CPT 97166
The standard charge for Occupational Therapy Evaluation - Moderate Complexity is $258.94. 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
$258.94Insurance Discount
-$38.84Price Negotiated by Insurer
$220.10Deductible 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 ADL TRAINING EA 15 MIN
$88.40HC DRAW VENIPUNCTURE
$13.53HC JOBST FOAM PADDING
$9.63HC SQ OR IM INJECTION
$129.87HC TE MANUAL TX EACH 15 MIN
$99.22HC THERAPEUTIC ACTIVITIES EA 15 MIN
$85.70HC THERAPEUTIC EX EACH 15 MIN
$99.22This 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
$258.94Insurance Discount
-$191.62Price Negotiated by Insurer
$67.32Deductible 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.
HC ADL TRAINING EA 15 MIN
$27.04HC DRAW VENIPUNCTURE
$4.14HC JOBST FOAM PADDING
$2.95HC SQ OR IM INJECTION
$39.73HC TE MANUAL TX EACH 15 MIN
$30.35HC THERAPEUTIC ACTIVITIES EA 15 MIN
$26.21HC THERAPEUTIC EX EACH 15 MIN
$30.35This 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
$258.94Insurance Discount
-$178.02Price Negotiated by Insurer
$80.92Deductible 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 ADL TRAINING EA 15 MIN
$32.50HC DRAW VENIPUNCTURE
$4.97HC JOBST FOAM PADDING
$3.54HC SQ OR IM INJECTION
$47.75HC TE MANUAL TX EACH 15 MIN
$36.48HC THERAPEUTIC ACTIVITIES EA 15 MIN
$31.51HC THERAPEUTIC EX EACH 15 MIN
$36.48This 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
$258.94Insurance Discount
-$178.02Price Negotiated by Insurer
$80.92Deductible 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 ADL TRAINING EA 15 MIN
$32.50HC DRAW VENIPUNCTURE
$4.97HC JOBST FOAM PADDING
$3.54HC SQ OR IM INJECTION
$47.75HC TE MANUAL TX EACH 15 MIN
$36.48HC THERAPEUTIC ACTIVITIES EA 15 MIN
$31.51HC THERAPEUTIC EX EACH 15 MIN
$36.48This 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
$258.94Insurance Discount
-$211.01Price Negotiated by Insurer
$47.93Deductible 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.
HC ADL TRAINING EA 15 MIN
$19.25HC DRAW VENIPUNCTURE
$2.95HC JOBST FOAM PADDING
$2.10HC SQ OR IM INJECTION
$28.28HC TE MANUAL TX EACH 15 MIN
$21.61HC THERAPEUTIC ACTIVITIES EA 15 MIN
$18.66HC THERAPEUTIC EX EACH 15 MIN
$21.61This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$46.07Price Negotiated by Insurer
$212.87Deductible 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.
HC ADL TRAINING EA 15 MIN
$85.50HC DRAW VENIPUNCTURE
$13.09HC JOBST FOAM PADDING
$9.31HC SQ OR IM INJECTION
$125.61HC TE MANUAL TX EACH 15 MIN
$95.96HC THERAPEUTIC ACTIVITIES EA 15 MIN
$82.88HC THERAPEUTIC EX EACH 15 MIN
$95.96This 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
$258.94Insurance Discount
-$46.07Price Negotiated by Insurer
$212.87Deductible 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.
