CPT 74177
The standard charge for CT scan of abdomen & pelvis with contrast material is $3,967.00. 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
$3,967.00Insurance Discount
-$3,173.60Price Negotiated by Insurer
$793.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00HC ROUTINE URINALYSIS
$6.60HC SBBB PHLEBOTOMY
$40.00HC SOM LIPASE RANDOM URINE
$13.42IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89This 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
$3,967.00Insurance Discount
-$1,603.00Price Negotiated by Insurer
$2,364.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.58HC COMPREHENSIVE METABOLIC PANEL
$42.51HC INTRODUCER 3FR TEARAWAY
$51.62HC ROUTINE URINALYSIS
$20.04HC SBBB PHLEBOTOMY
$121.46HC SOM LIPASE RANDOM URINE
$40.75IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,286.35Price Negotiated by Insurer
$680.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM LIPASE RANDOM URINE
$10.34IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,467.85Price Negotiated by Insurer
$499.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$46.75HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM LIPASE RANDOM URINE
$7.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$63.75HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89IOPAMIDOL 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
$3,967.00Insurance Discount
-$2,507.19Price Negotiated by Insurer
$1,459.81Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$56.57HC COMPREHENSIVE METABOLIC PANEL
$76.99HC INTRODUCER 3FR TEARAWAY
$41.16HC ROUTINE URINALYSIS
$22.24HC SOM LIPASE RANDOM URINE
$50.05IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$2.57This 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
$3,967.00Insurance Discount
-$1,637.18Price Negotiated by Insurer
$2,329.82Deductible 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 CBC W WBC AUTO DIFF
$11.48HC COMPREHENSIVE METABOLIC PANEL
$15.63HC INTRODUCER 3FR TEARAWAY
$49.92HC ROUTINE URINALYSIS
$4.51HC SOM LIPASE RANDOM URINE
$10.16IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,559.03Price Negotiated by Insurer
$2,407.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.56HC COMPREHENSIVE METABOLIC PANEL
$42.49HC INTRODUCER 3FR TEARAWAY
$51.94HC ROUTINE URINALYSIS
$20.03HC SBBB PHLEBOTOMY
$121.40HC SOM LIPASE RANDOM URINE
$40.73IOPAMIDOL 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
$3,967.00Insurance Discount
-$2,392.10Price Negotiated by Insurer
$1,574.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$20.64HC COMPREHENSIVE METABOLIC PANEL
$27.79HC INTRODUCER 3FR TEARAWAY
$33.91HC ROUTINE URINALYSIS
$13.10HC SBBB PHLEBOTOMY
$79.40HC SOM LIPASE RANDOM URINE
$26.64IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,785.15Price Negotiated by Insurer
$2,181.85Deductible 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 CBC W WBC AUTO DIFF
$28.60HC COMPREHENSIVE METABOLIC PANEL
$38.50HC INTRODUCER 3FR TEARAWAY
$46.75HC ROUTINE URINALYSIS
$18.15HC SBBB PHLEBOTOMY
$200.00HC SOM LIPASE RANDOM URINE
$67.10IOPAMIDOL 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
$3,967.00Insurance Discount
-$793.40Price Negotiated by Insurer
$3,173.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$41.60HC COMPREHENSIVE METABOLIC PANEL
$56.00HC INTRODUCER 3FR TEARAWAY
$68.00HC ROUTINE URINALYSIS
$26.40HC SBBB PHLEBOTOMY
$160.00HC SOM LIPASE RANDOM URINE
$53.68IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$3,967.00Insurance Discount
-$1,428.12Price Negotiated by Insurer
$2,538.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$33.28HC COMPREHENSIVE METABOLIC PANEL
$44.80HC INTRODUCER 3FR TEARAWAY
$54.40HC ROUTINE URINALYSIS
$21.12HC SBBB PHLEBOTOMY
$128.00HC SOM LIPASE RANDOM URINE
$42.94IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$3,967.00Insurance Discount
-$1,031.42Price Negotiated by Insurer
$2,935.58Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC INTRODUCER 3FR TEARAWAY
$62.90HC ROUTINE URINALYSIS
$24.42HC SBBB PHLEBOTOMY
$148.00HC SOM LIPASE RANDOM URINE
$49.65IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$3,967.00Insurance Discount
