CPT 96374
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- IV push is $288.28. 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
$288.28Insurance Discount
-$43.24Price Negotiated by Insurer
$245.04Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FOUR 99284
$1,290.59HC IV HYDRATION ONLY, EACH ADDL HR
$176.49HC IV PUSH ADDL DIFF DRUG
$145.41SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$49.50This 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
$288.28Insurance Discount
-$213.33Price Negotiated by Insurer
$74.95Deductible 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 COMP METABOLIC PANEL
$10.39HC DRAW VENIPUNCTURE
$4.14HC ER LEVEL FOUR 99284
$394.77HC IV HYDRATION ONLY, EACH ADDL HR
$53.99HC IV PUSH ADDL DIFF DRUG
$44.48SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$15.14This 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
$288.28Insurance Discount
-$198.19Price Negotiated by Insurer
$90.09Deductible 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 COMP METABOLIC PANEL
$12.48HC DRAW VENIPUNCTURE
$4.97HC ER LEVEL FOUR 99284
$474.48HC IV HYDRATION ONLY, EACH ADDL HR
$64.89HC IV PUSH ADDL DIFF DRUG
$53.46SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$21.85This 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
$288.28Insurance Discount
-$198.19Price Negotiated by Insurer
$90.09Deductible 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 COMP METABOLIC PANEL
$12.48HC DRAW VENIPUNCTURE
$4.97HC ER LEVEL FOUR 99284
$474.48HC IV HYDRATION ONLY, EACH ADDL HR
$64.89HC IV PUSH ADDL DIFF DRUG
$53.46SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$18.20This 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
$288.28Insurance Discount
-$234.92Price Negotiated by Insurer
$53.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$5.75HC COMP METABOLIC PANEL
$7.39HC DRAW VENIPUNCTURE
$2.95HC ER LEVEL FOUR 99284
$281.04HC IV HYDRATION ONLY, EACH ADDL HR
$38.43HC IV PUSH ADDL DIFF DRUG
$31.67SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$10.78This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.56This 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
$288.28Insurance Discount
-$51.29Price Negotiated by Insurer
$236.99Deductible 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 COMP METABOLIC PANEL
$32.84HC DRAW VENIPUNCTURE
$13.09HC ER LEVEL FOUR 99284
$1,248.23HC IV HYDRATION ONLY, EACH ADDL HR
$170.70HC IV PUSH ADDL DIFF DRUG
$140.64SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$57.48This 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
$288.28Insurance Discount
-$51.29Price Negotiated by Insurer
$236.99Deductible 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 COMP METABOLIC PANEL
$32.84HC DRAW VENIPUNCTURE
$13.09HC ER LEVEL FOUR 99284
$1,248.23HC IV HYDRATION ONLY, EACH ADDL HR
$170.70HC IV PUSH ADDL DIFF DRUG
$140.64SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$57.48This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$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
$288.28Insurance Discount
-$57.66Price Negotiated by Insurer
$230.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC DRAW VENIPUNCTURE
$12.74HC ER LEVEL FOUR 99284
$1,214.67HC IV HYDRATION ONLY, EACH ADDL HR
$166.11HC IV PUSH ADDL DIFF DRUG
$136.86SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$46.58This 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
$288.28Insurance Discount
-$40.36Price Negotiated by Insurer
$247.92Deductible 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 COMP METABOLIC PANEL
$34.36HC DRAW VENIPUNCTURE
$13.69HC ER LEVEL FOUR 99284
$1,305.77HC IV HYDRATION ONLY, EACH ADDL HR
$178.57HC IV PUSH ADDL DIFF DRUG
$147.12SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$50.08This 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
$288.28Insurance Discount
-$57.66Price Negotiated by Insurer
$230.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC DRAW VENIPUNCTURE
$12.74HC ER LEVEL FOUR 99284
$1,214.67HC IV HYDRATION ONLY, EACH ADDL HR
$166.11HC IV PUSH ADDL DIFF DRUG
$136.86SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$46.58This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.56This 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
$288.28Insurance Discount
