The standard charge for Biopsy of prostate gland is $4,848.00. 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
HC GLUCOSE TESTING POC
$3.28This 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
$4,848.00Price Negotiated by Insurer
$6,248.00Deductible 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]
$0.31DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$6.01HC CATH FOLEY 3WAY 16FR 30ML
$51.48HC CATH FOLEY SLCN 24FR 2WY 5CC
$42.03HC CATH GUIDT SWIFT NINJA
$396.30HC CATH PRIMO MALE 16" 12FR COUDE
$343.17HC DRSNG WOUND 3.6 X 8" MEDPORE
$8.53HC GLUCOSE TESTING POC
$17.18INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$16.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$4.72MIDAZOLAM 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]
$0.80TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,030.70Price Negotiated by Insurer
$3,817.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.08HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$4.92INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$1.12INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46MIDAZOLAM 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]
$0.22TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,048.64Price Negotiated by Insurer
$2,799.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.70HC CATH FOLEY 3WAY 16FR 30ML
$33.91HC CATH FOLEY SLCN 24FR 2WY 5CC
$22.28HC CATH GUIDT SWIFT NINJA
$2,681.25HC CATH PRIMO MALE 16" 12FR COUDE
$12.18HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.28HC GLUCOSE TESTING POC
$3.61INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.73INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.90MIDAZOLAM 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]
$0.14TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.94DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.91FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.70HC CATH FOLEY 3WAY 16FR 30ML
$33.91HC CATH FOLEY SLCN 24FR 2WY 5CC
$22.28HC CATH GUIDT SWIFT NINJA
$2,681.25HC CATH PRIMO MALE 16" 12FR COUDE
$12.18HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.28HC GLUCOSE TESTING POC
$3.28INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.36INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.95MIDAZOLAM 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]
$0.14TROPICAMIDE 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
$4,848.00Insurance Discount
-$112.00Price Negotiated by Insurer
$4,736.00Deductible 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]
$0.26DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.57FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.92HC CATH FOLEY 3WAY 16FR 30ML
$29.86HC CATH FOLEY SLCN 24FR 2WY 5CC
$19.61HC CATH GUIDT SWIFT NINJA
$2,225.92HC CATH PRIMO MALE 16" 12FR COUDE
$10.72HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.77HC GLUCOSE TESTING POC
$1,833.00INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$7.31INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.39MIDAZOLAM 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]
$0.26This 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
$4,848.00Price Negotiated by Insurer
$5,779.00Deductible 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]
$0.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.81FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$2.11HC CATH FOLEY 3WAY 16FR 30ML
$36.43HC CATH FOLEY SLCN 24FR 2WY 5CC
$23.93HC CATH GUIDT SWIFT NINJA
$2,715.38HC CATH PRIMO MALE 16" 12FR COUDE
$13.08HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.60HC GLUCOSE TESTING POC
$2,356.00INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$8.01INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$5.90MIDAZOLAM 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]
$0.28This 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
$4,848.00Insurance Discount
-$1,939.20Price Negotiated by Insurer
$2,908.80Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.86HC CATH FOLEY 3WAY 16FR 30ML
$37.00HC CATH FOLEY SLCN 24FR 2WY 5CC
$24.31HC CATH GUIDT SWIFT NINJA
$2,925.00HC CATH PRIMO MALE 16" 12FR COUDE
$13.28HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC GLUCOSE TESTING POC
$7.20INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.79INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.98MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$4,848.00Insurance Discount
-$726.45Price Negotiated by Insurer
$4,121.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.26FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.40HC CATH FOLEY 3WAY 16FR 30ML
$38.78HC CATH FOLEY SLCN 24FR 2WY 5CC
$25.48HC CATH GUIDT SWIFT NINJA
$3,656.25HC CATH PRIMO MALE 16" 12FR COUDE
$13.93HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.90HC GLUCOSE TESTING POC
$7.42INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$2.20INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.38MIDAZOLAM 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]
$1.41PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.15TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,887.72Price Negotiated by Insurer
$2,960.28Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.48DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.24FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.27HC CATH FOLEY 3WAY 16FR 30ML
$30.15HC CATH FOLEY SLCN 24FR 2WY 5CC
$19.81HC CATH GUIDT SWIFT NINJA
$2,652.00HC CATH PRIMO MALE 16" 12FR COUDE
$10.83HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.81HC GLUCOSE TESTING POC
$5.87INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$2.00INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$2.16MIDAZOLAM 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]
$0.14TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
HC GLUCOSE TESTING POC
$3.28This 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
$4,848.00Insurance Discount
-$2,666.40Price Negotiated by Insurer
$2,181.60Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.77DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.56FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.64HC CATH FOLEY 3WAY 16FR 30ML
$27.75HC CATH FOLEY SLCN 24FR 2WY 5CC
$18.23HC CATH GUIDT SWIFT NINJA
$2,193.75HC CATH PRIMO MALE 16" 12FR COUDE
