CPT 96366
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- additional infusions is $194.54. 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
$194.54Insurance Discount
-$19.45Price Negotiated by Insurer
$175.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$27.40HC GROWTH HORMONE STIMULATION TEST
$608.63HC IV PUSH ADDL DIFF DRUG
$150.95HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$138.03Price Negotiated by Insurer
$56.51Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC GROWTH HORMONE STIMULATION TEST
$258.04HC IV PUSH ADDL DIFF DRUG
$56.51HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$11.36This 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
$194.54Insurance Discount
-$138.03Price Negotiated by Insurer
$56.51Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$9.71HC GROWTH HORMONE STIMULATION TEST
$258.04HC IV PUSH ADDL DIFF DRUG
$56.51HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$11.36This 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
$194.54Insurance Discount
-$5.84Price Negotiated by Insurer
$188.70Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC GROWTH HORMONE STIMULATION TEST
$655.97HC IV PUSH ADDL DIFF DRUG
$162.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00This 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
$194.54Insurance Discount
-$5.84Price Negotiated by Insurer
$188.70Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC GROWTH HORMONE STIMULATION TEST
$655.97HC IV PUSH ADDL DIFF DRUG
$162.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00This 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
$194.54Insurance Discount
-$169.10Price Negotiated by Insurer
$25.44Deductible 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 INCLUDES DIFF & PLATELETS
$4.37HC GROWTH HORMONE STIMULATION TEST
$116.18HC IV PUSH ADDL DIFF DRUG
$25.44HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$5.12This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$35.23Price Negotiated by Insurer
$159.31Deductible 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 INCLUDES DIFF & PLATELETS
$24.94HC GROWTH HORMONE STIMULATION TEST
$553.79HC IV PUSH ADDL DIFF DRUG
$137.35HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$81.89This 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
$194.54Insurance Discount
-$43.71Price Negotiated by Insurer
$150.83Deductible 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 INCLUDES DIFF & PLATELETS
$23.61HC GROWTH HORMONE STIMULATION TEST
$524.30HC IV PUSH ADDL DIFF DRUG
$130.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$77.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson South Haven Hospital directly.
Total estimated charges
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$38.91Price Negotiated by Insurer
$155.63Deductible 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 CBC INCLUDES DIFF & PLATELETS
$24.36HC GROWTH HORMONE STIMULATION TEST
$541.01HC IV PUSH ADDL DIFF DRUG
$134.18HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00This 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
$194.54Insurance Discount
-$11.67Price Negotiated by Insurer
$182.87Deductible 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 CBC INCLUDES DIFF & PLATELETS
$28.62HC GROWTH HORMONE STIMULATION TEST
$635.68HC IV PUSH ADDL DIFF DRUG
$157.66HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$94.00This 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
$194.54Insurance Discount
-$38.91Price Negotiated by Insurer
$155.63Deductible 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 CBC INCLUDES DIFF & PLATELETS
$24.36HC GROWTH HORMONE STIMULATION TEST
$541.01HC IV PUSH ADDL DIFF DRUG
$134.18HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
$0.00Price Negotiated by Insurer
$194.54Deductible 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 INCLUDES DIFF & PLATELETS
$30.45HC GROWTH HORMONE STIMULATION TEST
$676.26HC IV PUSH ADDL DIFF DRUG
$167.72HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$100.00This 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
$194.54Insurance Discount
-$5.84Price Negotiated by Insurer
$188.70Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC GROWTH HORMONE STIMULATION TEST
$655.97HC IV PUSH ADDL DIFF DRUG
$162.69HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$19.45Price Negotiated by Insurer
$175.09Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$27.40HC GROWTH HORMONE STIMULATION TEST
$608.63HC IV PUSH ADDL DIFF DRUG
$150.95HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00This 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
$194.54Insurance Discount
-$170.31Price Negotiated by Insurer
$24.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC GROWTH HORMONE STIMULATION TEST
$110.65HC IV PUSH ADDL DIFF DRUG
$24.23HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$147.07Price Negotiated by Insurer
$47.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.16HC GROWTH HORMONE STIMULATION TEST
$216.75HC IV PUSH ADDL DIFF DRUG
$47.47HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$169.10Price Negotiated by Insurer
$25.44Deductible 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 INCLUDES DIFF & PLATELETS
$4.37HC GROWTH HORMONE STIMULATION TEST
$116.18HC IV PUSH ADDL DIFF DRUG
$25.44HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$5.12This 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
$194.54Insurance Discount
-$142.55Price Negotiated by Insurer
$51.99Deductible 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 INCLUDES DIFF & PLATELETS
$8.94HC GROWTH HORMONE STIMULATION TEST
$237.39HC IV PUSH ADDL DIFF DRUG
$51.99HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.45This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson South Haven Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Bronson South Haven Hospital directly.
