CPT 74300
The standard charge for X-ray bile ducts, with contrast (cholangiogram) is $520.60. 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
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$22.51CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.93HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ISOVUE 300 PER ML
$1.45HC PATHOLOGY LEVEL III
$129.45KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$18.79LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.11LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$14.40METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.12PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,444.60PROPOFOL 10 MG/ML IV (CODE)
$55.28This 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
$520.60Insurance Discount
-$385.24Price Negotiated by Insurer
$135.36Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.88CEFAZOLIN IV SYRINGE 2 G PMX
$1.57DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.57HC CBC INCLUDES DIFF & PLATELETS
$8.08HC COMP METABOLIC PANEL
$10.39HC DRAW VENIPUNCTURE
$4.14HC ISOVUE 300 PER ML
$0.44HC PATHOLOGY LEVEL III
$39.60KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.12LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.47LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.40METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$14.54MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.50ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.46PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$747.76PROPOFOL 10 MG/ML IV (CODE)
$16.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$357.91Price Negotiated by Insurer
$162.69Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$8.28CEFAZOLIN IV SYRINGE 2 G PMX
$1.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.53FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.10HC CBC INCLUDES DIFF & PLATELETS
$9.71HC COMP METABOLIC PANEL
$12.48HC DRAW VENIPUNCTURE
$4.97HC ISOVUE 300 PER ML
$0.53HC PATHOLOGY LEVEL III
$47.59KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.55LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$21.85LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$7.98METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$17.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.82ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.82PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$898.75PROPOFOL 10 MG/ML IV (CODE)
$20.32This 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
$520.60Insurance Discount
-$357.91Price Negotiated by Insurer
$162.69Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$8.28CEFAZOLIN IV SYRINGE 2 G PMX
$1.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.53FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.10HC CBC INCLUDES DIFF & PLATELETS
$9.71HC COMP METABOLIC PANEL
$12.48HC DRAW VENIPUNCTURE
$4.97HC ISOVUE 300 PER ML
$0.53HC PATHOLOGY LEVEL III
$47.59KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.91LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$21.00LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$5.29METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$17.48MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$6.61ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.82PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$898.75PROPOFOL 10 MG/ML IV (CODE)
$20.32This 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
$520.60Insurance Discount
-$424.24Price Negotiated by Insurer
$96.36Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$3.25CEFAZOLIN IV SYRINGE 2 G PMX
$1.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.09FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.61HC CBC INCLUDES DIFF & PLATELETS
$5.75HC COMP METABOLIC PANEL
$7.39HC DRAW VENIPUNCTURE
$2.95HC ISOVUE 300 PER ML
$0.31HC PATHOLOGY LEVEL III
$28.19KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$4.09LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.94LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.73METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$10.35MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.45ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.04PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$532.35PROPOFOL 10 MG/ML IV (CODE)
$12.04This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.53LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$6.38METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$92.61Price Negotiated by Insurer
$427.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$21.77CEFAZOLIN IV SYRINGE 2 G PMX
$4.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.24FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$16.05HC CBC INCLUDES DIFF & PLATELETS
$25.53HC COMP METABOLIC PANEL
$32.84HC DRAW VENIPUNCTURE
$13.09HC ISOVUE 300 PER ML
$1.40HC PATHOLOGY LEVEL III
$125.20KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$18.17LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.24LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$13.93METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$45.99MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.40ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.69PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,364.36PROPOFOL 10 MG/ML IV (CODE)
$53.46This 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
$520.60Insurance Discount
-$92.61Price Negotiated by Insurer
$427.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$21.77CEFAZOLIN IV SYRINGE 2 G PMX
$4.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.29FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.44HC CBC INCLUDES DIFF & PLATELETS
$25.53HC COMP METABOLIC PANEL
$32.84HC DRAW VENIPUNCTURE
$13.09HC ISOVUE 300 PER ML
$1.40HC PATHOLOGY LEVEL III
$125.20KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.70LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$20.99METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$45.99MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.40ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.69PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,364.36PROPOFOL 10 MG/ML IV (CODE)
$53.46This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.88HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$6.38METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$104.12Price Negotiated by Insurer
$416.48Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$21.18CEFAZOLIN IV SYRINGE 2 G PMX
$4.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$15.62HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC DRAW VENIPUNCTURE
$12.74HC ISOVUE 300 PER ML
$1.36HC PATHOLOGY LEVEL III
$121.83KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$17.68LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$53.75LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$20.42METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$44.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.93ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,300.80PROPOFOL 10 MG/ML IV (CODE)
