CPT 74300
The standard charge for X-ray bile ducts, with contrast (cholangiogram) is $510.39. 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
$510.39Insurance Discount
-$178.64Price Negotiated by Insurer
$331.75Deductible 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.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$11.88CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.40HC CBC INCLUDES DIFF & PLATELETS
$19.79HC COMP METABOLIC PANEL
$25.46HC IV HYDRATION ONLY, EACH ADDL HR
$132.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00HC PATHOLOGY LEVEL III
$97.04IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$113.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$14.62LACTATED RINGERS INTRAVENOUS SOLUTION
$43.67MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$20.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$107.90PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,814.80PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$42.37This 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
$510.39Insurance Discount
-$76.56Price Negotiated by Insurer
$433.83Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$15.53CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$8.37HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00HC PATHOLOGY LEVEL III
$126.90IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$148.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$19.12LACTATED RINGERS INTRAVENOUS SOLUTION
$57.11MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$27.31ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,373.20PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$55.40This 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
$510.39Insurance Discount
-$255.19Price Negotiated by Insurer
$255.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$9.14CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$14.54DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$5.88FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$4.92HC CBC INCLUDES DIFF & PLATELETS
$8.08HC COMP METABOLIC PANEL
$10.98HC IV HYDRATION ONLY, EACH ADDL HR
$47.02HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.45HC PATHOLOGY LEVEL III
$54.44IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$87.50KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.76LACTATED RINGERS INTRAVENOUS SOLUTION
$33.60MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.06ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$83.00PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$5,945.05PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$32.59This 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
$510.39Insurance Discount
-$178.64Price Negotiated by Insurer
$331.75Deductible 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.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$11.88CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$32.29DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.40HC CBC INCLUDES DIFF & PLATELETS
$19.79HC COMP METABOLIC PANEL
$25.46HC IV HYDRATION ONLY, EACH ADDL HR
$132.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00HC PATHOLOGY LEVEL III
$97.04IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$113.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$14.62LACTATED RINGERS INTRAVENOUS SOLUTION
$45.45MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$20.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$107.90PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,814.80PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$42.37This 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
$510.39Insurance Discount
-$306.23Price Negotiated by Insurer
$204.16Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$7.31CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$13.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$4.70FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.94HC CBC INCLUDES DIFF & PLATELETS
$4.37HC COMP METABOLIC PANEL
$5.94HC IV HYDRATION ONLY, EACH ADDL HR
$25.44HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$5.12HC PATHOLOGY LEVEL III
$29.46IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$70.00KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.41LACTATED RINGERS INTRAVENOUS SOLUTION
$26.88MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$12.85ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$66.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$3,217.18PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$26.07This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$426.24Price Negotiated by Insurer
$84.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$0.03CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$0.29FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$2.43HC CBC INCLUDES DIFF & PLATELETS
$7.49HC COMP METABOLIC PANEL
$19.51HC IV HYDRATION ONLY, EACH ADDL HR
$64.70HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.82HC PATHOLOGY LEVEL III
$49.26IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$0.17KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$1.83LACTATED RINGERS INTRAVENOUS SOLUTION
$6.51MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.34ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.24PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$5,490.95PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$0.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$426.24Price Negotiated by Insurer
$84.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$0.03CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.17DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$0.29FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$2.43HC CBC INCLUDES DIFF & PLATELETS
$7.49HC COMP METABOLIC PANEL
$19.51HC IV HYDRATION ONLY, EACH ADDL HR
$64.70HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.82HC PATHOLOGY LEVEL III
$49.26IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$0.17KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$1.83LACTATED RINGERS INTRAVENOUS SOLUTION
$6.51MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.34ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.24PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$5,490.95PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$0.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$102.08Price Negotiated by Insurer
$408.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$14.62CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$23.26DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.40FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$14.95HC CBC INCLUDES DIFF & PLATELETS
$24.36HC COMP METABOLIC PANEL
$31.34HC IV HYDRATION ONLY, EACH ADDL HR
$162.86HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00HC PATHOLOGY LEVEL III
$119.44IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$140.00KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$18.00LACTATED RINGERS INTRAVENOUS SOLUTION
$53.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$25.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$102.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,233.60PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$52.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$153.12Price Negotiated by Insurer
$357.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$12.79CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$25.00DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.90HC CBC INCLUDES DIFF & PLATELETS
$21.32HC COMP METABOLIC PANEL
$27.42HC IV HYDRATION ONLY, EACH ADDL HR
$142.50HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$86.00HC PATHOLOGY LEVEL III
$128.40IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$122.50KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$15.75LACTATED RINGERS INTRAVENOUS SOLUTION
$47.03MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$26.89ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$116.20PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,954.40PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$56.05This 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
$510.39Insurance Discount
-$153.12Price Negotiated by Insurer
$357.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$12.79CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$20.35DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.90HC CBC INCLUDES DIFF & PLATELETS
$21.32HC COMP METABOLIC PANEL
$27.42HC IV HYDRATION ONLY, EACH ADDL HR
$142.50HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$70.00HC PATHOLOGY LEVEL III
$104.51IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$122.50KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$15.75LACTATED RINGERS INTRAVENOUS SOLUTION
$48.94MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$21.89ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$116.20PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,954.40PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$45.63This 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
$510.39Insurance Discount
-$102.08Price Negotiated by Insurer
