The standard charge for X-ray shoulder, 1 view is $959.00. 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
1969 West Hart Road, Beloit, WI, 53511CONTACT
(608) 364-5011 Visit WebsiteBeloit Memorial Hospital 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, Beloit Memorial Hospital 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-Beloit Memorial Hospital 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 608-364-5011.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$959.00Insurance Discount
-$95.90Price Negotiated by Insurer
$863.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$97.20ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,592.05Cefazolin 2gm Vial (Med)
$54.90Dexamethasone JW Waste Charge
$1.80Eylea 8mg - Eylea Med Charge
$4,774.50Fentanyl 50mcg/2ml syringe [Med]
$7.20GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$875.83Legal Blood Draw
$40.50Lidocaine 2% 40mL MDV [Med]
$9.90Ondansetron 2mg/ml [Med]
$5.40Propofol JW Waste Charge per 10 mg
$28.80ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$60.30SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,228.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$134.26Price Negotiated by Insurer
$824.74Deductible 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.
ABO/Rh Heel
$92.88ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,343.52Cefazolin 2gm Vial (Med)
$52.46Dexamethasone JW Waste Charge
$1.72Eylea 8mg - Eylea Med Charge
$4,562.30Fentanyl 50mcg/2ml syringe [Med]
$6.88GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$836.90Legal Blood Draw
$38.70Lidocaine 2% 40mL MDV [Med]
$9.46Ondansetron 2mg/ml [Med]
$5.16Propofol JW Waste Charge per 10 mg
$27.52ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$57.62SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,174.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$1,739.75Cefazolin 2gm Vial (Med)
$17.08Dexamethasone JW Waste Charge
$0.56Eylea 8mg - Eylea Med Charge
$1,485.40Fentanyl 50mcg/2ml syringe [Med]
$2.24GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$272.48Legal Blood Draw
$8.57Lidocaine 2% 40mL MDV [Med]
$3.08Ondansetron 2mg/ml [Med]
$1.68Propofol JW Waste Charge per 10 mg
$8.96ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$18.76SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$382.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$335.65Price Negotiated by Insurer
$623.35Deductible 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.
ABO/Rh Heel
$473.48ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$17,483.00ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$4,038.70Cefazolin 2gm Vial (Med)
$39.65Dexamethasone JW Waste Charge
$1.30Eylea 8mg - Eylea Med Charge
$3,448.25Fentanyl 50mcg/2ml syringe [Med]
$5.20GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$632.54Legal Blood Draw
$29.25Lidocaine 2% 40mL MDV [Med]
$7.15Ondansetron 2mg/ml [Med]
$3.90Propofol JW Waste Charge per 10 mg
$20.80ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$43.55SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$887.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$479.50Price Negotiated by Insurer
$479.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$220.96ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$16,081.00ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,106.70Cefazolin 2gm Vial (Med)
$30.50Dexamethasone JW Waste Charge
$1.00Eylea 8mg - Eylea Med Charge
$2,652.50Fentanyl 50mcg/2ml syringe [Med]
$4.00GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$486.57Legal Blood Draw
$22.50Lidocaine 2% 40mL MDV [Med]
$5.50Ondansetron 2mg/ml [Med]
$3.00Propofol JW Waste Charge per 10 mg
$16.00ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$33.50SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$682.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$498.68Price Negotiated by Insurer
$460.32Deductible 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.
ABO/Rh Heel
$209.59ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$15,278.00ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$2,982.43Cefazolin 2gm Vial (Med)
$29.28Dexamethasone JW Waste Charge
$0.96Eylea 8mg - Eylea Med Charge
$2,546.40Fentanyl 50mcg/2ml syringe [Med]
$3.84GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$467.11Legal Blood Draw
$21.60Lidocaine 2% 40mL MDV [Med]
$5.28Ondansetron 2mg/ml [Med]
$2.88Propofol JW Waste Charge per 10 mg
$15.36ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$32.16SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$655.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$450.73Price Negotiated by Insurer
$508.27Deductible 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.
ABO/Rh Heel
$57.24ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,293.10Cefazolin 2gm Vial (Med)
$32.33Dexamethasone JW Waste Charge
$1.06Eylea 8mg - Eylea Med Charge
$2,811.65Fentanyl 50mcg/2ml syringe [Med]
$4.24GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$515.76Legal Blood Draw
$23.85Lidocaine 2% 40mL MDV [Med]
$5.83Ondansetron 2mg/ml [Med]
$3.18Propofol JW Waste Charge per 10 mg
$16.96ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$35.51SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$723.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$671.30Price Negotiated by Insurer
$287.70Deductible 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.
