CPT 73201
The standard charge for CT scan of shoulder, arm, or hand with contrast is $1,479.33. 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
601 John Street, Kalamazoo, MI, 49007CONTACT
(269) 341-7654 Visit WebsiteBronson Methodist 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 Methodist 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 Methodist Hospital physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 269-341-6166.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$1,479.33Insurance Discount
-$517.77Price Negotiated by Insurer
$961.56Deductible 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 BASIC METABOLIC PANEL
$21.11HC BLOOD CULTURE
$64.77HC CBC INCLUDES DIFF & PLATELETS
$20.19HC C REACTIVE PROTEIN
$40.85IOPAMIDOL 61 % ORAL SOLUTION
$7.28SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$18.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$221.90Price Negotiated by Insurer
$1,257.43Deductible 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 BASIC METABOLIC PANEL
$27.61HC BLOOD CULTURE
$84.70HC CBC INCLUDES DIFF & PLATELETS
$26.40HC C REACTIVE PROTEIN
$53.41IOPAMIDOL 61 % ORAL SOLUTION
$9.52SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$24.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,117.81Price Negotiated by Insurer
$361.52Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.71HC BASIC METABOLIC PANEL
$8.80HC BLOOD CULTURE
$10.73HC CBC INCLUDES DIFF & PLATELETS
$8.08HC C REACTIVE PROTEIN
$5.39INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$48.53IOPAMIDOL 61 % ORAL SOLUTION
$5.60SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$32.48VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$14.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$517.77Price Negotiated by Insurer
$961.56Deductible 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 BASIC METABOLIC PANEL
$21.11HC BLOOD CULTURE
$64.77HC CBC INCLUDES DIFF & PLATELETS
$20.19HC C REACTIVE PROTEIN
$40.85IOPAMIDOL 61 % ORAL SOLUTION
$7.28SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$18.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,044.81Price Negotiated by Insurer
$434.52Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$11.68HC BASIC METABOLIC PANEL
$10.57HC BLOOD CULTURE
$12.90HC CBC INCLUDES DIFF & PLATELETS
$9.71HC C REACTIVE PROTEIN
$6.47INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$58.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,044.81Price Negotiated by Insurer
$434.52Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$11.68HC BASIC METABOLIC PANEL
$10.57HC BLOOD CULTURE
$12.90HC CBC INCLUDES DIFF & PLATELETS
$9.71HC C REACTIVE PROTEIN
$6.47INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$58.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,288.42Price Negotiated by Insurer
$190.91Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$5.13HC BASIC METABOLIC PANEL
$4.65HC BLOOD CULTURE
$5.67HC CBC INCLUDES DIFF & PLATELETS
$4.27HC C REACTIVE PROTEIN
$2.84INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$25.63IOPAMIDOL 61 % ORAL SOLUTION
$4.48SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$25.98VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$11.64This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,114.03Price Negotiated by Insurer
$365.30Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$7.80HC BASIC METABOLIC PANEL
$13.38HC BLOOD CULTURE
$11.93HC CBC INCLUDES DIFF & PLATELETS
$8.99HC C REACTIVE PROTEIN
$6.00INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$101.72IOPAMIDOL 61 % ORAL SOLUTION
$0.48SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,114.03Price Negotiated by Insurer
$365.30Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$7.80HC BASIC METABOLIC PANEL
$13.38HC BLOOD CULTURE
$11.93HC CBC INCLUDES DIFF & PLATELETS
$8.99HC C REACTIVE PROTEIN
$6.00INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$101.72IOPAMIDOL 61 % ORAL SOLUTION
$0.48SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$295.87Price Negotiated by Insurer
$1,183.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$25.98HC BLOOD CULTURE
$79.72HC CBC INCLUDES DIFF & PLATELETS
$24.85HC C REACTIVE PROTEIN
$50.27IOPAMIDOL 61 % ORAL SOLUTION
$8.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$23.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$443.80Price Negotiated by Insurer
$1,035.53Deductible 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 BASIC METABOLIC PANEL
$22.74HC BLOOD CULTURE
$69.75HC CBC INCLUDES DIFF & PLATELETS
$21.74HC C REACTIVE PROTEIN
$43.99IOPAMIDOL 61 % ORAL SOLUTION
