CPT 71275
The standard charge for CT Angiogram Chest with and without Contrast is $2,068.00. 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
$2,068.00Insurance Discount
-$206.80Price Negotiated by Insurer
$1,861.20Deductible 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
$27.40HC ELECTROCARDIOGRAM
$195.66HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00HC TROPONIN QUANTITATIVE
$96.76IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$350.00This 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
$2,068.00Insurance Discount
-$1,849.98Price Negotiated by Insurer
$218.02Deductible 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 ELECTROCARDIOGRAM
$72.75HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$11.36HC TROPONIN QUANTITATIVE
$15.59This 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
$2,068.00Insurance Discount
-$1,849.98Price Negotiated by Insurer
$218.02Deductible 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 ELECTROCARDIOGRAM
$72.75HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$11.36HC TROPONIN QUANTITATIVE
$15.59This 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
$2,068.00Insurance Discount
-$62.04Price Negotiated by Insurer
$2,005.96Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC ELECTROCARDIOGRAM
$210.88HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00HC TROPONIN QUANTITATIVE
$104.28IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$679.00This 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
$2,068.00Insurance Discount
-$62.04Price Negotiated by Insurer
$2,005.96Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC ELECTROCARDIOGRAM
$210.88HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00HC TROPONIN QUANTITATIVE
$104.28IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$679.00This 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
$2,068.00Insurance Discount
-$1,969.84Price Negotiated by Insurer
$98.16Deductible 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
$4.37HC ELECTROCARDIOGRAM
$32.75HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$5.12HC TROPONIN QUANTITATIVE
$7.02IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$374.51Price Negotiated by Insurer
$1,693.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$24.94HC ELECTROCARDIOGRAM
$178.03HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$81.89HC TROPONIN QUANTITATIVE
$88.04IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$114.65This 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
$2,068.00Insurance Discount
-$464.68Price Negotiated by Insurer
$1,603.32Deductible 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 INCLUDES DIFF & PLATELETS
$23.61HC ELECTROCARDIOGRAM
$168.55HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$77.53HC TROPONIN QUANTITATIVE
$83.35IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$108.54This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$413.60Price Negotiated by Insurer
$1,654.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$24.36HC ELECTROCARDIOGRAM
$173.92HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00HC TROPONIN QUANTITATIVE
$86.01IOPAMIDOL 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
$2,068.00Insurance Discount
-$124.08Price Negotiated by Insurer
$1,943.92Deductible 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 ELECTROCARDIOGRAM
$204.36HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$94.00HC TROPONIN QUANTITATIVE
$101.06IOPAMIDOL 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
$2,068.00Insurance Discount
-$413.60Price Negotiated by Insurer
$1,654.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$24.36HC ELECTROCARDIOGRAM
$173.92HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$80.00HC TROPONIN QUANTITATIVE
$86.01IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
$0.00Price Negotiated by Insurer
$2,068.00Deductible 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 INCLUDES DIFF & PLATELETS
$30.45HC ELECTROCARDIOGRAM
$217.40HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$100.00HC TROPONIN QUANTITATIVE
$107.51IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$700.00This 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
$2,068.00Insurance Discount
-$62.04Price Negotiated by Insurer
$2,005.96Deductible 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 INCLUDES DIFF & PLATELETS
$29.54HC ELECTROCARDIOGRAM
$210.88HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$97.00HC TROPONIN QUANTITATIVE
$104.28IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$206.80Price Negotiated by Insurer
$1,861.20Deductible 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
$27.40HC ELECTROCARDIOGRAM
$195.66HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$90.00HC TROPONIN QUANTITATIVE
$96.76IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$630.00This 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
$2,068.00Insurance Discount
-$1,974.51Price Negotiated by Insurer
$93.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC ELECTROCARDIOGRAM
$31.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87HC TROPONIN QUANTITATIVE
