CPT P9016
The standard charge for Red Blood Cells, Leukocytes Reduced, Each Unit is $164.00. 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
$164.00Insurance Discount
-$131.20Price Negotiated by Insurer
$32.80Deductible 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 ABO UNIT CONFIRMATION
$50.60HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.80HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CROSSMATCH COMP
$53.80HC INTRODUCER 3FR TEARAWAY
$17.00HC IRRADIATION PROCEDURE
$56.00HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC TRANSFUS BLOOD/BLOOD COMPONENT
$678.20HC VENIPUNCTURE W/SPECIMEN
$9.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.09TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.04This 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
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.96TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Insurance Discount
-$64.40Price Negotiated by Insurer
$99.60Deductible 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.
HC ABO UNIT CONFIRMATION
$153.65HC CBC WITHOUT DIFFERENTIAL
$31.58HC CBC W WBC AUTO DIFF
$31.58HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$14.58HC COMPREHENSIVE METABOLIC PANEL
$42.51HC CROSSMATCH COMP
$163.36HC INTRODUCER 3FR TEARAWAY
$51.62HC IRRADIATION PROCEDURE
$170.04HC RH UNIT CONFIRMATION
$71.05HC SBBB ANTIBODY SCREEN
$67.41HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,901.00HC VENIPUNCTURE W/SPECIMEN
$28.54SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$241.19TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$346.88Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC TRANSFUS BLOOD/BLOOD COMPONENT
$833.22HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$88.43TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$136.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$254.38Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC INTRODUCER 3FR TEARAWAY
$46.75HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC TRANSFUS BLOOD/BLOOD COMPONENT
$611.03HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.64TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC INTRODUCER 3FR TEARAWAY
$63.75HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.03TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.93This 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
$164.00Insurance Discount
-$84.59Price Negotiated by Insurer
$79.41Deductible 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 ABO UNIT CONFIRMATION
$122.50HC CBC WITHOUT DIFFERENTIAL
$47.07HC CBC W WBC AUTO DIFF
$56.57HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$25.03HC COMPREHENSIVE METABOLIC PANEL
$76.99HC CROSSMATCH COMP
$61.71HC INTRODUCER 3FR TEARAWAY
$41.16HC IRRADIATION PROCEDURE
$135.58HC RH UNIT CONFIRMATION
$56.65HC SBBB ANTIBODY SCREEN
$78.56HC TRANSFUS BLOOD/BLOOD COMPONENT
$1,641.92SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.02TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$6.71This 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
$164.00Insurance Discount
-$67.68Price Negotiated by Insurer
$96.32Deductible 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 ABO UNIT CONFIRMATION
$148.59HC CBC WITHOUT DIFFERENTIAL
$9.55HC CBC W WBC AUTO DIFF
$11.48HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.08HC COMPREHENSIVE METABOLIC PANEL
$15.63HC CROSSMATCH COMP
$12.52HC INTRODUCER 3FR TEARAWAY
$49.92HC IRRADIATION PROCEDURE
$164.44HC RH UNIT CONFIRMATION
$68.71HC SBBB ANTIBODY SCREEN
$15.94HC TRANSFUS BLOOD/BLOOD COMPONENT
$990.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.86TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$54.81This 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
