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
-$260.80Price Negotiated by Insurer
$3,814.20Deductible 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.
.Auto Diff
$195.62Comprehensive Metabolic Panel
$315.43CT Angiography Head
$5,045.98EKG Acquisition
$344.45High - Blood Glucose Hi/Lo
$72.07Legal Blood Draw
$42.12Level 5 - 99285
$2,955.89Mix PT 1 Hour
$100.15OMNIPAQUE 180 10ml VIAL [MED]
$152.57Troponin T/34483
$71.14.Urine Microscopic
$122.62This 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
-$430.32Price Negotiated by Insurer
$3,644.68Deductible 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
$186.93Comprehensive Metabolic Panel
$301.41CT Angiography Head
$4,821.71EKG Acquisition
$329.14High - Blood Glucose Hi/Lo
$68.87Legal Blood Draw
$40.25Level 5 - 99285
$2,824.52Mix PT 1 Hour
$95.70OMNIPAQUE 180 10ml VIAL [MED]
$145.79Troponin T/34483
$67.97.Urine Microscopic
$117.17This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98CT Angiography Head
$1,569.86EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46OMNIPAQUE 180 10ml VIAL [MED]
$47.47Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$1,320.30Price Negotiated by Insurer
$2,754.70Deductible 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.
.Auto Diff
$30.30Comprehensive Metabolic Panel
$41.18CT Angiography Head
$3,333.20EKG Acquisition
$248.77High - Blood Glucose Hi/Lo
$19.66Legal Blood Draw
$30.42Level 5 - 99285
$4,546.88Mix PT 1 Hour
$16.73OMNIPAQUE 180 10ml VIAL [MED]
$110.19Troponin T/34483
$48.63.Urine Microscopic
$12.36This 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
-$1,956.00Price Negotiated by Insurer
$2,119.00Deductible 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
$14.14Comprehensive Metabolic Panel
$19.22CT Angiography Head
$2,689.44EKG Acquisition
$191.36High - Blood Glucose Hi/Lo
$9.17Legal Blood Draw
$23.40Level 5 - 99285
$3,434.08Mix PT 1 Hour
$7.81OMNIPAQUE 180 10ml VIAL [MED]
$84.76Troponin T/34483
$22.70.Urine Microscopic
$5.77This 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
-$2,040.76Price Negotiated by Insurer
$2,034.24Deductible 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
$13.41Comprehensive Metabolic Panel
$18.23CT Angiography Head
$2,552.16EKG Acquisition
$183.71High - Blood Glucose Hi/Lo
$8.70Legal Blood Draw
$22.46Level 5 - 99285
$3,263.52Mix PT 1 Hour
$7.41OMNIPAQUE 180 10ml VIAL [MED]
$81.37Troponin T/34483
$21.53.Urine Microscopic
$5.47This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$1,828.86Price Negotiated by Insurer
$2,246.14Deductible 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
$115.20Comprehensive Metabolic Panel
$185.75CT Angiography Head
$2,971.52EKG Acquisition
$202.84High - Blood Glucose Hi/Lo
$42.44Legal Blood Draw
$24.80Level 5 - 99285
$1,740.69Mix PT 1 Hour
$58.98OMNIPAQUE 180 10ml VIAL [MED]
$89.85Troponin T/34483
$41.89.Urine Microscopic
$72.21This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$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]
$48.90Troponin 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
-$176.04Price Negotiated by Insurer
$3,898.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$199.97Comprehensive Metabolic Panel
$322.44CT Angiography Head
$5,158.11EKG Acquisition
$352.10High - Blood Glucose Hi/Lo
$73.67Legal Blood Draw
$43.06Level 5 - 99285
$3,021.57Mix PT 1 Hour
$102.38OMNIPAQUE 180 10ml VIAL [MED]
$155.96Troponin T/34483
$72.72.Urine Microscopic
$125.34This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$1,703.35Price Negotiated by Insurer
$2,371.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$121.64Comprehensive Metabolic Panel
$196.13CT Angiography Head
$3,137.56EKG Acquisition
$214.18High - Blood Glucose Hi/Lo
$44.81Level 5 - 99285
$1,837.96Mix PT 1 Hour
$62.27OMNIPAQUE 180 10ml VIAL [MED]
$0.19Troponin T/34483
$44.23.Urine Microscopic
$76.24This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$303.18Price Negotiated by Insurer
$3,771.82Deductible 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.