Total estimated charges
$194.54Insurance Discount
-$29.18Price Negotiated by Insurer
$165.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$25.88HC GROWTH HORMONE STIMULATION TEST
$574.82HC IV PUSH ADDL DIFF DRUG
$142.56HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00This 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
$194.54Insurance Discount
-$35.02Price Negotiated by Insurer
$159.52Deductible 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 INCLUDES DIFF & PLATELETS
$24.97HC GROWTH HORMONE STIMULATION TEST
$554.53HC IV PUSH ADDL DIFF DRUG
$137.53HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$82.00This 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
$194.54Insurance Discount
-$151.59Price Negotiated by Insurer
$42.95Deductible 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 INCLUDES DIFF & PLATELETS
$7.38HC GROWTH HORMONE STIMULATION TEST
$196.11HC IV PUSH ADDL DIFF DRUG
$42.95HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$8.64This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$144.81Price Negotiated by Insurer
$49.73Deductible 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 INCLUDES DIFF & PLATELETS
$8.55HC GROWTH HORMONE STIMULATION TEST
$227.07HC IV PUSH ADDL DIFF DRUG
$49.73HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.00This 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
$194.54Insurance Discount
-$170.31Price Negotiated by Insurer
$24.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC GROWTH HORMONE STIMULATION TEST
$110.65HC IV PUSH ADDL DIFF DRUG
$24.23HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$170.31Price Negotiated by Insurer
$24.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC GROWTH HORMONE STIMULATION TEST
$110.65HC IV PUSH ADDL DIFF DRUG
$24.23HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87This 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
$194.54Insurance Discount
-$68.09Price Negotiated by Insurer
$126.45Deductible 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 CBC INCLUDES DIFF & PLATELETS
$19.79HC GROWTH HORMONE STIMULATION TEST
$439.57HC IV PUSH ADDL DIFF DRUG
$109.02HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00This 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
$194.54Insurance Discount
-$141.84Price Negotiated by Insurer
$52.70Deductible 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 INCLUDES DIFF & PLATELETS
$49.96HC GROWTH HORMONE STIMULATION TEST
$282.18HC IV PUSH ADDL DIFF DRUG
$81.26HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$12.63This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$152.38Price Negotiated by Insurer
$42.16Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$39.97HC GROWTH HORMONE STIMULATION TEST
$225.74HC IV PUSH ADDL DIFF DRUG
$65.01HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.10This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$23.34Price Negotiated by Insurer
$171.20Deductible 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 INCLUDES DIFF & PLATELETS
$26.80HC GROWTH HORMONE STIMULATION TEST
$595.11HC IV PUSH ADDL DIFF DRUG
$147.59HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$88.00This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$170.31Price Negotiated by Insurer
$24.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC GROWTH HORMONE STIMULATION TEST
$110.65HC IV PUSH ADDL DIFF DRUG
$24.23HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87This 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$124.46Price Negotiated by Insurer
$70.08Deductible 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 CBC INCLUDES DIFF & PLATELETS
$12.04HC GROWTH HORMONE STIMULATION TEST
$319.97HC IV PUSH ADDL DIFF DRUG
$70.08HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$14.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$194.54Insurance Discount
-$149.33Price Negotiated by Insurer
$45.21Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC GROWTH HORMONE STIMULATION TEST
$206.43HC IV PUSH ADDL DIFF DRUG
$45.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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.