECHO-F 2D/M-MODE FOLLOWUP
$325.56HC GLUCOSE TESTING POC
$3.48HC LACTATE (CSF/POC)
$12.26HC PROTHROMBIN TIME QUICK
$4.55HC RH UNIT CONFIRMATION
$3.17HC SBBB ANTIBODY SCREEN
$10.36HC SLOW ACTIVATION
$6.37HC TOTAL HEMOGLOBIN
$2.51HC ULTRASOUND LIMITED SINGLE AREA
$143.23HC VENIPUNCTURE W/SPECIMEN
$9.64This 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
$3.29HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC 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 QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$1.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC 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 QUICK
$25.20HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$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
$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 DRUGS ABUSE SCREEN,URINE(7)COC
$145.20HC 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 QUICK
$25.20HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC SLOW ACTIVATION
$38.40HC TOTAL HEMOGLOBIN
$6.00HC ULTRASOUND LIMITED SINGLE AREA
$1,318.20HC VENIPUNCTURE W/SPECIMEN
$28.20IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.19This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC 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 QUICK
$3.47HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.88This 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
-$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 DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC 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 QUICK
$3.47HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$59.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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 DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC 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 QUICK
$3.47HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$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 DRUGS ABUSE SCREEN,URINE(7)COC
$50.34HC 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 QUICK
$3.47HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC SLOW ACTIVATION
$4.87HC TOTAL HEMOGLOBIN
$1.92HC ULTRASOUND LIMITED SINGLE AREA
$246.56HC VENIPUNCTURE W/SPECIMEN
$2.43IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$59.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC ECHO-F 2D/M-MODE FOLLOWUP
$307.13HC GLUCOSE TESTING POC
$3.28HC LACTATE (CSF/POC)
$11.57HC PROTHROMBIN TIME QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09This 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
$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
$4.49HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$93.21HC 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 QUICK
$6.43HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC SLOW ACTIVATION
$9.02HC TOTAL HEMOGLOBIN
$3.56HC ULTRASOUND LIMITED SINGLE AREA
$202.68HC VENIPUNCTURE W/SPECIMEN
$13.63IOPAMIDOL 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
-$1,638.37Price 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
$3.29HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$68.35HC 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 QUICK
$4.72HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC SLOW ACTIVATION
$6.61HC TOTAL HEMOGLOBIN
$2.61HC ULTRASOUND LIMITED SINGLE AREA
$148.63HC VENIPUNCTURE W/SPECIMEN
$10.00IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$1,787.00Insurance 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
$2.99HC 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 DRUGS ABUSE SCREEN,URINE(7)COC
$62.14HC 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 QUICK
$4.29HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC SLOW ACTIVATION
$6.01HC TOTAL HEMOGLOBIN
$2.37HC ULTRASOUND LIMITED SINGLE AREA
$135.12HC VENIPUNCTURE W/SPECIMEN
$9.09IOPAMIDOL 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.