The standard charge for Intravenous infusion, for treatment, prophylaxis, or diagnosis-same drug add on is $150.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
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
$150.00Insurance Discount
-$23.40Price Negotiated by Insurer
$126.60Deductible 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.
Associated service: Revenue Code 250 charges
$30.38Associated service: Revenue Code 258 charges
$32.07HC ACCUCHECK BEDSIDE
$22.01HC FC BASIC METABOLIC
$8.02HC FC CBC/AUTO
$5.89HC IV INF INSULIN THER INIT 16-60 MINS
$373.05HC IV PUSH INSULIN EA ADDITIONAL DRUG
$126.60HC TROPONIN T
$214.45HC VENIPUNCTURE
$29.99This 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
$150.00Insurance Discount
-$100.50Price Negotiated by Insurer
$49.50Deductible 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.
Associated service: Revenue Code 250 charges
$11.88Associated service: Revenue Code 258 charges
$12.54HC ACCUCHECK BEDSIDE
$8.61HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC IV INF INSULIN THER INIT 16-60 MINS
$145.86HC IV PUSH INSULIN EA ADDITIONAL DRUG
$49.50HC TROPONIN T
$83.85HC VENIPUNCTURE
$11.72This 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
$150.00Insurance Discount
-$63.85Price Negotiated by Insurer
$86.15Deductible 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.
Associated service: Revenue Code 250 charges
$20.67Associated service: Revenue Code 258 charges
$21.82HC ACCUCHECK BEDSIDE
$11.99HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC IV INF INSULIN THER INIT 16-60 MINS
$253.84HC IV PUSH INSULIN EA ADDITIONAL DRUG
$86.15HC TROPONIN T
$116.78HC VENIPUNCTURE
$16.33This 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
$150.00Insurance Discount
-$100.50Price Negotiated by Insurer
$49.50Deductible 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.
Associated service: Revenue Code 250 charges
$11.88Associated service: Revenue Code 258 charges
$12.54HC ACCUCHECK BEDSIDE
$8.61HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC IV INF INSULIN THER INIT 16-60 MINS
$145.86HC IV PUSH INSULIN EA ADDITIONAL DRUG
$49.50HC TROPONIN T
$83.85HC VENIPUNCTURE
$11.72This 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
$150.00Insurance Discount
-$63.85Price Negotiated by Insurer
$86.15Deductible 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.
Associated service: Revenue Code 250 charges
$20.67Associated service: Revenue Code 258 charges
$21.82HC ACCUCHECK BEDSIDE
$11.99HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC IV INF INSULIN THER INIT 16-60 MINS
$253.84HC IV PUSH INSULIN EA ADDITIONAL DRUG
$86.15HC TROPONIN T
$116.78HC VENIPUNCTURE
$16.33This 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
$150.00Insurance Discount
-$56.23Price Negotiated by Insurer
$93.77Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Associated service: Revenue Code 250 charges
$22.50Associated service: Revenue Code 258 charges
$23.75HC ACCUCHECK BEDSIDE
$11.99HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC IV INF INSULIN THER INIT 16-60 MINS
$276.29HC IV PUSH INSULIN EA ADDITIONAL DRUG
$93.77HC TROPONIN T
$116.78HC VENIPUNCTURE
$16.33This 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
$150.00Insurance Discount
-$93.08Price Negotiated by Insurer
$56.92Deductible 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.
Associated service: Revenue Code 250 charges
$13.66Associated service: Revenue Code 258 charges
$14.42HC ACCUCHECK BEDSIDE
$9.90HC FC BASIC METABOLIC
$3.61HC FC CBC/AUTO
$2.65HC IV INF INSULIN THER INIT 16-60 MINS
$167.74HC IV PUSH INSULIN EA ADDITIONAL DRUG
$56.92HC TROPONIN T
$96.43HC VENIPUNCTURE
$13.48This 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
$150.00Insurance Discount
-$95.55Price Negotiated by Insurer
$54.45Deductible 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.
Associated service: Revenue Code 250 charges
$13.07Associated service: Revenue Code 258 charges
$13.79HC ACCUCHECK BEDSIDE
$9.47HC FC BASIC METABOLIC
$3.45HC FC CBC/AUTO
$2.53HC IV INF INSULIN THER INIT 16-60 MINS
$160.45HC IV PUSH INSULIN EA ADDITIONAL DRUG
$54.45HC TROPONIN T
$92.23HC VENIPUNCTURE
$12.90This 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
$150.00Insurance Discount
-$73.50Price Negotiated by Insurer
$76.50Deductible 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.
Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$19.38HC ACCUCHECK BEDSIDE
$13.30HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC IV INF INSULIN THER INIT 16-60 MINS
$225.42HC IV PUSH INSULIN EA ADDITIONAL DRUG
$76.50HC TROPONIN T
$129.59HC VENIPUNCTURE
$18.12This 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
$150.00Insurance Discount
-$20.55Price Negotiated by Insurer
$129.45Deductible 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.
