CPT 74300
The standard charge for X-ray bile ducts, with contrast (cholangiogram) is $520.60. 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
$520.60Insurance Discount
-$182.21Price Negotiated by Insurer
$338.39Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$13.97CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.64FENTANYL 50 MCG/ML INHALATION
$11.41HC CBC INCLUDES DIFF & PLATELETS
$20.19HC COMP METABOLIC PANEL
$25.97HC PATHOLOGY LEVEL III
$98.99IOPAMIDOL 61 % ORAL SOLUTION
$7.28KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$18.34LACTATED RINGERS INTRAVENOUS SOLUTION
$45.45LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$10.60METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$36.36MIDAZOLAM 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
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$18.27CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$42.22DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.99FENTANYL 50 MCG/ML INHALATION
$17.83HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC PATHOLOGY LEVEL III
$129.45IOPAMIDOL 61 % ORAL SOLUTION
$9.52KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$23.99LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$21.55METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$108.80PROPOFOL 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
$520.60Insurance Discount
-$260.30Price Negotiated by Insurer
$260.30Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$10.75CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$24.84COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$9.71DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$5.88FENTANYL 50 MCG/ML INHALATION
$8.78HC CBC INCLUDES DIFF & PLATELETS
$8.08HC COMP METABOLIC PANEL
$10.98HC PATHOLOGY LEVEL III
$54.00IOPAMIDOL 61 % ORAL SOLUTION
$5.60KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.34LACTATED RINGERS INTRAVENOUS SOLUTION
$43.70LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
$6,264.74LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$12.68METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$27.97MIDAZOLAM 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
$520.60Insurance Discount
-$182.21Price Negotiated by Insurer
$338.39Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$13.97CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$32.29DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.64FENTANYL 50 MCG/ML INHALATION
$11.41HC CBC INCLUDES DIFF & PLATELETS
$20.19HC COMP METABOLIC PANEL
$25.97HC PATHOLOGY LEVEL III
$98.99IOPAMIDOL 61 % ORAL SOLUTION
$7.28KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$18.34LACTATED RINGERS INTRAVENOUS SOLUTION
$56.81LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$16.48METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$36.36MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.75ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$83.20PROPOFOL 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
$520.60Insurance Discount
-$312.36Price Negotiated by Insurer
$208.24Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$8.60CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$13.83COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$5.13DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$4.70FENTANYL 50 MCG/ML INHALATION
$7.02HC CBC INCLUDES DIFF & PLATELETS
$4.27HC COMP METABOLIC PANEL
$5.80HC PATHOLOGY LEVEL III
$28.51IOPAMIDOL 61 % ORAL SOLUTION
$4.48KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.18LACTATED RINGERS INTRAVENOUS SOLUTION
$27.97LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
$3,308.27LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$6.96METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$22.38MIDAZOLAM 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
$520.60Insurance Discount
-$419.63Price Negotiated by Insurer
$100.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$0.03CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.67COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$7.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC CBC INCLUDES DIFF & PLATELETS
$8.99HC COMP METABOLIC PANEL
$23.41HC PATHOLOGY LEVEL III
$58.49IOPAMIDOL 61 % ORAL SOLUTION
$0.48KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$1.05LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
$6,633.59LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$0.10METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$0.06MIDAZOLAM 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
$520.60Insurance Discount
-$419.63Price Negotiated by Insurer
$100.97Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$0.03CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$2.67COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$7.80DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC CBC INCLUDES DIFF & PLATELETS
$8.99HC COMP METABOLIC PANEL
$23.41HC PATHOLOGY LEVEL III
$58.49IOPAMIDOL 61 % ORAL SOLUTION
$0.48KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$1.05LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
$6,633.59LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$0.10METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$0.06MIDAZOLAM 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
$520.60Insurance Discount
-$104.12Price Negotiated by Insurer
$416.48Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$17.20CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$23.26DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$99.60FENTANYL 50 MCG/ML INHALATION
$14.05HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC PATHOLOGY LEVEL III
$121.83IOPAMIDOL 61 % ORAL SOLUTION