$52.02This 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
$520.60Insurance Discount
-$72.88Price Negotiated by Insurer
$447.72Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$22.77CEFAZOLIN IV SYRINGE 2 G PMX
$5.19DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$15.10HC CBC INCLUDES DIFF & PLATELETS
$26.71HC COMP METABOLIC PANEL
$34.36HC DRAW VENIPUNCTURE
$13.69HC ISOVUE 300 PER ML
$1.46HC PATHOLOGY LEVEL III
$130.97KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$7.01LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$60.13LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$21.96METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$48.11MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.20ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.82PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,473.36PROPOFOL 10 MG/ML IV (CODE)
$55.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$104.12Price Negotiated by Insurer
$416.48Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$14.03CEFAZOLIN IV SYRINGE 2 G PMX
$4.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.05HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC DRAW VENIPUNCTURE
$12.74HC ISOVUE 300 PER ML
$1.36HC PATHOLOGY LEVEL III
$121.83KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.52LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.94LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$20.42METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$44.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.90ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,300.80PROPOFOL 10 MG/ML IV (CODE)
$52.02This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$52.06Price Negotiated by Insurer
$468.54Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$23.83CEFAZOLIN IV SYRINGE 2 G PMX
$5.44DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$17.57HC CBC INCLUDES DIFF & PLATELETS
$27.95HC COMP METABOLIC PANEL
$35.95HC DRAW VENIPUNCTURE
$14.33HC ISOVUE 300 PER ML
$1.53HC PATHOLOGY LEVEL III
$137.06KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$19.89LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$62.93LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$15.25METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$50.35MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$19.04ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$5.04PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,588.40PROPOFOL 10 MG/ML IV (CODE)
$58.53This 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
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$19.86CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$13.17HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ISOVUE 300 PER ML
$1.27HC PATHOLOGY LEVEL III
$114.22KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.11LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$12.71METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$41.95MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$11.57PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,157.00PROPOFOL 10 MG/ML IV (CODE)
$48.77This 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
$520.60Insurance Discount
-$428.82Price Negotiated by Insurer
$91.78Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$4.67CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$1.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.44HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ISOVUE 300 PER ML
$0.30HC PATHOLOGY LEVEL III
$26.85KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$1.44LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.33LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$2.99METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$9.86MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.28ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$507.04PROPOFOL 10 MG/ML IV (CODE)
$11.46This 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
$520.60Insurance Discount
-$383.94Price Negotiated by Insurer
$136.66Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.95CEFAZOLIN IV SYRINGE 2 G PMX
$1.59DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.19FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.61HC CBC INCLUDES DIFF & PLATELETS
$8.15HC COMP METABOLIC PANEL
$10.49HC DRAW VENIPUNCTURE
$4.18HC ISOVUE 300 PER ML
$0.45HC PATHOLOGY LEVEL III
$39.98KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.80LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.64LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.45METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$14.68MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.05PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$754.95PROPOFOL 10 MG/ML IV (CODE)
$17.07This 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
$520.60Insurance Discount
-$424.24Price Negotiated by Insurer
$96.36Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$3.25CEFAZOLIN IV SYRINGE 2 G PMX
$1.12DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.09FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.25HC CBC INCLUDES DIFF & PLATELETS
$5.75HC COMP METABOLIC PANEL
$7.39HC DRAW VENIPUNCTURE
$2.95HC ISOVUE 300 PER ML
$0.31HC PATHOLOGY LEVEL III
$28.19KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$1.51LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.94LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.73METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$10.35MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.45ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.04PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$532.35PROPOFOL 10 MG/ML IV (CODE)
$12.04This 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
$520.60Insurance Discount
-$370.93Price Negotiated by Insurer
$149.67Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$7.61CEFAZOLIN IV SYRINGE 2 G PMX
$1.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.68FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$5.61HC CBC INCLUDES DIFF & PLATELETS
$8.93HC COMP METABOLIC PANEL
$11.49HC DRAW VENIPUNCTURE
$4.58HC ISOVUE 300 PER ML
$0.49HC PATHOLOGY LEVEL III
$43.78KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.35LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$20.10LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.87METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$16.08MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.35ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.61PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$826.85PROPOFOL 10 MG/ML IV (CODE)
$18.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$377.44Price Negotiated by Insurer
$143.16Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$7.28CEFAZOLIN IV SYRINGE 2 G PMX
