CPT 96417
The standard charge for Chemotherapy infusion-additional IV pushes of the same medication is $472.00. 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
$472.00Insurance Discount
-$377.60Price Negotiated by Insurer
$94.40Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.20HC CBC W WBC AUTO DIFF
$10.40HC CHEMO INFUSION EA ADDL HR
$126.20HC CHEMO INFUSION INITIAL
$353.20HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$43.74SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$11.02This 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
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$7.86HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$400.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$53.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$53.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$185.35Price Negotiated by Insurer
$286.65Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$474.22HC CBC W WBC AUTO DIFF
$31.58HC CHEMO INFUSION EA ADDL HR
$383.21HC CHEMO INFUSION INITIAL
$1,072.49HC COMPREHENSIVE METABOLIC PANEL
$42.51HC INTRODUCER 3FR TEARAWAY
$51.62HC IV PUSH EA ADDL SEQ NEW DRUG
$363.17ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$393.53SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$393.53SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.08This 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
$472.00Insurance Discount
-$336.35Price Negotiated by Insurer
$135.65Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.73HC CBC W WBC AUTO DIFF
$11.65HC CHEMO INFUSION EA ADDL HR
$135.65HC CHEMO INFUSION INITIAL
$632.17HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.69SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.40This 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
$472.00Insurance Discount
-$372.53Price Negotiated by Insurer
$99.47Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.72HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$99.47HC CHEMO INFUSION INITIAL
$463.60HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$46.75HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$49.37SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.26SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$30.89This 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
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$12.56HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$63.75HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$12.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.15SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$40.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Price Negotiated by Insurer
$742.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02HC CBC W WBC AUTO DIFF
$56.57HC CHEMO INFUSION EA ADDL HR
$742.00HC CHEMO INFUSION INITIAL
$742.00HC COMPREHENSIVE METABOLIC PANEL
$76.99HC INTRODUCER 3FR TEARAWAY
$41.16HC IV PUSH EA ADDL SEQ NEW DRUG
$742.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$9.99SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.15SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Price Negotiated by Insurer
$990.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.38HC CBC W WBC AUTO DIFF
$11.48HC CHEMO INFUSION EA ADDL HR
$990.00HC CHEMO INFUSION INITIAL
$990.00HC COMPREHENSIVE METABOLIC PANEL
$15.63HC INTRODUCER 3FR TEARAWAY
$49.92HC IV PUSH EA ADDL SEQ NEW DRUG
$990.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$13.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.80SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$63.28This 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
$472.00Insurance Discount
-$259.60Price Negotiated by Insurer
$212.40Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.94HC CBC W WBC AUTO DIFF
$23.40HC CHEMO INFUSION EA ADDL HR
$283.95HC CHEMO INFUSION INITIAL
$794.70HC COMPREHENSIVE METABOLIC PANEL
$31.50HC INTRODUCER 3FR TEARAWAY
$38.25HC IV PUSH EA ADDL SEQ NEW DRUG
$269.10ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$18.48SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$10.92This 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
$472.00Insurance Discount
-$94.40Price Negotiated by Insurer
$377.60Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$42.24HC CBC W WBC AUTO DIFF
$41.60HC CHEMO INFUSION EA ADDL HR
$504.80HC CHEMO INFUSION INITIAL
$1,412.80HC COMPREHENSIVE METABOLIC PANEL
$56.00HC INTRODUCER 3FR TEARAWAY
$68.00HC IV PUSH EA ADDL SEQ NEW DRUG
$478.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.03SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$181.49SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$16.76This 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
$472.00Insurance Discount
-$169.92Price Negotiated by Insurer
$302.08Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.46HC CBC W WBC AUTO DIFF
$33.28HC CHEMO INFUSION EA ADDL HR
$403.84HC CHEMO INFUSION INITIAL
$1,130.24HC COMPREHENSIVE METABOLIC PANEL
$44.80HC INTRODUCER 3FR TEARAWAY
$54.40HC IV PUSH EA ADDL SEQ NEW DRUG
$382.72ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$267.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$126.07SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$453.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$122.72Price Negotiated by Insurer
$349.28Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$533.47HC CBC W WBC AUTO DIFF
$38.48HC CHEMO INFUSION EA ADDL HR
$466.94HC CHEMO INFUSION INITIAL
$1,306.84HC COMPREHENSIVE METABOLIC PANEL
$51.80HC INTRODUCER 3FR TEARAWAY
$62.90HC IV PUSH EA ADDL SEQ NEW DRUG
$442.52ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$168.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$40.32This 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
$472.00Insurance Discount
-$336.35Price Negotiated by Insurer
$135.65Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$13.89HC CBC W WBC AUTO DIFF
$11.65HC CHEMO INFUSION EA ADDL HR
$135.65HC CHEMO INFUSION INITIAL
$632.17HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$110.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$372.53Price Negotiated by Insurer
$99.47Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.01HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$99.47HC CHEMO INFUSION INITIAL
$463.60HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$17.85SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.68SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01This 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
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.35HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$12.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$472.00Insurance Discount
-$349.92Price Negotiated by Insurer
