CPT 73525
The standard charge for X-ray hip (arthrogram) with dye is $624.56. 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
$624.56Insurance Discount
-$218.60Price Negotiated by Insurer
$405.96Deductible 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
$12.84FENTANYL 50 MCG/ML INHALATION
$11.41HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$642.81HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$199.63IOPAMIDOL 61 % ORAL SOLUTION
$7.28LACTATED RINGERS INTRAVENOUS SOLUTION
$56.81ONDANSETRON 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
$624.56Insurance Discount
-$93.68Price Negotiated by Insurer
$530.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.99FENTANYL 50 MCG/ML INHALATION
$14.93HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$840.60HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$261.05IOPAMIDOL 61 % ORAL SOLUTION
$9.52LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$263.04Price Negotiated by Insurer
$361.52Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.88FENTANYL 50 MCG/ML INHALATION
$8.78HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$289.84HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$90.18IOPAMIDOL 61 % ORAL SOLUTION
$5.60LACTATED RINGERS INTRAVENOUS SOLUTION
$43.70ONDANSETRON 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
$624.56Insurance Discount
-$218.60Price Negotiated by Insurer
$405.96Deductible 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
$7.64FENTANYL 50 MCG/ML INHALATION
$11.41HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$642.81HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$199.63IOPAMIDOL 61 % ORAL SOLUTION
$7.28LACTATED RINGERS INTRAVENOUS SOLUTION
$56.81ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$33.15PROPOFOL 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
$624.56Insurance Discount
-$190.04Price Negotiated by Insurer
$434.52Deductible 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 CAST HIP SPICA 1 AND 1 HALF OR BOTH
$348.36HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$108.39This 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
$624.56Insurance Discount
-$190.04Price Negotiated by Insurer
$434.52Deductible 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 CAST HIP SPICA 1 AND 1 HALF OR BOTH
$348.36HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$108.39This 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
$624.56Insurance Discount
-$433.65Price Negotiated by Insurer
$190.91Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.90FENTANYL 50 MCG/ML INHALATION
$7.02HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$153.06HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$47.62IOPAMIDOL 61 % ORAL SOLUTION
$4.48LACTATED RINGERS INTRAVENOUS SOLUTION
$27.97ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$20.40PROPOFOL 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$385.67Price Negotiated by Insurer
$238.89Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$190.78HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$91.12INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANESTHESIA
$1,894.98IOPAMIDOL 61 % ORAL SOLUTION
$0.48LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70ONDANSETRON 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
$624.56Insurance Discount
-$385.67Price Negotiated by Insurer
$238.89Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.32FENTANYL 50 MCG/ML INHALATION
$3.85HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$190.78HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$91.12INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANESTHESIA
$1,894.98IOPAMIDOL 61 % ORAL SOLUTION
$0.48LACTATED RINGERS INTRAVENOUS SOLUTION
$7.70ONDANSETRON 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$124.91Price Negotiated by Insurer
$499.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL 50 MCG/ML INHALATION
$14.05HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$791.15HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$245.70IOPAMIDOL 61 % ORAL SOLUTION
$8.96LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92ONDANSETRON 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
$624.56Insurance Discount
-$187.37Price Negotiated by Insurer
$437.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.22FENTANYL 50 MCG/ML INHALATION
$12.29HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$692.26HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$214.98IOPAMIDOL 61 % ORAL SOLUTION
$7.84LACTATED RINGERS INTRAVENOUS SOLUTION
$48.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$35.70PROPOFOL 10 MG/ML IV (CODE)
$44.54This 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
$624.56Insurance Discount
-$87.44Price Negotiated by Insurer
$537.12Deductible 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
$10.11FENTANYL 50 MCG/ML INHALATION
$15.10HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$850.49HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$264.12IOPAMIDOL 61 % ORAL SOLUTION
$9.63LACTATED RINGERS INTRAVENOUS SOLUTION
$75.16ONDANSETRON 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
$624.56Insurance Discount
-$124.91Price Negotiated by Insurer
$499.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.40FENTANYL 50 MCG/ML INHALATION
$14.05HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$791.15HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$245.70IOPAMIDOL 61 % ORAL SOLUTION
$8.96LACTATED RINGERS INTRAVENOUS SOLUTION
$69.92ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$132.80PROPOFOL 10 MG/ML IV (CODE)
$52.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$62.46Price Negotiated by Insurer
$562.10Deductible 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
$17.78FENTANYL 50 MCG/ML INHALATION
$15.80HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$890.05HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$276.41IOPAMIDOL 61 % ORAL SOLUTION
$10.08LACTATED RINGERS INTRAVENOUS SOLUTION
$78.66ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$45.90PROPOFOL 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
$624.56Insurance Discount
-$187.37Price Negotiated by Insurer
$437.19Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$13.83FENTANYL 50 MCG/ML INHALATION
$12.29HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$692.26HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$214.98IOPAMIDOL 61 % ORAL SOLUTION
$7.84LACTATED RINGERS INTRAVENOUS SOLUTION
$61.18ONDANSETRON 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
$624.56Insurance Discount
-$156.14Price Negotiated by Insurer
$468.42Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81FENTANYL 50 MCG/ML INHALATION
$13.17HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$741.71HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$230.34IOPAMIDOL 61 % ORAL SOLUTION
$8.40LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55ONDANSETRON 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$259.56Price Negotiated by Insurer
$365.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$292.62HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$91.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$259.56Price Negotiated by Insurer
