CPT 74181
The standard charge for MRI of abdomen without dye is $2,038.98. 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
$2,038.98Insurance Discount
-$318.08Price Negotiated by Insurer
$1,720.90Deductible 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 BASIC METABOLIC-CA TOTAL
$93.19HC CBC/AUTO
$68.21HC ED IV PUSH EA ADDITIONAL DRUG
$129.13HC ED LEVEL 4
$1,885.80HC LIPASE
$144.89HC LIVER FUNCTION PANEL
$77.65HC VENIPUNCTURE
$30.59IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$425.80ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.19PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.19SODIUM 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
$2,038.98Insurance Discount
-$1,386.51Price Negotiated by Insurer
$652.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC ED IV PUSH EA ADDITIONAL DRUG
$48.96HC ED LEVEL 4
$715.00HC LIPASE
$54.93HC LIVER FUNCTION PANEL
$29.44HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$5.76PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$5.76SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.20This 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
$2,038.98Insurance Discount
-$1,855.01Price Negotiated by Insurer
$183.97Deductible 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 BASIC METABOLIC-CA TOTAL
$8.46HC CBC/AUTO
$7.77HC ED IV PUSH EA ADDITIONAL DRUG
$75.80HC ED LEVEL 4
$75.80HC LIPASE
$6.89HC LIVER FUNCTION PANEL
$8.17HC VENIPUNCTURE
$8.83This 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
$2,038.98Insurance Discount
-$1,406.90Price Negotiated by Insurer
$632.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$34.23HC CBC/AUTO
$25.05HC ED IV PUSH EA ADDITIONAL DRUG
$47.43HC ED LEVEL 4
$692.65HC LIPASE
$53.22HC LIVER FUNCTION PANEL
$28.52HC VENIPUNCTURE
$11.23IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$156.40ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$5.58PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$5.58SODIUM CHLORIDE 0.9% (IN ML/KG)
$10.85This 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
$2,038.98Insurance Discount
-$867.99Price Negotiated by Insurer
$1,170.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$50.75HC CBC/AUTO
$37.14HC ED IV PUSH EA ADDITIONAL DRUG
$87.87HC ED LEVEL 4
$1,283.19HC LIPASE
$78.90HC LIVER FUNCTION PANEL
$42.28HC VENIPUNCTURE
$16.66IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$289.73ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$10.34PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$10.34SODIUM 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
$2,038.98Insurance Discount
-$764.41Price Negotiated by Insurer
$1,274.57Deductible 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 BASIC METABOLIC-CA TOTAL
$50.75HC CBC/AUTO
$37.14HC ED IV PUSH EA ADDITIONAL DRUG
$95.64HC ED LEVEL 4
$1,396.70HC LIPASE
$78.90HC LIVER FUNCTION PANEL
$42.28HC VENIPUNCTURE
$16.66IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$315.36ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$11.25PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$11.25SODIUM 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
$2,038.98Insurance Discount
-$1,855.01Price Negotiated by Insurer
$183.97Deductible 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 BASIC METABOLIC-CA TOTAL
$8.46HC CBC/AUTO
$7.77HC ED IV PUSH EA ADDITIONAL DRUG
$75.80HC ED LEVEL 4
$75.80HC LIPASE
$6.89HC LIVER FUNCTION PANEL
$8.17HC VENIPUNCTURE
$8.83This 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
$2,038.98Insurance Discount
-$1,288.64Price Negotiated by Insurer
$750.34Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$40.63HC CBC/AUTO
$29.74HC ED IV PUSH EA ADDITIONAL DRUG
$56.30HC ED LEVEL 4
$822.24HC LIPASE
$63.17HC LIVER FUNCTION PANEL
$33.86HC VENIPUNCTURE
$13.34IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$185.66ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$6.62PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$6.62SODIUM CHLORIDE 0.9% (IN ML/KG)
$12.88This 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
$2,038.98Insurance Discount
-$1,321.26Price Negotiated by Insurer
$717.72Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$38.87HC CBC/AUTO
$28.45HC ED IV PUSH EA ADDITIONAL DRUG
$53.86HC ED LEVEL 4
$786.49HC LIPASE
$60.43HC LIVER FUNCTION PANEL
$32.38HC VENIPUNCTURE
$12.76IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$177.58ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$6.34PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$6.34SODIUM CHLORIDE 0.9% (IN ML/KG)
$12.32This 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
$2,038.98Insurance Discount
-$815.59Price Negotiated by Insurer
$1,223.39Deductible 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 BASIC METABOLIC-CA TOTAL
$66.25HC CBC/AUTO
$48.49HC ED IV PUSH EA ADDITIONAL DRUG
$91.80HC ED LEVEL 4
$1,340.62HC LIPASE
$103.00HC LIVER FUNCTION PANEL
$55.20HC VENIPUNCTURE
$21.74IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$302.70ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$10.80PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$10.80SODIUM CHLORIDE 0.9% (IN ML/KG)
$21.00This 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
$2,038.98Insurance Discount
-$929.77Price Negotiated by Insurer
$1,109.21Deductible 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 BASIC METABOLIC-CA TOTAL
$60.07HC CBC/AUTO
