CPT 96415
The standard charge for Chemotherapy infusion-each additional hour is $238.30. 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
$238.30Insurance Discount
-$83.40Price Negotiated by Insurer
$154.90Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$28.52HC CBC INCLUDES DIFF & PLATELETS
$19.40HC CHEMO INFUSION FIRST HR
$575.53HC COMP METABOLIC PANEL
$24.96HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$6.63HC IV NORMAL SALINE 500 ML
$55.72HC IV PUSH ADDL DIFF DRUG
$106.88PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$40.76This 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
$238.30Insurance Discount
-$35.74Price Negotiated by Insurer
$202.56Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$54.23HC CBC INCLUDES DIFF & PLATELETS
$25.37HC CHEMO INFUSION FIRST HR
$752.62HC COMP METABOLIC PANEL
$32.64HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.67HC IV NORMAL SALINE 500 ML
$72.86HC IV PUSH ADDL DIFF DRUG
$139.77PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$173.18Price Negotiated by Insurer
$65.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.08HC CHEMO INFUSION FIRST HR
$313.07HC COMP METABOLIC PANEL
$10.98HC IV PUSH ADDL DIFF DRUG
$43.91This 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
$238.30Insurance Discount
-$83.40Price Negotiated by Insurer
$154.90Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$28.52HC CBC INCLUDES DIFF & PLATELETS
$19.40HC CHEMO INFUSION FIRST HR
$575.53HC COMP METABOLIC PANEL
$24.96HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$6.63HC IV NORMAL SALINE 500 ML
$55.72HC IV PUSH ADDL DIFF DRUG
$106.88PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$36.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$160.02Price Negotiated by Insurer
$78.28Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CHEMO INFUSION FIRST HR
$376.29HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$52.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$160.02Price Negotiated by Insurer
$78.28Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CHEMO INFUSION FIRST HR
$376.29HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$52.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$202.33Price Negotiated by Insurer
$35.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$25.52HC CBC INCLUDES DIFF & PLATELETS
$4.46HC CHEMO INFUSION FIRST HR
$172.91HC COMP METABOLIC PANEL
$6.07HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$4.08HC IV NORMAL SALINE 500 ML
$34.29HC IV PUSH ADDL DIFF DRUG
$24.25PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$119.50SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$27.97This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$87.77Price Negotiated by Insurer
$150.53Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$6.22HC CBC INCLUDES DIFF & PLATELETS
$6.99HC CHEMO INFUSION FIRST HR
$698.85HC COMP METABOLIC PANEL
$18.21HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$0.38HC IV NORMAL SALINE 500 ML
$4.35HC IV PUSH ADDL DIFF DRUG
$82.42PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$2.73SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.35This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$47.66Price Negotiated by Insurer
$190.64Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$35.10HC CBC INCLUDES DIFF & PLATELETS
$23.88HC CHEMO INFUSION FIRST HR
$708.34HC COMP METABOLIC PANEL
$30.72HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.16HC IV NORMAL SALINE 500 ML
$68.58HC IV PUSH ADDL DIFF DRUG
$131.54PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$44.79This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$71.49Price Negotiated by Insurer
$166.81Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$54.87HC CBC INCLUDES DIFF & PLATELETS
$25.67HC CHEMO INFUSION FIRST HR
$619.80HC COMP METABOLIC PANEL
$33.02HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.77HC IV NORMAL SALINE 500 ML
$60.00HC IV PUSH ADDL DIFF DRUG
$141.41PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$256.92SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.15This 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
$238.30Insurance Discount
-$47.66Price Negotiated by Insurer
$190.64Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$35.10HC CBC INCLUDES DIFF & PLATELETS
$23.88HC CHEMO INFUSION FIRST HR
$708.34HC COMP METABOLIC PANEL
$30.72HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.16HC IV NORMAL SALINE 500 ML
$68.58HC IV PUSH ADDL DIFF DRUG
$131.54PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$50.17This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$23.83Price Negotiated by Insurer
$214.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$57.42HC CBC INCLUDES DIFF & PLATELETS
$26.86HC CHEMO INFUSION FIRST HR
$796.89HC COMP METABOLIC PANEL
$34.56HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$9.18HC IV NORMAL SALINE 500 ML
$77.15HC IV PUSH ADDL DIFF DRUG
$147.99PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$268.87SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$56.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$71.49Price Negotiated by Insurer
$166.81Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$30.71HC CBC INCLUDES DIFF & PLATELETS
$20.90HC CHEMO INFUSION FIRST HR
$619.80HC COMP METABOLIC PANEL
$26.88HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$7.14HC IV NORMAL SALINE 500 ML
$60.00HC IV PUSH ADDL DIFF DRUG
$115.10PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$59.58Price Negotiated by Insurer
$178.72Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$32.90HC CBC INCLUDES DIFF & PLATELETS
$22.39HC CHEMO INFUSION FIRST HR
$664.07HC COMP METABOLIC PANEL
$28.80HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$7.65HC IV NORMAL SALINE 500 ML
$64.29HC IV PUSH ADDL DIFF DRUG
$123.32PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03This 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
$238.30Insurance Discount
-$204.05Price Negotiated by Insurer