$9.96HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.51HC GLUCOSE TESTING POC
$5.40INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$1.10INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.77MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.37ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.14PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.16PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$7.56This 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
$4,848.00Insurance Discount
-$969.60Price Negotiated by Insurer
$3,878.40Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.36DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.78FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.14HC CATH FOLEY 3WAY 16FR 30ML
$49.33HC CATH FOLEY SLCN 24FR 2WY 5CC
$32.41HC CATH GUIDT SWIFT NINJA
$3,900.00HC CATH PRIMO MALE 16" 12FR COUDE
$17.71HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.23HC GLUCOSE TESTING POC
$9.60INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.53INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.38MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.58ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.42PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.92PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.28TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$13.44This 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
$4,848.00Insurance Discount
-$1,260.48Price Negotiated by Insurer
$3,587.52Deductible 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]
$1.19DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.43FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.00HC CATH FOLEY 3WAY 16FR 30ML
$45.63HC CATH FOLEY SLCN 24FR 2WY 5CC
$29.98HC CATH GUIDT SWIFT NINJA
$3,412.50HC CATH PRIMO MALE 16" 12FR COUDE
$16.38HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.76HC GLUCOSE TESTING POC
$8.88INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.92INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.15MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$2.55ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.37PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.36PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.18TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.76This 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
$4,848.00Insurance Discount
-$1,030.70Price Negotiated by Insurer
$3,817.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$4.92INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.56INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39MIDAZOLAM 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]
$0.31TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,412.43Price Negotiated by Insurer
$3,435.57Deductible 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]
$0.68DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.51HC CATH FOLEY 3WAY 16FR 30ML
$24.66HC CATH FOLEY SLCN 24FR 2WY 5CC
$16.20HC CATH GUIDT SWIFT NINJA
$1,950.00HC CATH PRIMO MALE 16" 12FR COUDE
$8.86HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.12HC GLUCOSE TESTING POC
$4.43INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.53INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69MIDAZOLAM 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]
$0.14TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
HC GLUCOSE TESTING POC
$3.28This 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.57HC CATH FOLEY 3WAY 16FR 30ML
$24.66HC CATH FOLEY SLCN 24FR 2WY 5CC
$16.20HC CATH GUIDT SWIFT NINJA
$1,950.00HC CATH PRIMO MALE 16" 12FR COUDE
$8.86HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.12HC GLUCOSE TESTING POC
$3.28INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.53INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.66MIDAZOLAM 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]
$0.10TROPICAMIDE 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
$4,848.00Insurance Discount
-$727.20Price Negotiated by Insurer
$4,120.80Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$10.20INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$2.07INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39MIDAZOLAM 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]
$3.74PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.22TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,939.20Price Negotiated by Insurer
$2,908.80Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.76HC CATH FOLEY 3WAY 16FR 30ML
$37.00HC CATH FOLEY SLCN 24FR 2WY 5CC
$24.31HC CATH GUIDT SWIFT NINJA
$2,925.00HC CATH PRIMO MALE 16" 12FR COUDE
$13.28HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC GLUCOSE TESTING POC
$7.20INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.79INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.03MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.50ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$4,848.00Insurance Discount
-$484.80Price Negotiated by Insurer
$4,363.20Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$3.12FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.29HC CATH FOLEY 3WAY 16FR 30ML
$55.49HC CATH FOLEY SLCN 24FR 2WY 5CC
$36.46HC CATH GUIDT SWIFT NINJA
$4,387.50HC CATH PRIMO MALE 16" 12FR COUDE
$19.93HC DRSNG WOUND 3.6 X 8" MEDPORE
$7.01HC GLUCOSE TESTING POC
$10.80INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.59INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.48MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.75ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.48PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$4.32PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.23TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$15.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$4,848.00Insurance Discount
-$1,212.00Price Negotiated by Insurer
$3,636.00Deductible 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]
$1.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.60FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.95HC CATH FOLEY 3WAY 16FR 30ML
$46.24HC CATH FOLEY SLCN 24FR 2WY 5CC
$30.38HC CATH GUIDT SWIFT NINJA
$3,656.25HC CATH PRIMO MALE 16" 12FR COUDE
$16.60HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.84HC GLUCOSE TESTING POC