$1.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.43FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.83HC CBC INCLUDES DIFF & PLATELETS
$8.54HC COMP METABOLIC PANEL
$10.99HC DRAW VENIPUNCTURE
$4.38HC ISOVUE 300 PER ML
$0.47HC PATHOLOGY LEVEL III
$41.88KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.08LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$18.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.66METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$15.38MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.82ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.24PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$790.90PROPOFOL 10 MG/ML IV (CODE)
$17.88This 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
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$22.51CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.61FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$16.59HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ISOVUE 300 PER ML
$1.45HC PATHOLOGY LEVEL III
$129.45KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$18.79LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.11LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$21.70METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.83ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.12PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,444.60PROPOFOL 10 MG/ML IV (CODE)
$55.28This 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
$520.60Insurance Discount
-$93.71Price Negotiated by Insurer
$426.89Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$21.71CEFAZOLIN IV SYRINGE 2 G PMX
$4.95DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.27FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$16.01HC CBC INCLUDES DIFF & PLATELETS
$25.47HC COMP METABOLIC PANEL
$32.76HC DRAW VENIPUNCTURE
$13.05HC ISOVUE 300 PER ML
$1.39HC PATHOLOGY LEVEL III
$124.88KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.68LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.33LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$20.93METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$45.87MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.27ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.59PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,358.32PROPOFOL 10 MG/ML IV (CODE)
$53.32This 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
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$19.86CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.47FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$13.17HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ISOVUE 300 PER ML
$1.27HC PATHOLOGY LEVEL III
$114.22KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.11LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$19.15METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$41.95MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.20PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,157.00PROPOFOL 10 MG/ML IV (CODE)
$48.77This 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
$520.60Insurance Discount
-$396.96Price Negotiated by Insurer
$123.64Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.29CEFAZOLIN IV SYRINGE 2 G PMX
$1.43DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.69FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.17HC CBC INCLUDES DIFF & PLATELETS
$7.38HC COMP METABOLIC PANEL
$9.49HC DRAW VENIPUNCTURE
$3.78HC ISOVUE 300 PER ML
$0.40HC PATHOLOGY LEVEL III
$36.17KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.25LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$15.96LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.02METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.29MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.03ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.66PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$683.05PROPOFOL 10 MG/ML IV (CODE)
$15.44This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.53LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$22.51CEFAZOLIN IV SYRINGE 2 G PMX
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.61FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.93HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC DRAW VENIPUNCTURE
$13.53HC ISOVUE 300 PER ML
$1.45HC PATHOLOGY LEVEL III
$129.45KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$6.93LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.43LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$21.70METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.76PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,444.60PROPOFOL 10 MG/ML IV (CODE)
$55.28This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.88HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$428.82Price Negotiated by Insurer
$91.78Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$4.67CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.48FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.44HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ISOVUE 300 PER ML
$0.30HC PATHOLOGY LEVEL III
$26.85KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$1.44LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$11.85LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$2.99METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$9.86MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.28ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$507.04PROPOFOL 10 MG/ML IV (CODE)
$11.46This 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
$520.60Insurance Discount
-$67.68Price Negotiated by Insurer
$452.92Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$23.04CEFAZOLIN IV SYRINGE 2 G PMX
$5.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.83FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$16.98HC CBC INCLUDES DIFF & PLATELETS
$27.02HC COMP METABOLIC PANEL
$34.76HC DRAW VENIPUNCTURE
$13.85HC ISOVUE 300 PER ML
$1.48HC PATHOLOGY LEVEL III
$132.49KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$19.23LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$58.46LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$14.74METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$48.67MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.20ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.87PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,502.12PROPOFOL 10 MG/ML IV (CODE)
$56.58This 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
$520.60Insurance Discount
-$389.15Price Negotiated by Insurer
$131.45Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.69CEFAZOLIN IV SYRINGE 2 G PMX
$1.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.93HC CBC INCLUDES DIFF & PLATELETS
$7.84HC COMP METABOLIC PANEL
$10.09HC DRAW VENIPUNCTURE