-$28.83Price Negotiated by Insurer
$259.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$27.95HC COMP METABOLIC PANEL
$35.95HC DRAW VENIPUNCTURE
$14.33HC ER LEVEL FOUR 99284
$1,366.51HC IV HYDRATION ONLY, EACH ADDL HR
$186.88HC IV PUSH ADDL DIFF DRUG
$153.96SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$62.93This 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
$288.28Insurance Discount
-$72.07Price Negotiated by Insurer
$216.21Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FOUR 99284
$1,138.76HC IV HYDRATION ONLY, EACH ADDL HR
$155.73HC IV PUSH ADDL DIFF DRUG
$128.30SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$43.67This 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
$288.28Insurance Discount
-$237.46Price Negotiated by Insurer
$50.82Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FOUR 99284
$267.68HC IV HYDRATION ONLY, EACH ADDL HR
$36.61HC IV PUSH ADDL DIFF DRUG
$30.16SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$10.27This 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
$288.28Insurance Discount
-$212.61Price Negotiated by Insurer
$75.67Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.15HC COMP METABOLIC PANEL
$10.49HC DRAW VENIPUNCTURE
$4.18HC ER LEVEL FOUR 99284
$398.56HC IV HYDRATION ONLY, EACH ADDL HR
$54.51HC IV PUSH ADDL DIFF DRUG
$44.91SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$15.29This 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
$288.28Insurance Discount
-$234.92Price Negotiated by Insurer
$53.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$5.75HC COMP METABOLIC PANEL
$7.39HC DRAW VENIPUNCTURE
$2.95HC ER LEVEL FOUR 99284
$281.04HC IV HYDRATION ONLY, EACH ADDL HR
$38.43HC IV PUSH ADDL DIFF DRUG
$31.67SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$12.94This 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
$288.28Insurance Discount
-$205.40Price Negotiated by Insurer
$82.88Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.93HC COMP METABOLIC PANEL
$11.49HC DRAW VENIPUNCTURE
$4.58HC ER LEVEL FOUR 99284
$436.52HC IV HYDRATION ONLY, EACH ADDL HR
$59.70HC IV PUSH ADDL DIFF DRUG
$49.18SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$16.74This 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
$288.28Insurance Discount
-$209.00Price Negotiated by Insurer
$79.28Deductible 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 COMP METABOLIC PANEL
$10.99HC DRAW VENIPUNCTURE
$4.38HC ER LEVEL FOUR 99284
$417.54HC IV HYDRATION ONLY, EACH ADDL HR
$57.10HC IV PUSH ADDL DIFF DRUG
$47.04SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$16.01This 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
$288.28Insurance Discount
-$43.24Price Negotiated by Insurer
$245.04Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FOUR 99284
$1,290.59HC IV HYDRATION ONLY, EACH ADDL HR
$176.49HC IV PUSH ADDL DIFF DRUG
$145.41SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$59.43This 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
$288.28Insurance Discount
-$51.89Price Negotiated by Insurer
$236.39Deductible 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 COMP METABOLIC PANEL
$32.76HC DRAW VENIPUNCTURE
$13.05HC ER LEVEL FOUR 99284
$1,245.04HC IV HYDRATION ONLY, EACH ADDL HR
$170.26HC IV PUSH ADDL DIFF DRUG
$140.28SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$57.33This 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
$288.28Insurance Discount
-$72.07Price Negotiated by Insurer
$216.21Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FOUR 99284
$1,138.76HC IV HYDRATION ONLY, EACH ADDL HR
$155.73HC IV PUSH ADDL DIFF DRUG
$128.30SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$43.67This 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
$288.28Insurance Discount
-$219.81Price Negotiated by Insurer
$68.47Deductible 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
$7.38HC COMP METABOLIC PANEL
$9.49HC DRAW VENIPUNCTURE
$3.78HC ER LEVEL FOUR 99284
$360.61HC IV HYDRATION ONLY, EACH ADDL HR
$49.31HC IV PUSH ADDL DIFF DRUG
$40.63SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$13.83This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.56This 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
$288.28Insurance Discount
-$43.24Price Negotiated by Insurer
