CPT 96374
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- IV push is $282.63. 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
$282.63Insurance Discount
-$42.39Price Negotiated by Insurer
$240.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC ER LEVEL FOUR 99284
$1,206.16HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC IV PUSH ADDL DIFF DRUG
$142.56HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$47.59This 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
$282.63Insurance Discount
-$209.15Price Negotiated by Insurer
$73.48Deductible 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
$7.92HC COMP METABOLIC PANEL
$10.18HC ER LEVEL FOUR 99284
$368.94HC IV HYDRATION ONLY, EACH ADDL HR
$52.93HC IV PUSH ADDL DIFF DRUG
$43.61HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$26.00SODIUM 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
$282.63Insurance Discount
-$194.31Price Negotiated by Insurer
$88.32Deductible 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 CBC INCLUDES DIFF & PLATELETS
$9.52HC COMP METABOLIC PANEL
$12.24HC ER LEVEL FOUR 99284
$443.44HC IV HYDRATION ONLY, EACH ADDL HR
$63.62HC IV PUSH ADDL DIFF DRUG
$52.41HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$31.25SODIUM 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
$282.63Insurance Discount
-$194.31Price Negotiated by Insurer
$88.32Deductible 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 CBC INCLUDES DIFF & PLATELETS
$9.52HC COMP METABOLIC PANEL
$12.24HC ER LEVEL FOUR 99284
$443.44HC IV HYDRATION ONLY, EACH ADDL HR
$63.62HC IV PUSH ADDL DIFF DRUG
$52.41HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$31.25SODIUM 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
$282.63Insurance Discount
-$125.91Price Negotiated by Insurer
$156.72Deductible 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
$5.90HC COMP METABOLIC PANEL
$8.02HC ER LEVEL FOUR 99284
$316.75HC IV HYDRATION ONLY, EACH ADDL HR
$34.32HC IV PUSH ADDL DIFF DRUG
$34.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$6.90SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$22.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$50.28Price Negotiated by Insurer
$232.35Deductible 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
$25.03HC COMP METABOLIC PANEL
$32.20HC ER LEVEL FOUR 99284
$1,166.57HC IV HYDRATION ONLY, EACH ADDL HR
$167.35HC IV PUSH ADDL DIFF DRUG
$137.88HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$82.21SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$47.87This 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
$282.63Insurance Discount
-$62.89Price Negotiated by Insurer
$219.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$23.67HC COMP METABOLIC PANEL
$30.45HC ER LEVEL FOUR 99284
$1,103.28HC IV HYDRATION ONLY, EACH ADDL HR
$158.28HC IV PUSH ADDL DIFF DRUG
$130.40HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$77.75SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$43.53This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$56.53Price Negotiated by Insurer
$226.10Deductible 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 CBC INCLUDES DIFF & PLATELETS
$24.36HC COMP METABOLIC PANEL
$31.34HC ER LEVEL FOUR 99284
$1,135.21HC IV HYDRATION ONLY, EACH ADDL HR
$162.86HC IV PUSH ADDL DIFF DRUG
$134.18HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$44.79This 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
$282.63Insurance Discount
-$39.57Price Negotiated by Insurer
$243.06Deductible 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
$26.19HC COMP METABOLIC PANEL
$33.69HC ER LEVEL FOUR 99284
$1,220.35HC IV HYDRATION ONLY, EACH ADDL HR
$175.07HC IV PUSH ADDL DIFF DRUG
$144.24HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$86.00SODIUM 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
$282.63Insurance Discount
-$56.53Price Negotiated by Insurer
$226.10Deductible 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 CBC INCLUDES DIFF & PLATELETS
$24.36HC COMP METABOLIC PANEL
$31.34HC ER LEVEL FOUR 99284
$1,135.21HC IV HYDRATION ONLY, EACH ADDL HR
$162.86HC IV PUSH ADDL DIFF DRUG
$134.18HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$44.79This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$28.26Price Negotiated by Insurer
$254.37Deductible 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
$27.40HC COMP METABOLIC PANEL
$35.25HC ER LEVEL FOUR 99284
$1,277.11HC IV HYDRATION ONLY, EACH ADDL HR
$183.21HC IV PUSH ADDL DIFF DRUG
$150.95HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$50.39This 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
$282.63Insurance Discount
-$70.66Price Negotiated by Insurer
$211.97Deductible 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 CBC INCLUDES DIFF & PLATELETS
$22.84HC COMP METABOLIC PANEL
$29.38HC ER LEVEL FOUR 99284
$1,064.26HC IV HYDRATION ONLY, EACH ADDL HR
$152.68HC IV PUSH ADDL DIFF DRUG
$125.79HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$75.00SODIUM 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
$282.63Insurance Discount
-$133.38Price Negotiated by Insurer
$149.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$5.62HC COMP METABOLIC PANEL
$7.63HC ER LEVEL FOUR 99284
$301.64HC IV HYDRATION ONLY, EACH ADDL HR
$32.69HC IV PUSH ADDL DIFF DRUG
$32.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$6.57This 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
$282.63Insurance Discount
-$208.44Price Negotiated by Insurer
$74.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.99HC COMP METABOLIC PANEL
$10.28HC ER LEVEL FOUR 99284
$372.49HC IV HYDRATION ONLY, EACH ADDL HR
$53.44HC IV PUSH ADDL DIFF DRUG
$44.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$26.25SODIUM 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
$282.63Insurance Discount
-$125.91Price Negotiated by Insurer
$156.72Deductible 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
$5.90HC COMP METABOLIC PANEL
$8.02HC ER LEVEL FOUR 99284
$316.75HC IV HYDRATION ONLY, EACH ADDL HR
$34.32HC IV PUSH ADDL DIFF DRUG
$34.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$6.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$201.37Price Negotiated by Insurer
