CPT 73020
The standard charge for X-ray shoulder, 1 view is $135.42. 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
408 Hazen Street, Paw Paw, MI, 49079CONTACT
(269) 657-3141 Visit WebsiteBronson Lakeview 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, Bronson Lakeview 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-Bronson Lakeview 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 269-341-6166.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$135.42Insurance Discount
-$20.31Price Negotiated by Insurer
$115.11Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80HC ANCHOR/SCREW IMPLANTS
$14.65LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.43MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.12PROPOFOL 10 MG/ML IV (CODE)
$55.28ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$17.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$100.21Price Negotiated by Insurer
$35.21Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.57DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.14HC ANCHOR/SCREW IMPLANTS
$4.48LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.47MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.50ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.46PROPOFOL 10 MG/ML IV (CODE)
$16.91ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.35This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$93.10Price Negotiated by Insurer
$42.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.53HC ANCHOR/SCREW IMPLANTS
$5.38LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$21.85MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.82ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.75PROPOFOL 10 MG/ML IV (CODE)
$20.32ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$6.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$93.10Price Negotiated by Insurer
$42.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$6.17HC ANCHOR/SCREW IMPLANTS
$5.38LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$21.00MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.82ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.82PROPOFOL 10 MG/ML IV (CODE)
$20.32ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$8.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$110.35Price Negotiated by Insurer
$25.07Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.09HC ANCHOR/SCREW IMPLANTS
$3.19LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.44MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.45ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.04PROPOFOL 10 MG/ML IV (CODE)
$12.04ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$3.81This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.83HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$24.09Price Negotiated by Insurer
$111.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.29HC ANCHOR/SCREW IMPLANTS
$14.16LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.31ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.60PROPOFOL 10 MG/ML IV (CODE)
$53.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$16.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$24.09Price Negotiated by Insurer
$111.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.24HC ANCHOR/SCREW IMPLANTS
$14.16LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.24MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.31ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.69PROPOFOL 10 MG/ML IV (CODE)
$53.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$16.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.08Price Negotiated by Insurer
$108.34Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.04HC ANCHOR/SCREW IMPLANTS
$13.78LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$53.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.90ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PROPOFOL 10 MG/ML IV (CODE)
$52.02ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$22.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$18.96Price Negotiated by Insurer
$116.46Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.19DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.72HC ANCHOR/SCREW IMPLANTS
$14.82LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$60.13MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.20ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.82PROPOFOL 10 MG/ML IV (CODE)
$55.93ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$17.68This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.08Price Negotiated by Insurer
$108.34Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.04HC ANCHOR/SCREW IMPLANTS
$13.78LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.94MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.90ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PROPOFOL 10 MG/ML IV (CODE)
$52.02ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$22.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$13.54Price Negotiated by Insurer
$121.88Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78HC ANCHOR/SCREW IMPLANTS
$15.51LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$62.93MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.76ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.89PROPOFOL 10 MG/ML IV (CODE)
$58.53ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$18.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$33.86Price Negotiated by Insurer
$101.56Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.47HC ANCHOR/SCREW IMPLANTS
$12.92LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$8.09PROPOFOL 10 MG/ML IV (CODE)
$48.77ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$21.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$111.55Price Negotiated by Insurer
$23.87Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.48HC ANCHOR/SCREW IMPLANTS
$3.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.33MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.73ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PROPOFOL 10 MG/ML IV (CODE)
$11.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$3.62This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$99.87Price Negotiated by Insurer
$35.55Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.59DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.19HC ANCHOR/SCREW IMPLANTS
$4.52LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.64MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.05PROPOFOL 10 MG/ML IV (CODE)
$17.07ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$110.35Price Negotiated by Insurer
$25.07Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.66HC ANCHOR/SCREW IMPLANTS
$3.19LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.44MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.92ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$2.86PROPOFOL 10 MG/ML IV (CODE)
$12.04ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.31This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$96.49Price Negotiated by Insurer
$38.93Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.25HC ANCHOR/SCREW IMPLANTS
$4.95LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$20.10MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$6.08ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.44PROPOFOL 10 MG/ML IV (CODE)
