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
$12,861.31Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31This 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
$11,071.00Deductible 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]
$0.31BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$25.59DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.74HC BASIC METABOLIC PANEL
$62.09HC CBC WO DIFFERENTIAL
$47.49HC CREATININE BODY FLUID
$37.98HC DRSNG HEMOSTAT SURGICEL 2X3
$5.22HC GLUCOSE TESTING POC
$17.18HC MAGNESIUM
$49.21HC PHOSPHORUS
$34.79HC VENIPUNCTURE W SPECIMEN
$15.83INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.72Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$26,109.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.86ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.61PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.06PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.80RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.18TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$692.32TROPICAMIDE 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
$19,291.96Deductible 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]
$1.44BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$13.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC BASIC METABOLIC PANEL
$12.69HC CBC WO DIFFERENTIAL
$9.70HC CREATININE BODY FLUID
$7.77HC DRSNG HEMOSTAT SURGICEL 2X3
$191.17HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC VENIPUNCTURE W SPECIMEN
$12.86INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$19,291.96MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$4.08PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.25TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$969.00TROPICAMIDE 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
$14,147.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.99DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91HC BASIC METABOLIC PANEL
$9.31HC CBC WO DIFFERENTIAL
$7.12HC CREATININE BODY FLUID
$5.70HC DRSNG HEMOSTAT SURGICEL 2X3
$123.70HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC VENIPUNCTURE W SPECIMEN
$9.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.95Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$14,147.44MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$2.00ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.23PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.15TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$627.00TROPICAMIDE 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
$12,861.31Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.99DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC DRSNG HEMOSTAT SURGICEL 2X3
$123.70HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.95Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.40ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.29PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.23PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.15TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$627.00TROPICAMIDE 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
$8,405.00Deductible 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]
$0.26BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$1.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.57HC BASIC METABOLIC PANEL
$61.56HC CBC WO DIFFERENTIAL
$47.07HC CREATININE BODY FLUID
$37.61HC DRSNG HEMOSTAT SURGICEL 2X3
$108.90HC GLUCOSE TESTING POC
$1,833.00HC MAGNESIUM
$48.44HC PHOSPHORUS
$34.43HC VENIPUNCTURE W SPECIMEN
$15.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.39Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$6,419.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.67ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$11.16PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.26RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.14TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$551.99This 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
$10,254.00Deductible 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]
$0.28BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$1.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.81HC BASIC METABOLIC PANEL
$75.09HC CBC WO DIFFERENTIAL
$57.41HC CREATININE BODY FLUID
$45.88HC DRSNG HEMOSTAT SURGICEL 2X3
$132.88HC GLUCOSE TESTING POC
$2,356.00HC MAGNESIUM
$59.08HC PHOSPHORUS
$42.00HC VENIPUNCTURE W SPECIMEN
$19.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.90Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$7,830.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.83ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$12.22PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.32PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.28RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.17TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$673.51This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$17,583.26Deductible 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.
