CPT 96417
The standard charge for Chemotherapy infusion-additional IV pushes of the same medication is $440.24. 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
$440.24Insurance Discount
-$154.08Price Negotiated by Insurer
$286.16Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64HC CBC INCLUDES DIFF & PLATELETS
$19.79HC CHEMO INFUSION FIRST HR
$633.08HC COMP METABOLIC PANEL
$25.46HC IV PUSH ADDL DIFF DRUG
$109.02HC IV SEQUENTIAL INFUSION UP TO 1 HR
$144.46HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$8.78PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.67SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.67SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$45.45This 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
$440.24Insurance Discount
-$66.04Price Negotiated by Insurer
$374.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99HC CBC INCLUDES DIFF & PLATELETS
$25.88HC CHEMO INFUSION FIRST HR
$827.87HC COMP METABOLIC PANEL
$33.29HC IV PUSH ADDL DIFF DRUG
$142.56HC IV SEQUENTIAL INFUSION UP TO 1 HR
$188.90HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$11.47PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$59.43This 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
$440.24Insurance Discount
-$368.05Price Negotiated by Insurer
$72.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$5.88HC CBC INCLUDES DIFF & PLATELETS
$8.08HC CHEMO INFUSION FIRST HR
$336.43HC COMP METABOLIC PANEL
$10.98HC IV PUSH ADDL DIFF DRUG
$46.80HC IV SEQUENTIAL INFUSION UP TO 1 HR
$72.19HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$6.75PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$149.37SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$33.59SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$33.59SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$34.96This 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
$440.24Insurance Discount
-$154.08Price Negotiated by Insurer
$286.16Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64HC CBC INCLUDES DIFF & PLATELETS
$19.79HC CHEMO INFUSION FIRST HR
$633.08HC COMP METABOLIC PANEL
$25.46HC IV PUSH ADDL DIFF DRUG
$109.02HC IV SEQUENTIAL INFUSION UP TO 1 HR
$144.46HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$8.78PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$36.39SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$40.76SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$43.67This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$353.48Price Negotiated by Insurer
$86.76Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CHEMO INFUSION FIRST HR
$404.36HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$56.25HC IV SEQUENTIAL INFUSION UP TO 1 HR
$86.76This 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
$440.24Insurance Discount
-$353.48Price Negotiated by Insurer
$86.76Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC CHEMO INFUSION FIRST HR
$404.36HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$56.25HC IV SEQUENTIAL INFUSION UP TO 1 HR
$86.76This 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
$440.24Insurance Discount
-$401.18Price Negotiated by Insurer
$39.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$4.70HC CBC INCLUDES DIFF & PLATELETS
$4.37HC CHEMO INFUSION FIRST HR
$182.06HC COMP METABOLIC PANEL
$5.94HC IV PUSH ADDL DIFF DRUG
$25.33HC IV SEQUENTIAL INFUSION UP TO 1 HR
$39.06HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$4.40PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$119.50SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$26.88SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$26.88SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$26.88This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$88.05Price Negotiated by Insurer
$352.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.40HC CBC INCLUDES DIFF & PLATELETS
$24.36HC CHEMO INFUSION FIRST HR
$779.18HC COMP METABOLIC PANEL
$31.34HC IV PUSH ADDL DIFF DRUG
$134.18HC IV SEQUENTIAL INFUSION UP TO 1 HR
$177.79HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$8.40PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$53.75SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$44.79SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$53.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$61.63Price Negotiated by Insurer
$378.61Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22HC CBC INCLUDES DIFF & PLATELETS
$21.32HC CHEMO INFUSION FIRST HR
$837.61HC COMP METABOLIC PANEL
$33.69HC IV PUSH ADDL DIFF DRUG
$144.24HC IV SEQUENTIAL INFUSION UP TO 1 HR
$191.13HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$11.61PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$44.68SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$48.94This 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