Associated service: Revenue Code 250 charges
$31.07Associated service: Revenue Code 258 charges
$32.79HC ACCUCHECK BEDSIDE
$22.51HC FC BASIC METABOLIC
$8.20HC FC CBC/AUTO
$6.02HC IV INF INSULIN THER INIT 16-60 MINS
$381.45HC IV PUSH INSULIN EA ADDITIONAL DRUG
$129.45HC TROPONIN T
$219.28HC VENIPUNCTURE
$30.66This 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
$150.00Insurance Discount
-$18.00Price Negotiated by Insurer
$132.00Deductible 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.
Associated service: Revenue Code 250 charges
$31.68Associated service: Revenue Code 258 charges
$33.44HC ACCUCHECK BEDSIDE
$22.95HC FC BASIC METABOLIC
$8.36HC FC CBC/AUTO
$6.14HC IV INF INSULIN THER INIT 16-60 MINS
$388.96HC IV PUSH INSULIN EA ADDITIONAL DRUG
$132.00HC TROPONIN T
$223.60HC VENIPUNCTURE
$31.27This 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
$150.00Insurance Discount
-$11.93Price Negotiated by Insurer
$138.07Deductible 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.
Associated service: Revenue Code 250 charges
$33.14Associated service: Revenue Code 258 charges
$34.98HC ACCUCHECK BEDSIDE
$24.01HC FC BASIC METABOLIC
$8.74HC FC CBC/AUTO
$6.43HC IV INF INSULIN THER INIT 16-60 MINS
$406.86HC IV PUSH INSULIN EA ADDITIONAL DRUG
$138.07HC TROPONIN T
$233.89HC VENIPUNCTURE
$32.71This 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
$150.00Insurance Discount
-$12.00Price Negotiated by Insurer
$138.00Deductible 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.
Associated service: Revenue Code 250 charges
$33.12Associated service: Revenue Code 258 charges
$34.96HC ACCUCHECK BEDSIDE
$23.99HC FC BASIC METABOLIC
$8.74HC FC CBC/AUTO
$6.42HC IV INF INSULIN THER INIT 16-60 MINS
$406.64HC IV PUSH INSULIN EA ADDITIONAL DRUG
$138.00HC TROPONIN T
$233.76HC VENIPUNCTURE
$32.69This 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
$150.00Insurance Discount
-$20.44Price Negotiated by Insurer
$129.56Deductible 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.
Associated service: Revenue Code 250 charges
$31.09Associated service: Revenue Code 258 charges
$32.82HC ACCUCHECK BEDSIDE
$22.53HC FC BASIC METABOLIC
$8.21HC FC CBC/AUTO
$6.03HC IV INF INSULIN THER INIT 16-60 MINS
$381.76HC IV PUSH INSULIN EA ADDITIONAL DRUG
$129.56HC TROPONIN T
$219.46HC VENIPUNCTURE
$30.69This 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
$150.00Insurance Discount
-$73.50Price Negotiated by Insurer
$76.50Deductible 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.
Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$19.38HC ACCUCHECK BEDSIDE
$13.30HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC IV INF INSULIN THER INIT 16-60 MINS
$225.42HC IV PUSH INSULIN EA ADDITIONAL DRUG
$76.50HC TROPONIN T
$129.59HC VENIPUNCTURE
$18.12This 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
$150.00Insurance Discount
-$73.50Price Negotiated by Insurer
$76.50Deductible 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.
Associated service: Revenue Code 250 charges
$18.36Associated service: Revenue Code 258 charges
$19.38HC ACCUCHECK BEDSIDE
$13.30HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC IV INF INSULIN THER INIT 16-60 MINS
$225.42HC IV PUSH INSULIN EA ADDITIONAL DRUG
$76.50HC TROPONIN T
$129.59HC VENIPUNCTURE
$18.12This 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
$150.00Insurance Discount
-$15.00Price Negotiated by Insurer
$135.00Deductible 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.
Associated service: Revenue Code 250 charges
$32.40Associated service: Revenue Code 258 charges
$34.20HC ACCUCHECK BEDSIDE
$23.47HC FC BASIC METABOLIC
$8.55HC FC CBC/AUTO
$6.28HC IV INF INSULIN THER INIT 16-60 MINS
$397.80HC IV PUSH INSULIN EA ADDITIONAL DRUG
$135.00HC TROPONIN T
$228.68HC VENIPUNCTURE
$31.98This 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
$150.00Insurance Discount
-$37.50Price Negotiated by Insurer
$112.50Deductible 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.
Associated service: Revenue Code 250 charges
$27.00Associated service: Revenue Code 258 charges
$28.50HC ACCUCHECK BEDSIDE
$19.56HC FC BASIC METABOLIC
$7.12HC FC CBC/AUTO
$5.24HC IV INF INSULIN THER INIT 16-60 MINS
$331.50HC IV PUSH INSULIN EA ADDITIONAL DRUG
$112.50HC TROPONIN T
$190.57HC VENIPUNCTURE
$26.65This 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
$150.00Insurance Discount
-$36.24Price Negotiated by Insurer
$113.76Deductible 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.