$6.68This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,884.86Price Negotiated by Insurer
$183.14Deductible 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 ELECTROCARDIOGRAM
$61.11HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.54HC TROPONIN QUANTITATIVE
$13.09This 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
$2,068.00Insurance Discount
-$1,969.84Price Negotiated by Insurer
$98.16Deductible 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
$4.37HC ELECTROCARDIOGRAM
$32.75HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$5.12HC TROPONIN QUANTITATIVE
$7.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,068.00Insurance Discount
-$1,867.42Price Negotiated by Insurer
$200.58Deductible 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 ELECTROCARDIOGRAM
$66.93HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.45HC TROPONIN QUANTITATIVE
$14.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Bronson 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
$2,068.00Insurance Discount
-$310.20Price Negotiated by Insurer
$1,757.80Deductible 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 ELECTROCARDIOGRAM
$184.79HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$85.00HC TROPONIN QUANTITATIVE
$91.38IOPAMIDOL 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
$2,068.00Insurance Discount
-$372.24Price Negotiated by Insurer
$1,695.76Deductible 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 INCLUDES DIFF & PLATELETS
$24.97HC ELECTROCARDIOGRAM
$178.27HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$82.00HC TROPONIN QUANTITATIVE
$88.16IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,902.30Price Negotiated by Insurer
$165.70Deductible 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
$7.38HC ELECTROCARDIOGRAM
$55.29HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$8.64HC TROPONIN QUANTITATIVE
$11.85This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,876.14Price Negotiated by Insurer
$191.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$8.55HC ELECTROCARDIOGRAM
$64.02HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.00HC TROPONIN QUANTITATIVE
$13.72This 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
$2,068.00Insurance Discount
-$1,974.51Price Negotiated by Insurer
$93.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC ELECTROCARDIOGRAM
$31.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87HC TROPONIN QUANTITATIVE
$6.68This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,974.51Price Negotiated by Insurer
$93.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC ELECTROCARDIOGRAM
$31.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87HC TROPONIN QUANTITATIVE
$6.68This 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
$2,068.00Insurance Discount
-$723.80Price Negotiated by Insurer
$1,344.20Deductible 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
$19.79HC ELECTROCARDIOGRAM
$141.31HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$65.00HC TROPONIN QUANTITATIVE
$69.88IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$91.00This 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
$2,068.00Insurance Discount
-$1,150.61Price Negotiated by Insurer
$917.39Deductible 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 INCLUDES DIFF & PLATELETS
$49.96HC ELECTROCARDIOGRAM
$197.64HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$12.63HC TROPONIN QUANTITATIVE
$155.91IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$2.19This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,334.09Price Negotiated by Insurer
$733.91Deductible 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 INCLUDES DIFF & PLATELETS
$39.97HC ELECTROCARDIOGRAM
$158.11HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$10.10HC TROPONIN QUANTITATIVE
$124.73IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
$1.75This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$248.16Price Negotiated by Insurer
$1,819.84Deductible 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 ELECTROCARDIOGRAM
$191.31HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$88.00HC TROPONIN QUANTITATIVE
$94.61IOPAMIDOL 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,974.51Price Negotiated by Insurer
$93.49Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC CBC INCLUDES DIFF & PLATELETS
$4.16HC ELECTROCARDIOGRAM
$31.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$4.87HC TROPONIN QUANTITATIVE
$6.68This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,797.65Price Negotiated by Insurer
$270.35Deductible 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 ELECTROCARDIOGRAM
$90.21HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$14.09HC TROPONIN QUANTITATIVE
$19.33This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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
$2,068.00Insurance Discount
-$1,893.58Price Negotiated by Insurer
$174.42Deductible 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 INCLUDES DIFF & PLATELETS
$7.77HC ELECTROCARDIOGRAM
$58.20HC LEGAL BLOOD DRAW KZO CO/STATE/OTHER
$9.09HC TROPONIN QUANTITATIVE
$12.47This 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.