$440.24Insurance Discount
-$132.07Price Negotiated by Insurer
$308.17Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22HC CBC INCLUDES DIFF & PLATELETS
$21.32HC CHEMO INFUSION FIRST HR
$681.78HC COMP METABOLIC PANEL
$27.42HC IV PUSH ADDL DIFF DRUG
$117.40HC IV SEQUENTIAL INFUSION UP TO 1 HR
$155.57HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$9.45PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$48.94This 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
$440.24Insurance Discount
-$88.05Price Negotiated by Insurer
$352.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.40HC CBC INCLUDES DIFF & PLATELETS
$24.36HC CHEMO INFUSION FIRST HR
$779.18HC COMP METABOLIC PANEL
$31.34HC IV PUSH ADDL DIFF DRUG
$134.18HC IV SEQUENTIAL INFUSION UP TO 1 HR
$177.79HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$10.80PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$53.75SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$53.75SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$35.10This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$44.02Price Negotiated by Insurer
$396.22Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$10.57HC CBC INCLUDES DIFF & PLATELETS
$27.41HC CHEMO INFUSION FIRST HR
$876.57HC COMP METABOLIC PANEL
$35.25HC IV PUSH ADDL DIFF DRUG
$150.95HC IV SEQUENTIAL INFUSION UP TO 1 HR
$200.02HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$11.70PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$268.87SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$60.47SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$60.47SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$39.48This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$132.07Price Negotiated by Insurer
$308.17Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.22HC CBC INCLUDES DIFF & PLATELETS
$21.32HC CHEMO INFUSION FIRST HR
$681.78HC COMP METABOLIC PANEL
$27.42HC IV PUSH ADDL DIFF DRUG
$117.40HC IV SEQUENTIAL INFUSION UP TO 1 HR
$155.57HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$9.45PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$47.03SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$48.94This 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
$440.24Insurance Discount
-$110.06Price Negotiated by Insurer
$330.18Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.81HC CBC INCLUDES DIFF & PLATELETS
$22.84HC CHEMO INFUSION FIRST HR
$730.48HC COMP METABOLIC PANEL
$29.38HC IV PUSH ADDL DIFF DRUG
$125.79HC IV SEQUENTIAL INFUSION UP TO 1 HR
$166.68HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$9.75PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$50.39SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$50.39SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$47.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$403.04Price Negotiated by Insurer
$37.20Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC CHEMO INFUSION FIRST HR
$173.39HC COMP METABOLIC PANEL
$5.66HC IV PUSH ADDL DIFF DRUG
$24.12HC IV SEQUENTIAL INFUSION UP TO 1 HR
$37.20This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$367.36Price Negotiated by Insurer
$72.88Deductible 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
$339.66HC COMP METABOLIC PANEL
$11.09HC IV PUSH ADDL DIFF DRUG
$47.25HC IV SEQUENTIAL INFUSION UP TO 1 HR
$72.88This 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
$440.24Insurance Discount
-$401.18Price Negotiated by Insurer
$39.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.37HC CHEMO INFUSION FIRST HR
$182.06HC COMP METABOLIC PANEL
$5.94HC IV PUSH ADDL DIFF DRUG
$25.33HC IV SEQUENTIAL INFUSION UP TO 1 HR
$39.06This 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
$440.24Insurance Discount
-$360.42Price Negotiated by Insurer
$79.82Deductible 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
$372.01HC COMP METABOLIC PANEL
$12.14HC IV PUSH ADDL DIFF DRUG
$51.75HC IV SEQUENTIAL INFUSION UP TO 1 HR
$79.82This 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
$440.24Insurance Discount
-$66.04Price Negotiated by Insurer
$374.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99HC CBC INCLUDES DIFF & PLATELETS
$25.88HC CHEMO INFUSION FIRST HR
$827.87HC COMP METABOLIC PANEL
$33.29HC IV PUSH ADDL DIFF DRUG
$142.56HC IV SEQUENTIAL INFUSION UP TO 1 HR
$188.90HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$11.47PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$37.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$374.30Price Negotiated by Insurer
$65.94Deductible 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
$307.32HC COMP METABOLIC PANEL
$10.03HC IV PUSH ADDL DIFF DRUG
$42.75HC IV SEQUENTIAL INFUSION UP TO 1 HR
$65.94This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$66.04Price Negotiated by Insurer
$374.20Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$9.99HC CBC INCLUDES DIFF & PLATELETS
