CPT 72132
The standard charge for CT scan of lumbar spine with contrast is $2,016.93. 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
$2,016.93Insurance Discount
-$201.69Price Negotiated by Insurer
$1,815.24Deductible 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 CBC NO DIFF INCLUDES PLATELETS
$17.19HC DRAW VENIPUNCTURE
$14.33HC INJ LUMB W MYELO LS SAME MD
$2,023.76HC ISOVUE 200 PER ML
$4.09HC PROTIME WITH INR
$26.74IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$126.00This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC ISOVUE 200 PER ML
$1.68HC PROTIME WITH INR
$4.29IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$259.00This 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
$2,016.93Insurance Discount
-$1,582.41Price 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 CBC NO DIFF INCLUDES PLATELETS
$8.09HC DRAW VENIPUNCTURE
$11.68HC INJ LUMB W MYELO LS SAME MD
$976.38HC PROTIME WITH INR
$5.36This 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
$2,016.93Insurance Discount
-$1,582.41Price 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 CBC NO DIFF INCLUDES PLATELETS
$8.09HC DRAW VENIPUNCTURE
$11.68HC INJ LUMB W MYELO LS SAME MD
$976.38HC PROTIME WITH INR
$5.36This 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
$2,016.93Insurance Discount
-$60.51Price Negotiated by Insurer
$1,956.42Deductible 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.
HC CBC NO DIFF INCLUDES PLATELETS
$18.53HC DRAW VENIPUNCTURE
$15.44HC INJ LUMB W MYELO LS SAME MD
$2,181.16HC ISOVUE 200 PER ML
$4.41HC PROTIME WITH INR
$28.82IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$135.80This 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
$2,016.93Insurance Discount
-$1,826.02Price 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.
HC CBC NO DIFF INCLUDES PLATELETS
$3.55HC DRAW VENIPUNCTURE
$5.13HC INJ LUMB W MYELO LS SAME MD
$428.98HC ISOVUE 200 PER ML
$1.82HC PROTIME WITH INR
$2.36IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$56.00This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$353.97Price Negotiated by Insurer
$1,662.96Deductible 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.
HC CBC NO DIFF INCLUDES PLATELETS
$15.75HC DRAW VENIPUNCTURE
$13.13HC INJ LUMB W MYELO LS SAME MD
$1,853.99HC ISOVUE 200 PER ML
$3.75HC PROTIME WITH INR
$24.50IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$115.43This 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
$2,016.93Insurance Discount
-$353.97Price Negotiated by Insurer
$1,662.96Deductible 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.
HC CBC NO DIFF INCLUDES PLATELETS
$15.75HC DRAW VENIPUNCTURE
$13.13HC INJ LUMB W MYELO LS SAME MD
$1,853.99HC ISOVUE 200 PER ML
$3.75HC PROTIME WITH INR
$24.50IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$115.43This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$403.39Price Negotiated by Insurer
$1,613.54Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$15.28HC DRAW VENIPUNCTURE
$12.74HC INJ LUMB W MYELO LS SAME MD
$1,798.90HC ISOVUE 200 PER ML
$3.64HC PROTIME WITH INR
$23.77IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$112.00This 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
$2,016.93Insurance Discount
-$121.02Price Negotiated by Insurer
$1,895.91Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$17.95HC DRAW VENIPUNCTURE
$14.96HC INJ LUMB W MYELO LS SAME MD
$2,113.70HC ISOVUE 200 PER ML
$4.28HC PROTIME WITH INR
$27.93IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$131.60This 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
$2,016.93Insurance Discount
-$403.39Price Negotiated by Insurer
$1,613.54Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$15.28HC DRAW VENIPUNCTURE
$12.74HC INJ LUMB W MYELO LS SAME MD
$1,798.90HC ISOVUE 200 PER ML
$3.64HC PROTIME WITH INR
$23.77IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$560.00This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$60.51Price Negotiated by Insurer
$1,956.42Deductible 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.
HC CBC NO DIFF INCLUDES PLATELETS
$18.53HC DRAW VENIPUNCTURE
$15.44HC INJ LUMB W MYELO LS SAME MD
$2,181.16HC ISOVUE 200 PER ML
$4.41HC PROTIME WITH INR
$28.82IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$135.80This 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
$2,016.93Insurance Discount
$0.00Price Negotiated by Insurer
$2,016.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$19.10HC DRAW VENIPUNCTURE
$15.92HC INJ LUMB W MYELO LS SAME MD
$2,248.62HC ISOVUE 200 PER ML
$4.55HC PROTIME WITH INR
$29.71IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$140.00This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$201.69Price Negotiated by Insurer
$1,815.24Deductible 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 CBC NO DIFF INCLUDES PLATELETS
$17.19HC DRAW VENIPUNCTURE
$14.33HC INJ LUMB W MYELO LS SAME MD
$2,023.76HC ISOVUE 200 PER ML
$4.09HC PROTIME WITH INR
$26.74IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$126.00This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,651.93Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.79HC DRAW VENIPUNCTURE
$9.81HC INJ LUMB W MYELO LS SAME MD
$820.15HC PROTIME WITH INR
$4.50This 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
$2,016.93Insurance Discount
-$1,826.02Price 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.