$34.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.25HC CHEMO INFUSION FIRST HR
$164.66HC COMP METABOLIC PANEL
$5.78HC IV PUSH ADDL DIFF DRUG
$23.09This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$202.33Price Negotiated by Insurer
$35.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.46HC CHEMO INFUSION FIRST HR
$172.91HC COMP METABOLIC PANEL
$6.07HC IV PUSH ADDL DIFF DRUG
$24.25This 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
$238.30Insurance Discount
-$172.55Price Negotiated by Insurer
$65.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.16HC CHEMO INFUSION FIRST HR
$316.08HC COMP METABOLIC PANEL
$11.09HC IV PUSH ADDL DIFF DRUG
$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
$238.30Insurance Discount
-$166.29Price Negotiated by Insurer
$72.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.94HC CHEMO INFUSION FIRST HR
$346.18HC COMP METABOLIC PANEL
$12.14HC IV PUSH ADDL DIFF DRUG
$48.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$35.74Price Negotiated by Insurer
$202.56Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$37.29HC CBC INCLUDES DIFF & PLATELETS
$25.37HC CHEMO INFUSION FIRST HR
$752.62HC COMP METABOLIC PANEL
$32.64HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.67HC IV NORMAL SALINE 500 ML
$72.86HC IV PUSH ADDL DIFF DRUG
$139.77PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$178.81Price Negotiated by Insurer
$59.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.38HC CHEMO INFUSION FIRST HR
$285.98HC COMP METABOLIC PANEL
$10.03HC IV PUSH ADDL DIFF DRUG
$40.11This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$35.74Price Negotiated by Insurer
$202.56Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$37.29HC CBC INCLUDES DIFF & PLATELETS
$25.37HC CHEMO INFUSION FIRST HR
$752.62HC COMP METABOLIC PANEL
$32.64HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$8.67HC IV NORMAL SALINE 500 ML
$72.86HC IV PUSH ADDL DIFF DRUG
$139.77PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$53.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$204.05Price Negotiated by Insurer
$34.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.25HC CHEMO INFUSION FIRST HR
$164.66HC COMP METABOLIC PANEL
$5.78HC IV PUSH ADDL DIFF DRUG
$23.09This 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
$238.30Insurance Discount
-$71.49Price Negotiated by Insurer
$166.81Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$30.71HC CBC INCLUDES DIFF & PLATELETS
$20.90HC CHEMO INFUSION FIRST HR
$619.80HC COMP METABOLIC PANEL
$26.88HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$7.14HC IV NORMAL SALINE 500 ML
$60.00HC IV PUSH ADDL DIFF DRUG
$115.10PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$41.18Price Negotiated by Insurer
$197.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$10.65HC CHEMO INFUSION FIRST HR
$947.66HC COMP METABOLIC PANEL
$14.27HC IV PUSH ADDL DIFF DRUG
$132.91This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$80.60Price Negotiated by Insurer
$157.70Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$8.52HC CHEMO INFUSION FIRST HR
$758.13HC COMP METABOLIC PANEL
$11.42HC IV PUSH ADDL DIFF DRUG
$106.33This 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
$238.30Insurance Discount
-$88.17Price Negotiated by Insurer
$150.13Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$27.64HC CBC INCLUDES DIFF & PLATELETS
$18.81HC CHEMO INFUSION FIRST HR
$557.82HC COMP METABOLIC PANEL
$24.19HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$6.43HC IV NORMAL SALINE 500 ML
$54.00HC IV PUSH ADDL DIFF DRUG
$103.59PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$188.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$39.51This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$208.40Price Negotiated by Insurer
$29.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.32HC CHEMO INFUSION FIRST HR
$139.76HC COMP METABOLIC PANEL
$12.67HC IV PUSH ADDL DIFF DRUG
$16.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Price Negotiated by Insurer
$284.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$12.83HC CHEMO INFUSION FIRST HR
$284.00HC COMP METABOLIC PANEL
$17.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$211.12Price Negotiated by Insurer
$27.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$127.05HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$15.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$173.80Price Negotiated by Insurer
$64.50Deductible 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 CBC INCLUDES DIFF & PLATELETS
$8.00HC CHEMO INFUSION FIRST HR
$310.06HC COMP METABOLIC PANEL
$10.88HC IV PUSH ADDL DIFF DRUG
$43.49This 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
$238.30Insurance Discount
-$150.13Price Negotiated by Insurer
$88.17Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$16.23HC CBC INCLUDES DIFF & PLATELETS
$11.04HC CHEMO INFUSION FIRST HR
$327.61HC COMP METABOLIC PANEL
$14.21HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$3.77HC IV NORMAL SALINE 500 ML
$31.72HC IV PUSH ADDL DIFF DRUG
$60.84PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$110.53SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$23.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$238.30Insurance Discount
-$59.58Price Negotiated by Insurer
$178.72Deductible 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.
DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$32.90HC CBC INCLUDES DIFF & PLATELETS
$22.39HC CHEMO INFUSION FIRST HR
$664.07HC COMP METABOLIC PANEL
$28.80HC DEXAMETHASONE SODIUM PHOS, PER 1 MG
$7.65HC IV NORMAL SALINE 500 ML
$64.29HC IV PUSH ADDL DIFF DRUG
$123.32PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03This 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
$238.30Insurance Discount
-$175.68Price Negotiated by Insurer
$62.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$301.03HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$42.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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.