$365.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$292.62HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$91.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$224.80Price Negotiated by Insurer
$399.76Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.81FENTANYL 50 MCG/ML INHALATION
$14.05HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$320.49HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$99.72IOPAMIDOL 61 % ORAL SOLUTION
$8.96LACTATED RINGERS INTRAVENOUS SOLUTION
$55.94ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$132.80PROPOFOL 10 MG/ML IV (CODE)
$50.90This 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
$624.56Insurance Discount
-$242.18Price Negotiated by Insurer
$382.38Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$306.56HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$95.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$93.68Price Negotiated by Insurer
$530.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$9.99FENTANYL 50 MCG/ML INHALATION
$14.93HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$840.60HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$261.05IOPAMIDOL 61 % ORAL SOLUTION
$9.52LACTATED RINGERS INTRAVENOUS SOLUTION
$59.43ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$43.35PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Price Negotiated by Insurer
$1,042.86Deductible 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 CAST HIP SPICA 1 AND 1 HALF OR BOTH
$836.07HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$260.13This 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
$624.56Insurance Discount
-$156.14Price Negotiated by Insurer
$468.42Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$8.81FENTANYL 50 MCG/ML INHALATION
$13.17HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$741.71HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$230.34IOPAMIDOL 61 % ORAL SOLUTION
$8.40LACTATED RINGERS INTRAVENOUS SOLUTION
$65.55ONDANSETRON 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
$624.56Insurance Discount
-$294.32Price Negotiated by Insurer
$330.24Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$264.76HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$82.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$93.68Price Negotiated by Insurer
$530.88Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$105.83FENTANYL 50 MCG/ML INHALATION
$17.83HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$840.60HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$261.05IOPAMIDOL 61 % ORAL SOLUTION
$9.52LACTATED RINGERS INTRAVENOUS SOLUTION
$74.29ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$141.10PROPOFOL 10 MG/ML IV (CODE)
$55.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$442.75Price Negotiated by Insurer
$181.81Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$145.75HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$45.35This 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
$624.56Price Negotiated by Insurer
$1,124.16Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$901.26HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$280.42This 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$231.09Price Negotiated by Insurer
$393.47Deductible 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
$7.40FENTANYL 50 MCG/ML INHALATION
$11.06HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$623.03HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$193.49IOPAMIDOL 61 % ORAL SOLUTION
$7.06LACTATED RINGERS INTRAVENOUS SOLUTION
$44.05ONDANSETRON 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
$624.56Price Negotiated by Insurer
$899.33Deductible 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 CAST HIP SPICA 1 AND 1 HALF OR BOTH
$721.01HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$224.34This 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$218.60Price Negotiated by Insurer
$405.96Deductible 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
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$642.81HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$199.63IOPAMIDOL 61 % ORAL SOLUTION
$0.25LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93ONDANSETRON 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
$624.56Insurance Discount
-$299.16Price Negotiated by Insurer
$325.40Deductible 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
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$515.24HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$160.01IOPAMIDOL 61 % ORAL SOLUTION
$0.25LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93ONDANSETRON 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
$624.56Insurance Discount
-$442.75Price Negotiated by Insurer
$181.81Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$145.75HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$45.35This 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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
$624.56Insurance Discount
-$379.11Price Negotiated by Insurer
$245.45Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.18FENTANYL 50 MCG/ML INHALATION
$1.96HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$388.65HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$120.70IOPAMIDOL 61 % ORAL SOLUTION
$0.25LACTATED RINGERS INTRAVENOUS SOLUTION
$3.93ONDANSETRON 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
$624.56Insurance Discount
-$442.75Price Negotiated by Insurer
$181.81Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$145.75HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$45.35This 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
$624.56Insurance Discount
-$393.47Price Negotiated by Insurer
$231.09Deductible 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
$7.31FENTANYL 50 MCG/ML INHALATION
$6.50HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$365.91HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$113.63IOPAMIDOL 61 % ORAL SOLUTION
$4.14LACTATED RINGERS INTRAVENOUS SOLUTION
$32.34ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION
$47.36PROPOFOL 10 MG/ML IV (CODE)
$24.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson Methodist Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson Methodist Hospital directly.
Total estimated charges
$624.56Insurance Discount
-$156.14Price Negotiated by Insurer
$468.42Deductible 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.
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$93.38FENTANYL 50 MCG/ML INHALATION
$13.17HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$741.71HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$230.34IOPAMIDOL 61 % ORAL SOLUTION
$8.40LACTATED RINGERS INTRAVENOUS SOLUTION
$52.44ONDANSETRON 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
$624.56Insurance Discount
-$276.94Price Negotiated by Insurer
$347.62Deductible 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.
HC CAST HIP SPICA 1 AND 1 HALF OR BOTH
$278.69HC HIP UNI W PELVIS IF PERFORMED 2 OR 3 VIEWS
$86.71This 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.