HC ADL TRAINING EA 15 MIN
$85.50HC DRAW VENIPUNCTURE
$13.09HC JOBST FOAM PADDING
$9.31HC SQ OR IM INJECTION
$125.61HC TE MANUAL TX EACH 15 MIN
$95.96HC THERAPEUTIC ACTIVITIES EA 15 MIN
$82.88HC THERAPEUTIC EX EACH 15 MIN
$95.96This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$51.79Price Negotiated by Insurer
$207.15Deductible 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 ADL TRAINING EA 15 MIN
$83.20HC DRAW VENIPUNCTURE
$12.74HC JOBST FOAM PADDING
$9.06HC SQ OR IM INJECTION
$122.23HC TE MANUAL TX EACH 15 MIN
$93.38HC THERAPEUTIC ACTIVITIES EA 15 MIN
$80.66HC THERAPEUTIC EX EACH 15 MIN
$93.38This 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
$258.94Insurance Discount
-$36.25Price Negotiated by Insurer
$222.69Deductible 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 ADL TRAINING EA 15 MIN
$89.44HC DRAW VENIPUNCTURE
$13.69HC JOBST FOAM PADDING
$9.74HC SQ OR IM INJECTION
$131.40HC TE MANUAL TX EACH 15 MIN
$100.39HC THERAPEUTIC ACTIVITIES EA 15 MIN
$86.71HC THERAPEUTIC EX EACH 15 MIN
$100.39This 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
$258.94Insurance Discount
-$51.79Price Negotiated by Insurer
$207.15Deductible 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 ADL TRAINING EA 15 MIN
$83.20HC DRAW VENIPUNCTURE
$12.74HC JOBST FOAM PADDING
$9.06HC SQ OR IM INJECTION
$122.23HC TE MANUAL TX EACH 15 MIN
$93.38HC THERAPEUTIC ACTIVITIES EA 15 MIN
$80.66HC THERAPEUTIC EX EACH 15 MIN
$93.38This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$25.89Price Negotiated by Insurer
$233.05Deductible 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 ADL TRAINING EA 15 MIN
$93.60HC DRAW VENIPUNCTURE
$14.33HC JOBST FOAM PADDING
$10.20HC SQ OR IM INJECTION
$137.51HC TE MANUAL TX EACH 15 MIN
$105.06HC THERAPEUTIC ACTIVITIES EA 15 MIN
$90.74HC THERAPEUTIC EX EACH 15 MIN
$105.06This 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
$258.94Insurance Discount
-$64.73Price Negotiated by Insurer
$194.21Deductible 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 ADL TRAINING EA 15 MIN
$78.00HC DRAW VENIPUNCTURE
$11.94HC JOBST FOAM PADDING
$8.50HC SQ OR IM INJECTION
$114.59HC TE MANUAL TX EACH 15 MIN
$87.55HC THERAPEUTIC ACTIVITIES EA 15 MIN
$75.61HC THERAPEUTIC EX EACH 15 MIN
$87.55This 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
$258.94Insurance Discount
-$213.29Price Negotiated by Insurer
$45.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$18.34HC DRAW VENIPUNCTURE
$2.81HC JOBST FOAM PADDING
$2.00HC SQ OR IM INJECTION
$26.94HC TE MANUAL TX EACH 15 MIN
$20.58HC THERAPEUTIC ACTIVITIES EA 15 MIN
$17.77HC THERAPEUTIC EX EACH 15 MIN
$20.58This 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
$258.94Insurance Discount
-$190.97Price Negotiated by Insurer
$67.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$27.30HC DRAW VENIPUNCTURE
$4.18HC JOBST FOAM PADDING
$2.97HC SQ OR IM INJECTION
$40.11HC TE MANUAL TX EACH 15 MIN
$30.64HC THERAPEUTIC ACTIVITIES EA 15 MIN
$26.47HC THERAPEUTIC EX EACH 15 MIN
$30.64This 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
$258.94Insurance Discount
-$211.01Price Negotiated by Insurer
$47.93Deductible 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.
