
CPT 90710
The standard charge for Measles, mumps, rubella, and varicella vaccine is $1,005.79. 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
$1,005.79Insurance Discount
-$156.90Price Negotiated by Insurer
$848.89Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$294.16HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$673.88Price Negotiated by Insurer
$331.91Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$115.01HC OP IMMUNIZATION ADMIN EA ADD
$30.29HC OP IMMUNIZATION ADMINISTRATION
$31.39This 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
$1,005.79Insurance Discount
-$673.88Price Negotiated by Insurer
$331.91Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$115.01HC OP IMMUNIZATION ADMIN EA ADD
$30.29HC OP IMMUNIZATION ADMINISTRATION
$31.39This 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
$1,005.79Insurance Discount
-$428.16Price Negotiated by Insurer
$577.63Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$200.16HC OP IMMUNIZATION ADMIN EA ADD
$52.72HC OP IMMUNIZATION ADMINISTRATION
$54.62This 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
$1,005.79Insurance Discount
-$377.07Price Negotiated by Insurer
$628.72Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$217.86HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$725.28Price Negotiated by Insurer
$280.51Deductible 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
$1,005.79Insurance Discount
-$624.09Price Negotiated by Insurer
$381.70Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$132.27HC OP IMMUNIZATION ADMIN EA ADD
$34.84HC OP IMMUNIZATION ADMINISTRATION
$36.10This 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
$1,005.79Insurance Discount
-$640.69Price Negotiated by Insurer
$365.10Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$126.52HC OP IMMUNIZATION ADMIN EA ADD
$33.32HC OP IMMUNIZATION ADMINISTRATION
$34.53This 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
$1,005.79Insurance Discount
-$382.20Price Negotiated by Insurer
$623.59Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$216.09HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$492.84Price Negotiated by Insurer
$512.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$177.75HC OP IMMUNIZATION ADMIN EA ADD
$46.82HC OP IMMUNIZATION ADMINISTRATION
$48.51This 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
$1,005.79Insurance Discount
-$137.79Price Negotiated by Insurer
$868.00Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$300.78HC OP IMMUNIZATION ADMIN EA ADD
$79.22HC OP IMMUNIZATION ADMINISTRATION
$82.08This 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
$1,005.79Insurance Discount
-$70.40Price Negotiated by Insurer
$935.39Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$324.13HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$120.69Price Negotiated by Insurer
$885.10Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$306.70HC OP IMMUNIZATION ADMIN EA ADD
$80.78HC OP IMMUNIZATION ADMINISTRATION
$83.70This 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
$1,005.79Insurance Discount
-$79.96Price Negotiated by Insurer
$925.83Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$320.82HC OP IMMUNIZATION ADMIN EA ADD
$84.50HC OP IMMUNIZATION ADMINISTRATION
$87.55This 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
$1,005.79Insurance Discount
-$80.46Price Negotiated by Insurer
$925.33Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$320.65HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$137.09Price Negotiated by Insurer
$868.70Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$301.02HC OP IMMUNIZATION ADMIN EA ADD
$79.29HC OP IMMUNIZATION ADMINISTRATION
$82.15This 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
$1,005.79Insurance Discount
-$492.84Price Negotiated by Insurer
$512.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$177.75HC OP IMMUNIZATION ADMIN EA ADD
$46.82HC OP IMMUNIZATION ADMINISTRATION
$48.51This 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
$1,005.79Insurance Discount
-$492.84Price Negotiated by Insurer
$512.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$177.75HC OP IMMUNIZATION ADMIN EA ADD
$46.82HC OP IMMUNIZATION ADMINISTRATION
$48.51This 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
$1,005.79Insurance Discount
-$100.58Price Negotiated by Insurer
$905.21Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$313.68HC OP IMMUNIZATION ADMIN EA ADD
$82.62HC OP IMMUNIZATION ADMINISTRATION
$85.60This 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
$1,005.79Insurance Discount
-$725.28Price Negotiated by Insurer
$280.51Deductible 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
$1,005.79Insurance Discount
-$725.28Price Negotiated by Insurer
$280.51Deductible 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
$1,005.79Insurance Discount
-$251.45Price Negotiated by Insurer
$754.34Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$261.40HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$243.00Price Negotiated by Insurer
$762.79Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$264.32HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$613.53Price Negotiated by Insurer
$392.26Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$135.93HC OP IMMUNIZATION ADMIN EA ADD
$35.80HC OP IMMUNIZATION ADMINISTRATION
$37.09This 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
$1,005.79Insurance Discount
-$229.32Price Negotiated by Insurer
$776.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$269.06HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$170.98Price Negotiated by Insurer
$834.81Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$289.28HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$120.69Price Negotiated by Insurer
$885.10Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$306.70HC OP IMMUNIZATION ADMIN EA ADD
$80.78HC OP IMMUNIZATION ADMINISTRATION
$83.70This 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
$1,005.79Insurance Discount
-$150.87Price Negotiated by Insurer
$854.92Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$296.25HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$213.23Price Negotiated by Insurer
$792.56Deductible 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) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$274.64HC OP IMMUNIZATION 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
$1,005.79Insurance Discount
-$673.88Price Negotiated by Insurer
$331.91Deductible 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.
DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRG
$115.01HC OP IMMUNIZATION ADMIN EA ADD
$30.29HC OP IMMUNIZATION ADMINISTRATION
$31.39This 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.