CPT 74250
The standard charge for X-ray small bowel is $1,301.00. 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
28062 Baxter Road, Murrieta, CA, 92563CONTACT
877-558-6248 Visit WebsiteLoma Linda University Medical Center - Murrieta 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 - Murrieta 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 - Murrieta 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
$1,301.00Insurance Discount
-$1,040.80Price Negotiated by Insurer
$260.20Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
HC BASIC METABOLIC PANEL
$90.00HC CBC W DIFFERENTIAL
$10.40HC CBC W WBC AUTO DIFF
$10.40HC CHEST SINGLE VIEW
$152.00HC COMPREHENSIVE METABOLIC PANEL
$159.00HC CT ABDOMEN & PELVIS W/CONTRAST
$793.40HC GLUCOSE TESTING POC
$27.40HC IV PUSH EA ADDL SEQ NEW DRUG
$119.60HC IV PUSH EA ADDL SEQ SAME DRUG
$48.00HC LACTATE (CSF/POC)
$61.60HC LIPASE
$12.00HC LUPUS SCREEN PTT
$12.00HC MAGNESIUM
$8.00HC PHOSPHORUS
$34.60HC PROTHROMBIN TIME QUICK
$24.40HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$57.40HC VENIPUNCTURE W SPECIMEN
$9.40IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$1.37This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$496.98Price Negotiated by Insurer
$804.02Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$278.10HC CBC W DIFFERENTIAL
$58.09HC CBC W WBC AUTO DIFF
$32.14HC CHEST SINGLE VIEW
$469.68HC COMPREHENSIVE METABOLIC PANEL
$491.31HC CT ABDOMEN & PELVIS W/CONTRAST
$1,982.54HC GLUCOSE TESTING POC
$84.67HC IV PUSH EA ADDL SEQ NEW DRUG
$369.56HC IV PUSH EA ADDL SEQ SAME DRUG
$148.32HC LACTATE (CSF/POC)
$190.34HC LIPASE
$135.96HC LUPUS SCREEN PTT
$113.71HC MAGNESIUM
$93.94HC PHOSPHORUS
$106.91HC PROTHROMBIN TIME QUICK
$25.96HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$86.52HC VENIPUNCTURE W SPECIMEN
$29.05IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$4.80This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$962.62Price Negotiated by Insurer
$338.38Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$9.33HC BASIC METABOLIC PANEL
$12.69HC CBC W DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$673.07HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$90.34HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME QUICK
$6.43HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$14.01IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.52This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,052.85Price Negotiated by Insurer
$248.15Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.79HC BASIC METABOLIC PANEL
$9.31HC CBC W DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$493.58HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$66.25HC IV PUSH EA ADDL SEQ SAME DRUG
$132.00HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME QUICK
$4.72HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$77.00HC VENIPUNCTURE W SPECIMEN
$10.27IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$65.93This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.59HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$448.71HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC IV PUSH EA ADDL SEQ SAME DRUG
$180.00HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$105.00HC VENIPUNCTURE W SPECIMEN
$9.34IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$947.00Price Negotiated by Insurer
$354.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.19HC BASIC METABOLIC PANEL
$80.35HC CBC W DIFFERENTIAL
$61.43HC CBC W WBC AUTO DIFF
$73.83HC CHEST SINGLE VIEW
$119.79HC COMPREHENSIVE METABOLIC PANEL
$100.49HC CT ABDOMEN & PELVIS W/CONTRAST
$1,984.29HC IV PUSH EA ADDL SEQ NEW DRUG
$509.00HC IV PUSH EA ADDL SEQ SAME DRUG
$509.00HC LACTATE (CSF/POC)
$101.38HC LIPASE
$65.33HC LUPUS SCREEN PTT
$57.02HC MAGNESIUM
$63.22HC PHOSPHORUS
$44.94HC PROTHROMBIN TIME QUICK
$37.39HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$347.00HC VENIPUNCTURE W SPECIMEN