HC ADL TRAINING EA 15 MIN
$19.25HC DRAW VENIPUNCTURE
$2.95HC JOBST FOAM PADDING
$2.10HC SQ OR IM INJECTION
$28.28HC TE MANUAL TX EACH 15 MIN
$21.61HC THERAPEUTIC ACTIVITIES EA 15 MIN
$18.66HC THERAPEUTIC EX EACH 15 MIN
$21.61This 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
$258.94Insurance Discount
-$184.49Price Negotiated by Insurer
$74.45Deductible 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 ADL TRAINING EA 15 MIN
$29.90HC DRAW VENIPUNCTURE
$4.58HC JOBST FOAM PADDING
$3.26HC SQ OR IM INJECTION
$43.93HC TE MANUAL TX EACH 15 MIN
$33.56HC THERAPEUTIC ACTIVITIES EA 15 MIN
$28.99HC THERAPEUTIC EX EACH 15 MIN
$33.56This 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
$258.94Insurance Discount
-$187.73Price Negotiated by Insurer
$71.21Deductible 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 ADL TRAINING EA 15 MIN
$28.60HC DRAW VENIPUNCTURE
$4.38HC JOBST FOAM PADDING
$3.12HC SQ OR IM INJECTION
$42.02HC TE MANUAL TX EACH 15 MIN
$32.10HC THERAPEUTIC ACTIVITIES EA 15 MIN
$27.73HC THERAPEUTIC EX EACH 15 MIN
$32.10This 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
$258.94Insurance Discount
-$38.84Price Negotiated by Insurer
$220.10Deductible 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 ADL TRAINING EA 15 MIN
$88.40HC DRAW VENIPUNCTURE
$13.53HC JOBST FOAM PADDING
$9.63HC SQ OR IM INJECTION
$129.87HC TE MANUAL TX EACH 15 MIN
$99.22HC THERAPEUTIC ACTIVITIES EA 15 MIN
$85.70HC THERAPEUTIC EX EACH 15 MIN
$99.22This 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
$258.94Insurance Discount
-$46.61Price Negotiated by Insurer
$212.33Deductible 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.
HC ADL TRAINING EA 15 MIN
$85.28HC DRAW VENIPUNCTURE
$13.05HC JOBST FOAM PADDING
$9.29HC SQ OR IM INJECTION
$125.29HC TE MANUAL TX EACH 15 MIN
$95.72HC THERAPEUTIC ACTIVITIES EA 15 MIN
$82.67HC THERAPEUTIC EX EACH 15 MIN
$95.72This 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
$258.94Insurance Discount
-$64.73Price Negotiated by Insurer
$194.21Deductible 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 ADL TRAINING EA 15 MIN
$78.00HC DRAW VENIPUNCTURE
$11.94HC JOBST FOAM PADDING
$8.50HC SQ OR IM INJECTION
$114.59HC TE MANUAL TX EACH 15 MIN
$87.55HC THERAPEUTIC ACTIVITIES EA 15 MIN
$75.61HC THERAPEUTIC EX EACH 15 MIN
$87.55This 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
$258.94Insurance Discount
-$197.44Price Negotiated by Insurer
$61.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$24.70HC DRAW VENIPUNCTURE
$3.78HC JOBST FOAM PADDING
$2.69HC SQ OR IM INJECTION
$36.29HC TE MANUAL TX EACH 15 MIN
$27.72HC THERAPEUTIC ACTIVITIES EA 15 MIN
$23.94HC THERAPEUTIC EX EACH 15 MIN
$27.72This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$38.84Price Negotiated by Insurer
$220.10Deductible 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 ADL TRAINING EA 15 MIN
$88.40HC DRAW VENIPUNCTURE
$13.53HC JOBST FOAM PADDING
$9.63HC SQ OR IM INJECTION
$129.87HC TE MANUAL TX EACH 15 MIN
$99.22HC THERAPEUTIC ACTIVITIES EA 15 MIN
$85.70HC THERAPEUTIC EX EACH 15 MIN
$99.22This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$213.29Price Negotiated by Insurer
$45.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$18.34HC DRAW VENIPUNCTURE
$2.81HC JOBST FOAM PADDING
$2.00HC SQ OR IM INJECTION
$26.94HC TE MANUAL TX EACH 15 MIN
$20.58HC THERAPEUTIC ACTIVITIES EA 15 MIN
$17.77HC THERAPEUTIC EX EACH 15 MIN
$20.58This 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
$258.94Insurance Discount
-$33.66Price Negotiated by Insurer
$225.28Deductible 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 ADL TRAINING EA 15 MIN
$90.48HC DRAW VENIPUNCTURE
$13.85HC JOBST FOAM PADDING
$9.86HC SQ OR IM INJECTION
$132.93HC TE MANUAL TX EACH 15 MIN
$101.56HC THERAPEUTIC ACTIVITIES EA 15 MIN
$87.71HC THERAPEUTIC EX EACH 15 MIN
$101.56This 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
$258.94Insurance Discount
-$193.56Price Negotiated by Insurer
$65.38Deductible 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 ADL TRAINING EA 15 MIN
$26.26HC DRAW VENIPUNCTURE
$4.02HC JOBST FOAM PADDING
$2.86HC SQ OR IM INJECTION
$38.58HC TE MANUAL TX EACH 15 MIN
$29.47HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.46HC THERAPEUTIC EX EACH 15 MIN
$29.47This 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
$258.94Insurance Discount
-$78.72Price Negotiated by Insurer
$180.22Deductible 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 ADL TRAINING EA 15 MIN
$72.38HC DRAW VENIPUNCTURE
$11.08HC JOBST FOAM PADDING
$7.89HC SQ OR IM INJECTION
$106.34HC TE MANUAL TX EACH 15 MIN
$81.24HC THERAPEUTIC ACTIVITIES EA 15 MIN
$70.17HC THERAPEUTIC EX EACH 15 MIN
$81.24This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$31.07Price Negotiated by Insurer
$227.87Deductible 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.