Associated service: Revenue Code 250 charges
$27.30Associated service: Revenue Code 258 charges
$28.82HC ACCUCHECK BEDSIDE
$19.78HC FC BASIC METABOLIC
$7.20HC FC CBC/AUTO
$5.29HC IV INF INSULIN THER INIT 16-60 MINS
$335.21HC IV PUSH INSULIN EA ADDITIONAL DRUG
$113.76HC TROPONIN T
$192.70HC VENIPUNCTURE
$26.95This 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
$150.00Insurance Discount
-$91.50Price Negotiated by Insurer
$58.50Deductible 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.
Associated service: Revenue Code 250 charges
$14.04Associated service: Revenue Code 258 charges
$14.82HC ACCUCHECK BEDSIDE
$10.17HC FC BASIC METABOLIC
$3.71HC FC CBC/AUTO
$2.72HC IV INF INSULIN THER INIT 16-60 MINS
$172.38HC IV PUSH INSULIN EA ADDITIONAL DRUG
$58.50HC TROPONIN T
$99.10HC VENIPUNCTURE
$13.86This 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
$150.00Insurance Discount
-$34.20Price Negotiated by Insurer
$115.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Associated service: Revenue Code 250 charges
$27.79Associated service: Revenue Code 258 charges
$29.34HC ACCUCHECK BEDSIDE
$20.13HC FC BASIC METABOLIC
$7.33HC FC CBC/AUTO
$5.39HC IV INF INSULIN THER INIT 16-60 MINS
$341.22HC IV PUSH INSULIN EA ADDITIONAL DRUG
$115.80HC TROPONIN T
$196.16HC VENIPUNCTURE
$27.43This 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
$150.00Insurance Discount
-$57.00Price Negotiated by Insurer
$93.00Deductible 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.
Associated service: Revenue Code 250 charges
$22.32Associated service: Revenue Code 258 charges
$23.56HC ACCUCHECK BEDSIDE
$16.17HC FC BASIC METABOLIC
$5.89HC FC CBC/AUTO
$4.33HC IV INF INSULIN THER INIT 16-60 MINS
$274.04HC IV PUSH INSULIN EA ADDITIONAL DRUG
$93.00HC TROPONIN T
$157.54HC VENIPUNCTURE
$22.03This 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
$150.00Insurance Discount
-$25.50Price Negotiated by Insurer
$124.50Deductible 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.
Associated service: Revenue Code 250 charges
$29.88Associated service: Revenue Code 258 charges
$31.54HC ACCUCHECK BEDSIDE
$21.65HC FC BASIC METABOLIC
$7.88HC FC CBC/AUTO
$5.79HC IV INF INSULIN THER INIT 16-60 MINS
$366.86HC IV PUSH INSULIN EA ADDITIONAL DRUG
$124.50HC TROPONIN T
$210.89HC VENIPUNCTURE
$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
$150.00Insurance Discount
-$18.00Price Negotiated by Insurer
$132.00Deductible 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.
Associated service: Revenue Code 250 charges
$31.68Associated service: Revenue Code 258 charges
$33.44HC ACCUCHECK BEDSIDE
$22.95HC FC BASIC METABOLIC
$8.36HC FC CBC/AUTO
$6.14HC IV INF INSULIN THER INIT 16-60 MINS
$388.96HC IV PUSH INSULIN EA ADDITIONAL DRUG
$132.00HC TROPONIN T
$223.60HC VENIPUNCTURE
$31.27This 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
$150.00Insurance Discount
-$22.50Price Negotiated by Insurer
$127.50Deductible 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.
Associated service: Revenue Code 250 charges
$30.60Associated service: Revenue Code 258 charges
$32.30HC ACCUCHECK BEDSIDE
$22.17HC FC BASIC METABOLIC
$8.07HC FC CBC/AUTO
$5.93HC IV INF INSULIN THER INIT 16-60 MINS
$375.70HC IV PUSH INSULIN EA ADDITIONAL DRUG
$127.50HC TROPONIN T
$215.98HC VENIPUNCTURE
$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
$150.00Insurance Discount
-$31.80Price Negotiated by Insurer
$118.20Deductible 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.
Associated service: Revenue Code 250 charges
$28.37Associated service: Revenue Code 258 charges
$29.94HC ACCUCHECK BEDSIDE
$20.55HC FC BASIC METABOLIC
$7.49HC FC CBC/AUTO
$5.50HC IV INF INSULIN THER INIT 16-60 MINS
$348.30HC IV PUSH INSULIN EA ADDITIONAL DRUG
$118.20HC TROPONIN T
$200.22HC VENIPUNCTURE
$28.00This 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
$150.00Insurance Discount
-$100.50Price Negotiated by Insurer
$49.50Deductible 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.
Associated service: Revenue Code 250 charges
$11.88Associated service: Revenue Code 258 charges
$12.54HC ACCUCHECK BEDSIDE
$8.61HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC IV INF INSULIN THER INIT 16-60 MINS
$145.86HC IV PUSH INSULIN EA ADDITIONAL DRUG
$49.50HC TROPONIN T
$83.85HC VENIPUNCTURE
$11.72This 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.