
CPT 96365
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- initial infusion is $450.84. 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
416 East Maumee Street, Angola, IN, 46703CONTACT
(260) 667-5128 Visit WebsiteCameron Memorial Community 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, Cameron Memorial Community 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.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$450.84Insurance Discount
-$70.33Price Negotiated by Insurer
$380.51Deductible 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 FC BASIC METABOLIC
$8.18HC FC CBC/AUTO DIFFERENTIAL
$5.38HC IV INF THER EA ADD 31-60 MN
$154.96HC MAGNESIUM, RBCS
$91.56HC TROPONIN T
$218.74HC VENIPUNCTURE
$30.59SODIUM CHLORIDE 0.9% (IN ML/KG)
$29.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$302.06Price Negotiated by Insurer
$148.78Deductible 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 FC BASIC METABOLIC
$3.20HC FC CBC/AUTO DIFFERENTIAL
$2.10HC IV INF THER EA ADD 31-60 MN
$60.59HC MAGNESIUM, RBCS
$35.80HC TROPONIN T
$85.53HC VENIPUNCTURE
$11.96SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$302.06Price Negotiated by Insurer
$148.78Deductible 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 FC BASIC METABOLIC
$3.20HC FC CBC/AUTO DIFFERENTIAL
$2.10HC IV INF THER EA ADD 31-60 MN
$60.59HC MAGNESIUM, RBCS
$35.80HC TROPONIN T
$85.53HC VENIPUNCTURE
$11.96SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$191.92Price Negotiated by Insurer
$258.92Deductible 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 FC BASIC METABOLIC
$4.45HC FC CBC/AUTO DIFFERENTIAL
$2.93HC IV INF THER EA ADD 31-60 MN
$105.44HC MAGNESIUM, RBCS
$49.86HC TROPONIN T
$119.12HC VENIPUNCTURE
$16.66SODIUM CHLORIDE 0.9% (IN ML/KG)
$20.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$169.02Price Negotiated by Insurer
$281.82Deductible 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 FC BASIC METABOLIC
$4.45HC FC CBC/AUTO DIFFERENTIAL
$2.93HC IV INF THER EA ADD 31-60 MN
$114.77HC MAGNESIUM, RBCS
$49.86HC TROPONIN T
$119.12HC VENIPUNCTURE
$16.66SODIUM CHLORIDE 0.9% (IN ML/KG)
$21.88This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$377.13Price Negotiated by Insurer
$73.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$8.46HC FC CBC/AUTO DIFFERENTIAL
$7.77HC IV INF THER EA ADD 31-60 MN
$73.71HC MAGNESIUM, RBCS
$6.70HC TROPONIN T
$12.47HC VENIPUNCTURE
$3.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$279.75Price Negotiated by Insurer
$171.09Deductible 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 FC BASIC METABOLIC
$3.68HC FC CBC/AUTO DIFFERENTIAL
$2.42HC IV INF THER EA ADD 31-60 MN
$69.68HC MAGNESIUM, RBCS
$41.17HC TROPONIN T
$98.36HC VENIPUNCTURE
$13.75SODIUM CHLORIDE 0.9% (IN ML/KG)
$13.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$287.19Price Negotiated by Insurer
$163.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$3.52HC FC CBC/AUTO DIFFERENTIAL
$2.31HC IV INF THER EA ADD 31-60 MN
$66.65HC MAGNESIUM, RBCS
$39.38HC TROPONIN T
$94.08HC VENIPUNCTURE
$13.16SODIUM CHLORIDE 0.9% (IN ML/KG)
$12.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$171.32Price Negotiated by Insurer
$279.52Deductible 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 FC BASIC METABOLIC
$6.01HC FC CBC/AUTO DIFFERENTIAL
$3.95HC IV INF THER EA ADD 31-60 MN
$113.83HC MAGNESIUM, RBCS
$67.26HC TROPONIN T
$160.69HC VENIPUNCTURE
$22.47SODIUM CHLORIDE 0.9% (IN ML/KG)
$21.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$220.91Price Negotiated by Insurer
$229.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$4.94HC FC CBC/AUTO DIFFERENTIAL