-$3,286.35Price Negotiated by Insurer
$680.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM LIPASE RANDOM URINE
$10.34IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,467.85Price Negotiated by Insurer
$499.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM LIPASE RANDOM URINE
$7.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,354.41Price Negotiated by Insurer
$612.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$10.49HC COMPREHENSIVE METABOLIC PANEL
$14.26HC INTRODUCER 3FR TEARAWAY
$34.00HC ROUTINE URINALYSIS
$4.28HC SBBB PHLEBOTOMY
$12.27HC SOM LIPASE RANDOM URINE
$9.30IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$34.00HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89IOPAMIDOL 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
$3,967.00Insurance Discount
-$595.05Price Negotiated by Insurer
$3,371.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$28.05HC SBBB PHLEBOTOMY
$170.00HC SOM LIPASE RANDOM URINE
$57.03IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,586.80Price Negotiated by Insurer
$2,380.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM LIPASE RANDOM URINE
$40.26IOPAMIDOL 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
$3,967.00Insurance Discount
-$396.70Price Negotiated by Insurer
$3,570.30Deductible 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 CBC W WBC AUTO DIFF
$46.80HC COMPREHENSIVE METABOLIC PANEL
$63.00HC INTRODUCER 3FR TEARAWAY
$76.50HC ROUTINE URINALYSIS
$29.70HC SBBB PHLEBOTOMY
$180.00HC SOM LIPASE RANDOM URINE
$60.39IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.78This 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
$3,967.00Insurance Discount
-$3,222.82Price Negotiated by Insurer
$744.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$12.74HC COMPREHENSIVE METABOLIC PANEL
$17.32HC ROUTINE URINALYSIS
$5.20HC SBBB PHLEBOTOMY
$14.91HC SOM LIPASE RANDOM URINE
$11.30This 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
$3,967.00Insurance Discount
-$3,482.30Price Negotiated by Insurer
$484.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.61HC COMPREHENSIVE METABOLIC PANEL
$15.81HC INTRODUCER 3FR TEARAWAY
$0.02HC ROUTINE URINALYSIS
$4.76HC SOM LIPASE RANDOM URINE
$10.46IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89This 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
$3,967.00Insurance Discount
-$3,286.35Price Negotiated by Insurer
$680.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$42.50HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM LIPASE RANDOM URINE
$10.34IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$0.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$3,967.00Insurance Discount
-$1,321.01Price Negotiated by Insurer
$2,645.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$34.68HC COMPREHENSIVE METABOLIC PANEL
$46.69HC INTRODUCER 3FR TEARAWAY
$56.70HC ROUTINE URINALYSIS
$22.01HC SBBB PHLEBOTOMY
$133.40HC SOM LIPASE RANDOM URINE
$44.76IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,431.58Price Negotiated by Insurer
$535.42Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$12.82HC COMPREHENSIVE METABOLIC PANEL
$17.46HC INTRODUCER 3FR TEARAWAY
$0.02HC ROUTINE URINALYSIS
$5.26HC SBBB PHLEBOTOMY
$76.20HC SOM LIPASE RANDOM URINE
$11.55IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$52.62HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,173.60Price Negotiated by Insurer
$793.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00HC ROUTINE URINALYSIS
$6.60HC SBBB PHLEBOTOMY
$40.00HC SOM LIPASE RANDOM URINE
$13.42IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$1.55This 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
$3,967.00Insurance Discount
-$3,358.95Price Negotiated by Insurer
$608.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50HC ROUTINE URINALYSIS
$4.25HC SBBB PHLEBOTOMY
$12.18HC SOM LIPASE RANDOM URINE
$9.23IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,358.95Price Negotiated by Insurer
$608.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$10.41HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50HC ROUTINE URINALYSIS