$408.31Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$14.62CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$23.26DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.40FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$7.88HC CBC INCLUDES DIFF & PLATELETS
$24.36HC COMP METABOLIC PANEL
$31.34HC IV HYDRATION ONLY, EACH ADDL HR
$162.86HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00HC PATHOLOGY LEVEL III
$119.44IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$140.00KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$18.00LACTATED RINGERS INTRAVENOUS SOLUTION
$53.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$25.70ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$132.80PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,233.60PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$52.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$51.04Price Negotiated by Insurer
$459.35Deductible 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.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$16.44CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$26.16DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$10.58FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$8.86HC CBC INCLUDES DIFF & PLATELETS
$27.40HC COMP METABOLIC PANEL
$35.25HC IV HYDRATION ONLY, EACH ADDL HR
$183.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00HC PATHOLOGY LEVEL III
$134.37IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$157.50KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$20.25LACTATED RINGERS INTRAVENOUS SOLUTION
$60.47MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$28.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$149.40PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,512.80PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$58.66This 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
$510.39Insurance Discount
-$153.12Price Negotiated by Insurer
$357.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$12.79CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$20.35DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.90HC CBC INCLUDES DIFF & PLATELETS
$21.32HC COMP METABOLIC PANEL
$27.42HC IV HYDRATION ONLY, EACH ADDL HR
$142.50HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$70.00HC PATHOLOGY LEVEL III
$104.51IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$122.50KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$11.66LACTATED RINGERS INTRAVENOUS SOLUTION
$47.03MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$21.89ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$89.60PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,954.40PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$45.63This 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
$510.39Insurance Discount
-$127.60Price Negotiated by Insurer
$382.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$13.70CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$21.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.81FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$7.39HC CBC INCLUDES DIFF & PLATELETS
$22.84HC COMP METABOLIC PANEL
$29.38HC IV HYDRATION ONLY, EACH ADDL HR
$152.68HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$75.00HC PATHOLOGY LEVEL III
$111.98IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$131.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$16.88LACTATED RINGERS INTRAVENOUS SOLUTION
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$24.10ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$96.00PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,094.00PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$48.88This 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
$510.39Insurance Discount
-$76.56Price Negotiated by Insurer
$433.83Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$15.53CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$8.37HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00HC PATHOLOGY LEVEL III
$126.90IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$148.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$14.15LACTATED RINGERS INTRAVENOUS SOLUTION
$40.67MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$26.58ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,373.20PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$55.40This 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
$510.39Insurance Discount
-$76.56Price Negotiated by Insurer
$433.83Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$15.53CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$8.37HC CBC INCLUDES DIFF & PLATELETS
$25.88HC COMP METABOLIC PANEL
$33.29HC IV HYDRATION ONLY, EACH ADDL HR
$173.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00HC PATHOLOGY LEVEL III
$126.90IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$148.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$9.74LACTATED RINGERS INTRAVENOUS SOLUTION
$59.43MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$27.31ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,373.20PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$55.40This 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
$510.39Insurance Discount
-$178.64Price Negotiated by Insurer
$331.75Deductible 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.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$11.88CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.40HC CBC INCLUDES DIFF & PLATELETS
$19.79HC COMP METABOLIC PANEL
$25.46HC IV HYDRATION ONLY, EACH ADDL HR
$132.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00HC PATHOLOGY LEVEL III
$97.04IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$113.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$7.45LACTATED RINGERS INTRAVENOUS SOLUTION
$45.45MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$20.88ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$83.20PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,814.80PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$42.37This 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
$510.39Insurance Discount
-$188.84Price Negotiated by Insurer
$321.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$11.51CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.31DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.40FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$6.21HC CBC INCLUDES DIFF & PLATELETS
$19.18HC COMP METABOLIC PANEL
$24.68HC IV HYDRATION ONLY, EACH ADDL HR
$128.25HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$63.00HC PATHOLOGY LEVEL III
$94.06IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$110.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$14.18LACTATED RINGERS INTRAVENOUS SOLUTION
$42.33MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$20.24ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$80.64PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,758.96PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$41.06This 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
$510.39Insurance Discount
-$248.39Price Negotiated by Insurer
$262.00Deductible 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 IV HYDRATION ONLY, EACH ADDL HR
$250.00PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$8,596.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$510.39Insurance Discount
-$321.55Price Negotiated by Insurer
$188.84Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$6.76CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$10.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$4.35FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$3.64HC CBC INCLUDES DIFF & PLATELETS
$11.27HC COMP METABOLIC PANEL
$14.49HC IV HYDRATION ONLY, EACH ADDL HR
$75.32HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$37.00HC PATHOLOGY LEVEL III
$55.24IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$64.75KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.32LACTATED RINGERS INTRAVENOUS SOLUTION
$17.70MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$11.89ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$61.42PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$1,033.04PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$24.12This 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
$510.39Insurance Discount
-$127.60Price Negotiated by Insurer
$382.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION
$22.53CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$21.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.81FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION
$33.38HC CBC INCLUDES DIFF & PLATELETS
$22.84HC COMP METABOLIC PANEL
$29.38HC IV HYDRATION ONLY, EACH ADDL HR
$152.68HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$75.00HC PATHOLOGY LEVEL III
$111.98IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$131.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.60LACTATED RINGERS INTRAVENOUS SOLUTION
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$23.45ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$79.12PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
$2,094.00PROPOFOL 10 MG/ML 100 ML VIAL (BULK CHARGE)
$48.88This 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.