$81.26Deductible 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
$8.75HC COMP METABOLIC PANEL
$11.26HC ER LEVEL FOUR 99284
$407.97HC IV HYDRATION ONLY, EACH ADDL HR
$58.53HC IV PUSH ADDL DIFF DRUG
$48.22HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$28.75SODIUM 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
$282.63Insurance Discount
-$42.39Price Negotiated by Insurer
$240.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC ER LEVEL FOUR 99284
$1,206.16HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC IV PUSH ADDL DIFF DRUG
$142.56HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$47.59This 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
$282.63Insurance Discount
-$50.87Price Negotiated by Insurer
$231.76Deductible 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
$24.97HC COMP METABOLIC PANEL
$32.12HC ER LEVEL FOUR 99284
$1,163.59HC IV HYDRATION ONLY, EACH ADDL HR
$166.93HC IV PUSH ADDL DIFF DRUG
$137.53HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$82.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$47.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$215.51Price Negotiated by Insurer
$67.12Deductible 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
$7.23HC COMP METABOLIC PANEL
$9.30HC ER LEVEL FOUR 99284
$337.01HC IV HYDRATION ONLY, EACH ADDL HR
$48.35HC IV PUSH ADDL DIFF DRUG
$39.83HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$23.75SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$13.30This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$42.39Price Negotiated by Insurer
$240.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC ER LEVEL FOUR 99284
$1,206.16HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC IV PUSH ADDL DIFF DRUG
$142.56HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$47.59This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$133.38Price Negotiated by Insurer
$149.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$5.62HC COMP METABOLIC PANEL
$7.63HC ER LEVEL FOUR 99284
$301.64HC IV HYDRATION ONLY, EACH ADDL HR
$32.69HC IV PUSH ADDL DIFF DRUG
$32.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$6.57This 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
$282.63Insurance Discount
-$98.92Price Negotiated by Insurer
$183.71Deductible 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
$19.79HC COMP METABOLIC PANEL
$25.46HC ER LEVEL FOUR 99284
$922.36HC IV HYDRATION ONLY, EACH ADDL HR
$132.32HC IV PUSH ADDL DIFF DRUG
$109.02HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$37.85This 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
$282.63Insurance Discount
-$36.74Price Negotiated by Insurer
$245.89Deductible 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
$26.49HC COMP METABOLIC PANEL
$34.08HC ER LEVEL FOUR 99284
$1,234.54HC IV HYDRATION ONLY, EACH ADDL HR
$177.11HC IV PUSH ADDL DIFF DRUG
$145.92HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$87.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$48.71This 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
$282.63Insurance Discount
-$211.27Price Negotiated by Insurer
$71.36Deductible 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
$7.69HC COMP METABOLIC PANEL
$9.89HC ER LEVEL FOUR 99284
$358.30HC IV HYDRATION ONLY, EACH ADDL HR
$51.40HC IV PUSH ADDL DIFF DRUG
$42.35HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.25SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.14This 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
$282.63Insurance Discount
-$93.27Price Negotiated by Insurer
$189.36Deductible 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
$20.40HC COMP METABOLIC PANEL
$26.24HC ER LEVEL FOUR 99284
$950.74HC IV HYDRATION ONLY, EACH ADDL HR
$136.39HC IV PUSH ADDL DIFF DRUG
$112.37HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$67.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$39.01This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$33.92Price Negotiated by Insurer
$248.71Deductible 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
$26.80HC COMP METABOLIC PANEL
$34.47HC ER LEVEL FOUR 99284
$1,248.73HC IV HYDRATION ONLY, EACH ADDL HR
$179.14HC IV PUSH ADDL DIFF DRUG
$147.59HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$88.00SODIUM 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
$282.63Insurance Discount
-$46.63Price Negotiated by Insurer
$236.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.43HC COMP METABOLIC PANEL
$32.71HC ER LEVEL FOUR 99284
$1,184.87HC IV HYDRATION ONLY, EACH ADDL HR
$169.98HC IV PUSH ADDL DIFF DRUG
$140.05HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$83.50SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$46.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$133.38Price Negotiated by Insurer
$149.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$5.62HC COMP METABOLIC PANEL
$7.63HC ER LEVEL FOUR 99284
$301.64HC IV HYDRATION ONLY, EACH ADDL HR
$32.69HC IV PUSH ADDL DIFF DRUG
$32.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$6.57This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM 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
$282.63Insurance Discount
-$70.66Price Negotiated by Insurer
$211.97Deductible 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 CBC INCLUDES DIFF & PLATELETS
$22.84HC COMP METABOLIC PANEL
$29.38HC ER LEVEL FOUR 99284
$1,064.26HC IV HYDRATION ONLY, EACH ADDL HR
$152.68HC IV PUSH ADDL DIFF DRUG
$125.79HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$75.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$41.99This 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
$282.63Insurance Discount
-$211.97Price Negotiated by Insurer
$70.66Deductible 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
$7.61HC COMP METABOLIC PANEL
$9.79HC ER LEVEL FOUR 99284
$354.75HC IV HYDRATION ONLY, EACH ADDL HR
$50.89HC IV PUSH ADDL DIFF DRUG
$41.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$25.00SODIUM CHLORIDE 0.9 % IV INFUSION (CODE)
$14.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.