$43.97HC ED IV PUSH EA ADDITIONAL DRUG
$83.23HC ED LEVEL 4
$1,215.49HC LIPASE
$93.39HC LIVER FUNCTION PANEL
$50.05HC VENIPUNCTURE
$19.71IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$274.45ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$9.79PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$9.79SODIUM CHLORIDE 0.9% (IN ML/KG)
$19.04This 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
$2,038.98Insurance Discount
-$279.34Price Negotiated by Insurer
$1,759.64Deductible 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 BASIC METABOLIC-CA TOTAL
$95.29HC CBC/AUTO
$69.75HC ED IV PUSH EA ADDITIONAL DRUG
$132.04HC ED LEVEL 4
$1,928.25HC LIPASE
$148.15HC LIVER FUNCTION PANEL
$79.40HC VENIPUNCTURE
$31.28IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$435.38ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.53PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.53SODIUM 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
$2,038.98Insurance Discount
-$142.73Price Negotiated by Insurer
$1,896.25Deductible 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 BASIC METABOLIC-CA TOTAL
$102.69HC CBC/AUTO
$75.16HC ED IV PUSH EA ADDITIONAL DRUG
$142.29HC ED LEVEL 4
$2,077.95HC LIPASE
$159.65HC LIVER FUNCTION PANEL
$85.56HC VENIPUNCTURE
$33.70IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$469.19ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$16.74PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$16.74SODIUM 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
$2,038.98Insurance Discount
-$244.68Price Negotiated by Insurer
$1,794.30Deductible 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 BASIC METABOLIC-CA TOTAL
$97.17HC CBC/AUTO
$71.12HC ED IV PUSH EA ADDITIONAL DRUG
$134.64HC ED LEVEL 4
$1,966.24HC LIPASE
$151.07HC LIVER FUNCTION PANEL
$80.96HC VENIPUNCTURE
$31.89IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$443.96ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.84PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.84SODIUM 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
$2,038.98Insurance Discount
-$162.10Price Negotiated by Insurer
$1,876.88Deductible 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 BASIC METABOLIC-CA TOTAL
$101.64HC CBC/AUTO
$74.39HC ED IV PUSH EA ADDITIONAL DRUG
$140.84HC ED LEVEL 4
$2,056.73HC LIPASE
$158.02HC LIVER FUNCTION PANEL
$84.69HC VENIPUNCTURE
$33.36IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$464.39ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$16.57PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$16.57SODIUM 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
$2,038.98Insurance Discount
-$163.12Price Negotiated by Insurer
$1,875.86Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$101.59HC CBC/AUTO
$74.35HC ED IV PUSH EA ADDITIONAL DRUG
$140.76HC ED LEVEL 4
$2,055.61HC LIPASE
$157.94HC LIVER FUNCTION PANEL
$84.64HC VENIPUNCTURE
$33.34IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$464.14ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$16.56PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$16.56SODIUM 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
$2,038.98Insurance Discount
-$277.91Price Negotiated by Insurer
$1,761.07Deductible 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 BASIC METABOLIC-CA TOTAL
$95.37HC CBC/AUTO
$69.80HC ED IV PUSH EA ADDITIONAL DRUG
$132.15HC ED LEVEL 4
$1,929.82HC LIPASE
$148.27HC LIVER FUNCTION PANEL
$79.46HC VENIPUNCTURE
$31.30IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$435.74ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.55PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.55SODIUM 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
$2,038.98Insurance Discount
-$1,386.51Price Negotiated by Insurer
$652.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC ED IV PUSH EA ADDITIONAL DRUG
$48.96HC ED LEVEL 4
$715.00HC LIPASE
$54.93HC LIVER FUNCTION PANEL
$29.44HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$5.76PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$5.76SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.20This 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
$2,038.98Insurance Discount
-$929.77Price Negotiated by Insurer
$1,109.21Deductible 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 BASIC METABOLIC-CA TOTAL
$60.07HC CBC/AUTO
$43.97HC ED IV PUSH EA ADDITIONAL DRUG
$83.23HC ED LEVEL 4
$1,215.49HC LIPASE
$93.39HC LIVER FUNCTION PANEL
$50.05HC VENIPUNCTURE
$19.71IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$274.45ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$9.79PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$9.79SODIUM CHLORIDE 0.9% (IN ML/KG)
$19.04This 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
$2,038.98Insurance Discount
-$203.90Price Negotiated by Insurer
$1,835.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$99.38HC CBC/AUTO
$72.74HC ED IV PUSH EA ADDITIONAL DRUG
$137.70HC ED LEVEL 4
$2,010.92HC LIPASE
$154.50HC LIVER FUNCTION PANEL
$82.80HC VENIPUNCTURE
$32.62IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$454.05ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$16.20PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$16.20SODIUM 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
$2,038.98Insurance Discount
-$1,855.01Price Negotiated by Insurer
$183.97Deductible 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 BASIC METABOLIC-CA TOTAL
