CPT 72125
The standard charge for CT scan of cervical spine without contrast is $1,650.28. 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
$1,650.28Insurance Discount
-$247.54Price Negotiated by Insurer
$1,402.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CT BRAIN WO CON
$1,312.76HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FIVE 99285
$1,862.35This 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
$1,650.28Insurance Discount
-$1,221.21Price Negotiated by Insurer
$429.07Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.08HC CT BRAIN WO CON
$401.55HC DRAW VENIPUNCTURE
$4.14HC ER LEVEL FIVE 99285
$569.66This 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
$1,650.28Insurance Discount
-$1,134.57Price Negotiated by Insurer
$515.71Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CT BRAIN WO CON
$482.63HC DRAW VENIPUNCTURE
$4.97HC ER LEVEL FIVE 99285
$684.69This 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
$1,650.28Insurance Discount
-$1,134.57Price Negotiated by Insurer
$515.71Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CT BRAIN WO CON
$482.63HC DRAW VENIPUNCTURE
$4.97HC ER LEVEL FIVE 99285
$684.69This 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
$1,650.28Insurance Discount
-$1,344.81Price Negotiated by Insurer
$305.47Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.75HC CT BRAIN WO CON
$285.87HC DRAW VENIPUNCTURE
$2.95HC ER LEVEL FIVE 99285
$405.55This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$293.58Price Negotiated by Insurer
$1,356.70Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$25.53HC CT BRAIN WO CON
$1,269.67HC DRAW VENIPUNCTURE
$13.09HC ER LEVEL FIVE 99285
$1,801.22This 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
$1,650.28Insurance Discount
-$293.58Price Negotiated by Insurer
$1,356.70Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$25.53HC CT BRAIN WO CON
$1,269.67HC DRAW VENIPUNCTURE
$13.09HC ER LEVEL FIVE 99285
$1,801.22This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$330.06Price Negotiated by Insurer
$1,320.22Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$24.85HC CT BRAIN WO CON
$1,235.54HC DRAW VENIPUNCTURE
$12.74HC ER LEVEL FIVE 99285
$1,752.80This 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
$1,650.28Insurance Discount
-$231.04Price Negotiated by Insurer
$1,419.24Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$26.71HC CT BRAIN WO CON
$1,328.20HC DRAW VENIPUNCTURE
$13.69HC ER LEVEL FIVE 99285
$1,884.26This 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
$1,650.28Insurance Discount
-$330.06Price Negotiated by Insurer
$1,320.22Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$24.85HC CT BRAIN WO CON
$1,235.54HC DRAW VENIPUNCTURE
$12.74HC ER LEVEL FIVE 99285
$1,752.80This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$165.03Price Negotiated by Insurer
$1,485.25Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$27.95HC CT BRAIN WO CON
$1,389.98HC DRAW VENIPUNCTURE
$14.33HC ER LEVEL FIVE 99285
$1,971.90This 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
$1,650.28Insurance Discount
-$412.57Price Negotiated by Insurer
$1,237.71Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CT BRAIN WO CON
$1,158.32HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FIVE 99285
$1,643.25This 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
$1,650.28Insurance Discount
-$1,359.34Price Negotiated by Insurer
$290.94Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC CT BRAIN WO CON
$272.28HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FIVE 99285
$386.27This 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
$1,650.28Insurance Discount
-$1,217.08Price Negotiated by Insurer
$433.20Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.15HC CT BRAIN WO CON
$405.41HC DRAW VENIPUNCTURE
$4.18HC ER LEVEL FIVE 99285
$575.14This 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
$1,650.28Insurance Discount
-$1,344.81Price Negotiated by Insurer
$305.47Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.75HC CT BRAIN WO CON
$285.87HC DRAW VENIPUNCTURE
$2.95HC ER LEVEL FIVE 99285
$405.55This 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
$1,650.28Insurance Discount
-$1,175.82Price Negotiated by Insurer
$474.46Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.93HC CT BRAIN WO CON
$444.02HC DRAW VENIPUNCTURE
$4.58HC ER LEVEL FIVE 99285
$629.91This 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
$1,650.28Insurance Discount
-$1,196.45Price Negotiated by Insurer
$453.83Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.54HC CT BRAIN WO CON
$424.72HC DRAW VENIPUNCTURE
$4.38HC ER LEVEL FIVE 99285
$602.52This 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
$1,650.28Insurance Discount
-$247.54Price Negotiated by Insurer
$1,402.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CT BRAIN WO CON
$1,312.76HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FIVE 99285
$1,862.35This 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
$1,650.28Insurance Discount
-$297.05Price Negotiated by Insurer
$1,353.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.47HC CT BRAIN WO CON
$1,266.42HC DRAW VENIPUNCTURE
$13.05HC ER LEVEL FIVE 99285
$1,796.62This 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
$1,650.28Insurance Discount
-$412.57Price Negotiated by Insurer
$1,237.71Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CT BRAIN WO CON
$1,158.32HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FIVE 99285
$1,643.25This 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
$1,650.28Insurance Discount
-$1,258.34Price Negotiated by Insurer
$391.94Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.38HC CT BRAIN WO CON
$366.80HC DRAW VENIPUNCTURE
$3.78HC ER LEVEL FIVE 99285
$520.36This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$247.54Price Negotiated by Insurer
$1,402.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CT BRAIN WO CON
$1,312.76HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FIVE 99285
$1,862.35This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$1,359.34Price Negotiated by Insurer
$290.94Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC CT BRAIN WO CON
$272.28HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FIVE 99285
$386.27This 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
$1,650.28Insurance Discount
-$214.54Price Negotiated by Insurer
$1,435.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$27.02HC CT BRAIN WO CON
$1,343.65HC DRAW VENIPUNCTURE
$13.85HC ER LEVEL FIVE 99285
$1,906.17This 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
$1,650.28Insurance Discount
-$1,233.58Price Negotiated by Insurer
$416.70Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.84HC CT BRAIN WO CON
$389.97HC DRAW VENIPUNCTURE
$4.02HC ER LEVEL FIVE 99285
$553.23This 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
$1,650.28Insurance Discount
-$501.69Price Negotiated by Insurer
$1,148.59Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$21.62HC CT BRAIN WO CON
$1,074.92HC DRAW VENIPUNCTURE
$11.08HC ER LEVEL FIVE 99285
$1,524.94This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$198.03Price Negotiated by Insurer
$1,452.25Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$27.33HC CT BRAIN WO CON
$1,359.09HC DRAW VENIPUNCTURE
$14.01HC ER LEVEL FIVE 99285
$1,928.08This 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
$1,650.28Insurance Discount
-$272.30Price Negotiated by Insurer
$1,377.98Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$25.94HC CT BRAIN WO CON
$1,289.59HC DRAW VENIPUNCTURE
$13.29HC ER LEVEL FIVE 99285
$1,829.48This 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
$1,650.28Insurance Discount
-$1,359.34Price Negotiated by Insurer
$290.94Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC CT BRAIN WO CON
$272.28HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FIVE 99285
$125.00This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$1,359.34Price Negotiated by Insurer
$290.94Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC CT BRAIN WO CON
$272.28HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FIVE 99285
$386.27This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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
$1,650.28Insurance Discount
-$412.57Price Negotiated by Insurer
$1,237.71Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CT BRAIN WO CON
$1,158.32HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FIVE 99285
$1,643.25This 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
$1,650.28Insurance Discount
-$1,237.71Price Negotiated by Insurer
$412.57Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.76HC CT BRAIN WO CON
$386.11HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FIVE 99285
$547.75This 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.