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
Price Negotiated by Insurer
$16,443.97Deductible 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 WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$400.00HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC TIBIA FIBULA
$113.54This 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
Price Negotiated by Insurer
$11,417.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.31BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$8.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.74EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$4.66FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$6.01HC CBC WO DIFFERENTIAL
$47.49HC FEMORAL NERVE BLOCK SINGLE
$2,696.00HC GAIT TRAINING 15 MIN MCAL
$108.42HC GLUCOSE TESTING POC
$17.18HC KNEE 1-2 VIEWS
$119.40HC PT INIT EVAL MODERATE
$339.30HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$134.37HC TIBIA FIBULA
$107.93HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$28.47INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.72KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$3.01MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.61PREDNISONE 50 MG TABLET [6498]
$0.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.80ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.20This 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
Price Negotiated by Insurer
$24,665.96Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$18.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.08HC CBC WO DIFFERENTIAL
$9.70HC FEMORAL NERVE BLOCK SINGLE
$1,296.06HC GAIT TRAINING 15 MIN MCAL
$229.50HC GLUCOSE TESTING POC
$4.92HC KNEE 1-2 VIEWS
$170.31HC PT INIT EVAL MODERATE
$833.85HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC TIBIA FIBULA
$170.31HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.02MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PREDNISONE 50 MG TABLET [6498]
$0.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$18,088.37Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$12.05DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.79HC CBC WO DIFFERENTIAL
$7.12HC FEMORAL NERVE BLOCK SINGLE
$950.44HC GAIT TRAINING 15 MIN MCAL
$148.50HC GLUCOSE TESTING POC
$3.61HC KNEE 1-2 VIEWS
$124.89HC PT INIT EVAL MODERATE
$539.55HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$161.15HC TIBIA FIBULA
$124.89HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.18INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.95KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.66MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$2.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29PREDNISONE 50 MG TABLET [6498]
$0.22PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.32TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This 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
Price Negotiated by Insurer
$16,443.97Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$12.05DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.79HC CBC WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GAIT TRAINING 15 MIN MCAL
$148.50HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC PT INIT EVAL MODERATE
$539.55HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$161.15HC TIBIA FIBULA
$113.54HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.18INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.90KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.66MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29PREDNISONE 50 MG TABLET [6498]
$0.22PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.32TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.24This 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
Price Negotiated by Insurer
$11,461.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.26BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$2.49DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.57EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.90FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.92HC CBC WO DIFFERENTIAL
$47.07HC FEMORAL NERVE BLOCK SINGLE
$1,833.00HC GAIT TRAINING 15 MIN MCAL
$336.00HC GLUCOSE TESTING POC
$1,833.00HC KNEE 1-2 VIEWS
$108.63HC PT INIT EVAL MODERATE
$336.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$336.00HC TIBIA FIBULA
$108.63HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$2.95INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.39KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$16.68MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.67ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$11.16PREDNISONE 50 MG TABLET [6498]
$0.38PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.26ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$13,979.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.28BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$2.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.81EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.98FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.11HC CBC WO DIFFERENTIAL
$57.41HC FEMORAL NERVE BLOCK SINGLE
$2,356.00HC GAIT TRAINING 15 MIN MCAL
$408.00HC GLUCOSE TESTING POC
$2,356.00HC KNEE 1-2 VIEWS
$132.50HC PT INIT EVAL MODERATE
$408.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$408.00HC TIBIA FIBULA
$132.50HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$3.23INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.90KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$18.26MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.83ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$12.22PREDNISONE 50 MG TABLET [6498]
$0.42PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.28ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$22,481.26Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$4,710.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.53BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$13.78DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.26EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.90FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.40HC CBC WO DIFFERENTIAL
$9.89HC GAIT TRAINING 15 MIN MCAL
$400.00HC GLUCOSE TESTING POC
$7.42HC KNEE 1-2 VIEWS
$491.31HC PT INIT EVAL MODERATE
$400.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$400.00HC TIBIA FIBULA
$564.23HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$4.15INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.38KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.74MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24PREDNISONE 50 MG TABLET [6498]