$8.96KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$22.58LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$13.04METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$44.75MIDAZOLAM 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
$520.60Insurance Discount
-$156.18Price Negotiated by Insurer
$364.42Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$15.05CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$20.35DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.22FENTANYL 50 MCG/ML INHALATION
$12.29HC CBC INCLUDES DIFF & PLATELETS
$21.74HC COMP METABOLIC PANEL
$27.96HC PATHOLOGY LEVEL III
$106.60IOPAMIDOL 61 % ORAL SOLUTION
$7.84KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$19.75LACTATED RINGERS INTRAVENOUS SOLUTION
$48.94LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$17.75METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$39.16MIDAZOLAM 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
$520.60Insurance Discount
-$72.88Price Negotiated by Insurer
$447.72Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$18.49CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$42.72DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$10.11FENTANYL 50 MCG/ML INHALATION
$15.10HC CBC INCLUDES DIFF & PLATELETS
$26.71HC COMP METABOLIC PANEL
$34.36HC PATHOLOGY LEVEL III
$130.97IOPAMIDOL 61 % ORAL SOLUTION
$9.63KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$24.27LACTATED RINGERS INTRAVENOUS SOLUTION
$75.16LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$21.80METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$48.11MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.20ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$142.76PROPOFOL 10 MG/ML IV (CODE)
$55.93This 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
$520.60Insurance Discount
-$104.12Price Negotiated by Insurer
$416.48Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$17.20CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$27.66DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.40FENTANYL 50 MCG/ML INHALATION
$14.05HC CBC INCLUDES DIFF & PLATELETS
$24.85HC COMP METABOLIC PANEL
$31.96HC PATHOLOGY LEVEL III
$121.83IOPAMIDOL 61 % ORAL SOLUTION
$8.96KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$22.58LACTATED RINGERS INTRAVENOUS SOLUTION
$53.75LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$20.28METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$44.75MIDAZOLAM 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
$520.60Insurance Discount
-$52.06Price Negotiated by Insurer
$468.54Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$19.35CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$44.70DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78FENTANYL 50 MCG/ML INHALATION
$15.80HC CBC INCLUDES DIFF & PLATELETS
$27.95HC COMP METABOLIC PANEL
$35.95HC PATHOLOGY LEVEL III
$137.06IOPAMIDOL 61 % ORAL SOLUTION
$10.08KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$25.40LACTATED RINGERS INTRAVENOUS SOLUTION
$43.06LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$22.82METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$50.35MIDAZOLAM 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
$520.60Insurance Discount
-$156.18Price Negotiated by Insurer
$364.42Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$15.05CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$34.77DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.83FENTANYL 50 MCG/ML INHALATION
$12.29HC CBC INCLUDES DIFF & PLATELETS
$21.74HC COMP METABOLIC PANEL
$27.96HC PATHOLOGY LEVEL III
$106.60IOPAMIDOL 61 % ORAL SOLUTION
$7.84KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.02LACTATED RINGERS INTRAVENOUS SOLUTION
$61.18LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$17.75METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$39.16MIDAZOLAM 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
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$16.12CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$37.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81FENTANYL 50 MCG/ML INHALATION
$13.17HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC PATHOLOGY LEVEL III
$114.22IOPAMIDOL 61 % ORAL SOLUTION
$8.40KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.60LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$19.01METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$41.95MIDAZOLAM 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
$520.60Insurance Discount
-$104.12Price Negotiated by Insurer
$416.48Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$17.20CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$39.74COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
$10.74DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL 50 MCG/ML INHALATION
$14.05HC CBC INCLUDES DIFF & PLATELETS
$8.94HC COMP METABOLIC PANEL
$12.14HC PATHOLOGY LEVEL III
$59.71IOPAMIDOL 61 % ORAL SOLUTION
$8.96KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.38LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY
$6,927.36LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$20.28METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$44.75MIDAZOLAM 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
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$18.27CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$29.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80FENTANYL 50 MCG/ML INHALATION
$14.93HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC PATHOLOGY LEVEL III
$129.45IOPAMIDOL 61 % ORAL SOLUTION
$9.52KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$23.99LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$21.55METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$108.80PROPOFOL 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