$20.33IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.94This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,026.30Price Negotiated by Insurer
$274.70Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.71HC BASIC METABOLIC PANEL
$68.14HC CBC W DIFFERENTIAL
$52.07HC CBC W WBC AUTO DIFF
$62.55HC CHEST SINGLE VIEW
$60.00HC COMPREHENSIVE METABOLIC PANEL
$85.08HC CT ABDOMEN & PELVIS W/CONTRAST
$1,494.14HC GLUCOSE TESTING POC
$18.84HC IV PUSH EA ADDL SEQ NEW DRUG
$638.00HC IV PUSH EA ADDL SEQ SAME DRUG
$638.00HC LACTATE (CSF/POC)
$85.94HC LIPASE
$55.41HC LUPUS SCREEN PTT
$48.27HC MAGNESIUM
$53.91HC PHOSPHORUS
$38.19HC PROTHROMBIN TIME QUICK
$31.62HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$354.00HC VENIPUNCTURE W SPECIMEN
$17.28IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.35This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,080.09Price Negotiated by Insurer
$220.91Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$243.51HC BASIC METABOLIC PANEL
$54.65HC CBC W DIFFERENTIAL
$41.76HC CBC W WBC AUTO DIFF
$50.17HC CHEST SINGLE VIEW
$48.25HC COMPREHENSIVE METABOLIC PANEL
$68.24HC CT ABDOMEN & PELVIS W/CONTRAST
$1,201.54HC GLUCOSE TESTING POC
$15.11HC IV PUSH EA ADDL SEQ NEW DRUG
$512.00HC IV PUSH EA ADDL SEQ SAME DRUG
$512.00HC LACTATE (CSF/POC)
$68.93HC LIPASE
$44.44HC LUPUS SCREEN PTT
$38.72HC MAGNESIUM
$43.24HC PHOSPHORUS
$30.63HC PROTHROMBIN TIME QUICK
$25.36HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$284.00HC VENIPUNCTURE W SPECIMEN
$13.86IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$58.50This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$715.55Price Negotiated by Insurer
$585.45Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.52HC BASIC METABOLIC PANEL
$21.60HC CBC W DIFFERENTIAL
$23.40HC CBC W WBC AUTO DIFF
$67.50HC CHEST SINGLE VIEW
$342.00HC COMPREHENSIVE METABOLIC PANEL
$357.75HC CT ABDOMEN & PELVIS W/CONTRAST
$1,443.60HC GLUCOSE TESTING POC
$5.85HC IV PUSH EA ADDL SEQ NEW DRUG
$269.10HC IV PUSH EA ADDL SEQ SAME DRUG
$108.00HC LACTATE (CSF/POC)
$138.60HC LIPASE
$99.00HC LUPUS SCREEN PTT
$27.00HC MAGNESIUM
$68.40HC PHOSPHORUS
$77.85HC PROTHROMBIN TIME QUICK
$18.90HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$63.00HC VENIPUNCTURE W SPECIMEN
$21.15IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$455.35Price Negotiated by Insurer
$845.65Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$292.50HC CBC W DIFFERENTIAL
$33.80HC CBC W WBC AUTO DIFF
$97.50HC CHEST SINGLE VIEW
$494.00HC COMPREHENSIVE METABOLIC PANEL
$516.75HC CT ABDOMEN & PELVIS W/CONTRAST
$910.00HC GLUCOSE TESTING POC
$89.05HC IV PUSH EA ADDL SEQ NEW DRUG
$388.70HC IV PUSH EA ADDL SEQ SAME DRUG
$156.00HC LACTATE (CSF/POC)
$53.30HC LIPASE
$143.00HC LUPUS SCREEN PTT
$39.00HC MAGNESIUM
$26.00HC PHOSPHORUS
$112.45HC PROTHROMBIN TIME QUICK
$79.30HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$91.00HC VENIPUNCTURE W SPECIMEN
$35.10IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$962.62Price Negotiated by Insurer
$338.38Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.30HC BASIC METABOLIC PANEL
$12.69HC CBC W DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$673.07HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$90.34HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME QUICK
$6.43HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$14.01IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$101.90This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,052.85Price Negotiated by Insurer
$248.15Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$9.31HC CBC W DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$493.58HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$66.25HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME QUICK