$164.00Insurance Discount
-$63.80Price Negotiated by Insurer
$100.20Deductible 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 ABO UNIT CONFIRMATION
$154.58HC CBC WITHOUT DIFFERENTIAL
$31.56HC CBC W WBC AUTO DIFF
$31.56HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$14.57HC COMPREHENSIVE METABOLIC PANEL
$42.49HC CROSSMATCH COMP
$163.28HC INTRODUCER 3FR TEARAWAY
$51.94HC IRRADIATION PROCEDURE
$171.08HC RH UNIT CONFIRMATION
$71.49HC SBBB ANTIBODY SCREEN
$67.38HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,071.90HC VENIPUNCTURE W/SPECIMEN
$28.53SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.65TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.90This 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
$164.00Insurance Discount
-$98.56Price Negotiated by Insurer
$65.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$100.95HC CBC WITHOUT DIFFERENTIAL
$20.64HC CBC W WBC AUTO DIFF
$20.64HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$9.53HC COMPREHENSIVE METABOLIC PANEL
$27.79HC CROSSMATCH COMP
$106.79HC INTRODUCER 3FR TEARAWAY
$33.91HC IRRADIATION PROCEDURE
$111.72HC RH UNIT CONFIRMATION
$46.68HC SBBB ANTIBODY SCREEN
$44.07HC VENIPUNCTURE W/SPECIMEN
$18.66SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$5.04This 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
$164.00Insurance Discount
$0.00Price Negotiated by Insurer
$164.00Deductible 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 ABO UNIT CONFIRMATION
$113.85HC CBC WITHOUT DIFFERENTIAL
$23.40HC CBC W WBC AUTO DIFF
$23.40HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$10.80HC COMPREHENSIVE METABOLIC PANEL
$31.50HC CROSSMATCH COMP
$121.05HC INTRODUCER 3FR TEARAWAY
$38.25HC IRRADIATION PROCEDURE
$126.00HC RH UNIT CONFIRMATION
$52.65HC SBBB ANTIBODY SCREEN
$111.00HC TRANSFUS BLOOD/BLOOD COMPONENT
$1,525.95HC VENIPUNCTURE W/SPECIMEN
$21.15SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$66.00TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.19This 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
$164.00Insurance Discount
-$32.80Price Negotiated by Insurer
$131.20Deductible 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 ABO UNIT CONFIRMATION
$202.40HC CBC WITHOUT DIFFERENTIAL
$41.60HC CBC W WBC AUTO DIFF
$41.60HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$19.20HC COMPREHENSIVE METABOLIC PANEL
$56.00HC CROSSMATCH COMP
$215.20HC INTRODUCER 3FR TEARAWAY
$68.00HC IRRADIATION PROCEDURE
$224.00HC RH UNIT CONFIRMATION
$93.60HC SBBB ANTIBODY SCREEN
$88.80HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,712.80HC VENIPUNCTURE W/SPECIMEN
$37.60SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$90.72TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.25This 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
$164.00Insurance Discount
-$59.04Price Negotiated by Insurer
$104.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ABO UNIT CONFIRMATION
$161.92HC CBC WITHOUT DIFFERENTIAL
$33.28HC CBC W WBC AUTO DIFF
$33.28HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$15.36HC COMPREHENSIVE METABOLIC PANEL
$44.80HC CROSSMATCH COMP
$172.16HC INTRODUCER 3FR TEARAWAY
$54.40HC IRRADIATION PROCEDURE
$179.20HC RH UNIT CONFIRMATION
$74.88HC SBBB ANTIBODY SCREEN
$71.04HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,170.24HC VENIPUNCTURE W/SPECIMEN
$30.08SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.17TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Insurance Discount
-$42.64Price Negotiated by Insurer
$121.36Deductible 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.
