CPT 97165
The standard charge for Occupational Therapy Evaluation - Low Complexity is $563.00. 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
$563.00Insurance Discount
-$332.17Price Negotiated by Insurer
$230.83Deductible 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
$10.04HC CBC WITHOUT DIFFERENTIAL
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC GLUCOSE TESTING POC
$2.60HC PHOSPHORUS
$6.21HC SBBB PHLEBOTOMY
$40.00HC SOM MAGNESIUM RANDOM UR
$1.48This 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
$563.00Insurance Discount
-$221.09Price Negotiated by Insurer
$341.91Deductible 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
$30.49HC CBC WITHOUT DIFFERENTIAL
$31.58HC COMPREHENSIVE METABOLIC PANEL
$42.51HC GLUCOSE TESTING POC
$7.89HC PHOSPHORUS
$18.85HC SBBB PHLEBOTOMY
$121.46HC SOM MAGNESIUM RANDOM UR
$4.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$253.35Price Negotiated by Insurer
$309.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$140.75Price Negotiated by Insurer
$422.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$227.00Price Negotiated by Insurer
$336.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$61.56HC CBC WITHOUT DIFFERENTIAL
$47.07HC COMPREHENSIVE METABOLIC PANEL
$76.99HC GLUCOSE TESTING POC
$6.29HC PHOSPHORUS
$34.43HC SOM MAGNESIUM RANDOM UR
$48.44This 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
$563.00Insurance Discount
-$116.00Price Negotiated by Insurer
$447.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.49HC CBC WITHOUT DIFFERENTIAL
$9.55HC COMPREHENSIVE METABOLIC PANEL
$15.63HC GLUCOSE TESTING POC
$7.63HC PHOSPHORUS
$6.99HC SOM MAGNESIUM RANDOM UR
$9.83This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$151.00Price Negotiated by Insurer
$412.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$30.47HC CBC WITHOUT DIFFERENTIAL
$31.56HC COMPREHENSIVE METABOLIC PANEL
$42.49HC GLUCOSE TESTING POC
$7.89HC PHOSPHORUS
$18.84HC SBBB PHLEBOTOMY
$121.40HC SOM MAGNESIUM RANDOM UR
$4.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$295.00Price Negotiated by Insurer
$268.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$19.93HC CBC WITHOUT DIFFERENTIAL
$20.64HC COMPREHENSIVE METABOLIC PANEL
$27.79HC GLUCOSE TESTING POC
$5.16HC PHOSPHORUS
$12.32HC SBBB PHLEBOTOMY
$79.40HC SOM MAGNESIUM RANDOM UR
$2.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$253.35Price Negotiated by Insurer
$309.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$27.61HC CBC WITHOUT DIFFERENTIAL
$28.60HC COMPREHENSIVE METABOLIC PANEL
$38.50HC GLUCOSE TESTING POC
$7.15HC PHOSPHORUS
$17.07HC SBBB PHLEBOTOMY
$200.00HC SOM MAGNESIUM RANDOM UR
$7.41This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$112.60Price Negotiated by Insurer
$450.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$40.16HC CBC WITHOUT DIFFERENTIAL
$41.60HC COMPREHENSIVE METABOLIC PANEL
$56.00HC GLUCOSE TESTING POC
$10.40HC PHOSPHORUS
$24.83HC SBBB PHLEBOTOMY
$160.00HC SOM MAGNESIUM RANDOM UR
$5.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$202.68Price Negotiated by Insurer
$360.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$32.13HC CBC WITHOUT DIFFERENTIAL
$33.28HC COMPREHENSIVE METABOLIC PANEL
$44.80HC GLUCOSE TESTING POC
$8.32HC PHOSPHORUS
$19.87HC SBBB PHLEBOTOMY
$128.00HC SOM MAGNESIUM RANDOM UR
$4.74This 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
$563.00Insurance Discount
-$146.38Price Negotiated by Insurer
$416.62Deductible 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.
HC BASIC METABOLIC PANEL
$37.15HC CBC WITHOUT DIFFERENTIAL
$38.48HC COMPREHENSIVE METABOLIC PANEL
$51.80HC GLUCOSE TESTING POC
$9.62HC PHOSPHORUS
$22.97HC SBBB PHLEBOTOMY
$148.00HC SOM MAGNESIUM RANDOM UR
$5.48This 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
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$337.80Price Negotiated by Insurer
$225.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$11.42HC CBC WITHOUT DIFFERENTIAL
$8.73HC COMPREHENSIVE METABOLIC PANEL
$14.26HC GLUCOSE TESTING POC
$4.43HC PHOSPHORUS
$6.40HC SBBB PHLEBOTOMY
$12.27HC SOM MAGNESIUM RANDOM UR
$9.04This 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
$563.00Insurance Discount
-$337.80Price Negotiated by Insurer
$225.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$42.67HC CBC WITHOUT DIFFERENTIAL
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC PHOSPHORUS
$26.38HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$225.20Price Negotiated by Insurer
$337.80Deductible 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 BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC PHOSPHORUS
$18.62HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$56.30Price Negotiated by Insurer
$506.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$45.18HC CBC WITHOUT DIFFERENTIAL
$46.80HC COMPREHENSIVE METABOLIC PANEL
$63.00HC GLUCOSE TESTING POC
$11.70HC PHOSPHORUS
$27.94HC SBBB PHLEBOTOMY
$180.00HC SOM MAGNESIUM RANDOM UR
$6.67This 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
$563.00Insurance Discount
-$281.50Price Negotiated by Insurer
$281.50Deductible 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 WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$187.48Price Negotiated by Insurer
$375.52Deductible 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.
