CPT 96415
The standard charge for Chemotherapy infusion-each additional hour is $267.37. 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
$267.37Insurance Discount
-$93.58Price Negotiated by Insurer
$173.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$12.84DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$40.03HC CBC INCLUDES DIFF & PLATELETS
$20.19HC CHEMO INFUSION FIRST HR
$645.74HC COMP METABOLIC PANEL
$25.97HC IV PUSH ADDL DIFF DRUG
$111.20PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22SODIUM 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
$267.37Insurance Discount
-$40.11Price Negotiated by Insurer
$227.26Deductible 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 INJECTION SOLUTION
$9.99DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$52.35HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CHEMO INFUSION FIRST HR
$844.43HC COMP METABOLIC PANEL
$33.96HC IV PUSH ADDL DIFF DRUG
$145.41PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$57.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$192.76Price Negotiated by Insurer
$74.61Deductible 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 INJECTION SOLUTION
$9.88DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$30.80HC CBC INCLUDES DIFF & PLATELETS
$8.08HC CHEMO INFUSION FIRST HR
$342.28HC COMP METABOLIC PANEL
$10.98HC IV PUSH ADDL DIFF DRUG
$48.53PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$149.37SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$32.48SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$32.48SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$33.59This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$93.58Price Negotiated by Insurer
$173.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$12.84DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$40.03HC CBC INCLUDES DIFF & PLATELETS
$20.19HC CHEMO INFUSION FIRST HR
$645.74HC COMP METABOLIC PANEL
$25.97HC IV PUSH ADDL DIFF DRUG
$111.20PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$194.18SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$42.22SODIUM 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
$267.37Insurance Discount
-$177.70Price Negotiated by Insurer
$89.67Deductible 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
$411.40HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$58.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$177.70Price Negotiated by Insurer
$89.67Deductible 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
$411.40HC COMP METABOLIC PANEL
$13.20HC IV PUSH ADDL DIFF DRUG
$58.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$227.97Price Negotiated by Insurer
$39.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.90DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$24.64HC CBC INCLUDES DIFF & PLATELETS
$4.27HC CHEMO INFUSION FIRST HR
$180.75HC COMP METABOLIC PANEL
$5.80HC IV PUSH ADDL DIFF DRUG
$25.63PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$119.50SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$25.98SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$25.98SODIUM 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
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$133.45Price Negotiated by Insurer
$133.92Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$5.63HC CBC INCLUDES DIFF & PLATELETS
$8.99HC CHEMO INFUSION FIRST HR
$625.48HC COMP METABOLIC PANEL
$23.41HC IV PUSH ADDL DIFF DRUG
$74.57PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$1.11SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$4.17This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$133.45Price Negotiated by Insurer
$133.92Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$5.63HC CBC INCLUDES DIFF & PLATELETS
$8.99HC CHEMO INFUSION FIRST HR
$625.48HC COMP METABOLIC PANEL
$23.41HC IV PUSH ADDL DIFF DRUG
$74.57PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$1.11SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$4.17SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$2.13This 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
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$53.47Price Negotiated by Insurer
$213.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$49.27HC CBC INCLUDES DIFF & PLATELETS
$24.85HC CHEMO INFUSION FIRST HR
$794.76HC COMP METABOLIC PANEL
$31.96HC IV PUSH ADDL DIFF DRUG
$136.86PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM 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
$267.37Insurance Discount
-$80.21Price Negotiated by Insurer
$187.16Deductible 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 INJECTION SOLUTION
$13.83DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$43.11HC CBC INCLUDES DIFF & PLATELETS
$21.74HC CHEMO INFUSION FIRST HR
$695.41HC COMP METABOLIC PANEL
$27.96HC IV PUSH ADDL DIFF DRUG
$119.75PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$45.47SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$45.47SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$47.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$37.43Price Negotiated by Insurer
$229.94Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.99DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$52.97HC CBC INCLUDES DIFF & PLATELETS
$26.71HC CHEMO INFUSION FIRST HR
$854.37HC COMP METABOLIC PANEL
$34.36HC IV PUSH ADDL DIFF DRUG
$147.12PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$256.92SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.86SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.86SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$57.78This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$53.47Price Negotiated by Insurer
$213.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.40DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$49.27HC CBC INCLUDES DIFF & PLATELETS
$24.85HC CHEMO INFUSION FIRST HR
$794.76HC COMP METABOLIC PANEL
$31.96HC IV PUSH ADDL DIFF DRUG
$136.86PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM 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
