The standard charge for Chemotherapy infusion-additional IV pushes of the same medication is $633.00. 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
$633.00Insurance Discount
-$63.30Price Negotiated by Insurer
$569.70Deductible 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.
Additional Push of Medication - 96375
$210.60Chemo IV Infusion 1 Hour
$1,094.40Dexamethasone JW Waste Charge
$1.80Draw Blood From Venous Device
$160.20Emend 1 mg Charge
$16.20Heparin Flush 100units/ml syringe 10ml [Med]
$7.20IMRT Treatment Complex (all other areas)
$5,138.10Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$349.20Ondansetron 2mg/ml [Med]
$5.40Paraplatin 50 mg Charge
$100.80Sodium Chloride 0.9% IV 500 ML J7040
$90.00This 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
$633.00Insurance Discount
-$88.62Price Negotiated by Insurer
$544.38Deductible 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.
Additional Push of Medication - 96375
$201.24Chemo IV Infusion 1 Hour
$1,045.76Dexamethasone JW Waste Charge
$1.72Draw Blood From Venous Device
$153.08Emend 1 mg Charge
$15.48Heparin Flush 100units/ml syringe 10ml [Med]
$6.88IMRT Treatment Complex (all other areas)
$4,909.74Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$333.68Ondansetron 2mg/ml [Med]
$5.16Paraplatin 50 mg Charge
$96.32Sodium Chloride 0.9% IV 500 ML J7040
$86.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Dexamethasone JW Waste Charge
$0.56Draw Blood From Venous Device
$126.26Emend 1 mg Charge
$5.04Heparin Flush 100units/ml syringe 10ml [Med]
$2.24IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63Ondansetron 2mg/ml [Med]
$1.68Paraplatin 50 mg Charge
$31.36Sodium Chloride 0.9% IV 500 ML J7040
$28.00This 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
$633.00Insurance Discount
-$221.55Price Negotiated by Insurer
$411.45Deductible 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.
Additional Push of Medication - 96375
$152.10Chemo IV Infusion 1 Hour
$790.40Dexamethasone JW Waste Charge
$1.30Draw Blood From Venous Device
$115.70Emend 1 mg Charge
$11.70Heparin Flush 100units/ml syringe 10ml [Med]
$5.20IMRT Treatment Complex (all other areas)
$2,181.90Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$252.20Ondansetron 2mg/ml [Med]
$3.90Paraplatin 50 mg Charge
$72.80Sodium Chloride 0.9% IV 500 ML J7040
$65.00This 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
$633.00Insurance Discount
-$316.50Price Negotiated by Insurer
$316.50Deductible 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.
Additional Push of Medication - 96375
$117.00Chemo IV Infusion 1 Hour
$608.00Dexamethasone JW Waste Charge
$1.00Draw Blood From Venous Device
$89.00Emend 1 mg Charge
$9.00Heparin Flush 100units/ml syringe 10ml [Med]
$4.00IMRT Treatment Complex (all other areas)
$1,745.52Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$194.00Ondansetron 2mg/ml [Med]
$3.00Paraplatin 50 mg Charge
$56.00Sodium Chloride 0.9% IV 500 ML J7040
$50.00This 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
$633.00Insurance Discount
-$329.16Price Negotiated by Insurer
$303.84Deductible 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.
Additional Push of Medication - 96375
$112.32Chemo IV Infusion 1 Hour
$583.68Dexamethasone JW Waste Charge
$0.96Draw Blood From Venous Device
$85.44Emend 1 mg Charge
$8.64Heparin Flush 100units/ml syringe 10ml [Med]
$3.84IMRT Treatment Complex (all other areas)
$1,658.24Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$186.24Ondansetron 2mg/ml [Med]
$2.88Paraplatin 50 mg Charge
$53.76Sodium Chloride 0.9% IV 500 ML J7040
$48.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$297.51Price Negotiated by Insurer
$335.49Deductible 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.
Additional Push of Medication - 96375
$124.02Chemo IV Infusion 1 Hour
$644.48Dexamethasone JW Waste Charge
$1.06Draw Blood From Venous Device
$94.34Emend 1 mg Charge
$9.54Heparin Flush 100units/ml syringe 10ml [Med]
$4.24IMRT Treatment Complex (all other areas)
$3,025.77Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$205.64Ondansetron 2mg/ml [Med]
$3.18Paraplatin 50 mg Charge
$59.36Sodium Chloride 0.9% IV 500 ML J7040
$53.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$443.10Price Negotiated by Insurer
$189.90Deductible 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.