$122.08Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$65.30HC CBC W WBC AUTO DIFF
$10.49HC CHEMO INFUSION EA ADDL HR
$122.08HC CHEMO INFUSION INITIAL
$568.96HC COMPREHENSIVE METABOLIC PANEL
$14.26HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$79.15ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.22SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$10.61SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$75.28This 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
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$43.46HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.94This 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
$472.00Insurance Discount
-$70.80Price Negotiated by Insurer
$401.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$137.90HC CBC W WBC AUTO DIFF
$44.20HC CHEMO INFUSION EA ADDL HR
$536.35HC CHEMO INFUSION INITIAL
$1,501.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.96SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$140.49SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.20This 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
$472.00Insurance Discount
-$188.80Price Negotiated by Insurer
$283.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.64HC CBC W WBC AUTO DIFF
$31.20HC CHEMO INFUSION EA ADDL HR
$378.60HC CHEMO INFUSION INITIAL
$1,059.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$395.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.56SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$351.68This 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
$472.00Insurance Discount
-$47.20Price Negotiated by Insurer
$424.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.60HC CBC W WBC AUTO DIFF
$46.80HC CHEMO INFUSION EA ADDL HR
$567.90HC CHEMO INFUSION INITIAL
$1,589.40HC COMPREHENSIVE METABOLIC PANEL
$63.00HC INTRODUCER 3FR TEARAWAY
$76.50HC IV PUSH EA ADDL SEQ NEW DRUG
$538.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$243.01SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$685.89SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$592.62This 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
$472.00Insurance Discount
-$323.69Price Negotiated by Insurer
$148.31Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$15.04HC CBC W WBC AUTO DIFF
$12.74HC CHEMO INFUSION EA ADDL HR
$148.31HC CHEMO INFUSION INITIAL
$691.18HC COMPREHENSIVE METABOLIC PANEL
$17.32HC IV PUSH EA ADDL SEQ NEW DRUG
$96.15ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$15.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$15.04SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$436.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$386.13Price Negotiated by Insurer
$85.87Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$150.41HC CBC W WBC AUTO DIFF
$11.61HC CHEMO INFUSION EA ADDL HR
$36.96HC CHEMO INFUSION INITIAL
$174.62HC COMPREHENSIVE METABOLIC PANEL
$15.81HC INTRODUCER 3FR TEARAWAY
$0.02HC IV PUSH EA ADDL SEQ NEW DRUG
$973.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$32.42SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.78SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$32.42This 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
$472.00Insurance Discount
-$360.77Price Negotiated by Insurer
$111.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.44HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$111.23HC CHEMO INFUSION INITIAL
$518.38HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.44SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.44SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$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
$472.00Insurance Discount
-$157.18Price Negotiated by Insurer
$314.82Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.62HC CBC W WBC AUTO DIFF
$34.68HC CHEMO INFUSION EA ADDL HR
$420.88HC CHEMO INFUSION INITIAL
$1,177.92HC COMPREHENSIVE METABOLIC PANEL
$46.69HC INTRODUCER 3FR TEARAWAY
$56.70HC IV PUSH EA ADDL SEQ NEW DRUG
$398.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.60SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.30This 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
$472.00Insurance Discount
-$417.68Price Negotiated by Insurer
$54.32Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$20.96HC CBC W WBC AUTO DIFF
$12.82HC CHEMO INFUSION EA ADDL HR
$40.83HC CHEMO INFUSION INITIAL
$54.32HC COMPREHENSIVE METABOLIC PANEL
$17.46HC INTRODUCER 3FR TEARAWAY
$0.02HC IV PUSH EA ADDL SEQ NEW DRUG
$40.45ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.45SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$286.46SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$20.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.53HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$52.62HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.18SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.23SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.54This 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
$472.00Insurance Discount
-$377.60Price Negotiated by Insurer
$94.40Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.23HC CBC W WBC AUTO DIFF
$10.40HC CHEMO INFUSION EA ADDL HR
$126.20HC CHEMO INFUSION INITIAL
$353.20HC COMPREHENSIVE METABOLIC PANEL
$14.00HC INTRODUCER 3FR TEARAWAY
$17.00HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.15SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$156.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$350.82Price Negotiated by Insurer
$121.18Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1,844.90HC CBC W WBC AUTO DIFF
$10.41HC CHEMO INFUSION EA ADDL HR
$121.18HC CHEMO INFUSION INITIAL
$564.74HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.50SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$19.73SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$350.82Price Negotiated by Insurer
$121.18Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.51HC CBC W WBC AUTO DIFF
$10.41HC CHEMO INFUSION EA ADDL HR
$121.18HC CHEMO INFUSION INITIAL
$564.74HC COMPREHENSIVE METABOLIC PANEL
$14.15HC INTRODUCER 3FR TEARAWAY
$59.50HC IV PUSH EA ADDL SEQ NEW DRUG
$78.56ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$31.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.06SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$64.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$118.00Price Negotiated by Insurer
$354.00Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.86HC CBC W WBC AUTO DIFF
$39.00HC CHEMO INFUSION EA ADDL HR
$473.25HC CHEMO INFUSION INITIAL
$1,324.50HC COMPREHENSIVE METABOLIC PANEL
$52.50HC INTRODUCER 3FR TEARAWAY
$63.75HC IV PUSH EA ADDL SEQ NEW DRUG
