CPT 95861
The standard charge for Test to measure electrical activity of muscles or nerves in 2 limb is $718.69. 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
$718.69Insurance Discount
-$251.54Price Negotiated by Insurer
$467.15Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$32.29DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$12.84FENTANYL 50 MCG/ML INHALATION
$11.41HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,662.09HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$124.03HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$10.29LACTATED RINGERS INTRAVENOUS SOLUTION
$45.45MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.75ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$107.90PROPOFOL 10 MG/ML IV (CODE)
$42.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$718.69Insurance Discount
-$107.80Price Negotiated by Insurer
$610.89Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$42.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$105.83FENTANYL 50 MCG/ML INHALATION
$14.93HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,173.50HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$162.19HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$17.14LACTATED RINGERS INTRAVENOUS SOLUTION
$59.43MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$580.82Price Negotiated by Insurer
$137.87Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.84DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.88FENTANYL 50 MCG/ML INHALATION
$8.78HC EP UPPER/LOWER EXT. SOMATOSENSORY
$889.88HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$95.41HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$10.08LACTATED RINGERS INTRAVENOUS SOLUTION
$43.70MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$10.58ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$83.00PROPOFOL 10 MG/ML IV (CODE)
$32.52This 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
$718.69Insurance Discount
-$251.54Price Negotiated by Insurer
$467.15Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$32.29DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.64FENTANYL 50 MCG/ML INHALATION
$11.41HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,662.09HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$124.03HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$10.78LACTATED RINGERS INTRAVENOUS SOLUTION
$56.81MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.75ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$107.90PROPOFOL 10 MG/ML IV (CODE)
$42.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$718.69Insurance Discount
-$552.98Price Negotiated by Insurer
$165.71Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$1,069.56This 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
$718.69Insurance Discount
-$552.98Price Negotiated by Insurer
$165.71Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$1,069.56This 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
$718.69Insurance Discount
-$645.88Price Negotiated by Insurer
$72.81Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$19.87DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.90FENTANYL 50 MCG/ML INHALATION
$7.02HC EP UPPER/LOWER EXT. SOMATOSENSORY
$469.92HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$76.32HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$6.33LACTATED RINGERS INTRAVENOUS SOLUTION
$19.14MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$8.46ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$66.40PROPOFOL 10 MG/ML IV (CODE)
$26.01This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$401.68Price Negotiated by Insurer
$317.01Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.67DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,386.35HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$0.57LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.45ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.29PROPOFOL 10 MG/ML IV (CODE)
$0.29This 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
$718.69Insurance Discount
-$401.68Price Negotiated by Insurer
$317.01Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.67DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,386.35HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$0.57LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.45ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.29PROPOFOL 10 MG/ML IV (CODE)
$0.29This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$143.74Price Negotiated by Insurer
$574.95Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$27.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$99.60FENTANYL 50 MCG/ML INHALATION
$14.05HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,045.65HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$152.65HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$19.53LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.93ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$102.40PROPOFOL 10 MG/ML IV (CODE)
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$215.61Price Negotiated by Insurer
$503.08Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$20.35DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.83FENTANYL 50 MCG/ML INHALATION
$12.29HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,789.94HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$133.57HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$14.11LACTATED RINGERS INTRAVENOUS SOLUTION
$61.18MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.81ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$89.60PROPOFOL 10 MG/ML IV (CODE)
$45.52This 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
$718.69Insurance Discount
-$100.62Price Negotiated by Insurer
$618.07Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$29.73DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.99FENTANYL 50 MCG/ML INHALATION
$18.04HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,199.07HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$164.10HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$13.61LACTATED RINGERS INTRAVENOUS SOLUTION
$75.16MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$142.76PROPOFOL 10 MG/ML IV (CODE)
$54.72This 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
$718.69Insurance Discount
-$143.74Price Negotiated by Insurer
$574.95Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$39.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL 50 MCG/ML INHALATION
$14.05HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,045.65HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$152.65HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$19.53LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.93ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$132.80PROPOFOL 10 MG/ML IV (CODE)
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$71.87Price Negotiated by Insurer
$646.82Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$44.70DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78FENTANYL 50 MCG/ML INHALATION
$15.80HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,301.35HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$171.73HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$21.97LACTATED RINGERS INTRAVENOUS SOLUTION
$78.66MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$19.04ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$149.40PROPOFOL 10 MG/ML IV (CODE)
$58.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$215.61Price Negotiated by Insurer
$503.08Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$34.77DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.83FENTANYL 50 MCG/ML INHALATION
$12.29HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,789.94HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$133.57HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$11.61LACTATED RINGERS INTRAVENOUS SOLUTION