$0.10PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.15ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.12TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.57This 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
Price Negotiated by Insurer
$3,383.18Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.48BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$10.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.24EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.82FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.27HC CBC WO DIFFERENTIAL
$7.78HC GAIT TRAINING 15 MIN MCAL
$287.00HC GLUCOSE TESTING POC
$5.83HC KNEE 1-2 VIEWS
$386.37HC PT INIT EVAL MODERATE
$287.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$287.00HC TIBIA FIBULA
$443.72HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$3.77INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.16KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.58MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.38ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.22PREDNISONE 50 MG TABLET [6498]
$0.09PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.11TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.22This 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
Price Negotiated by Insurer
$16,443.97Deductible 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 WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC TIBIA FIBULA
$113.54This 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
Price Negotiated by Insurer
$24,665.96Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$18.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC CBC WO DIFFERENTIAL
$9.70HC FEMORAL NERVE BLOCK SINGLE
$1,296.06HC GAIT TRAINING 15 MIN MCAL
$229.50HC GLUCOSE TESTING POC
$4.92HC KNEE 1-2 VIEWS
$170.31HC PT INIT EVAL MODERATE
$833.85HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC TIBIA FIBULA
$170.31HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.02MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PREDNISONE 50 MG TABLET [6498]
$0.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.31ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$22,199.36Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$8.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.51HC CBC WO DIFFERENTIAL
$8.73HC FEMORAL NERVE BLOCK SINGLE
$1,166.45HC GAIT TRAINING 15 MIN MCAL
$108.00HC GLUCOSE TESTING POC
$4.43HC KNEE 1-2 VIEWS
$153.28HC PT INIT EVAL MODERATE
$392.40HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC TIBIA FIBULA
$153.28HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.13INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.48MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PREDNISONE 50 MG TABLET [6498]
$0.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.23TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
Price Negotiated by Insurer
$16,443.97Deductible 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 WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC TIBIA FIBULA
$113.54This 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
Price Negotiated by Insurer
$16,443.97Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$8.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.57HC CBC WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GAIT TRAINING 15 MIN MCAL
$108.00HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC PT INIT EVAL MODERATE
$392.40HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC TIBIA FIBULA
$113.54HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.27INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.66KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.48MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PREDNISONE 50 MG TABLET [6498]
$0.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.23TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
Price Negotiated by Insurer
$26,968.11Deductible 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 WO DIFFERENTIAL
$10.61HC FEMORAL NERVE BLOCK SINGLE
$1,417.03HC GLUCOSE TESTING POC
$5.38HC KNEE 1-2 VIEWS
$186.21HC TIBIA FIBULA
$186.21This 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
Price Negotiated by Insurer
$27,132.55Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.05BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$7.67DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.11EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.81FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.84HC CBC WO DIFFERENTIAL
$10.68HC FEMORAL NERVE BLOCK SINGLE
$936.00HC GAIT TRAINING 15 MIN MCAL
$94.50HC GLUCOSE TESTING POC
$5.41HC KNEE 1-2 VIEWS
$187.34HC PT INIT EVAL MODERATE
$343.35HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$102.55HC TIBIA FIBULA
$187.34HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$2.70INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.83MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.14ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.09PREDNISONE 50 MG TABLET [6498]
$0.01PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.09ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.07TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$5.88This 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
Price Negotiated by Insurer
$16,443.97Deductible 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 WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC TIBIA FIBULA
$113.54This 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
Price Negotiated by Insurer
$24,665.96Deductible 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 WO DIFFERENTIAL
$9.70HC FEMORAL NERVE BLOCK SINGLE
$1,296.06HC GLUCOSE TESTING POC
$4.92HC KNEE 1-2 VIEWS
$170.31HC TIBIA FIBULA
$170.31This 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
Price Negotiated by Insurer
$16,443.97Deductible 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 WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC TIBIA FIBULA
$113.54This 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
Price Negotiated by Insurer
$22,034.92Deductible 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 WO DIFFERENTIAL
$8.67HC FEMORAL NERVE BLOCK SINGLE
$1,157.81HC GLUCOSE TESTING POC
$4.40HC KNEE 1-2 VIEWS
$152.14HC TIBIA FIBULA
$152.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$22,034.92Deductible 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 WO DIFFERENTIAL