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,583.26This 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
Price Negotiated by Insurer
$3,079.84Deductible 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]
$0.53BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$5.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.26HC BASIC METABOLIC PANEL
$12.36HC CBC WO DIFFERENTIAL
$9.89HC CREATININE BODY FLUID
$9.27HC DRSNG HEMOSTAT SURGICEL 2X3
$141.47HC GLUCOSE TESTING POC
$7.42HC MAGNESIUM
$12.36HC PHOSPHORUS
$9.27HC VENIPUNCTURE W SPECIMEN
$35.84INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.38Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,373.72MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.24PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.02PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.15RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.51TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$717.06TROPICAMIDE 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
$2,212.08Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.48BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$5.43DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.24HC BASIC METABOLIC PANEL
$9.72HC CBC WO DIFFERENTIAL
$7.78HC CREATININE BODY FLUID
$7.29HC DRSNG HEMOSTAT SURGICEL 2X3
$109.98HC GLUCOSE TESTING POC
$5.83HC MAGNESIUM
$9.72HC PHOSPHORUS
$7.29HC VENIPUNCTURE W SPECIMEN
$28.19INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.16Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$8,887.36MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.38ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.22PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.10PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.14RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.46TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$557.46TROPICAMIDE 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
$12,861.31Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31This 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
$19,291.96Deductible 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]
$1.44BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$13.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC BASIC METABOLIC PANEL
$12.69HC CBC WO DIFFERENTIAL
$9.70HC CREATININE BODY FLUID
$7.77HC DRSNG HEMOSTAT SURGICEL 2X3
$191.17HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC VENIPUNCTURE W SPECIMEN
$12.86INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$19,291.96MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.04PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.31RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.24TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$969.00TROPICAMIDE 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
$17,362.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$6.54DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39HC BASIC METABOLIC PANEL
$11.42HC CBC WO DIFFERENTIAL
$8.73HC CREATININE BODY FLUID
$6.99HC DRSNG HEMOSTAT SURGICEL 2X3
$89.96HC GLUCOSE TESTING POC
$4.43HC MAGNESIUM
$9.04HC PHOSPHORUS
$6.40HC VENIPUNCTURE W SPECIMEN
$11.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,362.77MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.92PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.12TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$456.00TROPICAMIDE 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
$12,861.31Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31This 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
$12,861.31Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$6.54DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC DRSNG HEMOSTAT SURGICEL 2X3
$89.96HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.66Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.96PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.11TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$456.00TROPICAMIDE 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
$21,092.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$13.87HC CBC WO DIFFERENTIAL
$10.61HC CREATININE BODY FLUID
$8.50HC GLUCOSE TESTING POC
$5.38HC MAGNESIUM
$10.99HC PHOSPHORUS
$7.77HC VENIPUNCTURE W SPECIMEN
$14.05Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$21,092.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$21,221.16Deductible 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]
$0.05BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$3.79DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.11HC BASIC METABOLIC PANEL
$13.96HC CBC WO DIFFERENTIAL
$10.68HC CREATININE BODY FLUID
$8.55HC DRSNG HEMOSTAT SURGICEL 2X3
$78.72HC GLUCOSE TESTING POC
$5.41HC MAGNESIUM
$11.06HC PHOSPHORUS
$7.82HC VENIPUNCTURE W SPECIMEN
$14.14INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$21,221.16MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.14ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.09PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.78PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.09RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.23TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$399.00TROPICAMIDE 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
$12,861.31Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31This 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
$19,291.96Deductible 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 BASIC METABOLIC PANEL
$12.69HC CBC WO DIFFERENTIAL
$9.70HC CREATININE BODY FLUID
$7.77HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC VENIPUNCTURE W SPECIMEN
$12.86Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$19,291.96This 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
Price Negotiated by Insurer
$12,861.31Deductible 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.
HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31This 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
$17,234.16Deductible 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 BASIC METABOLIC PANEL
$11.34HC CBC WO DIFFERENTIAL
$8.67HC CREATININE BODY FLUID
$6.94HC GLUCOSE TESTING POC
$4.40HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC VENIPUNCTURE W SPECIMEN
$11.48Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,234.16This 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
$17,234.16Deductible 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 BASIC METABOLIC PANEL
$11.34HC CBC WO DIFFERENTIAL
$8.67HC CREATININE BODY FLUID
$6.94HC GLUCOSE TESTING POC
$4.40HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC VENIPUNCTURE W SPECIMEN
$11.48Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,234.16This 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
$17,583.26Deductible 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.
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,583.26This 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
Price Negotiated by Insurer
$17,942.10Deductible 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.
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,942.10This 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
Price Negotiated by Insurer
$13,632.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.97HC CBC WO DIFFERENTIAL
$6.86HC CREATININE BODY FLUID
$5.49HC GLUCOSE TESTING POC
$3.48HC MAGNESIUM
$7.10HC PHOSPHORUS
$5.02HC VENIPUNCTURE W SPECIMEN
$9.08Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$13,632.99This 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
$17,403.84Deductible 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.
