CPT 73020
The standard charge for X-ray shoulder, 1 view is $135.42. 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
955 South Bailey Avenue, South Haven, MI, 49090CONTACT
(269) 637-5271 Visit WebsiteBronson South Haven 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 South Haven 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 South Haven 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
$135.42Insurance Discount
-$13.54Price Negotiated by Insurer
$121.88Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$16.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78HC ANCHOR/SCREW IMPLANTS
$15.51LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$60.47MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$5.04PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$69.22ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$26.11This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$6.89DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.31HC ANCHOR/SCREW IMPLANTS
$6.38LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$24.86MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$7.63ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$5.71PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$28.46ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$10.74This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.03Price Negotiated by Insurer
$108.39Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.03Price Negotiated by Insurer
$108.39Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$4.06Price Negotiated by Insurer
$131.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$18.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$19.16HC ANCHOR/SCREW IMPLANTS
$16.71LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$65.17MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$19.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$5.43PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$74.60ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$28.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$87.80Price Negotiated by Insurer
$47.62Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$7.45DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$7.90HC ANCHOR/SCREW IMPLANTS
$6.89LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$26.87MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$8.24ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$6.17PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$30.76ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$11.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$23.77Price Negotiated by Insurer
$111.65Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$15.36DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.28HC ANCHOR/SCREW IMPLANTS
$14.21LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.62PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$63.41ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$23.92This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$23.77Price Negotiated by Insurer
$111.65Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$15.36DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.28HC ANCHOR/SCREW IMPLANTS
$14.21LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$4.62PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$63.41ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$17.06This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.08Price Negotiated by Insurer
$108.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$14.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.80HC ANCHOR/SCREW IMPLANTS
$13.78LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.94MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.49ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$8.19PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$61.53ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$16.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$8.13Price Negotiated by Insurer
$127.29Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$17.51DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$10.69HC ANCHOR/SCREW IMPLANTS
$16.20LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$63.15MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$19.37ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$10.14PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$72.30ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$19.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$27.08Price Negotiated by Insurer
$108.34Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$14.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.80HC ANCHOR/SCREW IMPLANTS
$13.78LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$53.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.49ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$61.53ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$16.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$4.06Price Negotiated by Insurer
$131.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$18.07DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$19.16HC ANCHOR/SCREW IMPLANTS
$16.71LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$67.82MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$19.99ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$5.43PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$74.60ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$28.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
$0.00Price Negotiated by Insurer
$135.42Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$18.62DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$19.75HC ANCHOR/SCREW IMPLANTS
$17.23LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$67.19MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$20.61ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$15.42PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$76.91ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$29.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$13.54Price Negotiated by Insurer
$121.88Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$16.76DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.78HC ANCHOR/SCREW IMPLANTS
$15.51LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$60.47MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.55ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.88PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$69.22ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$18.62This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$44.37Price Negotiated by Insurer
$91.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$87.80Price Negotiated by Insurer
$47.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$35.70Price Negotiated by Insurer
$99.72Deductible 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.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$14.90DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$15.80HC ANCHOR/SCREW IMPLANTS
$13.78LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$53.75MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.49ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.34PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$61.53ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$23.21This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$40.04Price Negotiated by Insurer
$95.38Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$20.31Price Negotiated by Insurer
$115.11Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$15.83DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.79HC ANCHOR/SCREW IMPLANTS
$14.65LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$57.11MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$17.52ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.11PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$65.38ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$24.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$24.38Price Negotiated by Insurer
$111.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$15.27DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$16.20HC ANCHOR/SCREW IMPLANTS
$14.13LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$55.09MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$16.90ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$12.65PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$63.07ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$23.79This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$33.86Price Negotiated by Insurer
$101.56Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$13.97DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$14.81HC ANCHOR/SCREW IMPLANTS
$12.92LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$50.39MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$15.46ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$11.57PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$57.68ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$21.76This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$53.05Price Negotiated by Insurer
$82.37Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$40.04Price Negotiated by Insurer
$95.38Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$88.94Price Negotiated by Insurer
$46.48Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$90.07Price Negotiated by Insurer
$45.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Price Negotiated by Insurer
$230.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$0.86DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.11HC ANCHOR/SCREW IMPLANTS
$15.10LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$2.47MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.15ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.10PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$0.09ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Price Negotiated by Insurer
$184.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$0.69DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$0.09HC ANCHOR/SCREW IMPLANTS
$12.08LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$1.98MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$0.12ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$0.08PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$0.07ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$16.25Price Negotiated by Insurer
$119.17Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION
$16.39DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION
$17.38HC ANCHOR/SCREW IMPLANTS
$15.16LACTATED RINGERS IV INFUSION/BOLUS (CODE)
$59.12MIDAZOLAM 5 MG/ML INJECTION SOLUTION
$18.14ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
$13.57PROPOFOL INFUSION (SYRINGE PUMP 20ML VIAL)(SHH)
$67.68ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
$25.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$90.07Price Negotiated by Insurer
$45.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$1.02Price Negotiated by Insurer
$134.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$90.07Price Negotiated by Insurer
$45.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.
Total estimated charges
$135.42Insurance Discount
-$48.71Price Negotiated by Insurer
$86.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven 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 South Haven Hospital directly.