HC ABO UNIT CONFIRMATION
$187.22HC CBC WITHOUT DIFFERENTIAL
$38.48HC CBC W WBC AUTO DIFF
$38.48HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$17.76HC COMPREHENSIVE METABOLIC PANEL
$51.80HC CROSSMATCH COMP
$199.06HC INTRODUCER 3FR TEARAWAY
$62.90HC IRRADIATION PROCEDURE
$207.20HC RH UNIT CONFIRMATION
$86.58HC SBBB ANTIBODY SCREEN
$82.14HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,509.34HC VENIPUNCTURE W/SPECIMEN
$34.78SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.13TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$42.86This 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
$164.00Price Negotiated by Insurer
$346.88Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC TRANSFUS BLOOD/BLOOD COMPONENT
$833.22HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.55TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.07This 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
$164.00Price Negotiated by Insurer
$254.38Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC TRANSFUS BLOOD/BLOOD COMPONENT
$611.03HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$3.94TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$115.75This 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
$164.00Price Negotiated by Insurer
$312.19Deductible 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 ABO UNIT CONFIRMATION
$4.04HC CBC WITHOUT DIFFERENTIAL
$8.73HC CBC W WBC AUTO DIFF
$10.49HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.13HC COMPREHENSIVE METABOLIC PANEL
$14.26HC CROSSMATCH COMP
$293.94HC INTRODUCER 3FR TEARAWAY
$34.00HC IRRADIATION PROCEDURE
$67.32HC RH UNIT CONFIRMATION
$4.04HC SBBB ANTIBODY SCREEN
$13.19HC TRANSFUS BLOOD/BLOOD COMPONENT
$749.90HC VENIPUNCTURE W/SPECIMEN
$12.27SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.04TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC INTRODUCER 3FR TEARAWAY
$34.00HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$7.20TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$164.00Insurance Discount
-$24.60Price Negotiated by Insurer
$139.40Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$20.40HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CROSSMATCH COMP
$228.65HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$238.00HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,882.35HC VENIPUNCTURE W/SPECIMEN
$39.95SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.79TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$4.08This 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
$164.00Insurance Discount
-$65.60Price Negotiated by Insurer
$98.40Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$14.40HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CROSSMATCH COMP
$161.40HC INTRODUCER 3FR TEARAWAY
$51.00HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,034.60HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.76TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.16This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Insurance Discount
-$16.40Price Negotiated by Insurer
$147.60Deductible 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.
HC ABO UNIT CONFIRMATION
$227.70HC CBC WITHOUT DIFFERENTIAL
$46.80HC CBC W WBC AUTO DIFF
$46.80HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$21.60HC COMPREHENSIVE METABOLIC PANEL
$63.00HC CROSSMATCH COMP
$242.10HC INTRODUCER 3FR TEARAWAY
$76.50HC IRRADIATION PROCEDURE
$252.00HC RH UNIT CONFIRMATION
$105.30HC SBBB ANTIBODY SCREEN
$99.90HC TRANSFUS BLOOD/BLOOD COMPONENT
$3,051.90HC VENIPUNCTURE W/SPECIMEN
$42.30SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$1.22TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$379.25Deductible 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 ABO UNIT CONFIRMATION
$4.90HC CBC WITHOUT DIFFERENTIAL
$10.61HC CBC W WBC AUTO DIFF
$12.74HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$6.23HC COMPREHENSIVE METABOLIC PANEL
$17.32HC CROSSMATCH COMP
$357.08HC IRRADIATION PROCEDURE
$81.79HC RH UNIT CONFIRMATION
$4.90HC SBBB ANTIBODY SCREEN
$16.02HC TRANSFUS BLOOD/BLOOD COMPONENT
$910.99HC VENIPUNCTURE W/SPECIMEN
$14.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$4.38TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.72This 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
$164.00Price Negotiated by Insurer
$318.46Deductible 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 ABO UNIT CONFIRMATION
$4.09HC CBC WITHOUT DIFFERENTIAL
$9.82HC CBC W WBC AUTO DIFF
$11.61HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.66HC COMPREHENSIVE METABOLIC PANEL
$15.81HC INTRODUCER 3FR TEARAWAY
$0.02HC IRRADIATION PROCEDURE
$43.28HC RH UNIT CONFIRMATION
$4.23HC SBBB ANTIBODY SCREEN
$4.47HC TRANSFUS BLOOD/BLOOD COMPONENT
$973.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.79TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.21This 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