$4.25HC SBBB PHLEBOTOMY
$12.18HC SOM LIPASE RANDOM URINE
$9.23IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$3.72This 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
$3,967.00Insurance Discount
-$991.75Price Negotiated by Insurer
$2,975.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$39.00HC COMPREHENSIVE METABOLIC PANEL
$52.50HC INTRODUCER 3FR TEARAWAY
$63.75HC ROUTINE URINALYSIS
$24.75HC SBBB PHLEBOTOMY
$150.00HC SOM LIPASE RANDOM URINE
$50.33IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,388.45Price Negotiated by Insurer
$2,578.55Deductible 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 CBC W WBC AUTO DIFF
$33.80HC COMPREHENSIVE METABOLIC PANEL
$45.50HC INTRODUCER 3FR TEARAWAY
$55.25HC ROUTINE URINALYSIS
$21.45HC SBBB PHLEBOTOMY
$130.00HC SOM LIPASE RANDOM URINE
$43.62IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89This 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
$3,967.00Insurance Discount
-$595.05Price Negotiated by Insurer
$3,371.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$28.05HC SBBB PHLEBOTOMY
$170.00HC SOM LIPASE RANDOM URINE
$57.03IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,486.00Price Negotiated by Insurer
$481.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$8.24HC COMPREHENSIVE METABOLIC PANEL
$11.19HC ROUTINE URINALYSIS
$3.36HC SBBB PHLEBOTOMY
$9.64HC SOM LIPASE RANDOM URINE
$7.30This 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
$3,967.00Insurance Discount
-$3,467.85Price Negotiated by Insurer
$499.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$34.00HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM LIPASE RANDOM URINE
$7.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,586.80Price Negotiated by Insurer
$2,380.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM LIPASE RANDOM URINE
$40.26IOPAMIDOL 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
$3,967.00Insurance Discount
-$1,586.80Price Negotiated by Insurer
$2,380.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC ROUTINE URINALYSIS
$19.80HC SBBB PHLEBOTOMY
$120.00HC SOM LIPASE RANDOM URINE
$40.26IOPAMIDOL 76% INTRAVENOUS SOLUTION MULTIDOSE [40810328]
$4.66This 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
$3,967.00Insurance Discount
-$2,480.82Price Negotiated by Insurer
$1,486.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM LIPASE RANDOM URINE
$5.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$2,480.82Price Negotiated by Insurer
$1,486.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM LIPASE RANDOM URINE
$5.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$2,480.82Price Negotiated by Insurer
$1,486.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM LIPASE RANDOM URINE
$5.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$2,480.82Price Negotiated by Insurer
$1,486.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$6.29HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC ROUTINE URINALYSIS
$2.56HC SBBB PHLEBOTOMY
$2.43HC SOM LIPASE RANDOM URINE
$5.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89This 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
$3,967.00Insurance Discount
-$3,286.35Price Negotiated by Insurer
$680.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$11.65HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$4.75HC SBBB PHLEBOTOMY
$13.63HC SOM LIPASE RANDOM URINE
$10.34IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,467.85Price Negotiated by Insurer
$499.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$8.55HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$3.49HC SBBB PHLEBOTOMY
$10.00HC SOM LIPASE RANDOM URINE
$7.58IOPAMIDOL 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
$3,967.00Insurance Discount
-$3,513.23Price Negotiated by Insurer
$453.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC W WBC AUTO DIFF
$7.77HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25HC ROUTINE URINALYSIS
$3.17HC SBBB PHLEBOTOMY
$9.09HC SOM LIPASE RANDOM URINE
$6.89IOPAMIDOL 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.