$9.00INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.50INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.29MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.40PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.68PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$12.60This 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
$4,848.00Insurance Discount
-$674.41Price Negotiated by Insurer
$4,173.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC GLUCOSE TESTING POC
$5.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$4,848.00Insurance Discount
-$648.96Price Negotiated by Insurer
$4,199.04Deductible 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]
$0.05DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.11FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.84HC CATH FOLEY 3WAY 16FR 30ML
$21.58HC CATH FOLEY SLCN 24FR 2WY 5CC
$14.18HC CATH GUIDT SWIFT NINJA
$1,706.25HC CATH PRIMO MALE 16" 12FR COUDE
$7.75HC DRSNG WOUND 3.6 X 8" MEDPORE
$2.73HC GLUCOSE TESTING POC
$5.41INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$2.07INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82MIDAZOLAM 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]
$0.09TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
HC GLUCOSE TESTING POC
$3.28This 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
$4,848.00Insurance Discount
-$1,030.70Price Negotiated by Insurer
$3,817.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC GLUCOSE TESTING POC
$4.92This 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
$4,848.00Insurance Discount
-$1,614.38Price Negotiated by Insurer
$3,233.62Deductible 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]
$1.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.31FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.95HC CATH FOLEY 3WAY 16FR 30ML
$41.13HC CATH FOLEY SLCN 24FR 2WY 5CC
$27.02HC CATH GUIDT SWIFT NINJA
$3,251.62HC CATH PRIMO MALE 16" 12FR COUDE
$14.77HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.20HC GLUCOSE TESTING POC
$8.00INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$1.63INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.15MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.48ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.35PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.17TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.21This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
HC GLUCOSE TESTING POC
$3.28This 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
$4,848.00Insurance Discount
-$3,878.40Price Negotiated by Insurer
$969.60Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.34DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$0.69FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.25HC CATH FOLEY 3WAY 16FR 30ML
$12.33HC CATH FOLEY SLCN 24FR 2WY 5CC
$8.10HC CATH GUIDT SWIFT NINJA
$975.00HC CATH PRIMO MALE 16" 12FR COUDE
$4.43HC DRSNG WOUND 3.6 X 8" MEDPORE
$1.56HC GLUCOSE TESTING POC
$2.40INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.26INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.34MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.14ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.11PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$0.45PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.05TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$4,848.00Insurance Discount
-$1,437.87Price Negotiated by Insurer
$3,410.13Deductible 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 GLUCOSE TESTING POC
$4.40This 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
$4,848.00Insurance Discount
-$1,437.87Price Negotiated by Insurer
$3,410.13Deductible 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 GLUCOSE TESTING POC
$4.40This 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
$4,848.00Insurance Discount
-$1,212.00Price Negotiated by Insurer
$3,636.00Deductible 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]
$1.28DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.60FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.07HC CATH FOLEY 3WAY 16FR 30ML
$46.24HC CATH FOLEY SLCN 24FR 2WY 5CC
$30.38HC CATH GUIDT SWIFT NINJA
$3,656.25HC CATH PRIMO MALE 16" 12FR COUDE
$16.60HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.84HC GLUCOSE TESTING POC
$9.00INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.50INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.23MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.54ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.40PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$3.60PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$12.60This 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
$4,848.00Insurance Discount
-$1,696.80Price Negotiated by Insurer
$3,151.20Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CATH FOLEY 3WAY 16FR 30ML
$40.08HC CATH FOLEY SLCN 24FR 2WY 5CC
$26.33HC CATH GUIDT SWIFT NINJA
$2,437.50HC CATH PRIMO MALE 16" 12FR COUDE
$14.39HC DRSNG WOUND 3.6 X 8" MEDPORE
$5.06HC GLUCOSE TESTING POC
$7.80INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.33INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.42ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.27PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$2.20PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13TROPICAMIDE 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
$4,848.00Insurance Discount
-$727.20Price Negotiated by Insurer
$4,120.80Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.22HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$10.20INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$1.12INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.39MIDAZOLAM 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]
$2.61PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.31TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,150.44Price Negotiated by Insurer
$2,697.56Deductible 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 GLUCOSE TESTING POC
$3.48This 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
$4,848.00Insurance Discount
-$1,939.20Price Negotiated by Insurer
$2,908.80Deductible 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.