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.44TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.41This 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
$164.00Price Negotiated by Insurer
$346.88Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC INTRODUCER 3FR TEARAWAY
$42.50HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC TRANSFUS BLOOD/BLOOD COMPONENT
$833.22HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.66TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$11.82This 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
$164.00Insurance Discount
-$54.61Price Negotiated by Insurer
$109.39Deductible 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 ABO UNIT CONFIRMATION
$168.75HC CBC WITHOUT DIFFERENTIAL
$34.68HC CBC W WBC AUTO DIFF
$34.68HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$16.01HC COMPREHENSIVE METABOLIC PANEL
$46.69HC CROSSMATCH COMP
$179.42HC INTRODUCER 3FR TEARAWAY
$56.70HC IRRADIATION PROCEDURE
$186.76HC RH UNIT CONFIRMATION
$78.04HC SBBB ANTIBODY SCREEN
$74.04HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,261.80HC VENIPUNCTURE W/SPECIMEN
$31.35SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$21.89TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$246.36This 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
$164.00Price Negotiated by Insurer
$351.79Deductible 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 ABO UNIT CONFIRMATION
$4.52HC CBC WITHOUT DIFFERENTIAL
$10.85HC CBC W WBC AUTO DIFF
$12.82HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.15HC COMPREHENSIVE METABOLIC PANEL
$17.46HC INTRODUCER 3FR TEARAWAY
$0.02HC IRRADIATION PROCEDURE
$47.80HC RH UNIT CONFIRMATION
$4.67HC SBBB ANTIBODY SCREEN
$4.94HC TRANSFUS BLOOD/BLOOD COMPONENT
$1,291.97HC VENIPUNCTURE W/SPECIMEN
$17.91SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.40TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$44.47This 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
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC INTRODUCER 3FR TEARAWAY
$52.62HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$85.25TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.15This 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
$164.00Insurance Discount
-$131.20Price Negotiated by Insurer
$32.80Deductible 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 ABO UNIT CONFIRMATION
$50.60HC CBC WITHOUT DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.80HC COMPREHENSIVE METABOLIC PANEL
$14.00HC CROSSMATCH COMP
$53.80HC INTRODUCER 3FR TEARAWAY
$17.00HC IRRADIATION PROCEDURE
$56.00HC RH UNIT CONFIRMATION
$23.40HC SBBB ANTIBODY SCREEN
$22.20HC TRANSFUS BLOOD/BLOOD COMPONENT
$678.20HC VENIPUNCTURE W/SPECIMEN
$9.40SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$309.88Deductible 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 ABO UNIT CONFIRMATION
$4.01HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.09HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CROSSMATCH COMP
$291.76HC INTRODUCER 3FR TEARAWAY
$59.50HC IRRADIATION PROCEDURE
$66.83HC RH UNIT CONFIRMATION
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC TRANSFUS BLOOD/BLOOD COMPONENT
$744.34HC VENIPUNCTURE W/SPECIMEN
$12.18SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.29TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.74This 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
$164.00Price Negotiated by Insurer
$309.88Deductible 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 ABO UNIT CONFIRMATION
$4.01HC CBC WITHOUT DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.09HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CROSSMATCH COMP
$291.76HC INTRODUCER 3FR TEARAWAY
$59.50HC IRRADIATION PROCEDURE
$66.83HC RH UNIT CONFIRMATION
$4.01HC SBBB ANTIBODY SCREEN
$13.09HC TRANSFUS BLOOD/BLOOD COMPONENT
$744.34HC VENIPUNCTURE W/SPECIMEN
$12.18SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$73.26TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.29This 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
$164.00Insurance Discount
-$41.00Price Negotiated by Insurer
$123.00Deductible 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 ABO UNIT CONFIRMATION
$189.75HC CBC WITHOUT DIFFERENTIAL
$39.00HC CBC W WBC AUTO DIFF
$39.00HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$18.00HC COMPREHENSIVE METABOLIC PANEL
$52.50HC CROSSMATCH COMP
$201.75HC INTRODUCER 3FR TEARAWAY
$63.75HC IRRADIATION PROCEDURE
$210.00HC RH UNIT CONFIRMATION
$87.75HC SBBB ANTIBODY SCREEN
$83.25HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,543.25HC VENIPUNCTURE W/SPECIMEN
$35.25SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$23.70TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$2.61This 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
$164.00Insurance Discount
-$57.40Price Negotiated by Insurer
$106.60Deductible 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.