$18.70ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$98.18Price Negotiated by Insurer
$37.24Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.43HC ANCHOR/SCREW IMPLANTS
$4.74LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$18.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.82ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.24PROPOFOL 10 MG/ML IV (CODE)
$17.88ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$20.31Price Negotiated by Insurer
$115.11Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80HC ANCHOR/SCREW IMPLANTS
$14.65LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.43MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.12PROPOFOL 10 MG/ML IV (CODE)
$55.28ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$24.38Price Negotiated by Insurer
$111.04Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.95DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.20HC ANCHOR/SCREW IMPLANTS
$14.13LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.33MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.27ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.65PROPOFOL 10 MG/ML IV (CODE)
$53.32ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$16.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$33.86Price Negotiated by Insurer
$101.56Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82HC ANCHOR/SCREW IMPLANTS
$12.92LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.96ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.20PROPOFOL 10 MG/ML IV (CODE)
$48.77ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$21.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$103.26Price Negotiated by Insurer
$32.16Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.43DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.69HC ANCHOR/SCREW IMPLANTS
$4.09LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$15.96MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.03ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.66PROPOFOL 10 MG/ML IV (CODE)
$15.44ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$6.82This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$20.31Price Negotiated by Insurer
$115.11Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.61HC ANCHOR/SCREW IMPLANTS
$14.65LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.11MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.83ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.12PROPOFOL 10 MG/ML IV (CODE)
$55.28ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$17.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$111.55Price Negotiated by Insurer
$23.87Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.48HC ANCHOR/SCREW IMPLANTS
$3.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.33MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.28ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PROPOFOL 10 MG/ML IV (CODE)
$11.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$17.60Price Negotiated by Insurer
$117.82Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.19HC ANCHOR/SCREW IMPLANTS
$14.99LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$58.46MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.20ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.42PROPOFOL 10 MG/ML IV (CODE)
$56.58ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$24.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.23Price Negotiated by Insurer
$34.19Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.99HC ANCHOR/SCREW IMPLANTS
$4.35LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.65MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.70ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.90PROPOFOL 10 MG/ML IV (CODE)
$16.42ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.19This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$41.17Price Negotiated by Insurer
$94.25Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.20DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.75HC ANCHOR/SCREW IMPLANTS
$11.99LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$46.76MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.73ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.90PROPOFOL 10 MG/ML IV (CODE)
$45.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$14.31This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.83HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$16.25Price Negotiated by Insurer
$119.17Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.32DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.94HC ANCHOR/SCREW IMPLANTS
$15.16LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.13MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.62ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.58PROPOFOL 10 MG/ML IV (CODE)
$57.23ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$25.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$22.34Price Negotiated by Insurer
$113.08Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$5.04DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.44HC ANCHOR/SCREW IMPLANTS
$14.39LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$58.38MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.88PROPOFOL 10 MG/ML IV (CODE)
$54.30ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$23.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$111.55Price Negotiated by Insurer
$23.87Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$1.99HC ANCHOR/SCREW IMPLANTS
$3.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$11.85MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.73ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$2.72PROPOFOL 10 MG/ML IV (CODE)
$11.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$3.62This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$111.55Price Negotiated by Insurer
$23.87Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$1.99HC ANCHOR/SCREW IMPLANTS
$3.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$11.85MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.28ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PROPOFOL 10 MG/ML IV (CODE)
$11.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$3.62This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.83HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$5.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$33.86Price Negotiated by Insurer
$101.56Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.47HC ANCHOR/SCREW IMPLANTS
$12.92LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$11.57PROPOFOL 10 MG/ML IV (CODE)
$48.77ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$21.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$101.57Price Negotiated by Insurer
$33.85Deductible 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.
CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94HC ANCHOR/SCREW IMPLANTS
$4.31LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PROPOFOL 10 MG/ML IV (CODE)
$16.26ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$7.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview 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 Bronson Lakeview Hospital directly.