Additional Push of Medication - 96375
$70.20Chemo IV Infusion 1 Hour
$364.80Dexamethasone JW Waste Charge
$0.60Draw Blood From Venous Device
$53.40Emend 1 mg Charge
$5.40Heparin Flush 100units/ml syringe 10ml [Med]
$2.40IMRT Treatment Complex (all other areas)
$1,712.70Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$116.40Ondansetron 2mg/ml [Med]
$1.80Paraplatin 50 mg Charge
$33.60Sodium Chloride 0.9% IV 500 ML J7040
$30.00This 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
$633.00Insurance Discount
-$50.64Price Negotiated by Insurer
$582.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Additional Push of Medication - 96375
$215.28Chemo IV Infusion 1 Hour
$1,118.72Dexamethasone JW Waste Charge
$1.84Draw Blood From Venous Device
$163.76Emend 1 mg Charge
$16.56Heparin Flush 100units/ml syringe 10ml [Med]
$7.36IMRT Treatment Complex (all other areas)
$5,252.28Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$356.96Ondansetron 2mg/ml [Med]
$5.52Paraplatin 50 mg Charge
$103.04Sodium Chloride 0.9% IV 500 ML J7040
$92.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$278.77Price Negotiated by Insurer
$354.23Deductible 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.
Additional Push of Medication - 96375
$130.95Chemo IV Infusion 1 Hour
$680.47Dexamethasone JW Waste Charge
$1.12Emend 1 mg Charge
$0.17Heparin Flush 100units/ml syringe 10ml [Med]
$0.02Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$217.12Ondansetron 2mg/ml [Med]
$0.13Paraplatin 50 mg Charge
$4.92Sodium Chloride 0.9% IV 500 ML J7040
$1.73This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$69.63Price Negotiated by Insurer
$563.37Deductible 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.
Additional Push of Medication - 96375
$208.26Chemo IV Infusion 1 Hour
$1,082.24Dexamethasone JW Waste Charge
$1.78Draw Blood From Venous Device
$158.42Emend 1 mg Charge
$16.02Heparin Flush 100units/ml syringe 10ml [Med]
$7.12IMRT Treatment Complex (all other areas)
$5,081.01Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$345.32Ondansetron 2mg/ml [Med]
$5.34Paraplatin 50 mg Charge
$99.68Sodium Chloride 0.9% IV 500 ML J7040
$89.00This 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
$633.00Insurance Discount
-$50.64Price Negotiated by Insurer
$582.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Additional Push of Medication - 96375
$215.28Chemo IV Infusion 1 Hour
$1,118.72Dexamethasone JW Waste Charge
$1.84Draw Blood From Venous Device
$163.76Emend 1 mg Charge
$16.56Heparin Flush 100units/ml syringe 10ml [Med]
$7.36IMRT Treatment Complex (all other areas)
$5,252.28Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$356.96Ondansetron 2mg/ml [Med]
$5.52Paraplatin 50 mg Charge
$103.04Sodium Chloride 0.9% IV 500 ML J7040
$92.00This 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
$633.00Insurance Discount
-$373.98Price Negotiated by Insurer
$259.02Deductible 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.
Additional Push of Medication - 96375
$174.65Chemo IV Infusion 1 Hour
$1,245.23Dexamethasone JW Waste Charge
$1.50Draw Blood From Venous Device
$469.69Emend 1 mg Charge
$13.50Heparin Flush 100units/ml syringe 10ml [Med]
$6.00IMRT Treatment Complex (all other areas)
$2,164.44Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$259.02Ondansetron 2mg/ml [Med]
$4.50Paraplatin 50 mg Charge
$84.00Sodium Chloride 0.9% IV 500 ML J7040
$75.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$126.60Price Negotiated by Insurer
$506.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Additional Push of Medication - 96375
$187.20Chemo IV Infusion 1 Hour
$972.80Dexamethasone JW Waste Charge
$1.60Draw Blood From Venous Device
$142.40Emend 1 mg Charge
$14.40Heparin Flush 100units/ml syringe 10ml [Med]
$6.40IMRT Treatment Complex (all other areas)
$4,567.20Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$310.40Ondansetron 2mg/ml [Med]
$4.80Paraplatin 50 mg Charge
$89.60Sodium Chloride 0.9% IV 500 ML J7040
$80.00This 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
$633.00Insurance Discount
-$528.56Price Negotiated by Insurer
$104.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Additional Push of Medication - 96375
$70.42Chemo IV Infusion 1 Hour
$502.11Dexamethasone JW Waste Charge
$1.20Draw Blood From Venous Device
$189.39Emend 1 mg Charge
$10.80Heparin Flush 100units/ml syringe 10ml [Med]
$4.80IMRT Treatment Complex (all other areas)
$872.76Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$104.44Ondansetron 2mg/ml [Med]
$3.60Paraplatin 50 mg Charge
$67.20Sodium Chloride 0.9% IV 500 ML J7040
$60.00This 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
$633.00Insurance Discount
-$50.64Price Negotiated by Insurer
$582.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Additional Push of Medication - 96375
$215.28Chemo IV Infusion 1 Hour
$1,118.72Dexamethasone JW Waste Charge
$1.84Draw Blood From Venous Device
$163.76Emend 1 mg Charge
$16.56Heparin Flush 100units/ml syringe 10ml [Med]
$7.36IMRT Treatment Complex (all other areas)
$5,252.28Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$356.96Ondansetron 2mg/ml [Med]
$5.52Paraplatin 50 mg Charge
$103.04Sodium Chloride 0.9% IV 500 ML J7040
$92.00This 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
$633.00Insurance Discount
-$322.83Price Negotiated by Insurer
$310.17Deductible 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.