HC ABO UNIT CONFIRMATION
$164.45HC CBC WITHOUT DIFFERENTIAL
$33.80HC CBC W WBC AUTO DIFF
$33.80HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$15.60HC COMPREHENSIVE METABOLIC PANEL
$45.50HC CROSSMATCH COMP
$174.85HC INTRODUCER 3FR TEARAWAY
$55.25HC IRRADIATION PROCEDURE
$182.00HC RH UNIT CONFIRMATION
$76.05HC SBBB ANTIBODY SCREEN
$72.15HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,204.15HC VENIPUNCTURE W/SPECIMEN
$30.55SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.40TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$42.90This 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
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.44TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$94.15This 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
$164.00Insurance Discount
-$24.60Price Negotiated by Insurer
$139.40Deductible 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 ABO UNIT CONFIRMATION
$215.05HC CBC WITHOUT DIFFERENTIAL
$44.20HC CBC W WBC AUTO DIFF
$44.20HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$20.40HC COMPREHENSIVE METABOLIC PANEL
$59.50HC CROSSMATCH COMP
$228.65HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$238.00HC RH UNIT CONFIRMATION
$99.45HC SBBB ANTIBODY SCREEN
$94.35HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,882.35HC VENIPUNCTURE W/SPECIMEN
$39.95SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$5.10TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.20This 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
$164.00Price Negotiated by Insurer
$245.12Deductible 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 ABO UNIT CONFIRMATION
$3.17HC CBC WITHOUT DIFFERENTIAL
$6.86HC CBC W WBC AUTO DIFF
$8.24HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.03HC COMPREHENSIVE METABOLIC PANEL
$11.19HC CROSSMATCH COMP
$230.79HC IRRADIATION PROCEDURE
$52.86HC RH UNIT CONFIRMATION
$3.17HC SBBB ANTIBODY SCREEN
$10.36HC TRANSFUS BLOOD/BLOOD COMPONENT
$588.81HC VENIPUNCTURE W/SPECIMEN
$9.64SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$56.26This 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
$164.00Price Negotiated by Insurer
$254.38Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC INTRODUCER 3FR TEARAWAY
$34.00HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC TRANSFUS BLOOD/BLOOD COMPONENT
$611.03HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$10.09TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$10.09This 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
$164.00Insurance Discount
-$65.60Price Negotiated by Insurer
$98.40Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$14.40HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CROSSMATCH COMP
$161.40HC INTRODUCER 3FR TEARAWAY
$51.00HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,034.60HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$34.12TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.13This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Insurance Discount
-$65.60Price Negotiated by Insurer
$98.40Deductible 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 ABO UNIT CONFIRMATION
$151.80HC CBC WITHOUT DIFFERENTIAL
$31.20HC CBC W WBC AUTO DIFF
$31.20HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$14.40HC COMPREHENSIVE METABOLIC PANEL
$42.00HC CROSSMATCH COMP
$161.40HC INTRODUCER 3FR TEARAWAY
$51.00HC IRRADIATION PROCEDURE
$168.00HC RH UNIT CONFIRMATION
$70.20HC SBBB ANTIBODY SCREEN
$66.60HC TRANSFUS BLOOD/BLOOD COMPONENT
$2,034.60HC VENIPUNCTURE W/SPECIMEN
$28.20SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.11TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.04This 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
$164.00Price Negotiated by Insurer
$676.00Deductible 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 ABO UNIT CONFIRMATION
$676.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC INTRODUCER 3FR TEARAWAY
$42.50HC IRRADIATION PROCEDURE
$676.00HC RH UNIT CONFIRMATION
$676.00HC SBBB ANTIBODY SCREEN
$7.91HC TRANSFUS BLOOD/BLOOD COMPONENT