$4.72HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$10.27IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.52This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.67HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$448.71HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$9.34IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.49This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$533.41Price Negotiated by Insurer
$767.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.51HC BASIC METABOLIC PANEL
$265.50HC CBC W DIFFERENTIAL
$55.46HC CBC W WBC AUTO DIFF
$30.68HC CHEST SINGLE VIEW
$448.40HC COMPREHENSIVE METABOLIC PANEL
$469.05HC CT ABDOMEN & PELVIS W/CONTRAST
$874.00HC GLUCOSE TESTING POC
$80.83HC IV PUSH EA ADDL SEQ NEW DRUG
$352.82HC IV PUSH EA ADDL SEQ SAME DRUG
$141.60HC LACTATE (CSF/POC)
$48.38HC LIPASE
$129.80HC LUPUS SCREEN PTT
$108.56HC MAGNESIUM
$89.68HC PHOSPHORUS
$102.07HC PROTHROMBIN TIME QUICK
$24.78HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$91.00HC VENIPUNCTURE W SPECIMEN
$9,616.00IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$3.07This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$448.71HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC VENIPUNCTURE W SPECIMEN
$9.34This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$495.68Price Negotiated by Insurer
$805.32Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.49HC BASIC METABOLIC PANEL
$278.55HC CBC W DIFFERENTIAL
$58.19HC CBC W WBC AUTO DIFF
$92.85HC CHEST SINGLE VIEW
$470.44HC COMPREHENSIVE METABOLIC PANEL
$43.33HC CT ABDOMEN & PELVIS W/CONTRAST
$573.00HC GLUCOSE TESTING POC
$8.05HC IV PUSH EA ADDL SEQ NEW DRUG
$370.16HC IV PUSH EA ADDL SEQ SAME DRUG
$148.56HC LACTATE (CSF/POC)
$190.65HC LIPASE
$37.14HC LUPUS SCREEN PTT
$113.90HC MAGNESIUM
$94.09HC PHOSPHORUS
$19.19HC PROTHROMBIN TIME QUICK
$26.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$86.66HC VENIPUNCTURE W SPECIMEN
$33.43IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$495.68Price Negotiated by Insurer
$805.32Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$308.88HC BASIC METABOLIC PANEL
$278.55HC CBC W DIFFERENTIAL
$58.19HC CBC W WBC AUTO DIFF
$32.19HC CHEST SINGLE VIEW
$470.44HC COMPREHENSIVE METABOLIC PANEL
$492.11HC CT ABDOMEN & PELVIS W/CONTRAST
$521.00HC GLUCOSE TESTING POC
$84.80HC IV PUSH EA ADDL SEQ NEW DRUG
$404.85HC IV PUSH EA ADDL SEQ SAME DRUG
$148.56HC LACTATE (CSF/POC)
$50.76HC LIPASE
$136.18HC LUPUS SCREEN PTT
$113.90HC MAGNESIUM
$94.09HC PHOSPHORUS
$107.09HC PROTHROMBIN TIME QUICK
$26.00HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$86.66HC VENIPUNCTURE W SPECIMEN
$33.43IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.36This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$448.71HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC VENIPUNCTURE W SPECIMEN
$9.34This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$680.42Price Negotiated by Insurer
$620.58Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
HC BASIC METABOLIC PANEL
$22.90HC CBC W DIFFERENTIAL
$44.84HC CBC W WBC AUTO DIFF
$71.55HC CHEST SINGLE VIEW
$362.52HC COMPREHENSIVE METABOLIC PANEL
$33.39HC CT ABDOMEN & PELVIS W/CONTRAST
$1,892.26HC GLUCOSE TESTING POC
$6.20HC IV PUSH EA ADDL SEQ NEW DRUG
$285.25HC IV PUSH EA ADDL SEQ SAME DRUG
$114.48HC LACTATE (CSF/POC)
$39.11HC LIPASE
$28.62HC LUPUS SCREEN PTT
$87.77HC MAGNESIUM
$72.50HC PHOSPHORUS
$14.79HC PROTHROMBIN TIME QUICK
$58.19HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$66.78HC VENIPUNCTURE W SPECIMEN
$22.42IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$57.18This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,065.52Price Negotiated by Insurer
$235.48Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
HC BASIC METABOLIC PANEL
$8.69HC CBC W DIFFERENTIAL
$9.41HC CBC W WBC AUTO DIFF
$9.41HC CHEST SINGLE VIEW
$137.56HC COMPREHENSIVE METABOLIC PANEL