$245.04Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ER LEVEL FOUR 99284
$1,290.59HC IV HYDRATION ONLY, EACH ADDL HR
$176.49HC IV PUSH ADDL DIFF DRUG
$145.41SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$59.43This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$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
$288.28Insurance Discount
-$237.46Price Negotiated by Insurer
$50.82Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FOUR 99284
$267.68HC IV HYDRATION ONLY, EACH ADDL HR
$36.61HC IV PUSH ADDL DIFF DRUG
$30.16SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$10.27This 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
$288.28Insurance Discount
-$37.48Price Negotiated by Insurer
$250.80Deductible 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 COMP METABOLIC PANEL
$34.76HC DRAW VENIPUNCTURE
$13.85HC ER LEVEL FOUR 99284
$1,320.96HC IV HYDRATION ONLY, EACH ADDL HR
$180.65HC IV PUSH ADDL DIFF DRUG
$148.83SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$50.66This 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
$288.28Insurance Discount
-$215.49Price Negotiated by Insurer
$72.79Deductible 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 COMP METABOLIC PANEL
$10.09HC DRAW VENIPUNCTURE
$4.02HC ER LEVEL FOUR 99284
$383.38HC IV HYDRATION ONLY, EACH ADDL HR
$52.43HC IV PUSH ADDL DIFF DRUG
$43.20SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.70This 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
$288.28Insurance Discount
-$87.64Price Negotiated by Insurer
$200.64Deductible 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 COMP METABOLIC PANEL
$27.81HC DRAW VENIPUNCTURE
$11.08HC ER LEVEL FOUR 99284
$1,056.76HC IV HYDRATION ONLY, EACH ADDL HR
$144.52HC IV PUSH ADDL DIFF DRUG
$119.06SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$40.53This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$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
$288.28Insurance Discount
-$34.59Price Negotiated by Insurer
$253.69Deductible 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 COMP METABOLIC PANEL
$35.16HC DRAW VENIPUNCTURE
$14.01HC ER LEVEL FOUR 99284
$1,336.14HC IV HYDRATION ONLY, EACH ADDL HR
$182.72HC IV PUSH ADDL DIFF DRUG
$150.54SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$51.24This 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
$288.28Insurance Discount
-$47.57Price Negotiated by Insurer
$240.71Deductible 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
$25.94HC COMP METABOLIC PANEL
$33.36HC DRAW VENIPUNCTURE
$13.29HC ER LEVEL FOUR 99284
$1,267.81HC IV HYDRATION ONLY, EACH ADDL HR
$173.38HC IV PUSH ADDL DIFF DRUG
$142.84SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$48.62This 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
$288.28Insurance Discount
-$237.46Price Negotiated by Insurer
$50.82Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FOUR 99284
$125.00HC IV HYDRATION ONLY, EACH ADDL HR
$36.61HC IV PUSH ADDL DIFF DRUG
$30.16SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$10.27This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$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
$288.28Insurance Discount
-$237.46Price Negotiated by Insurer
$50.82Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ER LEVEL FOUR 99284
$267.68HC IV HYDRATION ONLY, EACH ADDL HR
$36.61HC IV PUSH ADDL DIFF DRUG
$30.16SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$10.27This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.56This 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
$288.28Insurance Discount
-$72.07Price Negotiated by Insurer
$216.21Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ER LEVEL FOUR 99284
$1,138.76HC IV HYDRATION ONLY, EACH ADDL HR
$155.73HC IV PUSH ADDL DIFF DRUG
$128.30SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$43.67This 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
$288.28Insurance Discount
-$216.21Price Negotiated by Insurer
$72.07Deductible 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
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ER LEVEL FOUR 99284
$379.58HC IV HYDRATION ONLY, EACH ADDL HR
$51.91HC IV PUSH ADDL DIFF DRUG
$42.77SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.56This 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.