
CPT 70498
The standard charge for CTA scan of neck is $4,075.00. 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
$4,075.00Insurance Discount
-$407.50Price Negotiated by Insurer
$3,667.50Deductible 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.
.Auto Diff
$188.10Comprehensive Metabolic Panel
$303.30CT Angiography Head
$4,851.90EKG Acquisition
$331.20High - Blood Glucose Hi/Lo
$69.30Legal Blood Draw
$40.50Level 5 - 99285
$2,842.20Mix PT 1 Hour
$96.30OMNIPAQUE 180 10ml VIAL [MED]
$146.70Surgicel 1 x 2" [Med]"
$357.30Troponin T/34483
$68.40.Urine Microscopic
$117.90This 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
$4,075.00Insurance Discount
-$570.50Price Negotiated by Insurer
$3,504.50Deductible 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.
.Auto Diff
$179.74Comprehensive Metabolic Panel
$289.82CT Angiography Head
$4,636.26EKG Acquisition
$316.48High - Blood Glucose Hi/Lo
$66.22Legal Blood Draw
$38.70Level 5 - 99285
$2,715.88Mix PT 1 Hour
$92.02OMNIPAQUE 180 10ml VIAL [MED]
$140.18Surgicel 1 x 2" [Med]"
$341.42Troponin T/34483
$65.36.Urine Microscopic
$112.66This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56CT Angiography Head
$1,509.48EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29OMNIPAQUE 180 10ml VIAL [MED]
$45.64Surgicel 1 x 2" [Med]"
$111.16Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$1,426.25Price Negotiated by Insurer
$2,648.75Deductible 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.
.Auto Diff
$29.14Comprehensive Metabolic Panel
$39.60CT Angiography Head
$3,205.00EKG Acquisition
$239.20High - Blood Glucose Hi/Lo
$18.90Legal Blood Draw
$29.25Level 5 - 99285
$4,372.00Mix PT 1 Hour
$16.09OMNIPAQUE 180 10ml VIAL [MED]
$105.95Surgicel 1 x 2" [Med]"
$258.05Troponin T/34483
$46.76.Urine Microscopic
$11.89This 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
$4,075.00Insurance Discount
-$2,037.50Price Negotiated by Insurer
$2,037.50Deductible 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.
.Auto Diff
$13.60Comprehensive Metabolic Panel
$18.48CT Angiography Head
$2,586.00EKG Acquisition
$184.00High - Blood Glucose Hi/Lo
$8.82Legal Blood Draw
$22.50Level 5 - 99285
$3,302.00Mix PT 1 Hour
$7.51OMNIPAQUE 180 10ml VIAL [MED]
$81.50Surgicel 1 x 2" [Med]"
$198.50Troponin T/34483
$21.82.Urine Microscopic
$5.55This 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
$4,075.00Insurance Discount
-$2,119.00Price Negotiated by Insurer
$1,956.00Deductible 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.
.Auto Diff
$12.90Comprehensive Metabolic Panel
$17.53CT Angiography Head
$2,454.00EKG Acquisition
$176.64High - Blood Glucose Hi/Lo
$8.37Legal Blood Draw
$21.60Level 5 - 99285
$3,138.00Mix PT 1 Hour
$7.12OMNIPAQUE 180 10ml VIAL [MED]
$78.24Surgicel 1 x 2" [Med]"
$190.56Troponin T/34483
$20.70.Urine Microscopic
$5.26This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$1,915.25Price Negotiated by Insurer
$2,159.75Deductible 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.
.Auto Diff
$110.77Comprehensive Metabolic Panel
$178.61CT Angiography Head
$2,857.23EKG Acquisition
$195.04High - Blood Glucose Hi/Lo
$40.81Legal Blood Draw
$23.85Level 5 - 99285
$1,673.74Mix PT 1 Hour
$56.71OMNIPAQUE 180 10ml VIAL [MED]
$86.39Surgicel 1 x 2" [Med]"
$210.41Troponin T/34483
$40.28.Urine Microscopic
$69.43This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$2,852.50Price Negotiated by Insurer
$1,222.50Deductible 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.
.Auto Diff
$62.70Comprehensive Metabolic Panel
$101.10CT Angiography Head
$1,617.30EKG Acquisition
$110.40High - Blood Glucose Hi/Lo
$23.10Legal Blood Draw
$13.50Level 5 - 99285
$947.40Mix PT 1 Hour
$32.10OMNIPAQUE 180 10ml VIAL [MED]
$48.90Surgicel 1 x 2" [Med]"
$119.10Troponin T/34483
$22.80.Urine Microscopic
$39.30This 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
$4,075.00Insurance Discount
-$326.00Price Negotiated by Insurer
$3,749.00Deductible 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.