HC ADL TRAINING EA 15 MIN
$91.52HC DRAW VENIPUNCTURE
$14.01HC JOBST FOAM PADDING
$9.97HC SQ OR IM INJECTION
$134.46HC TE MANUAL TX EACH 15 MIN
$102.72HC THERAPEUTIC ACTIVITIES EA 15 MIN
$88.72HC THERAPEUTIC EX EACH 15 MIN
$102.72This 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
$258.94Insurance Discount
-$42.73Price 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 ADL TRAINING EA 15 MIN
$86.84HC DRAW VENIPUNCTURE
$13.29HC JOBST FOAM PADDING
$9.46HC SQ OR IM INJECTION
$127.58HC TE MANUAL TX EACH 15 MIN
$97.47HC THERAPEUTIC ACTIVITIES EA 15 MIN
$84.18HC THERAPEUTIC EX EACH 15 MIN
$97.47This 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
$258.94Insurance Discount
-$213.29Price Negotiated by Insurer
$45.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$18.34HC DRAW VENIPUNCTURE
$2.81HC JOBST FOAM PADDING
$2.00HC SQ OR IM INJECTION
$26.94HC TE MANUAL TX EACH 15 MIN
$20.58HC THERAPEUTIC ACTIVITIES EA 15 MIN
$17.77HC THERAPEUTIC EX EACH 15 MIN
$20.58This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$213.29Price Negotiated by Insurer
$45.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ADL TRAINING EA 15 MIN
$18.34HC DRAW VENIPUNCTURE
$2.81HC JOBST FOAM PADDING
$2.00HC SQ OR IM INJECTION
$26.94HC TE MANUAL TX EACH 15 MIN
$20.58HC THERAPEUTIC ACTIVITIES EA 15 MIN
$17.77HC THERAPEUTIC EX EACH 15 MIN
$20.58This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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
$258.94Insurance Discount
-$64.73Price Negotiated by Insurer
$194.21Deductible 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 ADL TRAINING EA 15 MIN
$78.00HC DRAW VENIPUNCTURE
$11.94HC JOBST FOAM PADDING
$8.50HC SQ OR IM INJECTION
$114.59HC TE MANUAL TX EACH 15 MIN
$87.55HC THERAPEUTIC ACTIVITIES EA 15 MIN
$75.61HC THERAPEUTIC EX EACH 15 MIN
$87.55This 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
$258.94Insurance Discount
-$194.21Price Negotiated by Insurer
$64.73Deductible 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 ADL TRAINING EA 15 MIN
$26.00HC DRAW VENIPUNCTURE
$3.98HC JOBST FOAM PADDING
$2.83HC SQ OR IM INJECTION
$38.20HC TE MANUAL TX EACH 15 MIN
$29.18HC THERAPEUTIC ACTIVITIES EA 15 MIN
$25.20HC THERAPEUTIC EX EACH 15 MIN
$29.18This 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.