ABO/Rh Heel
$32.40ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$1,864.02Cefazolin 2gm Vial (Med)
$18.30Dexamethasone JW Waste Charge
$0.60Eylea 8mg - Eylea Med Charge
$1,591.50Fentanyl 50mcg/2ml syringe [Med]
$2.40GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$291.94Legal Blood Draw
$13.50Lidocaine 2% 40mL MDV [Med]
$3.30Ondansetron 2mg/ml [Med]
$1.80Propofol JW Waste Charge per 10 mg
$9.60ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$20.10SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$409.64This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$76.72Price Negotiated by Insurer
$882.28Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$99.36ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,716.32Cefazolin 2gm Vial (Med)
$56.12Dexamethasone JW Waste Charge
$1.84Eylea 8mg - Eylea Med Charge
$4,880.60Fentanyl 50mcg/2ml syringe [Med]
$7.36GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$895.29Legal Blood Draw
$41.40Lidocaine 2% 40mL MDV [Med]
$10.12Ondansetron 2mg/ml [Med]
$5.52Propofol JW Waste Charge per 10 mg
$29.44ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$61.64SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,256.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$105.49Price Negotiated by Insurer
$853.51Deductible 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.
ABO/Rh Heel
$96.12ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,529.92Cefazolin 2gm Vial (Med)
$54.29Dexamethasone JW Waste Charge
$1.78Eylea 8mg - Eylea Med Charge
$4,721.45Fentanyl 50mcg/2ml syringe [Med]
$7.12GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$866.09Legal Blood Draw
$40.05Lidocaine 2% 40mL MDV [Med]
$9.79Ondansetron 2mg/ml [Med]
$5.34Propofol JW Waste Charge per 10 mg
$28.48ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$59.63SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,215.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$76.72Price Negotiated by Insurer
$882.28Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$99.36ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,716.32Cefazolin 2gm Vial (Med)
$56.12Dexamethasone JW Waste Charge
$1.84Eylea 8mg - Eylea Med Charge
$4,880.60Fentanyl 50mcg/2ml syringe [Med]
$7.36GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$895.29Legal Blood Draw
$41.40Lidocaine 2% 40mL MDV [Med]
$10.12Ondansetron 2mg/ml [Med]
$5.52Propofol JW Waste Charge per 10 mg
$29.44ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$61.64SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,256.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$624.87Price Negotiated by Insurer
$334.13Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$469.69ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$68,522.44ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$4,660.04Cefazolin 2gm Vial (Med)
$45.75Dexamethasone JW Waste Charge
$1.50Eylea 8mg - Eylea Med Charge
$3,978.75Fentanyl 50mcg/2ml syringe [Med]
$6.00GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$729.86Legal Blood Draw
$31.88Lidocaine 2% 40mL MDV [Med]
$8.25Ondansetron 2mg/ml [Med]
$4.50Propofol JW Waste Charge per 10 mg
$24.00ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$50.25SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,024.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$191.80Price Negotiated by Insurer
$767.20Deductible 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.
ABO/Rh Heel
$86.40ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$4,970.71Cefazolin 2gm Vial (Med)
$48.80Dexamethasone JW Waste Charge
$1.60Eylea 8mg - Eylea Med Charge
$4,244.00Fentanyl 50mcg/2ml syringe [Med]
$6.40GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$778.51Legal Blood Draw
$36.00Lidocaine 2% 40mL MDV [Med]
$8.80Ondansetron 2mg/ml [Med]
$4.80Propofol JW Waste Charge per 10 mg
$25.60ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$53.60SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,092.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$824.27Price Negotiated by Insurer
$134.73Deductible 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.
ABO/Rh Heel
$189.39ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$27,630.02ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,728.03Cefazolin 2gm Vial (Med)
$36.60Dexamethasone JW Waste Charge
$1.20Eylea 8mg - Eylea Med Charge
$3,183.00Fentanyl 50mcg/2ml syringe [Med]
$4.80GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$583.88Legal Blood Draw
$12.86Lidocaine 2% 40mL MDV [Med]
$6.60Ondansetron 2mg/ml [Med]
$3.60Propofol JW Waste Charge per 10 mg
$19.20ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$40.20SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$819.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$76.72Price Negotiated by Insurer
$882.28Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO/Rh Heel
$99.36ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$5,716.32Cefazolin 2gm Vial (Med)
$56.12Dexamethasone JW Waste Charge
$1.84Eylea 8mg - Eylea Med Charge
$4,880.60Fentanyl 50mcg/2ml syringe [Med]
$7.36GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$895.29Legal Blood Draw
$41.40Lidocaine 2% 40mL MDV [Med]
$10.12Ondansetron 2mg/ml [Med]
$5.52Propofol JW Waste Charge per 10 mg
$29.44ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$61.64SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,256.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$489.09Price Negotiated by Insurer
$469.91Deductible 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.