.Auto Diff
$193.45Comprehensive Metabolic Panel
$311.93CT Angiography Head
$4,989.91EKG Acquisition
$340.62High - Blood Glucose Hi/Lo
$71.27Legal Blood Draw
$41.65Level 5 - 99285
$2,923.04Mix PT 1 Hour
$99.04OMNIPAQUE 180 10ml VIAL [MED]
$150.87Troponin T/34483
$70.35.Urine Microscopic
$121.25This 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
-$176.04Price Negotiated by Insurer
$3,898.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$199.97Comprehensive Metabolic Panel
$322.44CT Angiography Head
$5,158.11EKG Acquisition
$352.10High - Blood Glucose Hi/Lo
$73.67Legal Blood Draw
$43.06Level 5 - 99285
$3,021.57Mix PT 1 Hour
$102.38OMNIPAQUE 180 10ml VIAL [MED]
$155.96Troponin T/34483
$72.72.Urine Microscopic
$125.34This 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
-$3,388.33Price Negotiated by Insurer
$686.67Deductible 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
$30.06Comprehensive Metabolic Panel
$40.85CT Angiography Head
$4,204.98EKG Acquisition
$230.97High - Blood Glucose Hi/Lo
$19.50Legal Blood Draw
$36.13Level 5 - 99285
$2,331.45Mix PT 1 Hour
$16.60OMNIPAQUE 180 10ml VIAL [MED]
$127.14Troponin T/34483
$48.24.Urine Microscopic
$12.26This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$684.60Price Negotiated by Insurer
$3,390.40Deductible 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
$173.89Comprehensive Metabolic Panel
$280.38CT Angiography Head
$4,485.31EKG Acquisition
$306.18High - Blood Glucose Hi/Lo
$64.06Legal Blood Draw
$37.44Level 5 - 99285
$2,627.46Mix PT 1 Hour
$89.02OMNIPAQUE 180 10ml VIAL [MED]
$135.62Troponin T/34483
$63.23.Urine Microscopic
$108.99This 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
-$3,798.12Price Negotiated by Insurer
$276.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$12.12Comprehensive Metabolic Panel
$16.47CT Angiography Head
$3,363.98EKG Acquisition
$93.13High - Blood Glucose Hi/Lo
$7.86Legal Blood Draw
$14.57Level 5 - 99285
$940.10Mix PT 1 Hour
$6.69OMNIPAQUE 180 10ml VIAL [MED]
$101.71Troponin T/34483
$19.45.Urine Microscopic
$4.95This 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
-$176.04Price Negotiated by Insurer
$3,898.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$199.97Comprehensive Metabolic Panel
$322.44CT Angiography Head
$5,158.11EKG Acquisition
$352.10High - Blood Glucose Hi/Lo
$73.67Legal Blood Draw
$43.06Level 5 - 99285
$3,021.57Mix PT 1 Hour
$102.38OMNIPAQUE 180 10ml VIAL [MED]
$155.96Troponin T/34483
$72.72.Urine Microscopic
$125.34This 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
-$1,998.38Price Negotiated by Insurer
$2,076.62Deductible 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
$106.51Comprehensive Metabolic Panel
$171.74CT Angiography Head
$2,747.25EKG Acquisition
$187.53High - Blood Glucose Hi/Lo
$39.24Legal Blood Draw
$22.93Level 5 - 99285
$1,609.32Mix PT 1 Hour
$54.53OMNIPAQUE 180 10ml VIAL [MED]
$83.06Troponin T/34483
$38.73.Urine Microscopic
$66.76This 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
-$1,320.30Price Negotiated by Insurer
$2,754.70Deductible 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.
.Auto Diff
$141.28Comprehensive Metabolic Panel
$227.81CT Angiography Head
$3,644.32EKG Acquisition
$248.77High - Blood Glucose Hi/Lo
$52.05Legal Blood Draw
$30.42Level 5 - 99285
$2,134.81Mix PT 1 Hour
$72.33OMNIPAQUE 180 10ml VIAL [MED]
$110.19Troponin T/34483
$51.38.Urine Microscopic
$88.56This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98CT Angiography Head
$3,363.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46OMNIPAQUE 180 10ml VIAL [MED]
$101.71Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$3,336.64Price Negotiated by Insurer
$738.36Deductible 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.
.Auto Diff
$32.32Comprehensive Metabolic Panel
$43.93CT Angiography Head
$769.35EKG Acquisition
$248.35High - Blood Glucose Hi/Lo
$20.97Legal Blood Draw
$38.85Level 5 - 99285
$2,506.94Mix PT 1 Hour
$17.85OMNIPAQUE 180 10ml VIAL [MED]
$0.62Troponin T/34483
$51.88.Urine Microscopic
$13.19This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$1,744.10Price Negotiated by Insurer
$2,330.90Deductible 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.
.Auto Diff
$119.55Comprehensive Metabolic Panel
$192.76CT Angiography Head
$3,083.65EKG Acquisition
$210.50High - Blood Glucose Hi/Lo
$44.04Legal Blood Draw
$25.74Level 5 - 99285
$1,806.38Mix PT 1 Hour
$61.20OMNIPAQUE 180 10ml VIAL [MED]
$93.24Troponin T/34483
$43.47.Urine Microscopic
$74.93This 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
-$3,890.41Price Negotiated by Insurer
$184.59Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
.Auto Diff
$8.08Comprehensive Metabolic Panel
$10.98EKG Acquisition
$62.09High - Blood Glucose Hi/Lo
$5.24Legal Blood Draw
$9.71Level 5 - 99285
$626.74Mix PT 1 Hour
$4.46Troponin T/34483
$12.97.Urine Microscopic
$3.30This 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
-$936.03Price Negotiated by Insurer
$3,138.97Deductible 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
$160.99Comprehensive Metabolic Panel
$259.59CT Angiography Head
$1,346.36EKG Acquisition
$283.47High - Blood Glucose Hi/Lo
$59.31Legal Blood Draw
$34.66Level 5 - 99285
$2,432.61Mix PT 1 Hour
$82.42OMNIPAQUE 180 10ml VIAL [MED]
$0.36Troponin T/34483
$58.54.Urine Microscopic
$100.91This 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.