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$26.74Price Negotiated by Insurer
$240.63Deductible 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 INJECTION SOLUTION
$10.57DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$55.43HC CBC INCLUDES DIFF & PLATELETS
$27.95HC CHEMO INFUSION FIRST HR
$894.11HC COMP METABOLIC PANEL
$35.95HC IV PUSH ADDL DIFF DRUG
$153.96PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$268.87SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$58.45SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$58.45SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$60.47This 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
$267.37Insurance Discount
-$80.21Price Negotiated by Insurer
$187.16Deductible 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 INJECTION SOLUTION
$13.83DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$43.11HC CBC INCLUDES DIFF & PLATELETS
$21.74HC CHEMO INFUSION FIRST HR
$695.41HC COMP METABOLIC PANEL
$27.96HC IV PUSH ADDL DIFF DRUG
$119.75PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$209.12SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.94SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$45.47SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$47.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$66.84Price Negotiated by Insurer
$200.53Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$46.19HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CHEMO INFUSION FIRST HR
$745.09HC COMP METABOLIC PANEL
$29.96HC IV PUSH ADDL DIFF DRUG
$128.30PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$50.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$192.04Price Negotiated by Insurer
$75.33Deductible 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 CBC INCLUDES DIFF & PLATELETS
$8.16HC CHEMO INFUSION FIRST HR
$345.58HC COMP METABOLIC PANEL
$11.09HC IV PUSH ADDL DIFF DRUG
$48.99This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$192.04Price Negotiated by Insurer
$75.33Deductible 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 CBC INCLUDES DIFF & PLATELETS
$8.16HC CHEMO INFUSION FIRST HR
$345.58HC COMP METABOLIC PANEL
$11.09HC IV PUSH ADDL DIFF DRUG
$48.99This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$184.87Price Negotiated by Insurer
$82.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$49.27HC CBC INCLUDES DIFF & PLATELETS
$8.94HC CHEMO INFUSION FIRST HR
$378.49HC COMP METABOLIC PANEL
$12.14HC IV PUSH ADDL DIFF DRUG
$53.66PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$238.99SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$51.96SODIUM 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
$267.37Insurance Discount
-$188.46Price Negotiated by Insurer
$78.91Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.55HC CHEMO INFUSION FIRST HR
$362.03HC COMP METABOLIC PANEL
$11.62HC IV PUSH ADDL DIFF DRUG
$51.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$40.11Price Negotiated by Insurer
$227.26Deductible 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 INJECTION SOLUTION
$16.80DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$52.35HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CHEMO INFUSION FIRST HR
$844.43HC COMP METABOLIC PANEL
$33.96HC IV PUSH ADDL DIFF DRUG
$145.41PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$57.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$52.15Price Negotiated by Insurer
$215.22Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$11.65HC CHEMO INFUSION FIRST HR
$987.36HC COMP METABOLIC PANEL
$15.84HC IV PUSH ADDL DIFF DRUG
$139.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$66.84Price Negotiated by Insurer
$200.53Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$46.19HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CHEMO INFUSION FIRST HR
$745.09HC COMP METABOLIC PANEL
$29.96HC IV PUSH ADDL DIFF DRUG
$128.30PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$50.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$199.22Price Negotiated by Insurer
$68.15Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$7.38HC CHEMO INFUSION FIRST HR
$312.66HC COMP METABOLIC PANEL
$10.03HC IV PUSH ADDL DIFF DRUG
$44.33This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$40.11Price Negotiated by Insurer
$227.26Deductible 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 INJECTION SOLUTION
$9.99DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$59.43HC CBC INCLUDES DIFF & PLATELETS
$26.40HC CHEMO INFUSION FIRST HR
$844.43HC COMP METABOLIC PANEL
$33.96HC IV PUSH ADDL DIFF DRUG
$145.41PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$253.93SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$55.21SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$57.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$229.85Price Negotiated by Insurer
$37.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.06HC CHEMO INFUSION FIRST HR
$172.13HC COMP METABOLIC PANEL
$5.52HC IV PUSH ADDL DIFF DRUG
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$35.36Price Negotiated by Insurer
$232.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$7.77HC CHEMO INFUSION FIRST HR
$1,064.33HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$150.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$98.93Price Negotiated by Insurer
$168.44Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.40DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$38.80HC CBC INCLUDES DIFF & PLATELETS
$19.57HC CHEMO INFUSION FIRST HR
$625.87HC COMP METABOLIC PANEL
$25.17HC IV PUSH ADDL DIFF DRUG
$107.77PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$188.21SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$44.05SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$40.92SODIUM 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
$267.37Insurance Discount
-$81.76Price Negotiated by Insurer
$185.61Deductible 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.