$7.84SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$45.47VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$20.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$207.11Price Negotiated by Insurer
$1,272.22Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$27.93HC BLOOD CULTURE
$85.70HC CBC INCLUDES DIFF & PLATELETS
$26.71HC C REACTIVE PROTEIN
$54.04IOPAMIDOL 61 % ORAL SOLUTION
$9.63SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.86VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$25.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$295.87Price Negotiated by Insurer
$1,183.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$25.98HC BLOOD CULTURE
$79.72HC CBC INCLUDES DIFF & PLATELETS
$24.85HC C REACTIVE PROTEIN
$50.27IOPAMIDOL 61 % ORAL SOLUTION
$8.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$23.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$147.93Price Negotiated by Insurer
$1,331.40Deductible 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 BASIC METABOLIC PANEL
$29.23HC BLOOD CULTURE
$89.69HC CBC INCLUDES DIFF & PLATELETS
$27.95HC C REACTIVE PROTEIN
$56.56IOPAMIDOL 61 % ORAL SOLUTION
$10.08SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$58.45VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$26.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$443.80Price Negotiated by Insurer
$1,035.53Deductible 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 BASIC METABOLIC PANEL
$22.74HC BLOOD CULTURE
$69.75HC CBC INCLUDES DIFF & PLATELETS
$21.74HC C REACTIVE PROTEIN
$43.99IOPAMIDOL 61 % ORAL SOLUTION
$7.84SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$45.47VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$20.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$369.83Price Negotiated by Insurer
$1,109.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$24.36HC BLOOD CULTURE
$74.74HC CBC INCLUDES DIFF & PLATELETS
$23.30HC C REACTIVE PROTEIN
$47.13IOPAMIDOL 61 % ORAL SOLUTION
$8.40SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$21.82This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,114.33Price Negotiated by Insurer
$365.00Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.81HC BASIC METABOLIC PANEL
$8.88HC BLOOD CULTURE
$10.84HC CBC INCLUDES DIFF & PLATELETS
$8.16HC C REACTIVE PROTEIN
$5.44INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$48.99This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,114.33Price Negotiated by Insurer
$365.00Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.81HC BASIC METABOLIC PANEL
$8.88HC BLOOD CULTURE
$10.84HC CBC INCLUDES DIFF & PLATELETS
$8.16HC C REACTIVE PROTEIN
$5.44INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$48.99This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,079.57Price Negotiated by Insurer
$399.76Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$10.74HC BASIC METABOLIC PANEL
$9.73HC BLOOD CULTURE
$11.87HC CBC INCLUDES DIFF & PLATELETS
$8.94HC C REACTIVE PROTEIN
$5.96INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$53.66IOPAMIDOL 61 % ORAL SOLUTION
$8.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.94VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$23.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,096.95Price Negotiated by Insurer
$382.38Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$10.27HC BASIC METABOLIC PANEL
$9.31HC BLOOD CULTURE
$11.35HC CBC INCLUDES DIFF & PLATELETS
$8.55HC C REACTIVE PROTEIN
$5.70INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$51.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$221.90Price Negotiated by Insurer
$1,257.43Deductible 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 BASIC METABOLIC PANEL
$27.61HC BLOOD CULTURE
$84.70HC CBC INCLUDES DIFF & PLATELETS
$26.40HC C REACTIVE PROTEIN
$53.41IOPAMIDOL 61 % ORAL SOLUTION
$9.52SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$24.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$436.47Price Negotiated by Insurer
$1,042.86Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$14.01HC BASIC METABOLIC PANEL
$12.69HC BLOOD CULTURE
$15.48HC CBC INCLUDES DIFF & PLATELETS
$11.65HC C REACTIVE PROTEIN
$7.77INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$139.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$369.83Price Negotiated by Insurer
$1,109.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$24.36HC BLOOD CULTURE
$74.74HC CBC INCLUDES DIFF & PLATELETS
$23.30HC C REACTIVE PROTEIN
$47.13IOPAMIDOL 61 % ORAL SOLUTION
$8.40SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$21.82This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,149.09Price Negotiated by Insurer
$330.24Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$8.87HC BASIC METABOLIC PANEL
