
CPT 90710
The standard charge for Measles, mumps, rubella, and varicella vaccine is $1,035.60. 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
$1,035.60Insurance Discount
-$161.55Price Negotiated by Insurer
$874.05Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$295.55HC IMMUN ADMIN EA ADD
$77.48HC OP IMMUNIZATION ADMINISTRATION
$80.28This 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
$1,035.60Insurance Discount
-$704.21Price Negotiated by Insurer
$331.39Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$112.06HC IMMUN ADMIN EA ADD
$29.38HC OP IMMUNIZATION ADMINISTRATION
$30.44This 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
$1,035.60Insurance Discount
-$746.68Price Negotiated by Insurer
$288.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
$1,035.60Insurance Discount
-$714.56Price Negotiated by Insurer
$321.04Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$108.55HC IMMUN ADMIN EA ADD
$28.46HC OP IMMUNIZATION ADMINISTRATION
$29.49This 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
$1,035.60Insurance Discount
-$440.85Price Negotiated by Insurer
$594.75Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$201.10HC IMMUN ADMIN EA ADD
$52.72HC OP IMMUNIZATION ADMINISTRATION
$54.63This 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
$1,035.60Insurance Discount
-$388.24Price Negotiated by Insurer
$647.36Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$218.89HC IMMUN ADMIN EA ADD
$57.38HC OP IMMUNIZATION ADMINISTRATION
$59.46This 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
$1,035.60Insurance Discount
-$746.68Price Negotiated by Insurer
$288.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
$1,035.60Insurance Discount
-$654.50Price Negotiated by Insurer
$381.10Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$128.86HC IMMUN ADMIN EA ADD
$33.78HC OP IMMUNIZATION ADMINISTRATION
$35.00This 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
$1,035.60Insurance Discount
-$671.07Price Negotiated by Insurer
$364.53Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$123.26HC IMMUN ADMIN EA ADD
$32.31HC OP IMMUNIZATION ADMINISTRATION
$33.48This 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
$1,035.60Insurance Discount
-$393.53Price Negotiated by Insurer
$642.07Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$217.11HC IMMUN ADMIN EA ADD
$56.92HC OP IMMUNIZATION ADMINISTRATION
$58.97This 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
$1,035.60Insurance Discount
-$472.23Price Negotiated by Insurer
$563.37Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$190.49HC IMMUN ADMIN EA ADD
$49.94HC OP IMMUNIZATION ADMINISTRATION
$51.75This 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
$1,035.60Insurance Discount
-$141.87Price Negotiated by Insurer
$893.73Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$302.20HC IMMUN ADMIN EA ADD
$79.22HC OP IMMUNIZATION ADMINISTRATION
$82.09This 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
$1,035.60Insurance Discount
-$72.49Price Negotiated by Insurer
$963.11Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$325.66HC IMMUN ADMIN EA ADD
$85.37HC OP IMMUNIZATION ADMINISTRATION
$88.46This 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
$1,035.60Insurance Discount
-$124.27Price Negotiated by Insurer
$911.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$308.15HC IMMUN ADMIN EA ADD
$80.78HC OP IMMUNIZATION ADMINISTRATION
$83.71This 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
$1,035.60Insurance Discount
-$82.33Price Negotiated by Insurer
$953.27Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$322.33HC IMMUN ADMIN EA ADD
$84.50HC OP IMMUNIZATION ADMINISTRATION
$87.56This 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
$1,035.60Insurance Discount
-$82.84Price Negotiated by Insurer
$952.76Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$322.16HC IMMUN ADMIN EA ADD
$84.46HC OP IMMUNIZATION ADMINISTRATION
$87.51This 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
$1,035.60Insurance Discount
-$141.15Price Negotiated by Insurer
$894.45Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$302.44HC IMMUN ADMIN EA ADD
$79.29HC OP IMMUNIZATION ADMINISTRATION
$82.16This 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
$1,035.60Insurance Discount
-$704.21Price Negotiated by Insurer
$331.39Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$112.06HC IMMUN ADMIN EA ADD
$29.38HC OP IMMUNIZATION ADMINISTRATION
$30.44This 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
$1,035.60Insurance Discount
-$472.23Price Negotiated by Insurer
$563.37Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$190.49HC IMMUN ADMIN EA ADD
$49.94HC OP IMMUNIZATION ADMINISTRATION
$51.75This 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
$1,035.60Insurance Discount
-$103.56Price Negotiated by Insurer
$932.04Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$315.15HC IMMUN ADMIN EA ADD
$82.62HC OP IMMUNIZATION ADMINISTRATION
$85.61This 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
$1,035.60Insurance Discount
-$746.68Price Negotiated by Insurer
$288.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
$1,035.60Insurance Discount
-$746.68Price Negotiated by Insurer
$288.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
This 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
$1,035.60Insurance Discount
-$258.90Price Negotiated by Insurer
$776.70Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$262.63HC IMMUN ADMIN EA ADD
$68.85HC OP IMMUNIZATION ADMINISTRATION
$71.34This 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
$1,035.60Insurance Discount
-$250.20Price Negotiated by Insurer
$785.40Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$265.57HC IMMUN ADMIN EA ADD
$69.62HC OP IMMUNIZATION ADMINISTRATION
$72.14This 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
$1,035.60Insurance Discount
-$631.71Price Negotiated by Insurer
$403.89Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$136.57HC IMMUN ADMIN EA ADD
$35.80HC OP IMMUNIZATION ADMINISTRATION
$37.10This 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
$1,035.60Insurance Discount
-$236.11Price Negotiated by Insurer
$799.49Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$270.33HC IMMUN ADMIN EA ADD
$70.87HC OP IMMUNIZATION ADMINISTRATION
$73.43This 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
$1,035.60Insurance Discount
-$176.05Price Negotiated by Insurer
$859.55Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$290.64HC IMMUN ADMIN EA ADD
$76.19HC OP IMMUNIZATION ADMINISTRATION
$78.95This 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
$1,035.60Insurance Discount
-$124.27Price Negotiated by Insurer
$911.33Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$308.15HC IMMUN ADMIN EA ADD
$80.78HC OP IMMUNIZATION ADMINISTRATION
$83.71This 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
$1,035.60Insurance Discount
-$155.34Price Negotiated by Insurer
$880.26Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$297.65HC IMMUN ADMIN EA ADD
$78.03HC OP IMMUNIZATION ADMINISTRATION
$80.85This 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
$1,035.60Insurance Discount
-$219.54Price Negotiated by Insurer
$816.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$275.94HC IMMUN ADMIN EA ADD
$72.34HC OP IMMUNIZATION ADMINISTRATION
$74.95This 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
$1,035.60Insurance Discount
-$704.21Price Negotiated by Insurer
$331.39Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 15 LF-48 MCG- 5 LF UNIT/0.5ML IM SYRG
$112.06HC IMMUN ADMIN EA ADD
$29.38HC OP IMMUNIZATION ADMINISTRATION
$30.44This 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.