HC CBC INCLUDES DIFF & PLATELETS
$6.22HC CHEMO INFUSION FIRST HR
$851.46HC COMP METABOLIC PANEL
$8.45HC IV PUSH ADDL DIFF DRUG
$120.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$93.58Price Negotiated by Insurer
$173.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$2.89HC CBC INCLUDES DIFF & PLATELETS
$11.66HC CHEMO INFUSION FIRST HR
$645.74HC COMP METABOLIC PANEL
$15.84HC IV PUSH ADDL DIFF DRUG
$111.20PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$0.58SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$1.09This 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
$267.37Insurance Discount
-$128.07Price Negotiated by Insurer
$139.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$2.89HC CBC INCLUDES DIFF & PLATELETS
$11.66HC CHEMO INFUSION FIRST HR
$517.59HC COMP METABOLIC PANEL
$15.84HC IV PUSH ADDL DIFF DRUG
$89.13PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$0.58SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$1.09This 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
$267.37Insurance Discount
-$229.85Price Negotiated by Insurer
$37.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.06HC CHEMO INFUSION FIRST HR
$172.13HC COMP METABOLIC PANEL
$5.52HC IV PUSH ADDL DIFF DRUG
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$162.29Price Negotiated by Insurer
$105.08Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$2.89HC CBC INCLUDES DIFF & PLATELETS
$11.66HC CHEMO INFUSION FIRST HR
$390.43HC COMP METABOLIC PANEL
$15.84HC IV PUSH ADDL DIFF DRUG
$67.23PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$0.58SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$2.13SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$3.28This 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
$267.37Insurance Discount
-$229.85Price Negotiated by Insurer
$37.52Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.06HC CHEMO INFUSION FIRST HR
$172.13HC COMP METABOLIC PANEL
$5.52HC IV PUSH ADDL DIFF DRUG
$24.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$168.44Price Negotiated by Insurer
$98.93Deductible 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 INJECTION SOLUTION
$7.31DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$22.79HC CBC INCLUDES DIFF & PLATELETS
$11.49HC CHEMO INFUSION FIRST HR
$367.58HC COMP METABOLIC PANEL
$14.78HC IV PUSH ADDL DIFF DRUG
$63.30PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$110.53SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$24.03SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$24.03SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$24.86This 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
$267.37Insurance Discount
-$66.84Price Negotiated by Insurer
$200.53Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81DEXTROSE 5% IN WATER INTRAVENOUS SOLUTION (DOSE, ADMIN OVER & INDICATION REQUIRED)
$46.19HC CBC INCLUDES DIFF & PLATELETS
$23.30HC CHEMO INFUSION FIRST HR
$745.09HC COMP METABOLIC PANEL
$29.96HC IV PUSH ADDL DIFF DRUG
$128.30PALONOSETRON 250 MCG + DEXAMETHASONE 10 MG IVPB (PREMIX)
$224.06SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$48.71SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (DOSE, ADMIN OVER AND INDICATION REQUIRED)
$52.44SODIUM CHLORIDE 0.9 % IV NON PVC BAG
$50.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$267.37Insurance Discount
-$195.63Price Negotiated by Insurer
$71.74Deductible 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
$329.12HC COMP METABOLIC PANEL
$10.56HC IV PUSH ADDL DIFF DRUG
$46.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.