$3.25HC IV INF THER EA ADD 31-60 MN
$93.64HC MAGNESIUM, RBCS
$55.33HC TROPONIN T
$132.18HC VENIPUNCTURE
$18.48SODIUM CHLORIDE 0.9% (IN ML/KG)
$17.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$61.77Price Negotiated by Insurer
$389.07Deductible 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 FC BASIC METABOLIC
$8.36HC FC CBC/AUTO DIFFERENTIAL
$5.50HC IV INF THER EA ADD 31-60 MN
$158.45HC MAGNESIUM, RBCS
$93.62HC TROPONIN T
$223.67HC VENIPUNCTURE
$31.28SODIUM CHLORIDE 0.9% (IN ML/KG)
$30.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$31.56Price Negotiated by Insurer
$419.28Deductible 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 FC BASIC METABOLIC
$9.01HC FC CBC/AUTO DIFFERENTIAL
$5.93HC IV INF THER EA ADD 31-60 MN
$170.75HC MAGNESIUM, RBCS
$100.89HC TROPONIN T
$241.03HC VENIPUNCTURE
$33.70SODIUM CHLORIDE 0.9% (IN ML/KG)
$32.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$54.10Price Negotiated by Insurer
$396.74Deductible 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 FC BASIC METABOLIC
$8.53HC FC CBC/AUTO DIFFERENTIAL
$5.61HC IV INF THER EA ADD 31-60 MN
$161.57HC MAGNESIUM, RBCS
$95.47HC TROPONIN T
$228.07HC VENIPUNCTURE
$31.89SODIUM CHLORIDE 0.9% (IN ML/KG)
$30.80This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$35.84Price Negotiated by Insurer
$415.00Deductible 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 FC BASIC METABOLIC
$8.92HC FC CBC/AUTO DIFFERENTIAL
$5.87HC IV INF THER EA ADD 31-60 MN
$169.00HC MAGNESIUM, RBCS
$99.86HC TROPONIN T
$238.57HC VENIPUNCTURE
$33.36SODIUM CHLORIDE 0.9% (IN ML/KG)
$32.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$36.07Price Negotiated by Insurer
$414.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$8.91HC FC CBC/AUTO DIFFERENTIAL
$5.86HC IV INF THER EA ADD 31-60 MN
$168.91HC MAGNESIUM, RBCS
$99.81HC TROPONIN T
$238.44HC VENIPUNCTURE
$33.34SODIUM CHLORIDE 0.9% (IN ML/KG)
$32.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$61.45Price Negotiated by Insurer
$389.39Deductible 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 FC BASIC METABOLIC
$8.37HC FC CBC/AUTO DIFFERENTIAL
$5.51HC IV INF THER EA ADD 31-60 MN
$158.58HC MAGNESIUM, RBCS
$93.70HC TROPONIN T
$223.85HC VENIPUNCTURE
$31.30SODIUM CHLORIDE 0.9% (IN ML/KG)
$30.23This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$220.91Price Negotiated by Insurer
$229.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$4.94HC FC CBC/AUTO DIFFERENTIAL
$3.25HC IV INF THER EA ADD 31-60 MN
$93.64HC MAGNESIUM, RBCS
$55.33HC TROPONIN T
$132.18HC VENIPUNCTURE
$18.48SODIUM CHLORIDE 0.9% (IN ML/KG)
$17.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$220.91Price Negotiated by Insurer
$229.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$4.94HC FC CBC/AUTO DIFFERENTIAL
$3.25HC IV INF THER EA ADD 31-60 MN
$93.64HC MAGNESIUM, RBCS
$55.33HC TROPONIN T
$132.18HC VENIPUNCTURE
$18.48SODIUM CHLORIDE 0.9% (IN ML/KG)
$17.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$45.08Price Negotiated by Insurer
$405.76Deductible 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 FC BASIC METABOLIC
$8.72HC FC CBC/AUTO DIFFERENTIAL
$5.74HC IV INF THER EA ADD 31-60 MN
$165.24HC MAGNESIUM, RBCS
$97.64HC TROPONIN T
$233.25HC VENIPUNCTURE
$32.62SODIUM CHLORIDE 0.9% (IN ML/KG)
$31.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$377.13Price Negotiated by Insurer
$73.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$8.46HC FC CBC/AUTO DIFFERENTIAL
$7.77HC IV INF THER EA ADD 31-60 MN
$73.71HC MAGNESIUM, RBCS
$6.70HC TROPONIN T
$12.47HC VENIPUNCTURE