$1,695.50HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$260.97TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$38.98This 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
$164.00Price Negotiated by Insurer
$663.00Deductible 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 ABO UNIT CONFIRMATION
$663.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC INTRODUCER 3FR TEARAWAY
$42.50HC IRRADIATION PROCEDURE
$663.00HC RH UNIT CONFIRMATION
$663.00HC SBBB ANTIBODY SCREEN
$7.91HC TRANSFUS BLOOD/BLOOD COMPONENT
$663.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$97.54TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$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
$164.00Price Negotiated by Insurer
$662.00Deductible 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 ABO UNIT CONFIRMATION
$662.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC INTRODUCER 3FR TEARAWAY
$42.50HC IRRADIATION PROCEDURE
$662.00HC RH UNIT CONFIRMATION
$662.00HC SBBB ANTIBODY SCREEN
$7.91HC TRANSFUS BLOOD/BLOOD COMPONENT
$1,695.50HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$308.79TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.03This 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
$164.00Price Negotiated by Insurer
$605.00Deductible 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 ABO UNIT CONFIRMATION
$605.00HC CBC WITHOUT DIFFERENTIAL
$5.24HC CBC W WBC AUTO DIFF
$6.29HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.08HC COMPREHENSIVE METABOLIC PANEL
$8.55HC CROSSMATCH COMP
$123.38HC INTRODUCER 3FR TEARAWAY
$42.50HC IRRADIATION PROCEDURE
$605.00HC RH UNIT CONFIRMATION
$605.00HC SBBB ANTIBODY SCREEN
$7.91HC TRANSFUS BLOOD/BLOOD COMPONENT
$605.00HC VENIPUNCTURE W/SPECIMEN
$2.43SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.43TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$19.27This 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
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$9.17TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$9.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$346.88Deductible 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 ABO UNIT CONFIRMATION
$4.49HC CBC WITHOUT DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$5.70HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CROSSMATCH COMP
$326.60HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$74.81HC RH UNIT CONFIRMATION
$4.49HC SBBB ANTIBODY SCREEN
$14.65HC TRANSFUS BLOOD/BLOOD COMPONENT
$833.22HC VENIPUNCTURE W/SPECIMEN
$13.63SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.01TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$3.06This 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
$164.00Price Negotiated by Insurer
$254.38Deductible 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 ABO UNIT CONFIRMATION
$3.29HC CBC WITHOUT DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$4.18HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CROSSMATCH COMP
$239.50HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$54.86HC RH UNIT CONFIRMATION
$3.29HC SBBB ANTIBODY SCREEN
$10.75HC TRANSFUS BLOOD/BLOOD COMPONENT
$611.03HC VENIPUNCTURE W/SPECIMEN
$10.00SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$2.02TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$0.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.
Total estimated charges
$164.00Price Negotiated by Insurer
$231.25Deductible 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 ABO UNIT CONFIRMATION
$2.99HC CBC WITHOUT DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CELL MORPHOLOGY VISUAL INDIVIDUAL
$3.80HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CROSSMATCH COMP
$217.73HC INTRODUCER 3FR TEARAWAY
$72.25HC IRRADIATION PROCEDURE
$49.87HC RH UNIT CONFIRMATION
$2.99HC SBBB ANTIBODY SCREEN
$9.77HC TRANSFUS BLOOD/BLOOD COMPONENT
$555.48HC VENIPUNCTURE W/SPECIMEN
$9.09SODIUM CHLORIDE 0.9% INJECTION FOR CNR (WRAP) [4081190]
$0.13TROPICAMIDE 1 %-PROPARACAINE 0.5 %-PE 2.5 %-KETOROLAC 0.5 % EYE DROPS [223020]
$1.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Loma Linda University Medical Center directly.