.Auto Diff
$192.28Comprehensive Metabolic Panel
$310.04CT Angiography Head
$4,959.72EKG Acquisition
$338.56High - Blood Glucose Hi/Lo
$70.84Legal Blood Draw
$41.40Level 5 - 99285
$2,905.36Mix PT 1 Hour
$98.44OMNIPAQUE 180 10ml VIAL [MED]
$149.96Surgicel 1 x 2" [Med]"
$365.24Troponin T/34483
$69.92.Urine Microscopic
$120.52This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$1,794.63Price Negotiated by Insurer
$2,280.37Deductible 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.
.Auto Diff
$116.96Comprehensive Metabolic Panel
$188.59CT Angiography Head
$3,016.80EKG Acquisition
$205.93High - Blood Glucose Hi/Lo
$43.09Level 5 - 99285
$1,767.22Mix PT 1 Hour
$59.88OMNIPAQUE 180 10ml VIAL [MED]
$0.18Surgicel 1 x 2" [Med]"
$222.16Troponin T/34483
$42.53.Urine Microscopic
$73.31This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$448.25Price Negotiated by Insurer
$3,626.75Deductible 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.
.Auto Diff
$186.01Comprehensive Metabolic Panel
$299.93CT Angiography Head
$4,797.99EKG Acquisition
$327.52High - Blood Glucose Hi/Lo
$68.53Legal Blood Draw
$40.05Level 5 - 99285
$2,810.62Mix PT 1 Hour
$95.23OMNIPAQUE 180 10ml VIAL [MED]
$145.07Surgicel 1 x 2" [Med]"
$353.33Troponin T/34483
$67.64.Urine Microscopic
$116.59This 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
$4,075.00Insurance Discount
-$326.00Price Negotiated by Insurer
$3,749.00Deductible 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.
.Auto Diff
$192.28Comprehensive Metabolic Panel
$310.04CT Angiography Head
$4,959.72EKG Acquisition
$338.56High - Blood Glucose Hi/Lo
$70.84Legal Blood Draw
$41.40Level 5 - 99285
$2,905.36Mix PT 1 Hour
$98.44OMNIPAQUE 180 10ml VIAL [MED]
$149.96Surgicel 1 x 2" [Med]"
$365.24Troponin T/34483
$69.92.Urine Microscopic
$120.52This 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
$4,075.00Insurance Discount
-$3,399.45Price Negotiated by Insurer
$675.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$28.90Comprehensive Metabolic Panel
$39.28CT Angiography Head
$4,043.25EKG Acquisition
$224.91High - Blood Glucose Hi/Lo
$18.75Legal Blood Draw
$31.88Level 5 - 99285
$2,361.72Mix PT 1 Hour
$15.96OMNIPAQUE 180 10ml VIAL [MED]
$122.25Surgicel 1 x 2" [Med]"
$297.75Troponin T/34483
$46.39.Urine Microscopic
$11.79This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$815.00Price Negotiated by Insurer
$3,260.00Deductible 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.
.Auto Diff
$167.20Comprehensive Metabolic Panel
$269.60CT Angiography Head
$4,312.80EKG Acquisition
$294.40High - Blood Glucose Hi/Lo
$61.60Legal Blood Draw
$36.00Level 5 - 99285
$2,526.40Mix PT 1 Hour
$85.60OMNIPAQUE 180 10ml VIAL [MED]
$130.40Surgicel 1 x 2" [Med]"
$317.60Troponin T/34483
$60.80.Urine Microscopic
$104.80This 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
$4,075.00Insurance Discount
-$3,802.60Price Negotiated by Insurer
$272.40Deductible 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.
.Auto Diff
$11.66Comprehensive Metabolic Panel
$15.84CT Angiography Head
$3,234.60EKG Acquisition
$90.69High - Blood Glucose Hi/Lo
$7.56Legal Blood Draw
$12.86Level 5 - 99285
$952.30Mix PT 1 Hour
$6.44OMNIPAQUE 180 10ml VIAL [MED]
$97.80Surgicel 1 x 2" [Med]"
$238.20Troponin T/34483
$18.70.Urine Microscopic
$4.76This 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
$4,075.00Insurance Discount
-$326.00Price Negotiated by Insurer
$3,749.00Deductible 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.