HC BASIC METABOLIC PANEL
$33.48HC CBC WITHOUT DIFFERENTIAL
$34.68HC COMPREHENSIVE METABOLIC PANEL
$46.69HC GLUCOSE TESTING POC
$8.67HC PHOSPHORUS
$20.70HC SBBB PHLEBOTOMY
$133.40HC SOM MAGNESIUM RANDOM UR
$4.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$348.50Price Negotiated by Insurer
$214.50Deductible 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
$13.81HC CBC WITHOUT DIFFERENTIAL
$10.85HC COMPREHENSIVE METABOLIC PANEL
$17.46HC GLUCOSE TESTING POC
$3.80HC PHOSPHORUS
$8.00HC SBBB PHLEBOTOMY
$76.20HC SOM MAGNESIUM RANDOM UR
$11.32This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$214.50Price Negotiated by Insurer
$348.50Deductible 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 WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$332.17Price Negotiated by Insurer
$230.83Deductible 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
$10.04HC CBC WITHOUT DIFFERENTIAL
$10.40HC COMPREHENSIVE METABOLIC PANEL
$14.00HC GLUCOSE TESTING POC
$2.60HC PHOSPHORUS
$6.21HC SBBB PHLEBOTOMY
$40.00HC SOM MAGNESIUM RANDOM UR
$1.48This 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
$563.00Insurance Discount
-$168.90Price Negotiated by Insurer
$394.10Deductible 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.
HC BASIC METABOLIC PANEL
$11.34HC CBC WITHOUT DIFFERENTIAL
$8.67HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC PHOSPHORUS
$6.35HC SBBB PHLEBOTOMY
$12.18HC SOM MAGNESIUM RANDOM UR
$8.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$168.90Price Negotiated by Insurer
$394.10Deductible 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.
HC BASIC METABOLIC PANEL
$11.34HC CBC WITHOUT DIFFERENTIAL
$8.67HC COMPREHENSIVE METABOLIC PANEL
$14.15HC GLUCOSE TESTING POC
$4.40HC PHOSPHORUS
$6.35HC SBBB PHLEBOTOMY
$12.18HC SOM MAGNESIUM RANDOM UR
$8.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$140.75Price Negotiated by Insurer
$422.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$37.65HC CBC WITHOUT DIFFERENTIAL
$39.00HC COMPREHENSIVE METABOLIC PANEL
$52.50HC GLUCOSE TESTING POC
$9.75HC PHOSPHORUS
$23.28HC SBBB PHLEBOTOMY
$150.00HC SOM MAGNESIUM RANDOM UR
$5.56This 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
$563.00Insurance Discount
-$197.05Price Negotiated by Insurer
$365.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$32.63HC CBC WITHOUT DIFFERENTIAL
$33.80HC COMPREHENSIVE METABOLIC PANEL
$45.50HC GLUCOSE TESTING POC
$8.45HC PHOSPHORUS
$20.18HC SBBB PHLEBOTOMY
$130.00HC SOM MAGNESIUM RANDOM UR
$4.82This 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
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$42.67HC CBC WITHOUT DIFFERENTIAL
$44.20HC COMPREHENSIVE METABOLIC PANEL
$59.50HC GLUCOSE TESTING POC
$11.05HC PHOSPHORUS
$26.38HC SBBB PHLEBOTOMY
$170.00HC SOM MAGNESIUM RANDOM UR
$6.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$337.80Price Negotiated by Insurer
$225.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$225.20Price Negotiated by Insurer
$337.80Deductible 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 BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC PHOSPHORUS
$18.62HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$225.20Price Negotiated by Insurer
$337.80Deductible 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 BASIC METABOLIC PANEL
$30.12HC CBC WITHOUT DIFFERENTIAL
$31.20HC COMPREHENSIVE METABOLIC PANEL
$42.00HC GLUCOSE TESTING POC
$7.80HC PHOSPHORUS
$18.62HC SBBB PHLEBOTOMY
$120.00HC SOM MAGNESIUM RANDOM UR
$4.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$146.00Price Negotiated by Insurer
$417.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43This 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
$563.00Insurance Discount
-$268.00Price Negotiated by Insurer
$295.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43This 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
$563.00Insurance Discount
-$339.00Price Negotiated by Insurer
$224.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43This 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
$563.00Insurance Discount
-$357.00Price Negotiated by Insurer
$206.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$6.85HC CBC WITHOUT DIFFERENTIAL
$5.24HC COMPREHENSIVE METABOLIC PANEL
$8.55HC GLUCOSE TESTING POC
$2.65HC PHOSPHORUS
$3.84HC SBBB PHLEBOTOMY
$2.43HC SOM MAGNESIUM RANDOM UR
$5.43This 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
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$12.69HC CBC WITHOUT DIFFERENTIAL
$9.71HC COMPREHENSIVE METABOLIC PANEL
$15.84HC GLUCOSE TESTING POC
$4.92HC PHOSPHORUS
$7.11HC SBBB PHLEBOTOMY
$13.63HC SOM MAGNESIUM RANDOM UR
$10.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$9.31HC CBC WITHOUT DIFFERENTIAL
$7.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC GLUCOSE TESTING POC
$3.61HC PHOSPHORUS
$5.21HC SBBB PHLEBOTOMY
$10.00HC SOM MAGNESIUM RANDOM UR
$7.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$563.00Insurance Discount
-$84.45Price Negotiated by Insurer
$478.55Deductible 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
$8.46HC CBC WITHOUT DIFFERENTIAL
$6.47HC COMPREHENSIVE METABOLIC PANEL
$10.56HC GLUCOSE TESTING POC
$3.28HC PHOSPHORUS
$4.74HC SBBB PHLEBOTOMY
$9.09HC SOM MAGNESIUM RANDOM UR
$6.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.