$8.04HC BLOOD CULTURE
$9.80HC CBC INCLUDES DIFF & PLATELETS
$7.38HC C REACTIVE PROTEIN
$4.92INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$44.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$221.90Price Negotiated by Insurer
$1,257.43Deductible 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 BASIC METABOLIC PANEL
$27.61HC BLOOD CULTURE
$84.70HC CBC INCLUDES DIFF & PLATELETS
$26.40HC C REACTIVE PROTEIN
$53.41IOPAMIDOL 61 % ORAL SOLUTION
$9.52SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$24.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,297.52Price Negotiated by Insurer
$181.81Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$4.88HC BASIC METABOLIC PANEL
$4.42HC BLOOD CULTURE
$5.40HC CBC INCLUDES DIFF & PLATELETS
$4.06HC C REACTIVE PROTEIN
$2.71INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$355.17Price Negotiated by Insurer
$1,124.16Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.09HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$150.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$547.35Price Negotiated by Insurer
$931.98Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$20.46HC BLOOD CULTURE
$62.78HC CBC INCLUDES DIFF & PLATELETS
$19.57HC C REACTIVE PROTEIN
$39.59IOPAMIDOL 61 % ORAL SOLUTION
$7.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$40.92VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$18.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$580.00Price Negotiated by Insurer
$899.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$7.27HC BASIC METABOLIC PANEL
$6.77HC BLOOD CULTURE
$8.26HC CBC INCLUDES DIFF & PLATELETS
$6.22HC C REACTIVE PROTEIN
$4.14INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$120.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$517.77Price Negotiated by Insurer
$961.56Deductible 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 BASIC METABOLIC PANEL
$12.69HC BLOOD CULTURE
$15.48HC CBC INCLUDES DIFF & PLATELETS
$11.66HC C REACTIVE PROTEIN
$7.77IOPAMIDOL 61 % ORAL SOLUTION
$0.25SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$14.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$708.60Price Negotiated by Insurer
$770.73Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.69HC BLOOD CULTURE
$15.48HC CBC INCLUDES DIFF & PLATELETS
$11.66HC C REACTIVE PROTEIN
$7.77IOPAMIDOL 61 % ORAL SOLUTION
$0.25SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$14.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,297.52Price Negotiated by Insurer
$181.81Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$4.88HC BASIC METABOLIC PANEL
$4.42HC BLOOD CULTURE
$5.40HC CBC INCLUDES DIFF & PLATELETS
$4.06HC C REACTIVE PROTEIN
$2.71INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$897.95Price Negotiated by Insurer
$581.38Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$12.69HC BLOOD CULTURE
$15.48HC CBC INCLUDES DIFF & PLATELETS
$11.66HC C REACTIVE PROTEIN
$7.77IOPAMIDOL 61 % ORAL SOLUTION
$0.25SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$14.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,297.52Price Negotiated by Insurer
$181.81Deductible 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.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$4.88HC BASIC METABOLIC PANEL
$4.42HC BLOOD CULTURE
$5.40HC CBC INCLUDES DIFF & PLATELETS
$4.06HC C REACTIVE PROTEIN
$2.71INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$931.98Price Negotiated by Insurer
$547.35Deductible 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 BASIC METABOLIC PANEL
$12.02HC BLOOD CULTURE
$36.87HC CBC INCLUDES DIFF & PLATELETS
$11.49HC C REACTIVE PROTEIN
$23.25IOPAMIDOL 61 % ORAL SOLUTION
$4.14SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$24.03VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$10.76This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$369.83Price Negotiated by Insurer
$1,109.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC PANEL
$24.36HC BLOOD CULTURE
$74.74HC CBC INCLUDES DIFF & PLATELETS
$23.30HC C REACTIVE PROTEIN
$47.13IOPAMIDOL 61 % ORAL SOLUTION
$8.40SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71VANCOMYCIN FORTIFIED 50 MG/ML OPHTHALMIC DROPS
$21.82This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.
Total estimated charges
$1,479.33Insurance Discount
-$1,131.71Price Negotiated by Insurer
$347.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.34HC BASIC METABOLIC PANEL
$8.46HC BLOOD CULTURE
$10.32HC CBC INCLUDES DIFF & PLATELETS
$7.77HC C REACTIVE PROTEIN
$5.18INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist 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 Methodist Hospital directly.