$4.02HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.45KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.06LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.97LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$6.45METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$14.12MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.70ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.41PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$726.19PROPOFOL 10 MG/ML IV (CODE)
$16.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$158.26Price Negotiated by Insurer
$362.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$18.43CEFAZOLIN IV SYRINGE 2 G PMX
$4.20DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.75FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$12.22HC CBC INCLUDES DIFF & PLATELETS
$21.62HC COMP METABOLIC PANEL
$27.81HC DRAW VENIPUNCTURE
$11.08HC ISOVUE 300 PER ML
$1.18HC PATHOLOGY LEVEL III
$105.99KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.67LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$48.66LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$17.77METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$38.93MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.73ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.90PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,001.70PROPOFOL 10 MG/ML IV (CODE)
$45.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.83FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$62.47Price Negotiated by Insurer
$458.13Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$23.30CEFAZOLIN IV SYRINGE 2 G PMX
$5.32DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.39FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$15.45HC CBC INCLUDES DIFF & PLATELETS
$27.33HC COMP METABOLIC PANEL
$35.16HC DRAW VENIPUNCTURE
$14.01HC ISOVUE 300 PER ML
$1.50HC PATHOLOGY LEVEL III
$134.02KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$19.45LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.13LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$14.91METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$49.23MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.62ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.58PROPOFOL 10 MG/ML IV (CODE)
$57.23This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$85.90Price Negotiated by Insurer
$434.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$22.11CEFAZOLIN IV SYRINGE 2 G PMX
$5.04DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.44FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.66HC CBC INCLUDES DIFF & PLATELETS
$25.94HC COMP METABOLIC PANEL
$33.36HC DRAW VENIPUNCTURE
$13.29HC ISOVUE 300 PER ML
$1.42HC PATHOLOGY LEVEL III
$127.16KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$18.45LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$56.10LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$21.32METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$46.71MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.68PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,401.46PROPOFOL 10 MG/ML IV (CODE)
$54.30This 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
$520.60Insurance Discount
-$428.82Price Negotiated by Insurer
$91.78Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$4.67CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$1.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.10HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ISOVUE 300 PER ML
$0.30HC PATHOLOGY LEVEL III
$26.85KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$3.90LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$11.85LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$2.99METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$9.86MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.73ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$507.04PROPOFOL 10 MG/ML IV (CODE)
$11.46This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.88HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$2.04LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$17.48LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$1.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$428.82Price Negotiated by Insurer
$91.78Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$4.67CEFAZOLIN IV SYRINGE 2 G PMX
$1.06DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$3.48FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.10HC CBC INCLUDES DIFF & PLATELETS
$5.48HC COMP METABOLIC PANEL
$7.04HC DRAW VENIPUNCTURE
$2.81HC ISOVUE 300 PER ML
$0.30HC PATHOLOGY LEVEL III
$26.85KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$1.44LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$12.33LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.50METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$9.86MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$3.28ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.99PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$507.04PROPOFOL 10 MG/ML IV (CODE)
$11.46This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$2.83FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.53LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$4.66ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.
Total estimated charges
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$19.86CEFAZOLIN IV SYRINGE 2 G PMX
$4.53DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.64HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC DRAW VENIPUNCTURE
$11.94HC ISOVUE 300 PER ML
$1.27HC PATHOLOGY LEVEL III
$114.22KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$16.57LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$52.44LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$12.71METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$41.95MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.20PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,157.00PROPOFOL 10 MG/ML IV (CODE)
$48.77This 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
$520.60Insurance Discount
-$390.45Price Negotiated by Insurer
$130.15Deductible 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.
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION
$6.62CEFAZOLIN IV SYRINGE 2 G PMX
$1.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.94FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.39HC CBC INCLUDES DIFF & PLATELETS
$7.76HC COMP METABOLIC PANEL
$9.99HC DRAW VENIPUNCTURE
$3.98HC ISOVUE 300 PER ML
$0.43HC PATHOLOGY LEVEL III
$38.07KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
$5.53LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$16.80LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION
$4.24METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLORIDE IVPB (PARTIAL PACKAGE)
$13.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$5.29ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$3.86PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$719.00PROPOFOL 10 MG/ML IV (CODE)
$16.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Lakeview Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Lakeview Hospital directly.