HC CBC NO DIFF INCLUDES PLATELETS
$3.55HC DRAW VENIPUNCTURE
$5.13HC INJ LUMB W MYELO LS SAME MD
$428.98HC PROTIME WITH INR
$2.36This 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
$2,016.93Insurance Discount
-$1,617.17Price 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.
HC CBC NO DIFF INCLUDES PLATELETS
$7.44HC DRAW VENIPUNCTURE
$10.74HC INJ LUMB W MYELO LS SAME MD
$898.26HC ISOVUE 200 PER ML
$3.64HC PROTIME WITH INR
$4.93IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$112.00This 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
$2,016.93Insurance Discount
-$1,634.55Price 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 CBC NO DIFF INCLUDES PLATELETS
$7.12HC DRAW VENIPUNCTURE
$10.27HC INJ LUMB W MYELO LS SAME MD
$859.21HC PROTIME WITH INR
$4.72This 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
$2,016.93Insurance Discount
-$302.54Price Negotiated by Insurer
$1,714.39Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$16.23HC DRAW VENIPUNCTURE
$13.53HC INJ LUMB W MYELO LS SAME MD
$1,911.33HC ISOVUE 200 PER ML
$3.87HC PROTIME WITH INR
$25.25IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$119.00This 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
$2,016.93Insurance Discount
-$363.05Price Negotiated by Insurer
$1,653.88Deductible 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.
HC CBC NO DIFF INCLUDES PLATELETS
$15.66HC DRAW VENIPUNCTURE
$13.05HC INJ LUMB W MYELO LS SAME MD
$1,843.87HC ISOVUE 200 PER ML
$3.73HC PROTIME WITH INR
$24.36IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$114.80This 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
$2,016.93Insurance Discount
-$504.23Price Negotiated by Insurer
$1,512.70Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$14.32HC DRAW VENIPUNCTURE
$11.94HC INJ LUMB W MYELO LS SAME MD
$1,686.46HC ISOVUE 200 PER ML
$3.41HC PROTIME WITH INR
$22.28IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$105.00This 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
$2,016.93Insurance Discount
-$1,686.69Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.15HC DRAW VENIPUNCTURE
$8.87HC INJ LUMB W MYELO LS SAME MD
$742.04HC PROTIME WITH INR
$4.08This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,634.55Price 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 CBC NO DIFF INCLUDES PLATELETS
$7.12HC DRAW VENIPUNCTURE
$10.27HC INJ LUMB W MYELO LS SAME MD
$859.21HC PROTIME WITH INR
$4.72This 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
$2,016.93Insurance Discount
-$1,830.61Price Negotiated by Insurer
$186.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$3.47HC DRAW VENIPUNCTURE
$5.01HC INJ LUMB W MYELO LS SAME MD
$418.67HC PROTIME WITH INR
$2.30This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,835.12Price 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 CBC NO DIFF INCLUDES PLATELETS
$3.38HC DRAW VENIPUNCTURE
$4.88HC INJ LUMB W MYELO LS SAME MD
$408.52HC PROTIME WITH INR
$2.24This 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
$2,016.93Insurance Discount
-$525.52Price Negotiated by Insurer
$1,491.41Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$41.16HC DRAW VENIPUNCTURE
$13.92HC INJ LUMB W MYELO LS SAME MD
$1,970.24HC ISOVUE 200 PER ML
$0.42HC PROTIME WITH INR
$28.45IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$2.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$823.80Price Negotiated by Insurer
$1,193.13Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC NO DIFF INCLUDES PLATELETS
$32.93HC DRAW VENIPUNCTURE
$11.14HC INJ LUMB W MYELO LS SAME MD
$1,576.28HC ISOVUE 200 PER ML
$0.34HC PROTIME WITH INR
$22.76IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$1.93This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$242.03Price Negotiated by Insurer
$1,774.90Deductible 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 CBC NO DIFF INCLUDES PLATELETS
$16.81HC DRAW VENIPUNCTURE
$14.01HC INJ LUMB W MYELO LS SAME MD
$1,978.79HC ISOVUE 200 PER ML
$4.00HC PROTIME WITH INR
$26.14IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$123.20This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,835.12Price 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 CBC NO DIFF INCLUDES PLATELETS
$3.38HC DRAW VENIPUNCTURE
$4.88HC INJ LUMB W MYELO LS SAME MD
$408.52HC PROTIME WITH INR
$2.24This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,016.93Insurance Discount
-$1,478.12Price Negotiated by Insurer
$538.81Deductible 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 CBC NO DIFF INCLUDES PLATELETS
$10.03HC DRAW VENIPUNCTURE
$14.48HC INJ LUMB W MYELO LS SAME MD
$1,210.70HC PROTIME WITH INR
$6.65This 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
$2,016.93Insurance Discount
-$1,835.12Price 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 CBC NO DIFF INCLUDES PLATELETS
$3.38HC DRAW VENIPUNCTURE
$4.88HC INJ LUMB W MYELO LS SAME MD
$408.52HC PROTIME WITH INR
$2.24This 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
$2,016.93Insurance Discount
-$1,669.31Price 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 CBC NO DIFF INCLUDES PLATELETS
$6.47HC DRAW VENIPUNCTURE
$9.34HC INJ LUMB W MYELO LS SAME MD
$781.10HC PROTIME WITH INR
$4.29This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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.