ABO/Rh Heel
$52.92ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,044.56Cefazolin 2gm Vial (Med)
$29.89Dexamethasone JW Waste Charge
$0.98Eylea 8mg - Eylea Med Charge
$2,599.45Fentanyl 50mcg/2ml syringe [Med]
$3.92GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$476.84Legal Blood Draw
$22.05Lidocaine 2% 40mL MDV [Med]
$5.39Ondansetron 2mg/ml [Med]
$2.94Propofol JW Waste Charge per 10 mg
$15.68ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$32.83SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$669.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$335.65Price Negotiated by Insurer
$623.35Deductible 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.
ABO/Rh Heel
$70.20ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$4,038.70Cefazolin 2gm Vial (Med)
$39.65Dexamethasone JW Waste Charge
$1.30Eylea 8mg - Eylea Med Charge
$3,448.25Fentanyl 50mcg/2ml syringe [Med]
$5.20GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$632.54Legal Blood Draw
$29.25Lidocaine 2% 40mL MDV [Med]
$7.15Ondansetron 2mg/ml [Med]
$3.90Propofol JW Waste Charge per 10 mg
$20.80ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$43.55SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$887.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,728.03Cefazolin 2gm Vial (Med)
$36.60Dexamethasone JW Waste Charge
$1.20Eylea 8mg - Eylea Med Charge
$3,183.00Fentanyl 50mcg/2ml syringe [Med]
$4.80GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$583.88Legal Blood Draw
$8.57Lidocaine 2% 40mL MDV [Med]
$6.60Ondansetron 2mg/ml [Med]
$3.60Propofol JW Waste Charge per 10 mg
$19.20ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$40.20SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$819.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$942.48Price Negotiated by Insurer
$16.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$14,595.84Cefazolin 2gm Vial (Med)
$933.88Dexamethasone JW Waste Charge
$8.00Eylea 8mg - Eylea Med Charge
$700.24Fentanyl 50mcg/2ml syringe [Med]
$368.92Legal Blood Draw
$180.00Lidocaine 2% 40mL MDV [Med]
$300,002.00Ondansetron 2mg/ml [Med]
$1,369.92Propofol JW Waste Charge per 10 mg
$128.00ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$933.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$431.55Price Negotiated by Insurer
$527.45Deductible 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.
ABO/Rh Heel
$59.40ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$3,417.36Cefazolin 2gm Vial (Med)
$33.55Dexamethasone JW Waste Charge
$1.10Eylea 8mg - Eylea Med Charge
$2,917.75Fentanyl 50mcg/2ml syringe [Med]
$4.40GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$535.23Legal Blood Draw
$24.75Lidocaine 2% 40mL MDV [Med]
$6.05Ondansetron 2mg/ml [Med]
$3.30Propofol JW Waste Charge per 10 mg
$17.60ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$36.85SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$751.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$869.18Price Negotiated by Insurer
$89.82Deductible 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.
ABO/Rh Heel
$126.26ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))
$18,420.01Legal Blood Draw
$8.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.
Total estimated charges
$959.00Insurance Discount
-$248.67Price Negotiated by Insurer
$710.33Deductible 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.
ABO/Rh Heel
$80.00ART SURFACE PSN VE MC 8-11 GH 11MM LT 42-5121-009-11
$4,602.26Cefazolin 2gm Vial (Med)
$2.04Dexamethasone JW Waste Charge
$1.48Eylea 8mg - Eylea Med Charge
$3,929.41Fentanyl 50mcg/2ml syringe [Med]
$2.48GUIDE WIRE 1.1 X 150 TROCAR TIP 03.333.001
$720.80Legal Blood Draw
$33.33Lidocaine 2% 40mL MDV [Med]
$0.07Ondansetron 2mg/ml [Med]
$0.24Propofol JW Waste Charge per 10 mg
$23.70ROPIVICAINE 0.5% SOLN 30ML VIAL (MED)
$0.17SCREW PERIPHERAL LOCKING UNIVERS REVERS GLENOID 5.5 X 44MM AR-9563-44
$1,011.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Beloit Memorial Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Beloit Memorial Hospital directly.