$3.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$377.13Price Negotiated by Insurer
$73.71Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$8.46HC FC CBC/AUTO DIFFERENTIAL
$7.77HC IV INF THER EA ADD 31-60 MN
$73.71HC MAGNESIUM, RBCS
$6.70HC TROPONIN T
$12.47HC VENIPUNCTURE
$3.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$112.71Price Negotiated by Insurer
$338.13Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$7.27HC FC CBC/AUTO DIFFERENTIAL
$4.78HC IV INF THER EA ADD 31-60 MN
$137.70HC MAGNESIUM, RBCS
$81.37HC TROPONIN T
$194.38HC VENIPUNCTURE
$27.18SODIUM CHLORIDE 0.9% (IN ML/KG)
$26.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$108.92Price Negotiated by Insurer
$341.92Deductible 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 FC BASIC METABOLIC
$7.35HC FC CBC/AUTO DIFFERENTIAL
$4.83HC IV INF THER EA ADD 31-60 MN
$139.24HC MAGNESIUM, RBCS
$82.28HC TROPONIN T
$196.56HC VENIPUNCTURE
$27.48SODIUM CHLORIDE 0.9% (IN ML/KG)
$26.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$275.01Price Negotiated by Insurer
$175.83Deductible 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 FC BASIC METABOLIC
$3.78HC FC CBC/AUTO DIFFERENTIAL
$2.49HC IV INF THER EA ADD 31-60 MN
$71.60HC MAGNESIUM, RBCS
$42.31HC TROPONIN T
$101.08HC VENIPUNCTURE
$14.13SODIUM CHLORIDE 0.9% (IN ML/KG)
$13.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$102.79Price Negotiated by Insurer
$348.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC FC BASIC METABOLIC
$7.48HC FC CBC/AUTO DIFFERENTIAL
$4.92HC IV INF THER EA ADD 31-60 MN
$141.74HC MAGNESIUM, RBCS
$83.75HC TROPONIN T
$200.08HC VENIPUNCTURE
$27.98SODIUM CHLORIDE 0.9% (IN ML/KG)
$27.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$76.64Price Negotiated by Insurer
$374.20Deductible 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 FC BASIC METABOLIC
$8.04HC FC CBC/AUTO DIFFERENTIAL
$5.29HC IV INF THER EA ADD 31-60 MN
$152.39HC MAGNESIUM, RBCS
$90.04HC TROPONIN T
$215.11HC VENIPUNCTURE
$30.08SODIUM CHLORIDE 0.9% (IN ML/KG)
$29.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$54.10Price Negotiated by Insurer
$396.74Deductible 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 FC BASIC METABOLIC
$8.53HC FC CBC/AUTO DIFFERENTIAL
$5.61HC IV INF THER EA ADD 31-60 MN
$161.57HC MAGNESIUM, RBCS
$95.47HC TROPONIN T
$228.07HC VENIPUNCTURE
$31.89SODIUM CHLORIDE 0.9% (IN ML/KG)
$30.80This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$67.63Price Negotiated by Insurer
$383.21Deductible 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 FC BASIC METABOLIC
$8.24HC FC CBC/AUTO DIFFERENTIAL
$5.42HC IV INF THER EA ADD 31-60 MN
$156.06HC MAGNESIUM, RBCS
$92.21HC TROPONIN T
$220.30HC VENIPUNCTURE
$30.80SODIUM CHLORIDE 0.9% (IN ML/KG)
$29.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$95.58Price Negotiated by Insurer
$355.26Deductible 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 FC BASIC METABOLIC
$7.64HC FC CBC/AUTO DIFFERENTIAL
$5.02HC IV INF THER EA ADD 31-60 MN
$144.68HC MAGNESIUM, RBCS
$85.49HC TROPONIN T
$204.23HC VENIPUNCTURE
$28.56SODIUM CHLORIDE 0.9% (IN ML/KG)
$27.58This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.
Total estimated charges
$450.84Insurance Discount
-$302.06Price Negotiated by Insurer
$148.78Deductible 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 FC BASIC METABOLIC
$3.20HC FC CBC/AUTO DIFFERENTIAL
$2.10HC IV INF THER EA ADD 31-60 MN
$60.59HC MAGNESIUM, RBCS
$35.80HC TROPONIN T
$85.53HC VENIPUNCTURE
$11.96SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community 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 Cameron Memorial Community Hospital directly.