CPT 29505
The standard charge for Application of full leg cast/splint is $357.38. 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
$357.38Insurance Discount
-$35.74Price Negotiated by Insurer
$321.64Deductible 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 ER LEVEL THREE 99283
$813.26HC XR TIB FIB BIL 2 VW
$349.84This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$164.13Price Negotiated by Insurer
$193.25Deductible 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 ER LEVEL THREE 99283
$339.11HC XR TIB FIB BIL 2 VW
$107.84This 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
$357.38Insurance Discount
-$164.13Price Negotiated by Insurer
$193.25Deductible 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 ER LEVEL THREE 99283
$339.11HC XR TIB FIB BIL 2 VW
$107.84This 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
$357.38Insurance Discount
-$10.72Price Negotiated by Insurer
$346.66Deductible 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 ER LEVEL THREE 99283
$876.51HC XR TIB FIB BIL 2 VW
$377.05This 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
$357.38Insurance Discount
-$10.72Price Negotiated by Insurer
$346.66Deductible 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 ER LEVEL THREE 99283
$876.51HC XR TIB FIB BIL 2 VW
$377.05This 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
$357.38Insurance Discount
-$270.37Price Negotiated by Insurer
$87.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$152.68HC XR TIB FIB BIL 2 VW
$48.55This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$64.72Price Negotiated by Insurer
$292.66Deductible 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 ER LEVEL THREE 99283
$739.97HC XR TIB FIB BIL 2 VW
$318.31This 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
$357.38Insurance Discount
-$80.30Price Negotiated by Insurer
$277.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$700.58HC XR TIB FIB BIL 2 VW
$301.37This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$71.48Price Negotiated by Insurer
$285.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$722.90HC XR TIB FIB BIL 2 VW
$310.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$21.44Price Negotiated by Insurer
$335.94Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$849.40HC XR TIB FIB BIL 2 VW
$365.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$71.48Price Negotiated by Insurer
$285.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$722.90HC XR TIB FIB BIL 2 VW
$310.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
$0.00Price Negotiated by Insurer
$357.38Deductible 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 ER LEVEL THREE 99283
$903.62HC XR TIB FIB BIL 2 VW
$388.71This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$10.72Price Negotiated by Insurer
$346.66Deductible 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 ER LEVEL THREE 99283
$876.51HC XR TIB FIB BIL 2 VW
$377.05This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$35.74Price Negotiated by Insurer
$321.64Deductible 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 ER LEVEL THREE 99283
$813.26HC XR TIB FIB BIL 2 VW
$349.84This 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
$357.38Insurance Discount
-$274.51Price Negotiated by Insurer
$82.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$145.41HC XR TIB FIB BIL 2 VW
$46.24This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$195.05Price Negotiated by Insurer
$162.33Deductible 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 ER LEVEL THREE 99283
$284.85HC XR TIB FIB BIL 2 VW
$90.58This 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
$357.38Insurance Discount
-$270.37Price Negotiated by Insurer
$87.01Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$152.68HC XR TIB FIB BIL 2 VW
$48.55This 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
$357.38Insurance Discount
-$179.59Price Negotiated by Insurer
$177.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$311.98HC XR TIB FIB BIL 2 VW
$99.21This 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
$357.38Insurance Discount
-$53.61Price Negotiated by Insurer
$303.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$768.08HC XR TIB FIB BIL 2 VW
$330.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$64.33Price Negotiated by Insurer
$293.05Deductible 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 ER LEVEL THREE 99283
$740.97HC XR TIB FIB BIL 2 VW
$318.74This 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
$357.38Insurance Discount
-$210.51Price Negotiated by Insurer
$146.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$257.73HC XR TIB FIB BIL 2 VW
$81.96This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$187.32Price Negotiated by Insurer
$170.06Deductible 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 ER LEVEL THREE 99283
$298.42HC XR TIB FIB BIL 2 VW
$94.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$274.51Price Negotiated by Insurer
$82.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$145.41HC XR TIB FIB BIL 2 VW
$46.24This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$274.51Price Negotiated by Insurer
$82.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$145.41HC XR TIB FIB BIL 2 VW
$46.24This 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
$357.38Insurance Discount
-$125.08Price Negotiated by Insurer
$232.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$587.35HC XR TIB FIB BIL 2 VW
$252.66This 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
$357.38Insurance Discount
-$185.57Price Negotiated by Insurer
$171.81Deductible 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 ER LEVEL THREE 99283
$478.73HC XR TIB FIB BIL 2 VW
$259.12This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$219.93Price Negotiated by Insurer
$137.45Deductible 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.
HC ER LEVEL THREE 99283
$382.98HC XR TIB FIB BIL 2 VW
$207.30This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$42.89Price Negotiated by Insurer
$314.49Deductible 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 ER LEVEL THREE 99283
$795.19HC XR TIB FIB BIL 2 VW
$342.06This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$274.51Price Negotiated by Insurer
$82.87Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$145.41HC XR TIB FIB BIL 2 VW
$46.24This 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$117.75Price Negotiated by Insurer
$239.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$420.50HC XR TIB FIB BIL 2 VW
$133.72This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$357.38Insurance Discount
-$202.78Price Negotiated by Insurer
$154.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC ER LEVEL THREE 99283
$271.29HC XR TIB FIB BIL 2 VW
$86.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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.