$12.67HC CT ABDOMEN & PELVIS W/CONTRAST
$718.03HC GLUCOSE TESTING POC
$2.35HC IV PUSH EA ADDL SEQ NEW DRUG
$108.24HC IV PUSH EA ADDL SEQ SAME DRUG
$43.44HC LACTATE (CSF/POC)
$14.84HC LIPASE
$10.86HC LUPUS SCREEN PTT
$10.86HC MAGNESIUM
$27.51HC PHOSPHORUS
$5.61HC PROTHROMBIN TIME QUICK
$7.60HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$25.34HC VENIPUNCTURE W SPECIMEN
$9.77IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$21.70This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,041.57Price Negotiated by Insurer
$259.43Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$9.73HC CBC W DIFFERENTIAL
$7.44HC CBC W WBC AUTO DIFF
$8.94HC CHEST SINGLE VIEW
$128.72HC COMPREHENSIVE METABOLIC PANEL
$12.14HC CT ABDOMEN & PELVIS W/CONTRAST
$516.02HC GLUCOSE TESTING POC
$3.77HC IV PUSH EA ADDL SEQ NEW DRUG
$69.26HC LACTATE (CSF/POC)
$13.31HC LIPASE
$7.92HC LUPUS SCREEN PTT
$6.91HC MAGNESIUM
$7.71HC PHOSPHORUS
$5.45HC PROTHROMBIN TIME QUICK
$4.93HC VENIPUNCTURE W SPECIMEN
$10.74This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$975.75Price Negotiated by Insurer
$325.25Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
HC BASIC METABOLIC PANEL
$12.00HC CBC W DIFFERENTIAL
$23.50HC CBC W WBC AUTO DIFF
$37.50HC CHEST SINGLE VIEW
$190.00HC COMPREHENSIVE METABOLIC PANEL
$198.75HC CT ABDOMEN & PELVIS W/CONTRAST
$991.75HC GLUCOSE TESTING POC
$3.25HC IV PUSH EA ADDL SEQ NEW DRUG
$149.50HC IV PUSH EA ADDL SEQ SAME DRUG
$60.00HC LACTATE (CSF/POC)
$77.00HC LIPASE
$55.00HC LUPUS SCREEN PTT
$46.00HC MAGNESIUM
$10.00HC PHOSPHORUS
$7.75HC PROTHROMBIN TIME QUICK
$30.50HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$35.00HC VENIPUNCTURE W SPECIMEN
$13.50IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$29.97This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$998.71Price Negotiated by Insurer
$302.29Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$11.34HC CBC W DIFFERENTIAL
$8.67HC CBC W WBC AUTO DIFF
$10.41HC CHEST SINGLE VIEW
$149.99HC COMPREHENSIVE METABOLIC PANEL
$14.15HC CT ABDOMEN & PELVIS W/CONTRAST
$601.27HC GLUCOSE TESTING POC
$4.40HC IV PUSH EA ADDL SEQ NEW DRUG
$80.71HC IV PUSH EA ADDL SEQ SAME DRUG
$168.00HC LACTATE (CSF/POC)
$15.50HC LIPASE
$9.23HC LUPUS SCREEN PTT
$8.05HC MAGNESIUM
$8.98HC PHOSPHORUS
$6.35HC PROTHROMBIN TIME QUICK
$5.75HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$98.00HC VENIPUNCTURE W SPECIMEN
$12.52IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$325.25Price Negotiated by Insurer
$975.75Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$8.23HC BASIC METABOLIC PANEL
$337.50HC CBC W DIFFERENTIAL
$70.50HC CBC W WBC AUTO DIFF
$112.50HC CHEST SINGLE VIEW
$570.00HC COMPREHENSIVE METABOLIC PANEL
$596.25HC CT ABDOMEN & PELVIS W/CONTRAST
$2,406.00HC GLUCOSE TESTING POC
$9.75HC IV PUSH EA ADDL SEQ NEW DRUG
$448.50HC IV PUSH EA ADDL SEQ SAME DRUG
$180.00HC LACTATE (CSF/POC)
$231.00HC LIPASE
$45.00HC LUPUS SCREEN PTT
$138.00HC MAGNESIUM
$30.00HC PHOSPHORUS
$23.25HC PROTHROMBIN TIME QUICK
$31.50HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$105.00HC VENIPUNCTURE W SPECIMEN
$40.50IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.46This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.08HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$225.00HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$358.80HC IV PUSH EA ADDL SEQ SAME DRUG
$144.00HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$100.00HC VENIPUNCTURE W SPECIMEN
$9.34IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.35This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$225.00HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC IV PUSH EA ADDL SEQ SAME DRUG
$144.00HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$100.00HC VENIPUNCTURE W SPECIMEN
$9.34IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$47.95This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,163.67Price Negotiated by Insurer