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,403.84This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
Price Negotiated by Insurer
$14,147.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$6.54DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39HC BASIC METABOLIC PANEL
$9.31HC CBC WO DIFFERENTIAL
$7.12HC CREATININE BODY FLUID
$5.70HC DRSNG HEMOSTAT SURGICEL 2X3
$89.96HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC VENIPUNCTURE W SPECIMEN
$9.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$14,147.44MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.21PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.90PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.10RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.12TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$456.00TROPICAMIDE 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]
$0.85BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC BASIC METABOLIC PANEL
$6.85HC CBC WO DIFFERENTIAL
$5.24HC CREATININE BODY FLUID
$4.19HC DRSNG HEMOSTAT SURGICEL 2X3
$112.46HC GLUCOSE TESTING POC
$2.66HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC VENIPUNCTURE W SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$16,813.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.69ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.12PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.14TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$570.00TROPICAMIDE 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]
$0.85BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC BASIC METABOLIC PANEL
$6.85HC CBC WO DIFFERENTIAL
$5.24HC CREATININE BODY FLUID
$4.19HC DRSNG HEMOSTAT SURGICEL 2X3
$112.46HC GLUCOSE TESTING POC
$2.66HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC VENIPUNCTURE W SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$27,445.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.12PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.16TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$570.00TROPICAMIDE 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]
$0.85BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC BASIC METABOLIC PANEL
$6.85HC CBC WO DIFFERENTIAL
$5.24HC CREATININE BODY FLUID
$4.19HC DRSNG HEMOSTAT SURGICEL 2X3
$112.46HC GLUCOSE TESTING POC
$2.66HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC VENIPUNCTURE W SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$17,214.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.54PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.14TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$570.00TROPICAMIDE 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]
$0.85BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$8.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74HC BASIC METABOLIC PANEL
$6.85HC CBC WO DIFFERENTIAL
$5.24HC CREATININE BODY FLUID
$4.19HC DRSNG HEMOSTAT SURGICEL 2X3
$112.46HC GLUCOSE TESTING POC
$2.66HC MAGNESIUM
$5.43HC PHOSPHORUS
$3.84HC VENIPUNCTURE W SPECIMEN
$2.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$15,742.00MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.36ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.12PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.15TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$570.00TROPICAMIDE 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
$19,291.96Deductible 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 BASIC METABOLIC PANEL
$12.69HC CBC WO DIFFERENTIAL
$9.70HC CREATININE BODY FLUID
$7.77HC GLUCOSE TESTING POC
$4.92HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC VENIPUNCTURE W SPECIMEN
$12.86Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$19,291.96This 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
Price Negotiated by Insurer
$14,147.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$13.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC BASIC METABOLIC PANEL
$9.31HC CBC WO DIFFERENTIAL
$7.12HC CREATININE BODY FLUID
$5.70HC DRSNG HEMOSTAT SURGICEL 2X3
$191.17HC GLUCOSE TESTING POC
$3.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC VENIPUNCTURE W SPECIMEN
$9.43INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$14,147.44MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.90PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.25TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$969.00TROPICAMIDE 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
$12,861.31Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [117588]
$13.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95HC BASIC METABOLIC PANEL
$8.46HC CBC WO DIFFERENTIAL
$6.47HC CREATININE BODY FLUID
$5.18HC DRSNG HEMOSTAT SURGICEL 2X3
$191.17HC GLUCOSE TESTING POC
$3.28HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC VENIPUNCTURE W SPECIMEN
$8.57INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy
$12,861.31MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.61ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.45PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.90PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22RESP ONLY: HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION 30 ML [40810176]
$0.23TERLIPRESSIN 0.85 MG INTRAVENOUS POWDER FOR SOLUTION [235956]
$969.00TROPICAMIDE 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.