$448.50ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.67SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.44This 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
$472.00Insurance Discount
-$165.20Price Negotiated by Insurer
$306.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$5.28HC CBC W WBC AUTO DIFF
$33.80HC CHEMO INFUSION EA ADDL HR
$410.15HC CHEMO INFUSION INITIAL
$1,147.90HC COMPREHENSIVE METABOLIC PANEL
$45.50HC INTRODUCER 3FR TEARAWAY
$55.25HC IV PUSH EA ADDL SEQ NEW DRUG
$388.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$69.78This 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
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$15.58HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$5.86SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$65.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$70.80Price Negotiated by Insurer
$401.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$22.17HC CBC W WBC AUTO DIFF
$44.20HC CHEMO INFUSION EA ADDL HR
$536.35HC CHEMO INFUSION INITIAL
$1,501.10HC COMPREHENSIVE METABOLIC PANEL
$59.50HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$508.30ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$42.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.16SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$31.91This 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
$472.00Insurance Discount
-$376.14Price Negotiated by Insurer
$95.86Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$114.51HC CBC W WBC AUTO DIFF
$8.24HC CHEMO INFUSION EA ADDL HR
$95.86HC CHEMO INFUSION INITIAL
$446.74HC COMPREHENSIVE METABOLIC PANEL
$11.19HC IV PUSH EA ADDL SEQ NEW DRUG
$62.15ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.13SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.47SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$372.53Price Negotiated by Insurer
$99.47Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.70HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$99.47HC CHEMO INFUSION INITIAL
$463.60HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$34.00HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$10.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.12SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.46This 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
$472.00Insurance Discount
-$188.80Price Negotiated by Insurer
$283.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.11HC CBC W WBC AUTO DIFF
$31.20HC CHEMO INFUSION EA ADDL HR
$378.60HC CHEMO INFUSION INITIAL
$1,059.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.07SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.32SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.30This 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
$472.00Insurance Discount
-$188.80Price Negotiated by Insurer
$283.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$7.81HC CBC W WBC AUTO DIFF
$31.20HC CHEMO INFUSION EA ADDL HR
$378.60HC CHEMO INFUSION INITIAL
$1,059.60HC COMPREHENSIVE METABOLIC PANEL
$42.00HC INTRODUCER 3FR TEARAWAY
$51.00HC IV PUSH EA ADDL SEQ NEW DRUG
$70.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.06SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$15.00This 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
$472.00Price Negotiated by Insurer
$1,461.00Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.08HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$1,461.00HC CHEMO INFUSION INITIAL
$1,461.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$676.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$1.33SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.30SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.22This 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
$472.00Price Negotiated by Insurer
$1,352.00Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$4.31HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$1,352.00HC CHEMO INFUSION INITIAL
$1,352.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$663.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.75SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.20This 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
$472.00Price Negotiated by Insurer
$887.00Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$11.30HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$887.00HC CHEMO INFUSION INITIAL
$887.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$662.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$10.72SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$153.97SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.72This 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
$472.00Price Negotiated by Insurer
$813.00Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.02HC CBC W WBC AUTO DIFF
$6.29HC CHEMO INFUSION EA ADDL HR
$813.00HC CHEMO INFUSION INITIAL
$813.00HC COMPREHENSIVE METABOLIC PANEL
$8.55HC INTRODUCER 3FR TEARAWAY
$42.50HC IV PUSH EA ADDL SEQ NEW DRUG
$605.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.39SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$237.10HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$237.10SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$237.10This 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
$472.00Insurance Discount
-$336.35Price Negotiated by Insurer
$135.65Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$10.79HC CBC W WBC AUTO DIFF
$11.65HC CHEMO INFUSION EA ADDL HR
$135.65HC CHEMO INFUSION INITIAL
$632.17HC COMPREHENSIVE METABOLIC PANEL
$15.84HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$87.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$6.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$66.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$372.53Price Negotiated by Insurer
$99.47Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$8.32HC CBC W WBC AUTO DIFF
$8.55HC CHEMO INFUSION EA ADDL HR
$99.47HC CHEMO INFUSION INITIAL
$463.60HC COMPREHENSIVE METABOLIC PANEL
$11.62HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$64.49ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$816.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.85SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$472.00Insurance Discount
-$381.57Price Negotiated by Insurer
$90.43Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.40HC CBC W WBC AUTO DIFF
$7.77HC CHEMO INFUSION EA ADDL HR
$90.43HC CHEMO INFUSION INITIAL
$421.45HC COMPREHENSIVE METABOLIC PANEL
$10.56HC INTRODUCER 3FR TEARAWAY
$72.25HC IV PUSH EA ADDL SEQ NEW DRUG
$58.63ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$2.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.02SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01This 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.