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$16.12CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$37.25DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81FENTANYL 50 MCG/ML INHALATION
$13.17HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC PATHOLOGY LEVEL III
$114.22IOPAMIDOL 61 % ORAL SOLUTION
$8.40KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.60LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$19.01METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$41.95MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.87ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$38.25PROPOFOL 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
$520.60Insurance Discount
-$78.09Price Negotiated by Insurer
$442.51Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$18.27CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$29.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.80FENTANYL 50 MCG/ML INHALATION
$14.93HC CBC INCLUDES DIFF & PLATELETS
$26.40HC COMP METABOLIC PANEL
$33.96HC PATHOLOGY LEVEL III
$129.45IOPAMIDOL 61 % ORAL SOLUTION
$9.52KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$23.99LACTATED RINGERS INTRAVENOUS SOLUTION
$59.43LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$14.79METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$47.55MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.99ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$43.35PROPOFOL 10 MG/ML IV (CODE)
$54.09This 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
$520.60Insurance Discount
-$192.62Price Negotiated by Insurer
$327.98Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$13.54CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$21.78DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$12.45FENTANYL 50 MCG/ML INHALATION
$11.06HC CBC INCLUDES DIFF & PLATELETS
$19.57HC COMP METABOLIC PANEL
$25.17HC PATHOLOGY LEVEL III
$95.94IOPAMIDOL 61 % ORAL SOLUTION
$7.06KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$17.78LACTATED RINGERS INTRAVENOUS SOLUTION
$55.06LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$15.97METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$35.24MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$13.33ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$80.64PROPOFOL 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
$520.60Insurance Discount
-$182.21Price Negotiated by Insurer
$338.39Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$0.02CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CBC INCLUDES DIFF & PLATELETS
$11.66HC COMP METABOLIC PANEL
$15.84HC PATHOLOGY LEVEL III
$80.15IOPAMIDOL 61 % ORAL SOLUTION
$0.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.54LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$0.08METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$0.05MIDAZOLAM 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
$520.60Insurance Discount
-$249.37Price Negotiated by Insurer
$271.23Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$0.02CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CBC INCLUDES DIFF & PLATELETS
$11.66HC COMP METABOLIC PANEL
$15.84HC PATHOLOGY LEVEL III
$80.15IOPAMIDOL 61 % ORAL SOLUTION
$0.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.54LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$0.08METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$0.05MIDAZOLAM 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
$520.60Insurance Discount
-$316.00Price Negotiated by Insurer
$204.60Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$0.02CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$1.37DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CBC INCLUDES DIFF & PLATELETS
$11.66HC COMP METABOLIC PANEL
$15.84HC PATHOLOGY LEVEL III
$80.15IOPAMIDOL 61 % ORAL SOLUTION
$0.25KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$0.54LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$0.08METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$0.05MIDAZOLAM 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
$520.60Insurance Discount
-$327.98Price Negotiated by Insurer
$192.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$7.96CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$18.38DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.31FENTANYL 50 MCG/ML INHALATION
$6.50HC CBC INCLUDES DIFF & PLATELETS
$11.49HC COMP METABOLIC PANEL
$14.78HC PATHOLOGY LEVEL III
$56.35IOPAMIDOL 61 % ORAL SOLUTION
$4.14KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$4.24LACTATED RINGERS INTRAVENOUS SOLUTION
$32.34LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$9.38METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$20.70MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$7.83ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$61.42PROPOFOL 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
$520.60Insurance Discount
-$130.15Price Negotiated by Insurer
$390.45Deductible 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.
BUPIVICAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION (OSC)
$16.12CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION
$25.93DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.82FENTANYL 50 MCG/ML INHALATION
$13.17HC CBC INCLUDES DIFF & PLATELETS
$23.30HC COMP METABOLIC PANEL
$29.96HC PATHOLOGY LEVEL III
$114.22IOPAMIDOL 61 % ORAL SOLUTION
$8.40KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION
$8.60LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
$19.01METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
$41.95MIDAZOLAM 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.