HC CATH FOLEY 3WAY 16FR 30ML
$37.00HC CATH FOLEY SLCN 24FR 2WY 5CC
$24.31HC CATH PRIMO MALE 16" 12FR COUDE
$13.28HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC GLUCOSE TESTING POC
$7.20This 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
$4,848.00Insurance Discount
-$2,048.64Price Negotiated by Insurer
$2,799.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$0.68DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.39FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.57HC CATH FOLEY 3WAY 16FR 30ML
$24.66HC CATH FOLEY SLCN 24FR 2WY 5CC
$16.20HC CATH GUIDT SWIFT NINJA
$1,950.00HC CATH PRIMO MALE 16" 12FR COUDE
$8.86HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.12HC GLUCOSE TESTING POC
$3.61INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.26INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.69MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.29ONDANSETRON 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]
$0.10TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,939.20Price Negotiated by Insurer
$2,908.80Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.02DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.08FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.86HC CATH FOLEY 3WAY 16FR 30ML
$37.00HC CATH FOLEY SLCN 24FR 2WY 5CC
$24.31HC CATH GUIDT SWIFT NINJA
$2,925.00HC CATH PRIMO MALE 16" 12FR COUDE
$13.28HC DRSNG WOUND 3.6 X 8" MEDPORE
$4.67HC GLUCOSE TESTING POC
$7.20INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$1.46INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.03MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$0.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [106349]
$0.32PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION FOR DRIPS [4086242]
$1.34PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.16TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.08This 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
$4,848.00Price Negotiated by Insurer
$5,893.00Deductible 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]
$0.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CATH FOLEY 3WAY 16FR 30ML
$30.83HC CATH FOLEY SLCN 24FR 2WY 5CC
$20.26HC CATH GUIDT SWIFT NINJA
$2,437.50HC CATH PRIMO MALE 16" 12FR COUDE
$11.07HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC GLUCOSE TESTING POC
$2.66INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.82MIDAZOLAM 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]
$0.13TROPICAMIDE 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
$4,848.00Price Negotiated by Insurer
$7,027.00Deductible 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]
$0.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CATH FOLEY 3WAY 16FR 30ML
$30.83HC CATH FOLEY SLCN 24FR 2WY 5CC
$20.26HC CATH GUIDT SWIFT NINJA
$2,437.50HC CATH PRIMO MALE 16" 12FR COUDE
$11.07HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC GLUCOSE TESTING POC
$2.66INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86MIDAZOLAM 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]
$0.13TROPICAMIDE 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
$4,848.00Insurance Discount
-$631.00Price Negotiated by Insurer
$4,217.00Deductible 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]
$0.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CATH FOLEY 3WAY 16FR 30ML
$30.83HC CATH FOLEY SLCN 24FR 2WY 5CC
$20.26HC CATH GUIDT SWIFT NINJA
$2,437.50HC CATH PRIMO MALE 16" 12FR COUDE
$11.07HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC GLUCOSE TESTING POC
$2.66INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86MIDAZOLAM 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]
$2.40PROPOFOL INFUSION 10 MG/ML CONTINUOUS [40840026]
$0.13TROPICAMIDE 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
$4,848.00Insurance Discount
-$930.00Price Negotiated by Insurer
$3,918.00Deductible 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]
$0.85DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$1.74FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$0.72HC CATH FOLEY 3WAY 16FR 30ML
$30.83HC CATH FOLEY SLCN 24FR 2WY 5CC
$20.26HC CATH GUIDT SWIFT NINJA
$2,437.50HC CATH PRIMO MALE 16" 12FR COUDE
$11.07HC DRSNG WOUND 3.6 X 8" MEDPORE
$3.90HC GLUCOSE TESTING POC
$2.66INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.66INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$0.86MIDAZOLAM 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]
$0.13TROPICAMIDE 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
$4,848.00Insurance Discount
-$1,030.70Price Negotiated by Insurer
$3,817.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC GLUCOSE TESTING POC
$4.92This 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
$4,848.00Insurance Discount
-$2,048.64Price Negotiated by Insurer
$2,799.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.08HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$3.61INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$0.56INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46MIDAZOLAM 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]
$0.22TROPICAMIDE 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
$4,848.00Insurance Discount
-$2,303.13Price Negotiated by Insurer
$2,544.87Deductible 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.
ACETAMINOPHEN 100 MG/10 ML (10 MG/ML) INTRAVENOUS SYRINGE [4080108021]
$1.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SYRINGE [114048]
$2.95FENTANYL-ROPIVACAINE-NACL (PF) 2.5 MCG/ML-0.15% EPIDURAL [4081421]
$1.08HC CATH FOLEY 3WAY 16FR 30ML
$52.41HC CATH FOLEY SLCN 24FR 2WY 5CC
$34.43HC CATH GUIDT SWIFT NINJA
$4,143.75HC CATH PRIMO MALE 16" 12FR COUDE
$18.82HC DRSNG WOUND 3.6 X 8" MEDPORE
$6.62HC GLUCOSE TESTING POC
$3.28INTRAOP GENTAMICIN 80 MG/2 ML INJECTION [4083426]
$2.07INTRAOP ONLY CEFAZOLIN POWDER 1 G [4081027]
$1.46MIDAZOLAM CONTINUOUS INFUSION (STRAIGHT DRUG) 5 MG/ML [4081034]
$1.17ONDANSETRON 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]
$0.22TROPICAMIDE 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.