$48.94MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$14.81ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$116.20PROPOFOL 10 MG/ML IV (CODE)
$45.52This 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
$718.69Insurance Discount
-$179.67Price Negotiated by Insurer
$539.02Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$25.93DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL 50 MCG/ML INHALATION
$13.17HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,917.80HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$143.11HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$12.16LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$124.50PROPOFOL 10 MG/ML IV (CODE)
$48.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$579.49Price Negotiated by Insurer
$139.20Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$898.43This 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
$718.69Insurance Discount
-$579.49Price Negotiated by Insurer
$139.20Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$898.43This 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
$718.69Insurance Discount
-$566.23Price Negotiated by Insurer
$152.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$39.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL 50 MCG/ML INHALATION
$14.05HC EP UPPER/LOWER EXT. SOMATOSENSORY
$984.00HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$152.65HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$12.66LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.93ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$132.80PROPOFOL 10 MG/ML IV (CODE)
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$572.86Price Negotiated by Insurer
$145.83Deductible 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.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$941.22This 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
$718.69Insurance Discount
-$107.80Price Negotiated by Insurer
$610.89Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.99FENTANYL 50 MCG/ML INHALATION
$14.93HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,173.50HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$162.19HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$14.09LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$43.35PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$320.98Price Negotiated by Insurer
$397.71Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$2,566.95This 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
$718.69Insurance Discount
-$179.67Price Negotiated by Insurer
$539.02Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$25.93DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL 50 MCG/ML INHALATION
$13.17HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,917.80HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$143.11HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$18.31LACTATED RINGERS INTRAVENOUS SOLUTION
$52.44MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$124.50PROPOFOL 10 MG/ML IV (CODE)
$48.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$592.75Price Negotiated by Insurer
$125.94Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$812.87This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$107.80Price Negotiated by Insurer
$610.89Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$29.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80FENTANYL 50 MCG/ML INHALATION
$14.93HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,173.50HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$162.19HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$20.75LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$649.36Price Negotiated by Insurer
$69.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$447.50This 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
$718.69Insurance Discount
-$289.96Price Negotiated by Insurer
$428.73Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,767.09This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$265.92Price Negotiated by Insurer
$452.77Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$21.78DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$12.45FENTANYL 50 MCG/ML INHALATION
$11.06HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,610.95HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$120.21HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$9.97LACTATED RINGERS INTRAVENOUS SOLUTION
$55.06MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.33ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$104.58PROPOFOL 10 MG/ML IV (CODE)
$40.97This 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
$718.69Insurance Discount
-$375.71Price Negotiated by Insurer
$342.98Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$2,213.67This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$251.54Price Negotiated by Insurer
$467.15Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,662.09HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$124.03HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$0.30LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.15PROPOFOL 10 MG/ML IV (CODE)
$0.15This 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
$718.69Insurance Discount
-$344.25Price Negotiated by Insurer
$374.44Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,332.23HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$99.41HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$0.30LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.15PROPOFOL 10 MG/ML IV (CODE)
$0.15This 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
$718.69Insurance Discount
-$649.36Price Negotiated by Insurer
$69.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$447.50This 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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
$718.69Insurance Discount
-$436.24Price Negotiated by Insurer
$282.45Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,004.92HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$74.99HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$0.30LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.23ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$0.15PROPOFOL 10 MG/ML IV (CODE)
$0.15This 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
$718.69Insurance Discount
-$649.36Price Negotiated by Insurer
$69.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC EP UPPER/LOWER EXT. SOMATOSENSORY
$447.50This 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
$718.69Insurance Discount
-$452.77Price Negotiated by Insurer
$265.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.35FENTANYL 50 MCG/ML INHALATION
$6.50HC EP UPPER/LOWER EXT. SOMATOSENSORY
$946.11HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$70.60HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$7.46LACTATED RINGERS INTRAVENOUS SOLUTION
$25.87MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$7.83ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$47.36PROPOFOL 10 MG/ML IV (CODE)
$24.06This 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
$718.69Insurance Discount
-$179.67Price Negotiated by Insurer
$539.02Deductible 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.
CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$37.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL 50 MCG/ML INHALATION
$13.17HC EP UPPER/LOWER EXT. SOMATOSENSORY
$1,917.80HC IOM INTRAOPERATIVE MONITOR/15 MINUTES
$143.11HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
$18.31LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$96.00PROPOFOL 10 MG/ML IV (CODE)
$48.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$718.69Insurance Discount
-$586.12Price Negotiated by Insurer
$132.57Deductible 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 EP UPPER/LOWER EXT. SOMATOSENSORY
$855.65This 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.