$25.88HC CHEMO INFUSION FIRST HR
$827.87HC COMP METABOLIC PANEL
$33.29HC IV PUSH ADDL DIFF DRUG
$142.56HC IV SEQUENTIAL INFUSION UP TO 1 HR
$188.90HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$11.47PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$57.11SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$59.43This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$403.04Price Negotiated by Insurer
$37.20Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC CHEMO INFUSION FIRST HR
$173.39HC COMP METABOLIC PANEL
$5.66HC IV PUSH ADDL DIFF DRUG
$24.12HC IV SEQUENTIAL INFUSION UP TO 1 HR
$37.20This 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
$440.24Insurance Discount
-$154.08Price Negotiated by Insurer
$286.16Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.64HC CBC INCLUDES DIFF & PLATELETS
$19.79HC CHEMO INFUSION FIRST HR
$633.08HC COMP METABOLIC PANEL
$25.46HC IV PUSH ADDL DIFF DRUG
$109.02HC IV SEQUENTIAL INFUSION UP TO 1 HR
$144.46HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$8.45PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.67SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$43.67SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$45.45This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$162.89Price Negotiated by Insurer
$277.35Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$7.40HC CBC INCLUDES DIFF & PLATELETS
$19.18HC CHEMO INFUSION FIRST HR
$613.60HC COMP METABOLIC PANEL
$24.68HC IV PUSH ADDL DIFF DRUG
$105.66HC IV SEQUENTIAL INFUSION UP TO 1 HR
$140.01HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$8.51PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$188.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.33SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.33SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$42.33This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$244.86Price Negotiated by Insurer
$195.38Deductible 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 CBC INCLUDES DIFF & PLATELETS
$21.87HC CHEMO INFUSION FIRST HR
$910.59HC COMP METABOLIC PANEL
$29.73HC IV PUSH ADDL DIFF DRUG
$126.67HC IV SEQUENTIAL INFUSION UP TO 1 HR
$195.38This 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
$440.24Insurance Discount
-$156.24Price 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 CHEMO INFUSION FIRST HR
$284.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$250.00This 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
$440.24Insurance Discount
-$403.04Price Negotiated by Insurer
$37.20Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC CHEMO INFUSION FIRST HR
$173.39HC COMP METABOLIC PANEL
$5.66HC IV PUSH ADDL DIFF DRUG
$24.12HC IV SEQUENTIAL INFUSION UP TO 1 HR
$37.20This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$307.59Price Negotiated by Insurer
$132.65Deductible 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
$14.85HC CHEMO INFUSION FIRST HR
$618.22HC COMP METABOLIC PANEL
$20.18HC IV PUSH ADDL DIFF DRUG
$86.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$132.65This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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
$440.24Insurance Discount
-$277.35Price Negotiated by Insurer
$162.89Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$4.35HC CBC INCLUDES DIFF & PLATELETS
$11.27HC CHEMO INFUSION FIRST HR
$360.37HC COMP METABOLIC PANEL
$14.49HC IV PUSH ADDL DIFF DRUG
$62.06HC IV SEQUENTIAL INFUSION UP TO 1 HR
$82.23HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$5.00PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$110.53SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$24.86SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$20.72SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$16.23This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$440.24Insurance Discount
-$110.06Price Negotiated by Insurer
$330.18Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML FOR IM INJECTION
$8.81HC CBC INCLUDES DIFF & PLATELETS
$22.84HC CHEMO INFUSION FIRST HR
$730.48HC COMP METABOLIC PANEL
$29.38HC IV PUSH ADDL DIFF DRUG
$125.79HC IV SEQUENTIAL INFUSION UP TO 1 HR
$166.68HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE (CUSTOM NO PRIOR AUTH CREATED)
$10.12PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$41.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$50.39SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$52.44This 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
$440.24Insurance Discount
-$370.83Price Negotiated by Insurer
$69.41Deductible 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
$323.49HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$45.00HC IV SEQUENTIAL INFUSION UP TO 1 HR
$69.41This 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.