$137.33Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.19HC BASIC METABOLIC PANEL
$9.13HC CBC W DIFFERENTIAL
$6.98HC CBC W WBC AUTO DIFF
$8.39HC CHEST SINGLE VIEW
$99.38HC COMPREHENSIVE METABOLIC PANEL
$11.40HC CT ABDOMEN & PELVIS W/CONTRAST
$928.86HC GLUCOSE TESTING POC
$3.54HC IV PUSH EA ADDL SEQ NEW DRUG
$626.00HC LACTATE (CSF/POC)
$12.49HC LIPASE
$7.44HC LUPUS SCREEN PTT
$6.49HC MAGNESIUM
$7.24HC PHOSPHORUS
$5.12HC PROTHROMBIN TIME QUICK
$4.63HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$261.00HC VENIPUNCTURE W SPECIMEN
$3.24IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$3.44This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,163.67Price Negotiated by Insurer
$137.33Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.18HC BASIC METABOLIC PANEL
$9.13HC CBC W DIFFERENTIAL
$6.98HC CBC W WBC AUTO DIFF
$8.39HC CHEST SINGLE VIEW
$99.38HC COMPREHENSIVE METABOLIC PANEL
$11.40HC CT ABDOMEN & PELVIS W/CONTRAST
$928.86HC GLUCOSE TESTING POC
$3.54HC IV PUSH EA ADDL SEQ NEW DRUG
$526.00HC IV PUSH EA ADDL SEQ SAME DRUG
$526.00HC LACTATE (CSF/POC)
$12.49HC LIPASE
$7.44HC LUPUS SCREEN PTT
$6.49HC MAGNESIUM
$7.24HC PHOSPHORUS
$5.12HC PROTHROMBIN TIME QUICK
$4.63HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$220.00HC VENIPUNCTURE W SPECIMEN
$3.24IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Loma Linda University Medical Center - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$962.62Price Negotiated by Insurer
$338.38Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$12.69HC CBC W DIFFERENTIAL
$9.71HC CBC W WBC AUTO DIFF
$11.65HC CHEST SINGLE VIEW
$167.90HC COMPREHENSIVE METABOLIC PANEL
$15.84HC CT ABDOMEN & PELVIS W/CONTRAST
$673.07HC GLUCOSE TESTING POC
$4.92HC IV PUSH EA ADDL SEQ NEW DRUG
$90.34HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$17.36HC LIPASE
$10.34HC LUPUS SCREEN PTT
$9.02HC MAGNESIUM
$10.05HC PHOSPHORUS
$7.11HC PROTHROMBIN TIME QUICK
$6.43HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$14.01IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$101.90This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,052.85Price Negotiated by Insurer
$248.15Deductible 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.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$9.31HC CBC W DIFFERENTIAL
$7.12HC CBC W WBC AUTO DIFF
$8.55HC CHEST SINGLE VIEW
$123.12HC COMPREHENSIVE METABOLIC PANEL
$11.62HC CT ABDOMEN & PELVIS W/CONTRAST
$493.58HC GLUCOSE TESTING POC
$3.61HC IV PUSH EA ADDL SEQ NEW DRUG
$66.25HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$12.73HC LIPASE
$7.58HC LUPUS SCREEN PTT
$6.61HC MAGNESIUM
$7.37HC PHOSPHORUS
$5.21HC PROTHROMBIN TIME QUICK
$4.72HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$10.27IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.49This 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 - Murrieta 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 - Murrieta directly.
Total estimated charges
$1,301.00Insurance Discount
-$1,075.41Price Negotiated by Insurer
$225.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION [9828]
$0.01HC BASIC METABOLIC PANEL
$8.46HC CBC W DIFFERENTIAL
$6.47HC CBC W WBC AUTO DIFF
$7.77HC CHEST SINGLE VIEW
$111.93HC COMPREHENSIVE METABOLIC PANEL
$10.56HC CT ABDOMEN & PELVIS W/CONTRAST
$448.71HC GLUCOSE TESTING POC
$3.28HC IV PUSH EA ADDL SEQ NEW DRUG
$60.23HC IV PUSH EA ADDL SEQ SAME DRUG
$204.00HC LACTATE (CSF/POC)
$11.57HC LIPASE
$6.89HC LUPUS SCREEN PTT
$6.01HC MAGNESIUM
$6.70HC PHOSPHORUS
$4.74HC PROTHROMBIN TIME QUICK
$4.29HC THERAPEUTIC ACTIVITY 15 MIN MCAL
$119.00HC VENIPUNCTURE W SPECIMEN
$9.34IOPROMIDE 370 MG IODINE/ML INTRAVENOUS SOLUTION [247558]
$0.52This 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 - Murrieta 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 - Murrieta directly.