Additional Push of Medication - 96375
$114.66Chemo IV Infusion 1 Hour
$595.84Dexamethasone JW Waste Charge
$0.98Draw Blood From Venous Device
$87.22Emend 1 mg Charge
$8.82Heparin Flush 100units/ml syringe 10ml [Med]
$3.92IMRT Treatment Complex (all other areas)
$2,797.41Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$190.12Ondansetron 2mg/ml [Med]
$2.94Paraplatin 50 mg Charge
$54.88Sodium Chloride 0.9% IV 500 ML J7040
$49.00This 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
$633.00Insurance Discount
-$221.55Price Negotiated by Insurer
$411.45Deductible 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.
Additional Push of Medication - 96375
$152.10Chemo IV Infusion 1 Hour
$790.40Dexamethasone JW Waste Charge
$1.30Draw Blood From Venous Device
$115.70Emend 1 mg Charge
$11.70Heparin Flush 100units/ml syringe 10ml [Med]
$5.20IMRT Treatment Complex (all other areas)
$3,710.85Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$252.20Ondansetron 2mg/ml [Med]
$3.90Paraplatin 50 mg Charge
$72.80Sodium Chloride 0.9% IV 500 ML J7040
$65.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Dexamethasone JW Waste Charge
$1.20Draw Blood From Venous Device
$126.26Emend 1 mg Charge
$10.80Heparin Flush 100units/ml syringe 10ml [Med]
$4.80IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63Ondansetron 2mg/ml [Med]
$3.60Paraplatin 50 mg Charge
$67.20Sodium Chloride 0.9% IV 500 ML J7040
$60.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$284.85Price Negotiated by Insurer
$348.15Deductible 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.
Additional Push of Medication - 96375
$128.70Chemo IV Infusion 1 Hour
$668.80Dexamethasone JW Waste Charge
$1.10Draw Blood From Venous Device
$97.90Emend 1 mg Charge
$9.90Heparin Flush 100units/ml syringe 10ml [Med]
$4.40IMRT Treatment Complex (all other areas)
$3,139.95Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$213.40Ondansetron 2mg/ml [Med]
$3.30Paraplatin 50 mg Charge
$61.60Sodium Chloride 0.9% IV 500 ML J7040
$55.00This 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
$633.00Insurance Discount
-$563.37Price Negotiated by Insurer
$69.63Deductible 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.
Additional Push of Medication - 96375
$46.95Chemo IV Infusion 1 Hour
$334.74Draw Blood From Venous Device
$126.26IMRT Treatment Complex (all other areas)
$581.84Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$69.63This 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
$633.00Insurance Discount
-$164.14Price Negotiated by Insurer
$468.86Deductible 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.
Additional Push of Medication - 96375
$173.32Chemo IV Infusion 1 Hour
$900.69Dexamethasone JW Waste Charge
$1.48Draw Blood From Venous Device
$131.84Emend 1 mg Charge
$0.33Heparin Flush 100units/ml syringe 10ml [Med]
$0.04IMRT Treatment Complex (all other areas)
$4,228.66Intravenous Therapy Additional Sequential of a New Drug/Substance up to an hour - 96367
$287.39Ondansetron 2mg/ml [Med]
$0.24Paraplatin 50 mg Charge
$9.30Sodium Chloride 0.9% IV 500 ML J7040
$3.26This 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.