$8.46HC CBC/AUTO
$7.77HC ED IV PUSH EA ADDITIONAL DRUG
$75.80HC ED LEVEL 4
$75.80HC LIPASE
$6.89HC LIVER FUNCTION PANEL
$8.17HC VENIPUNCTURE
$8.83This 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
$2,038.98Insurance Discount
-$1,855.01Price Negotiated by Insurer
$183.97Deductible 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 BASIC METABOLIC-CA TOTAL
$8.46HC CBC/AUTO
$7.77HC ED IV PUSH EA ADDITIONAL DRUG
$75.80HC ED LEVEL 4
$75.80HC LIPASE
$6.89HC LIVER FUNCTION PANEL
$8.17HC VENIPUNCTURE
$8.83This 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
$2,038.98Insurance Discount
-$509.75Price Negotiated by Insurer
$1,529.23Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$82.81HC CBC/AUTO
$60.62HC ED IV PUSH EA ADDITIONAL DRUG
$114.75HC ED LEVEL 4
$1,675.77HC LIPASE
$128.75HC LIVER FUNCTION PANEL
$69.00HC VENIPUNCTURE
$27.18IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$378.38ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$13.50PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$13.50SODIUM 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
$2,038.98Insurance Discount
-$492.62Price Negotiated by Insurer
$1,546.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$83.74HC CBC/AUTO
$61.29HC ED IV PUSH EA ADDITIONAL DRUG
$116.04HC ED LEVEL 4
$1,694.54HC LIPASE
$130.19HC LIVER FUNCTION PANEL
$69.77HC VENIPUNCTURE
$27.48IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$382.61ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$13.65PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$13.65SODIUM 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
$2,038.98Insurance Discount
-$1,243.78Price Negotiated by Insurer
$795.20Deductible 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 BASIC METABOLIC-CA TOTAL
$43.06HC CBC/AUTO
$31.52HC ED IV PUSH EA ADDITIONAL DRUG
$59.67HC ED LEVEL 4
$871.40HC LIPASE
$66.95HC LIVER FUNCTION PANEL
$35.88HC VENIPUNCTURE
$14.13IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$196.75ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$7.02PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$7.02SODIUM 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
$2,038.98Insurance Discount
-$464.89Price Negotiated by Insurer
$1,574.09Deductible 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 BASIC METABOLIC-CA TOTAL
$85.24HC CBC/AUTO
$62.39HC ED IV PUSH EA ADDITIONAL DRUG
$118.12HC ED LEVEL 4
$1,724.93HC LIPASE
$132.53HC LIVER FUNCTION PANEL
$71.02HC VENIPUNCTURE
$27.98IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$389.47ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$13.90PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$13.90SODIUM 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
$2,038.98Insurance Discount
-$346.63Price Negotiated by Insurer
$1,692.35Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$91.65HC CBC/AUTO
$67.08HC ED IV PUSH EA ADDITIONAL DRUG
$126.99HC ED LEVEL 4
$1,854.52HC LIPASE
$142.49HC LIVER FUNCTION PANEL
$76.36HC VENIPUNCTURE
$30.08IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$418.74ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$14.94PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$14.94SODIUM 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
$2,038.98Insurance Discount
-$244.68Price Negotiated by Insurer
$1,794.30Deductible 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 BASIC METABOLIC-CA TOTAL
$97.17HC CBC/AUTO
$71.12HC ED IV PUSH EA ADDITIONAL DRUG
$134.64HC ED LEVEL 4
$1,966.24HC LIPASE
$151.07HC LIVER FUNCTION PANEL
$80.96HC VENIPUNCTURE
$31.89IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$443.96ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.84PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.84SODIUM 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
$2,038.98Insurance Discount
-$305.85Price Negotiated by Insurer
$1,733.13Deductible 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 BASIC METABOLIC-CA TOTAL
$93.86HC CBC/AUTO
$68.70HC ED IV PUSH EA ADDITIONAL DRUG
$130.05HC ED LEVEL 4
$1,899.21HC LIPASE
$145.92HC LIVER FUNCTION PANEL
$78.20HC VENIPUNCTURE
$30.80IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$428.82ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$15.30PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$15.30SODIUM 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
$2,038.98Insurance Discount
-$432.26Price Negotiated by Insurer
$1,606.72Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$87.01HC CBC/AUTO
$63.69HC ED IV PUSH EA ADDITIONAL DRUG
$120.56HC ED LEVEL 4
$1,760.68HC LIPASE
$135.28HC LIVER FUNCTION PANEL
$72.50HC VENIPUNCTURE
$28.56IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$397.55ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$14.18PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$14.18SODIUM 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
$2,038.98Insurance Discount
-$1,386.51Price Negotiated by Insurer
$652.47Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC ED IV PUSH EA ADDITIONAL DRUG
$48.96HC ED LEVEL 4
$715.00HC LIPASE
$54.93HC LIVER FUNCTION PANEL
$29.44HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44ONDANSETRON HCL (PF) 4 MG/2 ML INJ SOLN
$5.76PIPERACILLIN-TAZOBACTAM 2.25 G IV SOLR
$5.76SODIUM CHLORIDE 0.9% (IN ML/KG)
$11.20This 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.