.Auto Diff
$192.28Comprehensive Metabolic Panel
$310.04CT Angiography Head
$4,959.72EKG Acquisition
$338.56High - Blood Glucose Hi/Lo
$70.84Legal Blood Draw
$41.40Level 5 - 99285
$2,905.36Mix PT 1 Hour
$98.44OMNIPAQUE 180 10ml VIAL [MED]
$149.96Surgicel 1 x 2" [Med]"
$365.24Troponin T/34483
$69.92.Urine Microscopic
$120.52This 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
$4,075.00Insurance Discount
-$2,078.25Price Negotiated by Insurer
$1,996.75Deductible 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.
.Auto Diff
$102.41Comprehensive Metabolic Panel
$165.13CT Angiography Head
$2,641.59EKG Acquisition
$180.32High - Blood Glucose Hi/Lo
$37.73Legal Blood Draw
$22.05Level 5 - 99285
$1,547.42Mix PT 1 Hour
$52.43OMNIPAQUE 180 10ml VIAL [MED]
$79.87Surgicel 1 x 2" [Med]"
$194.53Troponin T/34483
$37.24.Urine Microscopic
$64.19This 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
$4,075.00Insurance Discount
-$1,426.25Price Negotiated by Insurer
$2,648.75Deductible 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.
.Auto Diff
$135.85Comprehensive Metabolic Panel
$219.05CT Angiography Head
$3,504.15EKG Acquisition
$239.20High - Blood Glucose Hi/Lo
$50.05Legal Blood Draw
$29.25Level 5 - 99285
$2,052.70Mix PT 1 Hour
$69.55OMNIPAQUE 180 10ml VIAL [MED]
$105.95Surgicel 1 x 2" [Med]"
$258.05Troponin T/34483
$49.40.Urine Microscopic
$85.15This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56CT Angiography Head
$3,234.60EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29OMNIPAQUE 180 10ml VIAL [MED]
$97.80Surgicel 1 x 2" [Med]"
$238.20Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$3,348.60Price Negotiated by Insurer
$726.40Deductible 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.
.Auto Diff
$31.08Comprehensive Metabolic Panel
$42.24CT Angiography Head
$21,564.00EKG Acquisition
$241.84High - Blood Glucose Hi/Lo
$20.16Legal Blood Draw
$34.28Level 5 - 99285
$2,539.48Mix PT 1 Hour
$17.16OMNIPAQUE 180 10ml VIAL [MED]
$652.00Surgicel 1 x 2" [Med]"
$1,588.00Troponin T/34483
$49.88.Urine Microscopic
$12.68This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$1,833.75Price Negotiated by Insurer
$2,241.25Deductible 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.
.Auto Diff
$114.95Comprehensive Metabolic Panel
$185.35CT Angiography Head
$2,965.05EKG Acquisition
$202.40High - Blood Glucose Hi/Lo
$42.35Legal Blood Draw
$24.75Level 5 - 99285
$1,736.90Mix PT 1 Hour
$58.85OMNIPAQUE 180 10ml VIAL [MED]
$89.65Surgicel 1 x 2" [Med]"
$218.35Troponin T/34483
$41.80.Urine Microscopic
$72.05This 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
$4,075.00Insurance Discount
-$3,893.40Price Negotiated by Insurer
$181.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$7.77Comprehensive Metabolic Panel
$10.56EKG Acquisition
$60.46High - Blood Glucose Hi/Lo
$5.04Legal Blood Draw
$8.57Level 5 - 99285
$634.87Mix PT 1 Hour
$4.29Troponin T/34483
$12.47.Urine Microscopic
$3.17This 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
$4,075.00Insurance Discount
-$1,056.65Price Negotiated by Insurer
$3,018.35Deductible 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.
.Auto Diff
$154.81Comprehensive Metabolic Panel
$249.62CT Angiography Head
$3,993.11EKG Acquisition
$272.58High - Blood Glucose Hi/Lo
$57.03Legal Blood Draw
$33.33Level 5 - 99285
$2,339.13Mix PT 1 Hour
$79.25OMNIPAQUE 180 10ml VIAL [MED]
$0.34Surgicel 1 x 2" [Med]"
$294.06Troponin T/34483
$56.29.Urine Microscopic
$97.03This 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.