$8.67HC FEMORAL NERVE BLOCK SINGLE
$1,157.81HC GLUCOSE TESTING POC
$4.40HC KNEE 1-2 VIEWS
$152.14HC TIBIA FIBULA
$152.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$22,481.26Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$22,940.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$17,430.61Deductible 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 WO DIFFERENTIAL
$6.86HC FEMORAL NERVE BLOCK SINGLE
$915.88HC GLUCOSE TESTING POC
$3.48HC KNEE 1-2 VIEWS
$120.35HC TIBIA FIBULA
$120.35This 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
Price Negotiated by Insurer
$22,251.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
Price Negotiated by Insurer
$18,088.37Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$8.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.51HC CBC WO DIFFERENTIAL
$7.12HC FEMORAL NERVE BLOCK SINGLE
$950.44HC GAIT TRAINING 15 MIN MCAL
$108.00HC GLUCOSE TESTING POC
$3.61HC KNEE 1-2 VIEWS
$124.89HC PT INIT EVAL MODERATE
$392.40HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$117.20HC TIBIA FIBULA
$124.89HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.27INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.48MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PREDNISONE 50 MG TABLET [6498]
$0.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.08TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.72This 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
Price Negotiated by Insurer
$29,673.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.85BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$10.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CBC WO DIFFERENTIAL
$5.24HC FEMORAL NERVE BLOCK SINGLE
$912.00HC GAIT TRAINING 15 MIN MCAL
$396.00HC GLUCOSE TESTING POC
$2.66HC KNEE 1-2 VIEWS
$114.69HC PT INIT EVAL MODERATE
$396.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$396.00HC TIBIA FIBULA
$114.69HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.34INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.60MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PREDNISONE 50 MG TABLET [6498]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.29TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$48,045.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.85BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$10.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CBC WO DIFFERENTIAL
$5.24HC FEMORAL NERVE BLOCK SINGLE
$912.00HC GAIT TRAINING 15 MIN MCAL
$281.00HC GLUCOSE TESTING POC
$2.66HC KNEE 1-2 VIEWS
$114.69HC PT INIT EVAL MODERATE
$281.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$281.00HC TIBIA FIBULA
$114.69HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.17INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.60MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PREDNISONE 50 MG TABLET [6498]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.29TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$31,101.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.85BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$10.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CBC WO DIFFERENTIAL
$5.24HC FEMORAL NERVE BLOCK SINGLE
$912.00HC GAIT TRAINING 15 MIN MCAL
$213.00HC GLUCOSE TESTING POC
$2.66HC KNEE 1-2 VIEWS
$114.69HC PT INIT EVAL MODERATE
$213.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$213.00HC TIBIA FIBULA
$114.69HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.17INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.60MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PREDNISONE 50 MG TABLET [6498]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.11TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$28,895.00Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.85BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$10.96DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.01FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.64HC CBC WO DIFFERENTIAL
$5.24HC FEMORAL NERVE BLOCK SINGLE
$912.00HC GAIT TRAINING 15 MIN MCAL
$196.00HC GLUCOSE TESTING POC
$6.00HC KNEE 1-2 VIEWS
$114.69HC PT INIT EVAL MODERATE
$196.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$196.00HC TIBIA FIBULA
$114.69HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.17INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$0.60MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PREDNISONE 50 MG TABLET [6498]
$0.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.29TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$8.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$24,665.96Deductible 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 WO DIFFERENTIAL
$9.70HC FEMORAL NERVE BLOCK SINGLE
$1,296.06HC GLUCOSE TESTING POC
$4.92HC KNEE 1-2 VIEWS
$170.31HC TIBIA FIBULA
$170.31This 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
Price Negotiated by Insurer
$18,088.37Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$18.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC CBC WO DIFFERENTIAL
$7.12HC FEMORAL NERVE BLOCK SINGLE
$950.44HC GAIT TRAINING 15 MIN MCAL
$229.50HC GLUCOSE TESTING POC
$3.61HC KNEE 1-2 VIEWS
$124.89HC PT INIT EVAL MODERATE
$833.85HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC TIBIA FIBULA
$124.89HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.02MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PREDNISONE 50 MG TABLET [6498]
$0.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$16,443.97Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION [153079]
$18.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95EPINEPHRINE HCL 50 MCG/5 ML(10 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE [211782]
$0.02FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.08HC CBC WO DIFFERENTIAL
$6.47HC FEMORAL NERVE BLOCK SINGLE
$864.04HC GAIT TRAINING 15 MIN MCAL
$229.50HC GLUCOSE TESTING POC
$3.28HC KNEE 1-2 VIEWS
$113.54HC PT INIT EVAL MODERATE
$833.85HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$249.05HC TIBIA FIBULA
$113.54HYDROMORPHONE FOR SCD (PF) 50 MG/50 ML IN NS IV PCA SYRINGE [4081932]
$0.28INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [91349]
$1.02MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.17ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PREDNISONE 50 MG TABLET [6498]
$0.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION [18192]
$0.49TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$14.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.